Question 1

Frequent developmental assessments are important for which reason?&#10;A) Stable developmental periods during infancy provide an opportunity to identify any delays or deficits.&#10;B) Infants need stimulation specific to the stage of development.&#10;C) Critical periods of development occur during childhood.&#10;D) Child development is unpredictable and needs monitoring.

Accepted Answer

Critical periods are blocks of time during which children are ready to master specific developmental tasks.The earlier that delays in development are discovered and intervention initiated,the less dramatic their effect will be.Infancy is a dynamic time of development that requires frequent evaluations to assess appropriate developmental progress.Infants in a nurturing environment will develop appropriately and will not necessarily need stimulation specific to their developmental stage.Normal growth and development are orderly and proceed in a predictable pattern on the basis of each individual's abilities and potentials.

Question 2

What does the nurse need to know when observing a chronically ill child at play?&#10;A) Play is not important to hospitalized children.&#10;B) Children need to have structured play periods.&#10;C) Children's play is a form of communication.&#10;D) Play is to be discouraged because it tires hospitalized children.

Accepted Answer

Children's play is a form of communication and can provide insight into their physical and emotional well-being. Understanding the child's play can help the nurse identify any potential issues and provide appropriate interventions. Additionally, play can help alleviate stress and promote coping in chronically ill children.

Question 3

Which developmental assessment instrument is appropriate to assess a 5-year-old child?&#10;A) Brazelton Behavioral Scale&#10;B) Denver Developmental Screening Test II (DDST-II)&#10;C) Dubowitz Scale&#10;D) New Ballard Scale

Accepted Answer

The Denver Developmental Screening Test II (DDST-II) is appropriate for assessing a 5-year-old child's development. It is designed to identify children who may be at risk for developmental delays in various areas, such as language, motor skills, and social-emotional development. The other instruments listed are primarily used for assessing infants and newborns.

Question 4

What should the nurse evaluate before administering the Denver Developmental Screening Test II (DDST-II)? Select all that apply.&#10;A) The child's height and weight&#10;B) The parent's ability to comprehend the results&#10;C) The child's mood&#10;D) The parent-child interaction&#10;E) The child's chronologic age

Accepted Answer

The child's mood is important as it can affect performance during the test. The child's chronologic age is necessary to compare developmental milestones accurately.

Question 5

A type of play that allows children to act out roles and experiences that may have happened to them,that they fear may happen,or that they have observed in others is known as ______ play.

Accepted Answer

The answer of A type of play that allows children...

Question 6

A 2-month-old child has not received any immunizations.Which immunizations should the nurse give?&#10;A) DTaP, Hib, HepB, MCV, varicella&#10;B) DTaP, Hib, HepB, HPV, IPV, Rota&#10;C) DTaP, Hib, HepB, PCV, Rota&#10;D) DTaP, Hib, HepB, PCV, HepA

Accepted Answer

The recommended immunizations for a 2-month-old child are DTaP (diphtheria, tetanus, and pertussis), Hib (Haemophilus influenzae type b), HepB (hepatitis B), PCV (pneumococcal conjugate), and Rota (rotavirus). Option C includes all of these immunizations except for Rota. HepA and varicella are not recommended until later in childhood. HPV and IPV are also not recommended at this age.

Question 7

The nurse is planning a teaching session for a young child and her parents.According to Piaget's theory,the period of cognitive development in which the child is able to distinguish between concepts related to fact and fantasy,such as human beings are incapable of flying like birds,is the _______ period of cognitive development.

A) Sensorimotor
B) Formal operations
C) Concrete operations
D) Preoperational

Accepted Answer

According to Piaget's theory, the concrete operational period of cognitive development occurs from around age 7 to 12 years old. During this period, children begin to understand the difference between what is real and what is imaginary, and can distinguish between fact and fantasy. This is in contrast to the preoperational period, where children may have difficulty distinguishing between reality and fantasy. The sensorimotor period occurs from birth to 2 years old and the formal operations period occurs from around age 12 to adulthood.

Question 8

When counseling parents and children about the importance of increased physical activity,the nurse can emphasize&#10;A) Anaerobic exercise should comprise a major component of the child's daily exercise.&#10;B) All children should be physically active for at least 2 hours per day.&#10;C) It is not necessary to participate in physical education classes at school if a student is taking part in other activities.&#10;D) Making exercise fun and a habitual activity.

Accepted Answer

Emphasizing the importance of making exercise fun and a habitual activity can help encourage children to engage in physical activity on a regular basis. This can also help to promote lifelong healthy habits. Option A is incorrect as anaerobic exercise may not be appropriate or safe for all children. Option B is a guideline that is recommended by the World Health Organization, but may not be feasible or realistic for all families. Option C ignores the benefits of physical education classes and the opportunity for children to learn new skills and participate in team sports.

Question 9

Which children are at greater risk for not receiving immunizations?&#10;A) Children who attend licensed daycare programs&#10;B) Children entering school&#10;C) Children who are home schooled&#10;D) Young adults entering college

Accepted Answer

Children who are home schooled may not be subject to the same immunization requirements as those attending licensed daycare programs or schools, potentially putting them at greater risk for not receiving immunizations.

Question 10

Which expected outcome is developmentally appropriate for a hospitalized 4-year-old child?&#10;A) The child will be dressed and fed by the parents.&#10;B) The child will independently ask for play materials or other personal needs.&#10;C) The child will be able to verbalize an understanding of the reason for the hospitalization.&#10;D) The child will have a parent stay in the room at all times.

Accepted Answer

A 4-year-old child should be able to ask for personal needs and play materials independently, demonstrating some independence and autonomy. While it is developmentally appropriate for a 4-year-old to have a parent stay in the room at times, it is not necessary for them to have a parent in the room at all times. Dressing and feeding by parents may not necessarily demonstrate independence and understanding of the situation. Verbalizing an understanding of the reason for hospitalization may be difficult for a 4-year-old child to fully grasp.

Question 11

Which factor has the greatest influence on child growth and development?&#10;A) Culture&#10;B) Environment&#10;C) Genetics&#10;D) Nutrition

Accepted Answer

The answer of Which factor has the greatest influence on...

Question 12

Which is the preferred site for administration of the Hib vaccine to an infant?&#10;A) Deltoid&#10;B) Anterolateral thigh&#10;C) Upper, outer aspect of the arm&#10;D) Dorsal gluteal region

Accepted Answer

The answer of Which is the preferred site for administration...

Question 13

Which statement best describes development in infants and children?&#10;A) Development, a predictable and orderly process, occurs at varying rates within normal limits.&#10;B) Development is primarily related to the growth in the number and size of cells.&#10;C) Development occurs in a proximodistal direction with fine muscle development occurring first.&#10;D) Development is more easily and accurately measured than growth.

Accepted Answer

The answer of Which statement best describes development in infants...

Question 14

Which immunizations should be used with caution in children with an allergy to eggs?&#10;A) HepB&#10;B) DTaP&#10;C) Hib&#10;D) MMR

Accepted Answer

The answer of Which immunizations should be used with caution...

Question 15

A preschool aged child will be receiving immunizations.Which statement identifies an appropriate level of language development for a 4-year-old child?&#10;A) The child has a vocabulary of 300 words and uses simple sentences.&#10;B) The child uses correct grammar in sentences.&#10;C) The child is able to pronounce consonants clearly.&#10;D) The child uses language to express abstract thought.

Accepted Answer

The answer of A preschool aged child will be receiving...

Question 16

Which child is most likely to be frightened by hospitalization?&#10;A) A 4-month-old infant admitted with a diagnosis of bronchiolitis&#10;B) A 2-year-old toddler admitted for cystic fibrosis&#10;C) A 9-year-old child hospitalized with a fractured femur&#10;D) A 15-year-old adolescent admitted for abdominal pain

Accepted Answer

The answer of Which child is most likely to be...

Question 17

The environment,both physical and psychosocial,is a significant determinate of growth and development outcomes before and after birth.Nurses can assist parents in preventing environmental injury for their 2-year-old toddler by teaching them to avoid the most common sources of exposure.This anticipatory guidance includes teaching related to

A) Avoiding sun exposure, secondhand smoke, and lead
B) Socioeconomic status, primarily poverty
C) Maternal smoking and alcohol intake during pregnancy
D) The passing of environmental toxins through breast milk

Accepted Answer

The answer of The environment,both physical and psychosocial,is a significant...

Question 18

The theorist who viewed developmental progression as a lifelong series of conflicts that need resolution is&#10;A) Erikson&#10;B) Freud&#10;C) Kohlberg&#10;D) Piaget

Accepted Answer

The answer of The theorist who viewed developmental progression as...

Question 19

Breastfeeding is the ideal method for providing nutrition to the human infant and is recommended by the American Heart Association,the American Academy of Pediatrics,and the World Health Organization.Infants should be exclusively breastfed for a minimum of 4 months and preferably 6 months.Is this statement true or false?

Accepted Answer

The answer of Breastfeeding is the ideal method for providing...

Question 20

You are preparing immunizations for a 12-month-old child who is immunocompromised.Which immunizations cannot be given? Select all that apply.&#10;A) DTaP&#10;B) HepA&#10;C) IPV&#10;D) Varicella&#10;E) MMR

Accepted Answer

The answer of You are preparing immunizations for a 12-month-old...

Deck 5: Health Promotion for the Developing Child