Deck 15: An Overview of Growth, Development, and Nutrition

Question 1

What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit?

A) Specific to general
B) Proximodistal
C) Cephalocaudal
D) General to specific

Answer 1

Cephalocaudal

Question 2

A mother reports that she and her husband have had one child together,but both have children from previous marriages living in their home.The nurse will base the care planning on what type of family?

A) Nuclear
B) Blended
C) Alternate
D) Extended

Answer 2

Blended

Question 3

When a small group of preschool-age children were playing house,each child was pretending to be a particular family member.What type of play does the nurse recognize these children are participating in?

A) Parallel
B) Cooperative
C) Symbolic
D) Fantasy

Answer 3

Cooperative

Question 4

When the nurse asks a 10-year-old Native American if he is ready to go to therapy,he does not answer immediately.How does the nurse interpret this response?

A) Indecision
B) Considering the answer in silence
C) Shyness with strangers
D) Fear of medical personnel

Question 5

The nurse has discussed with a mother the process of introducing solid foods to her 6-month-old infant.What statement by the mother leads the nurse to determine that learning has taken place?

A) "I will give my infant rice cereal first."
B) "I will give my infant yellow vegetables first."
C) "I will give my infant egg yolks first."
D) "I will give my infant fruits first."

Question 6

A mother tells the nurse,"My 11-month-old son is not as active as my other children were at this age.He is the youngest of four and the older children love to dote on him." Which factor is influencing this child's language development?

A) Heredity
B) Sex
C) Mother's health during pregnancy
D) Ordinal position

Question 7

The mother of a 7-month-old states,"The baby is eating food now.Should I give him regular milk,too?" What is the nurse's best response?

A) "You should give the baby low-fat milk."
B) "Try the milk. See if he has any digestive problems."
C) "Continue breast milk or iron-fortified formula until 1 year of age."
D) "At this age, infants can tolerate lactose-free or soy-based milk."

Question 8

What would the nurse further investigate when assessing patterns of growth in a child?

A) Previous weight was in the 75th percentile, and present weight is in the 25th percentile.
B) Height is in the 90th percentile, and weight is in the 75th percentile.
C) Last weight was in the 5th percentile, and present weight is in the 10th percentile.
D) Weight is in the 50th percentile, and sibling's weight at the same age was in the 75th percentile.

Question 9

What activity would the nurse choose to meet Erikson's developmental task of industry when caring for a 7-year-old?

A) Completing a 50-piece jigsaw puzzle
B) Looking at a comic book
C) Playing a game of "I Spy" with the nurse
D) Coloring a picture in a coloring book

Question 10

At a well-baby visit,parents of a 6-month-old ask when to take the infant for the first dental visit.What is the nurse's best response?

A) "If the teeth are brushed regularly, the child should see a dentist by 3 years of age."
B) "The first dental visit should be arranged after the first tooth erupts."
C) "The child should have a dental examination when all deciduous teeth have erupted."
D) "A dental visit by 1 year of age is recommended by the American Academy of Pediatric Dentistry."

Question 11

What is a unique organization of characteristics that determines an individual's pattern of behavior?

A) Environment
B) Heredity
C) Personality
D) Experience

Question 12

The mother of a 7-month-old reports that the first lower central incisor has erupted.She asks the nurse,"How many teeth will he have by his first birthday?" The nurse explains that the infant will have how many teeth by 1 year of age?

A) 2
B) 4
C) 6
D) 8

Question 13

What is the best nursing action when an 8-year-old child comes to the school nurse with his central incisor in his hand and reports he knocked his tooth out on the water fountain?

A) Give him an ice cube to suck on.
B) Have him wash his mouth out with peroxide and water.
C) Wrap the tooth in a clean tissue.
D) Wash off the tooth and place it in a container of milk.

Question 14

The nurse is planning anticipatory guidance for a caregiver of a preschool-age child. The nurse will explain that permanent teeth begin erupting at what age?

A) 4 years old
B) 6 years old
C) 8 years old
D) 10 years old

Question 15

What does the nurse recognize as an example of Piaget's concrete operational thinking?

A) 2-year-old says, "It's nighttime" when his room is darkened.
B) 4-year-old refers to the hospital as "my house."
C) 5-year-old coloring a picture of a puppy says, "This is my puppy."
D) 7-year-old says, "I am sick because I have germs in my chest."

Question 16

An infant's birth weight is 7 pounds,8 ounces.What can the nurse project the weight to be at 6 months?

A) 12 pounds
B) 15 pounds
C) 18 pounds
D) 22 pounds

Question 17

An assessment of a child's nutritional status reveals the child is alert,with shiny hair,firm gums,firm mucous membranes,and regular elimination.How would this child's nutritional status be described?

A) Overnourished
B) Undernourished
C) Well nourished
D) Borderline

Question 18

A mother asks the nurse how much food should be offered to her 2-year-old.What is a good rule of thumb for serving size (in tablespoons)per year of age?

A) 2
B) 3
C) 4
D) 5

Question 19

The nurse encourages a Puerto Rican family to bring food to a child because he is not eating the food served on his hospital tray.What can the nurse expect the child to eat?

A) Dried beans mixed with rice
B) Crisp vegetables
C) Spaghetti and meatballs
D) Wild berries, roots, and seeds

Question 20

The nurse observes that a 2-year-old is able to use a spoon steadily at mealtime.What does self-feeding help to develop in the toddler?

A) Good nutrition
B) A sense of independence
C) Adequate height and weight
D) Healthy teeth

Question 21

What does the nurse calculate the basal metabolic index (BMI)of an 8-year-old child who is 48 inches tall (1.2 meters)and weighs 100 pounds (45.4 kg)to be?

A) 28.9
B) 32.4
C) 34.8
D) 37.6

Question 22

__________ refers to standing measurement,whereas _______ refers to measurement while the infant is in a recumbent position.

Question 23

The nurse suggests to the parents of an obese 10-year-old that they use the Portion Plate for Kids placemat.How does this tool help with selection of portion sizes?

A) Cartoon characters eating healthy foods
B) Tips on healthy food choices
C) Portion measurement in tablespoons for common food
D) Calorie values for cup-size portions of common foods
E) Familiar objects such as a deck of cards to measure servings

Question 24

What approaches should the nurse suggest for introducing a toddler to new foods?

A) Serve one food at a time.
B) Avoid showing personal likes or dislikes.
C) Offer foods in small amounts, less than a teaspoon.
D) Entice the toddler to eat with sweets.
E) Serve food warm.

Question 25

The nurse cautions that children who are put to sleep with a bottle are at risk for a dental problem called ___________ _____________.

Question 26

The correct term for the child aged 4 weeks to 1 year is ______________.

Question 27

The mother of a 7-year-old pediatric patient asks the nurse about her child's sleep requirement.What is the most accurate response by the nurse?

A) "7 to 10 hours a night"
B) "5 to 7 hours a night with one daytime nap"
C) "11 to 13 hours a night"
D) "4 to 6 hours a night with two daytime naps"

Question 28

The nurse includes in the care plan for a Hispanic family to encourage visits from the ____________ ____________,or _______________ for a healing ceremony.

Question 29

What toy is developmentally appropriate for the nurse to suggest to entertain a 5-year-old child?

A) Jack-in-the-box
B) Book of nursery rhymes
C) Model airport with toy planes
D) Model car construction kit

Question 30

The nurse caring for a 4-year-old postoperative patient instructs him to blow bubbles.What nursing intervention is the nurse most likely implementing by using this form of therapeutic play?

A) Providing pain relief
B) Encouraging deep breathing
C) Decreasing risk of infection
D) Maintaining body temperature

Question 31

How do children differ from adults?

A) Higher metabolic rate
B) Greater surface area in relation to their weight
C) Less mature organ systems
D) More fluid reserves
E) Continuously changing growth and development pattern

Question 32

An educational program is being presented to pediatric nurses on the relationship of play to childhood development.What information should be included in this presentation?

A) Art play should be used sparingly.
B) Use of computer/video games is detrimental.
C) Understanding of child/parent relationships can be gained by observing play.
D) Play encourages self-expression.
E) Play provides a sense of accomplishment.

Question 33

The nurse assesses an unmet need in a hospitalized child who clings to his mother as she is about to leave.As described by Maslow,the basic needs that may be unmet in this case are __________ and ___________.

Question 34

Which healthy snack foods would the school nurse suggest to a group of adolescents?

A) Bubble gum
B) Chocolate-covered peanuts
C) Raw vegetables
D) Cheese
E) Dried fruits

Question 35

A mother tells her 4-year-old child that balls should be played with outside and not inside the house.Why is the child likely to obey the rule?

A) The child does not want to be punished.
B) The child wants to please her mother.
C) The child respects authority figures.
D) The child believes that following the rules is right.

Question 36

What should the nurse avoid when demonstrating a bath procedure to parents of Vietnamese origin?

A) Talking directly to the mother
B) Exposing the child's genitals
C) Touching the child's head
D) Using cool water

Question 37

Parents attending a well visit for their 11-year-old son verbalize concern over his computer use.When asked about it,the boy states,"I play games on my computer for 1 hour a day." The nurse knows that computer games can provide what opportunities to childhood development?

A) Problem-solving skills
B) Gross motor development
C) Manipulative skills
D) Learning opportunities
E) Increased self-worth