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

Question 1

A mother asks the nurse how much food should be offered to her 2-year-old. The nurse responds that a good rule of thumb for serving size would be:

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

Answer 1

2 tablespoons

Question 2

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

Answer 2

Ordinal position

Question 3

The mother of a 7-month-old states, "The baby is eating food now. Should I give him regular milk, too?" The nurse would respond:

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 a lactose-free or soy-based milk."

Answer 3

"Continue breast milk or iron-fortified formula until 1 year of age."

Question 4

When a small group of preschool-age children were playing "house," each child was pretending to be a particular family member. The nurse recognizes this as which type of play?

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

Question 5

When the 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, the nurse should:

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 6

An infant's birthweight is 7 pounds, 8 ounces. The nurse can project the weight at 6 months to be:

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

Question 7

At a well-baby visit, parents of a 6-month-old ask when to take the infant for the first dental visit. The nurse's best response would be:

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 8

The nurse has discussed with the mother about introducing solid foods to the 6-month-old infant. The nurse determines that the mother understands the information when she states the first food she will give to the infant is:

A) Rice cereal
B) Yellow vegetables
C) Egg yolks
D) Fruits

Question 9

To meet Erikson's developmental task of industry, the nurse caring for a 7-year-old would choose an activity such as:

A) Working a jigsaw puzzle
B) Looking at a comic book
C) Playing a competitive board game
D) Coloring a picture in a coloring book

Question 10

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 would explain that by 1 year of age, the infant usually has:

A) Two teeth
B) Four teeth
C) Six teeth
D) Eight teeth

Question 11

The nurse assessing patterns of growth in a child would investigate further if:

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 12

When the nurse notes that an infant can lift her head before she can sit, the nurse is assessing:

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

Question 13

A unique organization of characteristics that determines an individual's pattern of behavior is known as:

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

Question 14

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

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

Question 15

The nurse encourages a Puerto Rican family to bring food to a child because he is not eating the food served on his tray at the hospital. The nurse would 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 16

The nurse planning anticipatory guidance for the caregiver of a preschool-age child would explain that permanent teeth begin erupting about the age of:

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

Question 17

When the nurse asks the 10-year-old American Indian if he is ready to go to therapy, he does not answer immediately. The nurse assesses this as:

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

Question 18

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 the fact this family type is a:

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

Question 19

The nurse recognizes Piaget's concrete operational thinking when:

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

Question 20

The nurse observes that a 2-year-old is able to use a spoon steadily at mealtime. The nurse recognizes that being able to feed himself is important to the toddler in developing:

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

Question 21

When demonstrating a bath procedure to parents of Vietnamese origin, the nurse should avoid:

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

Question 22

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

Question 23

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

Question 24

The nurse explains that when a mother tells her 4-year-old child that balls should be played with outside and not inside the house, the child is likely to obey the rule because she:

A) Does not want to be punished
B) Wants to please her mother
C) Respects authority figures
D) Believes that following the rules is right

Question 25

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

Question 26

To introduce a toddler to new foods, the nurse suggests: Select all that apply.

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 27

The pediatric nurse reminds a group of parents that children differ from adults in that children have: Select all that apply.

A) A higher metabolic rate
B) A greater surface area in relation to their weight
C) Less mature organ systems
D) Ineffective immune systems
E) A continuously changing growth and development pattern