Deck 17: Human Development: Conception through Adolescence

Question 1

A nurse assesses a 4-month-old infant and notes the baby does not follow a moving object with her eyes. What action by the nurse is best?

A) Document the findings and continue the assessment.
B) Refer the child and parent to a pediatric neurologist.
C) Assess the child for other age-appropriate behaviors.
D) Assess the child for signs of child abuse or neglect.

Answer 1

Assess the child for other age-appropriate behaviors.

Question 2

The nurse is conducting a home visit on a newborn. What observation would require the nurse to provide further education?

A) The caregiver warms the bottle and tests heat on the inside of the wrist.
B) The parents state the infant is sleeping with them until they buy a crib.
C) One parent states that when the child gets frustrating, the other parent takes over.
D) Caregivers consistently wash their hands before holding the baby.

Answer 2

The parents state the infant is sleeping with them until they buy a crib.

Question 3

The perinatal clinic nurse is going to teach a woman from a culture unfamiliar to the nurse about child-rearing practices. What action by the nurse is best before planning the education?

A) Ensure the availability of written material to give the woman
B) Assess what practices are important to her cultural group
C) Determine if the woman is the primary family decision maker
D) Refer the woman to a prenatal educational class

Answer 3

Assess what practices are important to her cultural group

Question 4

The nurse is asked by the parent of a pediatric patient to explain the difference between growth and development. Which response by the nurse is best?

A) "Growth is physical while development relates to physical, emotional, and cognitive function."
B) "There really is no difference between the two since they occur simultaneously."
C) "Development refers to musculoskeletal and nervous system abilities and growth is a change in height and weight."
D) "Both refer to an increase in abilities and functions of the child that occur sequentially over time."

Question 5

A nurse is assessing an adolescent female who began menstruating 2 years ago. She has grown 1/2 inch in the last 2 years but has not gained any weight. What action by the nurse is most appropriate?

A) Ask the teen to provide a 24-hour diet recall.
B) Talk to the teen about healthy dietary practices.
C) Reassure the teen she will have a growth spurt soon.
D) Collaborate with the provider for endocrine testing.

Question 6

A father expresses frustration that his school-aged child is suddenly "sick all the time." What action by the nurse is best?

A) Encourage the father to give the child a multivitamin each day.
B) Explain that illness is frequent in this age group because of exposure to others.
C) Encourage the father to discuss testing the child's immunity with the provider.
D) Make sure the parents are washing their hands frequently in the home.

Question 7

The nurse is collecting a history from the parents of a 4-year-old female at a well-child visit. The parents express concern that they often find their daughter performing what appears to be masturbation. The nurse offers reassurance by explaining which stage of development according to Freud?

A) Oral
B) Phallic
C) Anal
D) Latency

Question 8

A nurse is conducting a preschool screening in the community. Which child would the nurse refer for further assessment?

A) A 4-year-old who throws a ball over-handed but better under-handed.
B) A 4-year-old who can skip across the room after being shown how.
C) A 5-year-old who is able to ride a bicycle with training wheels.
D) A 5-year-old who is unable to ride a tricycle without falling.

Question 9

A home health care nurse notes a parent becoming irritated when his toddler repeatedly throws his rattle from the high chair to the floor. What action by the nurse is most appropriate?

A) Teach the parent about age-appropriate discipline.
B) Educate the parent on age-appropriate behaviors.
C) Tell the parent to stop giving the rattle back to the child.
D) Assess the child for signs of abuse or neglect.

Question 10

A toddler has been hospitalized. The parents become upset when the toddler starts wetting his bed, saying that he has been potty trained for some time now. What response by the nurse is best?

A) "Don't worry, this behavior will stop when he gets home."
B) "Maybe he has a urinary tract infection; I'll get a urine sample."
C) "I can call the Child Life Specialist for diversionary activities."
D) "It is common for kids in the hospital to regress to earlier behaviors."

Question 11

A preschool-aged child got into the cookie jar and ate several cookies before dinner. When confronted by the parent, the child responds, "My pet horse ate them." What does the nurse teach the parents about this response?

A) It is normal for children to have imaginary friends at this age.
B) This vivid imagination will lead the child to misbehave later on.
C) Lying is disobedient and should be punished consistently.
D) The child is obviously afraid of the parents' response.

Question 12

The home health care nurse is visiting a family with a 3-year-old to observe a meal. The parent gives the child a plate wit h cup of pureed meat. What action by the nurse is best?

A) Document how well the child eats the serving of meat.
B) Inquire if the child still drinks from a bottle between meals.
C) Ask the parents what they serve the child for snacks.
D) Provide teaching on the appropriate serving size for this child.

Question 13

The nurse is caring for a patient that is actively trying to conceive a child but continues to drink alcohol. The patient states that she'll stop drinking once she is pregnant. What is the most appropriate response by the nurse?

A) "Abstaining is best since most fetal development occurs before you realize you are pregnant."
B) "Small amounts of alcohol are safe at any time during pregnancy."
C) "Things will be okay if you quit drinking alcohol once you know you are pregnant."
D) "Alcohol use should be avoided early in pregnancy but is acceptable past week 20."

Question 14

To help a hospitalized infant master the tasks in Erikson's stage of Trust versus Mistrust, which action by the nurse is best?

A) Provide calming music during quiet time so the infant can sleep
B) Give the family food vouchers for the hospital cafeteria
C) Arrange to have a cot or small bed placed in the infant's room
D) Do not allow unlicensed assistive personnel to care for the infant

Question 15

A school-aged child is scheduled for a minor procedure and is very nervous. What response by the nurse is best?

A) Reassure the child the procedure is too minor to worry about.
B) Read the child a pamphlet about what to expect during the procedure.
C) Tell the child you will have the provider "put her to sleep" during the procedure.
D) Explain the procedure and what to expect in simple terms.

Question 16

The parents of a 4-year-old express concern that the child is wearing the same size clothing as she did last year. What action by the nurse is most appropriate?

A) Weigh and measure the child and compare with last visit.
B) Reassure parents that their child is growing normally.
C) Assess the child's eating and activity patterns.
D) Encourage the parents to provide the child a multivitamin.

Question 17

A home health care nurse is making a well-baby visit to the home of a new mother who has an infant. What assessment finding leads the nurse to provide further anticipatory guidance and teaching to the mother?

A) Mother states she does not breastfeed but uses a recommended formula.
B) Crib has colorful blankets and pillows for the baby to cuddle.
C) A mobile is hanging well above the crib playing soft music.
D) Several rattles and plush toys are available in different textures.

Question 18

A parent is concerned that her 16-year-old is spending most of his time away from the family in his room and does not want to be involved in family activities he used to enjoy. What action by the nurse is best?

A) Reassure the parent the teen is exerting independence.
B) Ask the parent about the teen's friends and activities.
C) Assess the teen for depression and possible suicide risk.
D) Refer the family to the community depression support group.

Question 19

The pediatric nurse is treating a patient who has questions about safer sexual practices. The patient states, "I think I should wait until marriage to be sexually active because I'm not sure sex is OK outside of marriage." The nurse understands the student is acting with which component of Freud's theory?

A) Id
B) Ego
C) Superego
D) Anal

Question 20

A nurse is providing anticipatory guidance to a new mother about the Erikson stage of trust versus mistrust. What education should the nurse provide to the mother to help her child successfully master this stage?

A) Consistently provide your child with food and attention.
B) Ensure someone is able to feed your child on a schedule.
C) Allow unrestricted crawling and exploring as the child develops.
D) Provide firm guidelines for behavior and activities.

Question 21

A nurse is planning a community education event for parents on the topic of school-aged children and the risks of too much social media time. What topics should the nurse plan to include? (Select all that apply.)

A) Increased bullying
B) Decreased physical activity
C) Decreased understanding of spatial relationships
D) Weight loss and malnutrition
E) Increased aggressiveness

Question 22

A nurse is assessing a 12-month-old at a well-baby visit. For what developmental milestones does the nurse assess this child? (Select all that apply.)

A) Sitting up by himself or herself
B) Transferring objects from one hand to the other
C) Able to roll around on the floor
D) Using fingers as a pincer to grasp objects
E) Trying to imitate words he hears others say

Question 23

The nurse is teaching parents about actions to assist in developing a critical skill in the concrete operations phase of Piaget's developmental theory. What activities does the nurse suggest the parents participate with their child in? (Select all that apply.)

A) Separating a collection of toy horses into functions each type performs.
B) Exploring a space and astronomy museum and planetarium together.
C) Making a scrapbook of leaves sorted by color or type of tree.
D) Having the child explore how common objects can be used for different purposes.
E) Asking the child to describe an event from several different points of view.

Question 24

A pregnant woman in her second trimester is scheduled for quad testing. What conditions does the nurse explain are screened for in this assessment? (Select all that apply.)

A) Blood clotting abnormalities
B) Neural tube defects
C) Heart abnormalities
D) Trisomy 18
E) Trisomy 21

Question 25

A high-school nurse is planning an educational presentation for juniors. What activities are most appropriate for the nurse plan to include? (Select all that apply.)

A) Video showing the aftermath of a drunk driving car crash
B) Confidential depression and suicide risk assessment
C) Same-age speaker sharing her story about the impact of HIV disease
D) Charts and graphs showing the physical changes of puberty
E) Bicycle helmet fitting station to see if child has outgrown the helmet