Deck 28: Principles of Growth and Development

Question 1

The nurse is planning to evaluate the development of a preschool-age child. On what should the nurse focus when performing this evaluation?

A) Appetite
B) Current weight
C) Change in height
D) Ability to perform a skill

Answer 1

Ability to perform a skill

Question 2

A patient asks if a school-age child is going to be tall like others in the family. What should the nurse explain as having the least impact on the child's ultimate height?

A) Participation in sports
B) Occupations of parents
C) Inherited genetic material
D) Ingestion of nutritious food

Answer 2

Participation in sports

Question 3

The mother of several children is amazed that the youngest male child achieved toilet training much earlier than the other children. What should the nurse explain as the reason for this early development?

A) "He has exceptional intelligence."
B) "He learned by watching your other children."
C) "He needs testing because he is developing too quickly."
D) "He most likely will wet the bed for many years to come."

Answer 3

"He learned by watching your other children."

Question 4

A patient is concerned that the new baby is going to have a weight problem growing up because other family members are obese. What should the nurse respond to this patient?

A) Restrict all fatty foods up until age 5 years.
B) Restrict fatty foods after the age of 10 years.
C) Do not restrict fatty foods until the age of 2 years.
D) Keep fat intake to less than 50% of total daily intake.

Question 5

During a home visit, the nurse observes an 8-year-old child pick up toys and place them in the toy box. The child then looks to the mother who says, "Thank you for helping me." Which stage of Kohlberg's moral development is this child demonstrating?

A) Individualism
B) Maintenance of social order
C) Punishment/obedience orientation
D) Interpersonal relations of mutuality

Question 6

Which activity should the nurse encourage a new mother to perform to foster the developmental tasks of a toddler according to Erikson's developmental stages?

A) Feed the child lunch.
B) Read the child a story every night.
C) Allow the child to pull a talking duck toy.
D) Have the child watch a puppet show on television.

Question 7

The nurse pours liquid medication from one tall container to a shorter container. How would the preschool-age child interpret this exchange of the medication?

A) The amount of medicine is less.
B) The glass changed shape to accommodate the medicine.
C) Pouring medicine hurts it in some way because it changes.
D) The amount of medicine did not change, only the appearance.

Question 8

The nurse is preparing to assess a school-age child in the community clinic. Which action supports the 2020 National Health Goals for growth and development of children?

A) Helping the child with math homework
B) Measuring the child's height and weight
C) Talking about favorite television programs
D) Asking the child to name a favorite subject in school

Question 9

During a home visit, the nurse observes a mother prepare a bottle for an 18-month-old child consisting of skim milk. Which nursing diagnosis should the nurse use to base instruction for this mother?

A) Imbalanced nutrition
B) Health-seeking behaviors
C) Delayed growth and development
D) Readiness for enhanced family coping

Question 10

Which observation by the nurse indicates that an adolescent's cognitive thinking is developing at an expected level?

A) Adolescent says that all plastic remote controls break easily.
B) Adolescent asks the mother to provide the sharp item needed to cut meat.
C) Adolescent explains how working a part-time job will help pay for a car.
D) Adolescent tells the parent that the dog moved the bicycle into the driveway.

Question 11

While in the waiting room, a child begins to cry when a toy has been taken from him. The mother immediately hands the child another toy and the crying stops. How should the nurse interpret the child's behavior?

A) Easily distractible
B) Short attention span
C) Negative mood quality
D) Extreme intensity of reaction

Question 12

The nurse observes a mother telling a toddler that pasta and potatoes will make the child fat. What should the nurse instruct the mother about these food items?

A) Toddlers need carbohydrates for brain function.
B) It is more important to restrict protein than carbohydrates.
C) No more than 30% of all food should be from carbohydrate sources.
D) The child should be instructed to restrict carbohydrates after the age of 5 years.

Question 13

The nurse observes an 8-month-old infant cry when the mother leaves the room. What does this infant's behavior indicate to the nurse?

A) Confusion
B) Permanence
C) Reversibility
D) Assimilation

Question 14

During a home visit, the nurse determines that a toddler has a difficult temperament. What did the nurse observe in this toddler? (Select all that apply.)

A) Rhythmic
B) Withdrawing
C) Intense mood
D) Negative mood
E) Minimal adaptability

Question 15

The nurse had instructed a mother on the importance of providing a toddler with a balanced diet. Which observation during a home visit indicates that instruction has been effective?

A) The child is eating a piece of cake and ice cream for lunch.
B) The mother prepares a scrambled egg for the toddler's breakfast.
C) The mother places a serving of fried finger foods on a plate for the child.
D) The child takes candy from a dish that is placed on the coffee table in the living room.