Deck 33: The Preschooler and Family

Question 1

In terms of fine motor development,what could the 3-year-old child be expected to do?

A)Tie shoelaces.
B)Use scissors or a pencil very well.
C)Draw a person with seven to nine parts.
D)Copy (draw) a circle.

Answer 1

Copy (draw) a circle.

Question 2

Vitamin A supplementation may be recommended for the young child who has:

A)Mumps.
B)Rubella.
C)Measles (rubeola).
D)Erythema infectiosum.

Answer 2

Measles (rubeola).

Question 3

Which characteristic best describes the language of a 3-year-old child?

A)Asks meanings of words
B)Follows directional commands
C)Can describe an object according to its composition
D)Talks incessantly, regardless of whether anyone is listening

Answer 3

Talks incessantly, regardless of whether anyone is listening

Question 4

A useful skill that the nurse should expect a 5-year-old child to be able to master is to:

A)Tie shoelaces.
B)Use a knife to cut meat.
C)Hammer a nail.
D)Make change from a quarter.

Question 5

In terms of cognitive development,the 5-year-old child would be expected to:

A)Use magical thinking.
B)Think abstractly.
C)Understand conservation of matter.
D)Be able to comprehend another person's perspective.

Question 6

Acyclovir (Zovirax)is given to children with chickenpox to:

A)Minimize scarring.
B)Decrease the number of lesions.
C)Prevent aplastic anemia.
D)Prevent spread of the disease.

Question 7

A normal characteristic of the language development of a preschool-age child is:

A)Lisp.
B)Stammering.
C)Echolalia.
D)Repetition without meaning.

Question 8

The nurse is caring for a hospitalized 4-year-old boy,Ryan.His parents tell the nurse that they will be back to visit at 6 PM.When Ryan asks the nurse when his parents are coming,the nurse's best response is:

A)"They will be here soon."
B)"They will come after dinner."
C)"Let me show you on the clock when 6 PM is."
D)"I will tell you every time I see you how much longer it will be."

Question 9

A 4-year-old boy is hospitalized with a serious bacterial infection.He tells the nurse that he is sick because he was "bad." The nurse's best interpretation of this comment is that it is:

A)A sign of stress.
B)Common at this age.
C)Suggestive of maladaptation.
D)Suggestive of excessive discipline at home.

Question 10

By what age would the nurse expect that most children could understand prepositional phrases such as "under," "on top of," "beside," and "in back of"?

A)18 months
B)24 months
C)3 years
D)4 years

Question 11

During the preschool period,the emphasis of injury prevention should be placed on:

A)Constant vigilance and protection.
B)Punishment for unsafe behaviors.
C)Education for safety and potential hazards.
D)Limitation of physical activities.

Question 12

The nurse is guiding parents in selecting a day care facility for their child.When making the selection,it is especially important to consider:

A)Structured learning environment.
B)Socioeconomic status of children.
C)Cultural similarities of children.
D)Teachers knowledgeable about development.

Question 13

Which accomplishment would the nurse expect of a healthy 3-year-old child?

A)Jump rope
B)Ride a two-wheel bicycle
C)Skip on alternate feet
D)Balance on one foot for a few seconds

Question 14

Which type of play is most typical of the preschool period?

A)Solitary
B)Parallel
C)Associative
D)Team

Question 15

In terms of language and cognitive development,a 4-year-old child would be expected to:

A)Think in abstract terms.
B)Follow simple commands.
C)Understand conservation of matter.
D)Comprehend another person's perspective.

Question 16

Preschoolers' fears can best be dealt with by which intervention?

A)Actively involving them in finding practical methods to deal with the frightening experience
B)Forcing them to confront the frightening object or experience in the presence of their parents
C)Using logical persuasion to explain away their fears and help them recognize how unrealistic the fears are
D)Ridiculing their fears so they understand that there is no need to be afraid

Question 17

Imaginary playmates are beneficial to the preschool child because they:

A)Take the place of social interactions.
B)Take the place of pets and other toys.
C)Become friends in times of loneliness.
D)Accomplish what the child has already successfully accomplished.

Question 18

What is descriptive of the preschooler's understanding of time?

A)Has no understanding of time
B)Associates time with events
C)Can tell time on a clock
D)Uses terms like "yesterday" appropriately

Question 19

The parent of a 4-year-old son tells the nurse that the child believes "monsters and the boogeyman" are in his bedroom at night.The nurse's best suggestion for coping with this problem is to:

A)Insist that the child sleep with his parents until the fearful phase passes.
B)Suggest involving the child to find a practical solution such as a night-light.
C)Help the child understand that these fears are illogical.
D)Tell the child frequently that monsters and the boogeyman do not exist.

Question 20

Which medication may be given to high risk children after exposure to chickenpox to prevent varicella?

A)Acyclovir
B)Vitamin A
C)Diphenhydramine hydrochloride
D)Varicella zoster immune globulin (VZIG)

Question 21

Which is the causative agent of scarlet fever?

A)Enteroviruses
B)Corynebacterium organisms
C)Scarlet fever virus
D)Group A b-hemolytic streptococci (GABHS)

Question 22

Which common childhood communicable disease may cause severe defects in the fetus when it occurs in its congenital form?

A)Erythema infectiosum
B)Roseola
C)Rubeola
D)Rubella

Question 23

Which play patterns does a 3-year-old child typically display (select all that apply)?

A)Imaginary play
B)Parallel play
C)Cooperative play
D)Structured play
E)Associative play

Question 24

Parents tell the nurse that they found their 3-year-old daughter and a male cousin of the same age inspecting each other closely as they used the bathroom.Which is the most appropriate recommendation the nurse should make?

A)Punish children so this behavior stops.
B)Neither condone nor condemn the curiosity.
C)Allow children unrestricted permission to satisfy this curiosity.
D)Get counseling for this unusual and dangerous behavior.

Question 25

A 4-year-old child tells the nurse that she does not want another blood sample drawn because "I need all my insides,and I don't want anyone taking them out." Which is the nurse's best interpretation of this?

A)Child is being overly dramatic.
B)Child has a disturbed body image.
C)Preschoolers have poorly defined body boundaries.
D)Preschoolers normally have a good understanding of their bodies.

Question 26

In providing anticipatory guidance to parents whose child will soon be entering kindergarten,which is a critical factor in preparing a child for kindergarten entry?

A)The child's ability to sit still
B)The child's sense of learned helplessness
C)The parent's interactions and responsiveness to the child
D)Attending a preschool program

Question 27

When is a child with chickenpox considered to be no longer contagious?

A)When fever is absent
B)When lesions are crusted
C)24 hours after lesions erupt
D)8 days after onset of illness

Question 28

Strict isolation is required for a child who is hospitalized with (select all that apply):

A)Mumps.
B)Chickenpox.
C)Exanthema subitum (roseola).
D)Erythema infectiosum (fifth disease).
E)Parvovirus B19.

Question 29

Which toys should a nurse provide to promote imaginative play for a 3-year-old hospitalized child (select all that apply)?

A)Plastic telephone
B)Hand puppets
C)Jigsaw puzzle (100 pieces)
D)Farm animals and equipment
E)Jump rope

Question 30

The nurse is performing an assessment on a child and notes the presence of Koplik's spots.In which communicable disease are Koplik's spots present?

A)Rubella
B)Measles (rubeola)
C)Chickenpox (varicella)
D)Exanthema subitum (roseola)

Question 31

In terms of language and cognitive development,a 4-year-old child would be expected to have which traits (select all that apply)?

A)Think in abstract terms.
B)Follow directional commands.
C)Understand conservation of matter.
D)Use sentences of eight words.
E)Tell exaggerated stories.

Question 32

Which statement best describes a child who is abused by the parent(s)?

A)Unintentionally contributes to the abusing situation
B)Belongs to a low socioeconomic population
C)Is healthier than the nonabused siblings
D)Abuses siblings in the same way as child is abused by the parent(s)

Question 33

Which statement,made by a 4-year-old child's father,is true about the care of the preschooler's teeth?

A)"Because the 'baby teeth' are not permanent, they are not important to the child."
B)"My son can be encouraged to brush his teeth after I have thoroughly cleaned his teeth."
C)"My son's 'permanent teeth' will begin to come in at 4 to 5 years of age."
D)"Fluoride supplements can be discontinued when my son's 'permanent teeth' erupt."

Question 34

Which is probably the most important criterion on which to base the decision to report suspected child abuse?

A)Inappropriate parental concern for the degree of injury
B)Absence of parents for questioning about child's injuries
C)Inappropriate response of child
D)Incompatibility between the history and injury observed

Question 35

A common characteristic of those who sexually abuse children is that they:

A)Pressure the victim into secrecy.
B)Are usually unemployed and unmarried.
C)Are unknown to victims and victims' families.
D)Have many victims that are each abused only once.