Deck 38: 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

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

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

Answer 2

Stammering.

Question 3

By what age would the nurse expect that most children could obey 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

Answer 3

4 years

Question 4

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 unable to comprehend another person's perspective.

Question 5

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 6

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 7

What 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 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

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

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

Question 10

The parent of a 4-year-old son tells the nurse that the child believes "monsters and 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 boogeyman do not exist.

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

Preschoolers' fears can best be dealt with by:

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 13

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 14

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 15

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

Question 16

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 17

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

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

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

What 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 20

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 21

What 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 22

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 23

A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. The nurse should suspect:

A)Unintentional injury.
B)Shaken-baby syndrome.
C)Sudden infant death syndrome (SIDS).
D)Congenital neurologic problem.

Question 24

In which communicable disease are Koplik spots present?

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

Question 25

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

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

Question 26

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.