Question 1

What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit?
A) Specific to general
B) Proximodistal
C) Cephalocaudal
D) General to specific

Accepted Answer

Cephalocaudal development proceeds from head to toe.

Question 2

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 what type of family?
A) Nuclear
B) Blended
C) Alternate
D) Extended

Accepted Answer

A blended family involves the remarriage of persons with children.

Question 3

When a small group of preschool-age children were playing house,each child was pretending to be a particular family member.What type of play does the nurse recognize these children are participating in?
A) Parallel
B) Cooperative
C) Symbolic
D) Fantasy

Accepted Answer

In cooperative play,children play with each other,each taking a specific role.

Question 4

When the nurse asks a 10-year-old Native American if he is ready to go to therapy,he does not answer immediately.How does the nurse interpret this response?
A) Indecision
B) Considering the answer in silence
C) Shyness with strangers
D) Fear of medical personnel

Accepted Answer

Native Americans value silence.They need to sit and consider matters before replying to questions.

Question 5

The nurse has discussed with a mother the process of introducing solid foods to her 6-month-old infant.What statement by the mother leads the nurse to determine that learning has taken place?
A) "I will give my infant rice cereal first."
B) "I will give my infant yellow vegetables first."
C) "I will give my infant egg yolks first."
D) "I will give my infant fruits first."

Accepted Answer

Solid foods are usually introduced at about 6 months of age,starting with rice cereal,which is the least allergenic.

Question 6

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

Accepted Answer

Motor development of the youngest child may be prolonged if the child is babied by others in the family.

Question 7

The mother of a 7-month-old states,"The baby is eating food now.Should I give him regular milk,too?" What is the nurse's best response?
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 lactose-free or soy-based milk."

Accepted Answer

Whole milk should not be introduced before 1 year of age.Low-fat milk should not be introduced before 2 years of age.

Question 8

What would the nurse further investigate when assessing patterns of growth in a child?
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.

Accepted Answer

The child showing a difference of two or more percentile levels from an established growth pattern should undergo further evaluation.

Question 9

What activity would the nurse choose to meet Erikson's developmental task of industry when caring for a 7-year-old?
A) Completing a 50-piece jigsaw puzzle
B) Looking at a comic book
C) Playing a game of "I Spy" with the nurse
D) Coloring a picture in a coloring book

Accepted Answer

In the developmental period of late childhood,children are striving to develop a sense of industry.The completion of a jigsaw puzzle is industrious play.

Question 10

At a well-baby visit,parents of a 6-month-old ask when to take the infant for the first dental visit.What is the nurse's best response?
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."

Accepted Answer

The Academy of Pediatric Dentistry recommends that the first dental visit occur by 1 year of age.

Question 11

What is a unique organization of characteristics that determines an individual's pattern of behavior?
A) Environment
B) Heredity
C) Personality
D) Experience

Accepted Answer

One definition of personality states that it is a unique organization of characteristics that determines the individual's typical or recurrent pattern of behavior.

Question 12

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 explains that the infant will have how many teeth by 1 year of age?
A) 2
B) 4
C) 6
D) 8

Accepted Answer

The 1-year-old infant usually has about 6 teeth,4 above and 2 below.

Question 13

What is the best nursing action when an 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?
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.

Accepted Answer

The tooth should be washed off and put in a container of milk to preserve it for possible reimplantation.

Question 14

The nurse is planning anticipatory guidance for a caregiver of a preschool-age child. The nurse will explain that permanent teeth begin erupting at what age?
A) 4 years old
B) 6 years old
C) 8 years old
D) 10 years old

Accepted Answer

Permanent teeth do not erupt through the gums until the sixth year.

Question 15

What does the nurse recognize as an example of Piaget's concrete operational thinking?
A) 2-year-old says, "It's nighttime" when his room is darkened.
B) 4-year-old refers to the hospital as "my house."
C) 5-year-old coloring a picture of a puppy says, "This is my puppy."
D) 7-year-old says, "I am sick because I have germs in my chest."

Accepted Answer

The 7-year-old's remark reflecting the cause and effect of germs and illness is an example of operational thinking.All other options are examples of preoperational thought,which is egocentric and symbolic.

Question 16

An infant's birth weight is 7 pounds,8 ounces.What can the nurse project the weight to be at 6 months?
A) 12 pounds
B) 15 pounds
C) 18 pounds
D) 22 pounds

Accepted Answer

An infant usually doubles his or her birth weight by 5 to 6 months.

Question 17

An assessment of a child's nutritional status reveals the child is alert,with shiny hair,firm gums,firm mucous membranes,and regular elimination.How would this child's nutritional status be described?
A) Overnourished
B) Undernourished
C) Well nourished
D) Borderline

Accepted Answer

Well-nourished children show steady gains in height and weight and have shiny hair,firm gums and mucous membranes,and regular elimination.

Question 18

A mother asks the nurse how much food should be offered to her 2-year-old.What is a good rule of thumb for serving size (in tablespoons)per year of age?
A) 2
B) 3
C) 4
D) 5

Accepted Answer

The rule of thumb for serving sizes is to offer 1 tablespoon of each food group per year of age.

Question 19

The nurse encourages a Puerto Rican family to bring food to a child because he is not eating the food served on his hospital tray.What can the nurse expect the child to eat?
A) Dried beans mixed with rice
B) Crisp vegetables
C) Spaghetti and meatballs
D) Wild berries, roots, and seeds

Accepted Answer

A common food choice of Americans of Puerto Rican descent is dried beans mixed with rice.

Question 20

The nurse observes that a 2-year-old is able to use a spoon steadily at mealtime.What does self-feeding help to develop in the toddler?
A) Good nutrition
B) A sense of independence
C) Adequate height and weight
D) Healthy teeth

Accepted Answer

By the end of the second year,toddlers can feed themselves.This helps them to develop a sense of independence.

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

What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit?

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 what type of family?

When a small group of preschool-age children were playing house,each child was pretending to be a particular family member.What type of play does the nurse recognize these children are participating in?

When the nurse asks a 10-year-old Native American if he is ready to go to therapy,he does not answer immediately.How does the nurse interpret this response?

The nurse has discussed with a mother the process of introducing solid foods to her 6-month-old infant.What statement by the mother leads the nurse to determine that learning has taken place?

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?

The mother of a 7-month-old states,"The baby is eating food now.Should I give him regular milk,too?" What is the nurse's best response?

What would the nurse further investigate when assessing patterns of growth in a child?

What activity would the nurse choose to meet Erikson's developmental task of industry when caring for a 7-year-old?

At a well-baby visit,parents of a 6-month-old ask when to take the infant for the first dental visit.What is the nurse's best response?

What is a unique organization of characteristics that determines an individual's pattern of behavior?

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 explains that the infant will have how many teeth by 1 year of age?

What is the best nursing action when an 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 is planning anticipatory guidance for a caregiver of a preschool-age child. The nurse will explain that permanent teeth begin erupting at what age?

What does the nurse recognize as an example of Piaget's concrete operational thinking?

An infant's birth weight is 7 pounds,8 ounces.What can the nurse project the weight to be at 6 months?

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

A mother asks the nurse how much food should be offered to her 2-year-old.What is a good rule of thumb for serving size (in tablespoons) per year of age?

The nurse encourages a Puerto Rican family to bring food to a child because he is not eating the food served on his hospital tray.What can the nurse expect the child to eat?

The nurse observes that a 2-year-old is able to use a spoon steadily at mealtime.What does self-feeding help to develop in the toddler?