Question 1

A mother asks the nurse how much food should be offered to her 2-year-old. The nurse responds that a good rule of thumb for serving size would be:
A) 2 tablespoons
B) 3 tablespoons
C) 4 tablespoons
D) 5 tablespoons

Accepted Answer

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

Question 2

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 3

The mother of a 7-month-old states, "The baby is eating food now. Should I give him regular milk, too?" The nurse would respond:
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 a 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 4

When a small group of preschool-age children were playing "house," each child was pretending to be a particular family member. The nurse recognizes this as which type of play?
A) Parallel
B) Cooperative
C) Symbolic
D) Fantasy

Accepted Answer

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

Question 5

When the 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 should:
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 6

An infant's birthweight is 7 pounds, 8 ounces. The nurse can project the weight at 6 months to be:
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 7

At a well-baby visit, parents of a 6-month-old ask when to take the infant for the first dental visit. The nurse's best response would be:
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 8

The nurse has discussed with the mother about introducing solid foods to the 6-month-old infant. The nurse determines that the mother understands the information when she states the first food she will give to the infant is:
A) Rice cereal
B) Yellow vegetables
C) Egg yolks
D) Fruits

Accepted Answer

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

Question 9

To meet Erikson's developmental task of industry, the nurse caring for a 7-year-old would choose an activity such as:
A) Working a jigsaw puzzle
B) Looking at a comic book
C) Playing a competitive board game
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

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 would explain that by 1 year of age, the infant usually has:
A) Two teeth
B) Four teeth
C) Six teeth
D) Eight teeth

Accepted Answer

The 1-year-old infant usually has about six teeth, four above and two below.

Question 11

The nurse assessing patterns of growth in a child would investigate further if:
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 12

When the nurse notes that an infant can lift her head before she can sit, the nurse is assessing:
A) Specific to general development
B) Proximodistal development
C) Cephalocaudal development
D) General to specific development

Accepted Answer

Cephalocaudal development proceeds from head to toe.

Question 13

A unique organization of characteristics that determines an individual's pattern of behavior is known as:
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 14

An assessment of a child's nutritional status reveals the child is alert, with shiny hair, firm gums, firm mucous membranes, and regular elimination. This child's nutritional status would be described as:
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 15

The nurse encourages a Puerto Rican family to bring food to a child because he is not eating the food served on his tray at the hospital. The nurse would 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 16

The nurse planning anticipatory guidance for the caregiver of a preschool-age child would explain that permanent teeth begin erupting about the age of:
A) 4 years
B) 6 years
C) 8 years
D) 10 years

Accepted Answer

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

Question 17

When the nurse asks the 10-year-old American Indian if he is ready to go to therapy, he does not answer immediately. The nurse assesses this as:
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 18

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 the fact this family type is a:
A) Nuclear family
B) Blended family
C) Alternate family
D) Extended family

Accepted Answer

A blended family involves the remarriage of persons with children.

Question 19

The nurse recognizes Piaget's concrete operational thinking when:
A) A 2-year-old says, "It's night time" when his room is darkened.
B) A 4-year-old refers to the hospital as "my house."
C) A 5-year-old coloring a picture of a puppy says, "This is my puppy."
D) A 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 20

The nurse observes that a 2-year-old is able to use a spoon steadily at mealtime. The nurse recognizes that being able to feed himself is important to the toddler in developing:
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

A mother asks the nurse how much food should be offered to her 2-year-old. The nurse responds that a good rule of thumb for serving size would be:

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?" The nurse would respond:

When a small group of preschool-age children were playing "house," each child was pretending to be a particular family member. The nurse recognizes this as which type of play?

When the 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 should:

An infant's birthweight is 7 pounds, 8 ounces. The nurse can project the weight at 6 months to be:

At a well-baby visit, parents of a 6-month-old ask when to take the infant for the first dental visit. The nurse's best response would be:

The nurse has discussed with the mother about introducing solid foods to the 6-month-old infant. The nurse determines that the mother understands the information when she states the first food she will give to the infant is:

To meet Erikson's developmental task of industry, the nurse caring for a 7-year-old would choose an activity such as:

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 would explain that by 1 year of age, the infant usually has:

The nurse assessing patterns of growth in a child would investigate further if:

When the nurse notes that an infant can lift her head before she can sit, the nurse is assessing:

A unique organization of characteristics that determines an individual's pattern of behavior is known as:

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

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

The nurse planning anticipatory guidance for the caregiver of a preschool-age child would explain that permanent teeth begin erupting about the age of:

When the nurse asks the 10-year-old American Indian if he is ready to go to therapy, he does not answer immediately. The nurse assesses this as:

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 the fact this family type is a:

The nurse recognizes Piaget's concrete operational thinking when:

The nurse observes that a 2-year-old is able to use a spoon steadily at mealtime. The nurse recognizes that being able to feed himself is important to the toddler in developing: