Question 1

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

Accepted Answer

Children 4 years of age demonstrate sexual curiosity and tell exaggerated stories.Children cannot think abstractly at age 4 years.Conservation of matter is a developmental task of the school-age child.Five-year-old children use sentences with eight words with all parts of speech.

Question 2

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

Accepted Answer

Conflicting stories about the "accident" are the most indicative red flags of abuse.Inappropriate response of caregiver or child may be present,but is subjective.Parents should be questioned at some point during the investigation.

Question 3

Which is the causative agent of scarlet fever?

Accepted Answer

GABHS infection causes scarlet fever.Enteroviruses do not cause the same complications.Corynebacterium organisms cause diphtheria.Scarlet fever is not caused by a virus.

Question 4

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?

Accepted Answer

Three year olds become aware of anatomic differences and are concerned about how the other "works." Such exploration should not be condoned or condemned.Children should not be punished for this normal exploration.Encouraging the children to ask questions of the parents and redirecting their activity are more appropriate than giving permission.Exploration is age-appropriate and not dangerous behavior.

Question 5

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

Accepted Answer

Preschoolers have little understanding of body boundaries,which leads to fears of mutilation.The child is not capable of being dramatic at 4 years of age.She truly has fear.Body image is just developing in the school-age child.Preschoolers do not have good understanding of their bodies.

Question 6

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

Accepted Answer

Sex offenders may pressure the victim into secrecy,regarding the activity as a "secret between us" that other people may take away if they find out.Abusers are often employed upstanding members of the community.Most sexual abuse is committed by men and persons who are well known to the child.Abuse is often repeated with the same child over time.The relationship may start insidiously without the child realizing that sexual activity is part of the offer.

Question 7

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

Accepted Answer

Children between ages 3 and 5 years enjoy parallel and associative play.Children learn to share and cooperate as they play in small groups.Play is often imitative,dramatic,and creative.Imaginary friends are common around age 3 years.Structured play is typical of school-age children.

Question 8

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

Accepted Answer

Rubella causes teratogenic effects on the fetus.There is a low risk of fetal death to those in contact with children affected with fifth disease.Roseola and rubeola are not dangerous to the fetus.

Question 9

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

Accepted Answer

Toddlers and preschoolers lack the manual dexterity to remove plaque adequately,so parents must assume this responsibility.Deciduous teeth are important because they maintain spacing and play an important role in the growth and development of the jaws and face and in speech development.Secondary teeth erupt at about 6 years of age.If the family does not live in an area where fluoride is included in the water supply,fluoride supplements should be continued.

Quiz 33: The Preschooler and Family