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Chapter 15

Total questions: 33

Worksheet time: 19mins

Name
Class
Date
1.

What type of development is the nurse assessing when an infant can lift their head before they can sit?

a)

Specific to general

b)

proximodistal

c)

cephalocaudal

d)

General to specific

2.

What is a unique organization of characteristics that determines an individuals pattern of behavior?

a)

environment

b)

heredity

c)

personality

d)

experience

3.

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

a)

12 lbs

b)

15 lbs

c)

18 lbs

d)

22 lbs

4.

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 25th percentile

b)

height is in 90th percentile, weight is in 75th percentile

c)

last weight was in 5th percentile, and present weight is in 10th percentile

d)

weight is in 50th percentile, siblings weight at same age was in 75th percentile

5.

A mother reports that she and her husband have had one child together, but both have children from previous marriages living with them. The nurse will base the care planning on what family type?

a)

nuclear

b)

blended

c)

alternate

d)

extended

6.

The mother of a 7-mo 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 _ teeth by 1 year of age.

a)

2

b)

4

c)

6

d)

8

7.

At a well-baby visit, parents of a 6-mo old ask when to take the infant for their first dental visit. What is the nurses best response?

a)

if the teeth are brushed regularly, the child should see the dentist by 3 years old

b)

the first visit should be arranged after the first tooth erupts

c)

the child should have a dental exam when all deciduous teeth have erupted

d)

a visit by 1 year of age is recommended by American Academy of Pediatric Dentistry

8.

The nurse is planning anticipatory guidance for a caregiver of a preschool-age child. The nurse will explain that permanent teeth begin erupting at age:

a)

4 y/o

b)

6 y/o

c)

8 y/o

d)

10 y/o

9.

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

a)

2

b)

3

c)

4

d)

5

10.

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 the child's nutritional status be described?

a)

over nourished

b)

under nourished

c)

well nourished

d)

borderline

11.

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 with mixed rice

b)

crisp vegetables

c)

spaghetti and meatballs

d)

wild berries, roots, seeds

12.

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

a)

good nutrition

b)

a sense of independence

c)

adequate height and weight

d)

healthy teeth

13.

What activity would the nurse choose to meet Erickson's developmental task of industry when caring for a 7 y/o?

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 inna coloring book

14.

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

a)

2 y/o says it is nighttime when his room is darkened

b)

4 y/o refers to the hospital as my house

c)

5 y/o coloring a picture of a puppy says this is my puppy

d)

7 y/o says I am sick because I have germs in my chest

15.

The nurse has discussed with a mother the process of the introducing solid foods to her 6 mo 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

16.

What is the best nursing action when an 8 y/o 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 containing milk

17.

The mother of a 7 mo states "my baby is eating food now. Should I give him regular milk too?" What is the nurses best response?

a)

you should give low fat milk

b)

continue breast milk or iron-fortified formula until 1 year of age

c)

Try it. See if he has any GI problems

d)

at this age, infants can tolerate lactose-free or soy-milk

18.

When a small group of pre-school 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

19.

When the nurse asks a 10 y/o 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

20.

A mother tells the nurse " my 11 mo 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

21.

A mother tells her 4 y/o that the balls should be played with outside, and not inside the house. Why is the child likely to obey the rule?

a)

the child does not want to be punished

b)

the child wants to please her mother

c)

the child respects authority figures

d)

the child believes that following the rules is right

22.

What should the nurse avoid when demonstrating a bath procedure to parents of Vietname

a)

talking directly to the mother

b)

exposing the child's genitals

c)

touching the child's head

d)

using cool water

23.

What does the nurse calculate the BMI of an 8 y/o who is 48 in tall (1.2 meters) and weighs 100 lbs (45.4 kg) to be?

a)

28.9

b)

32.4

c)

34.8

d)

37.6

24.

What toy is developmentally appropriate for the nurse to suggest to entertain a 5 y/o?

a)

Jack-in-the-box

b)

book of nursery rhymes

c)

model airport with toy planes

d)

model car construction kit

25.

The nurse caring for a 4 y/o post-op patient instructs her to blow bubbles. What nursing intervention is the nurse most likely implementing by using this form of therapeutic play?

a)

providing pain relief

b)

encourage deep breathing

c)

decrease risk of infection

d)

maintaining body temperature

26.

The mother of a 7 y/o pt asks the nurse about her child's sleep requirement. What is the most accurate response by the nurse?

a)

7--10 hrs a night

b)

5-7 hrs a night

with

1 daytime nap

c)

11-13 hrs a night

d)

4-6 hrs

with

2 daytime naps

27.

How do children differ from adults?

Select all that apply:

a)

higher metabolic rate

b)

greater surface area in relation to their weight

c)

less mature organ systems

d)

continuing changing growth and developmental pattern

e)

more fluid reserves

28.

What approaches should the nurse suggest for introducing a toddler to new foods?

Select all that apply:

a)

serve one food at a time

b)

avoid showing personal likes and dislikes

c)

offer foods in small amounts, less than a teaspoon

d)

entice toddler to eat with sweets

e)

serve food warm

29.

What healthy snack foods would the school nurse suggest to a group of adolescents?

Select all:

a)

bubble gum

b)

chocolate-covered peanuts

c)

raw vegetables

d)

cheese

e)

dried fruits

30.

The nurse suggests to the parents of an obese 10 y/o that they can use the Portion Plate for Kids placemat. How does this tool help with selection of portion sizes?

Select all:

a)

cartoon characters eating healthy foods

b)

tips on healthy food choices

c)

portion measurement is tablespoons for common foods

d)

calorie values for cup-size portions of common foods

e)

familiar objects such as a deck of cards to measure servings

31.

An educational program is being presented to pediatric nurses on the relationship of play to childhood development. What info should be included in this presentation?

Select all:

a)

art play should be used sparingly

b)

use of computer/video games is detrimental

c)

understanding of child/parent relationships can be gained by observing play

d)

play encourages self-expression

e)

play provides a sense of accomplishment

32.

Parents attending a well visit for their 11 y/o son verbalize concern over his computer use. When asked about it, the boy states " I play games for 1 hour a day" The nurse knows that the computer games can provide what opportunities to childhood development?

Select all:

a)

problem solving skills

b)

gross motor development

c)

manipulative skills

d)

learning opportunities

e)

increased self worth

33.

The correct term for a child aged 4 weeks to 1 year is:

(a)