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Pediatric and Developmental Quiz

Total questions: 33

Worksheet time: 17mins

Name
Class
Date
1.

From a worldwide perspective, infant mortality in the United States:

a)

lags behind most other developed nations.

b)

is the lowest infant death rate of developed nations.

c)

is the highest of the other developed nations.

d)

lags behind five other developed nations.

2.

The major cause of death for children older than 1 year is:

a)

cancer.

b)

unintentional injuries.

c)

infection.

d)

congenital abnormalities.

3.

The leading cause of death from unintentional injuries in children is:

a)

poisoning.

b)

motor vehicle related fatalities.

c)

drowning.

d)

fire- and burn-related fatalities.

4.

Which statement is most descriptive of pediatric family-centered care?

a)

It encourages family dependence on the health care system.

b)

It recognizes that family is the constant in a child’s life.

c)

It reduces the effect of cultural diversity on the family.

d)

It avoids families to be part of the decision-making process.

5.

The nurse caring for the child in pain understands that distraction:

a)

Can give total pain relief to the child.

b)

Is the best method for pain relief.

c)

Is effective when the child is in severe pain.

d)

Must be developmentally appropriate to refocus attention.

6.

In what type of play are children engaged in similar or identical activity without organization or mutual goal?

a)

Solitary

b)

Associative

c)

Parallel

d)

Cooperative

7.

Which statement best describes the process of critical thinking?

a)

It is a simple developmental process.

b)

It is based on deliberate and irrational thought.

c)

It is purposeful and goal directed.

d)

It assists individuals in guessing what is most appropriate.

8.

What is probably the single most important influence on growth at all stages of development?

a)

Culture

b)

Heredity

c)

Environment

d)

Nutrition

9.

Frequent developmental assessments are important for which reason?

a)

Stable developmental periods can identify delays or deficits

b)

Critical periods of development occur during childhood.

c)

Infants need stimulation specific to stage of development

d)

Child development is unpredictable and needs monitoring.

10.

Three children playing a board game would be an example of:

a)

Solitary play

b)

Associative play

c)

Parallel play

d)

Cooperative play

11.

The head-to-tail direction of growth is referred to as:

a)

sequential.

b)

proximodistal.

c)

mass to specific.

d)

cephalocaudal.

12.

What is the single most important factor to consider when communicating with children?

a)

The child’s physical condition

b)

The presence or absence of the child’s parent

c)

The child’s developmental level

d)

The child’s nonverbal behaviors

13.

What 2-year-old child pain assessment tool should the nurse use?

a)

FACES pain rating tool

b)

Oucher scale

c)

Numeric scale

d)

FLACC tool

14.

At 5 to 6 months an infant birth weight should?

a)

Double

b)

Triple

c)

1 1/2 birth weight

d)

Gain 20% birth weight

15.

A 12-month-old toddler should be able to perform which fine motor skill?

a)

Uses crude pincer grasp

b)

Builds a two-block tower

c)

Uses neat pincer grasp

d)

Copies a circle

16.

An 9 month old infant should be expected to perform which fine motor skills?

a)

Try building a two-block tower & grasp rattle by handle

b)

Use pincer grasp & place objects into container

c)

Place objects into container & walks with one hand-held

d)

Grasp rattle by handle & use crude pincer grasp

17.

The natural physical developmental sequence that most children follow is:

a)

Lift head, roll over, creep, crawl, cruise and then walk.

b)

Roll over, lift head, creep, crawl, cruise, and then walk.

c)

Creep, crawl, roll over, cruise, lift head and then walk.

d)

Crawl, creep, roll over, cruise, lift head, and then walk.

18.

Which behavior indicates that an infant has developed object permanence?

a)

Recognizes familiar face such as the mother

b)

Recognizes familiar object such as a bottle

c)

Actively searches for a hidden object

d)

Secures objects by pulling on a string

19.

In general, an infant should triple their birth weight at ____ months of age.

a)

3

b)

6

c)

12

d)

15

20.

Perform a head-to-toe assessment on a toddler. Most important to consider before beginning the examination?

a)

Making sure the parents are present

b)

Administering a medication to ease nausea prior to the exam

c)

Preparing for examination based on the child’s developmental age

d)

Applying cool compresses to the child’s forehead

21.

According to Piaget, toddlers are in the __ developmental stage.

a)

formal operational

b)

sensorimotor

c)

autonomy vs. shame & doubt

d)

trust vs. mistrust

22.

Which intervention helps a hospitalized toddler feel a sense of control?

a)

Assign the same nurses to care for the child.

b)

Put a cover over the child’s crib.

c)

Require parents to stay with the child.

d)

Follow the child’s usual routines for feeding and bedtime.

23.

All children reach developmental milestones at the same age.

a)

True

b)

False

24.

Immunizations for a 4-month-old infant. Which action should the nurse take to provide atraumatic care for the infant?

a)

Use the Z-track method when injecting

b)

Administer 81 mg of baby aspirin

c)

Provide sucrose solution on the pacifier

d)

Ask the parents to leave the room during the injection

25.

The normal heart rate for an infant is

a)

60-100 beats per minute

b)

80-120 beats per minute

c)

40-90 beats per minute

d)

90-160 beats per minute

26.

Which term refers to times in an individual’s life when he or she is more susceptible to positive or negative influences

a)

Sensitive period

b)

Terminal points

c)

Sequential period

d)

Differentiation points

27.

What is characteristic of the preoperational stage of cognitive development?

a)

Thinking is logical.

b)

Thinking is concrete

c)

Reasoning is inductive.

d)

Generalizations can be made.

28.

The normal breathing rate for a toddler is

a)

30-40 per minute

b)

20-25 per minute

c)

16-20 per minute

d)

25-30 per minute

29.

The first expected gross motor developmental milestone in an infant is:

a)

Develops head control when held upright

b)

Rolls from abdomen to back

c)

Sits without support

d)

Crawls independently

30.

Which reflex is present at birth in a healthy newborn?

a)

Neat pincer grasp

b)

Voluntary palmar grasp

c)

Reflex palmar grasp

d)

Transfers objects hand to hand

31.

A nurse is assessing language development in an 18-month-old toddler. Which finding is expected?

a)

Speaks in two-word phrases

b)

Says 3 or more different words

c)

Uses 10–25 words

d)

Names colors

32.

A 12-month-old toddler should be able to perform which fine motor skill?

a)

Uses crude pincer grasp

b)

Builds a two-block tower

c)

Uses neat pincer grasp

d)

Copies a circle

33.

A nurse is assessing the pain of an 8-year-old child using the numerical pain scale. Which of the following questions should the nurse ask the child?

a)

"Touch the face that best describes your pain."

b)

"What is the rate of your pain?"

c)

"What changes in your behavior have you noticed since the pain started?"

d)

"Can you describe your pain with words such as none, a little, medium, or a lot?"