Deck 4: Growth and Development

Question 1

The parents of a 1-year-old infant are concerned that this baby seems more shy and scared of new situations than their other child and ask the nurse if this is normal. The nurse knows that the infant is exhibiting a characteristic of the "slow-to-warm-up." Which statement to the parents is most appropriate by the nurse?
1) "Your infant is showing a regularity in patterns of eating."
2) "Your infant displays a predominately negative mood."
3) "Your infant initially reacts to new situations by withdrawing."
4) "Your infant has intense reactions to the environment."

Answer 1

3

Question 2

A mother of a school-age client who recently had surgery for the removal of tonsils and adenoids complains that the child has begun sucking his thumb again. Which coping mechanisms is the child using to cope with the surgery and hospitalization?
1) Repression
2) Rationalization
3) Regression
4) Fantasy

Answer 2

3

Question 3

The nurse is counseling the parents of a 6-1/2-month-old infant. Which age-appropriate toy is most appropriate for the nurse to suggest to these parents?
1) Soft, fluid-filled ring that can be chilled in the refrigerator
2) Colorful rattle
3) Jack-in-the-box toy
4) Push-and-pull toy

Answer 3

1

Question 4

The nurse, talking with the parents of a toddler who is struggling with toilet training, reassures them that their child is demonstrating a typical developmental stage. According to Erikson, which developmental stage will the nurse document in the medical record for this toddler?
1) Trust versus mistrust
2) Autonomy versus shame and doubt
3) Initiative versus guilt
4) Industry versus inferiority

Question 5

Two 3-year-olds are playing in a hospital playroom together. One is working on a puzzle while the other is stacking blocks. Which type of play are these children exhibiting?
1) Cooperative play
2) Associative play
3) Parallel play
4) Solitary play

Question 6

While trying to inform a young school-age client about what will occur during an upcoming CT scan, the nurse notices that the child is engaged in a collective monologue, talking about a new puppy. Which response by the nurse is the most appropriate in this situation?
1) "Please stop talking about your puppy. I need to tell you about your CT scan."
2) Ignore the child's responses and continue discussing the procedure.
3) "I'll come back when you are ready to talk with me more about your CT scan."
4) "You must be so excited to have a new puppy! They are so much fun. Now, let me tell you again about going downstairs in a wheelchair to a special room."

Question 7

While being comforted in the emergency department, a young school-age sibling of a pediatric trauma victim blurts out to the nurse, "It's my fault! When we were fighting yesterday, I told him I wished he was dead!" Which response is most appropriate by the nurse?
1) Asking the child if she would like to sit down and drink some water
2) Sitting the child down in an empty room with markers and paper so that she can draw a picture
3) Calmly discussing the catheters, tubes, and equipment that the patient requires and explaining to the sibling why the patient needs them
4) Reassuring the child that it is normal to get angry and say things that we do not mean but that we have no control over whether or not an accident happens

Question 8

While in the pediatrician's office for their child's 12-month well-child exam, the parents ask the nurse for advice on age-appropriate toys for their child. Based on the child's developmental level, which types of toys would the nurse suggest? Select all that apply.
1) Soft toys that can be manipulated
2) Small toys that can pop apart and go back together
3) Jack-in-the-box toys
4) Toys with black and white patterns
5) Push-and-pull toys

Question 9

While assessing the development of a 9-month-old infant, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. Which developmental task is the nurse assessing this infant for?
1) Object permanence
2) Centration
3) Transductive reasoning
4) Conservation

Question 10

The nurse is assessing a toddler's development of communication skills. The nurse recognizes that a toddler communicates in what ways? Select all that apply.
1) Expressive jargon
2) Interpersonal skills and contact with other children
3) Uses all parts of speech
4) Temper tantrums
5) Enjoys talking

Question 11

The nurse is performing an assessment of the ecological systems of childhood. What will the nurse include when assessing mesosystems? Select all that apply.
1) Parental involvement in school
2) Local political influences
3) Libraries in the community
4) Influences of the religious community
5) Age of each family member

Question 12

A new parent group inquires about the stages through which their children will progress as they grow older. The nurse is discussing Piaget's developmental stages. In what order would the nurse expect the child to progress through Piaget's stages of development?

A) Sensorimotor
B) Formal operational
C) Preoperational
D) Concrete operational

Question 13

A neonatal nurse who encourages parents to hold their baby and provides opportunities for Kangaroo Care most likely is demonstrating concern for which aspect of the infant's psychosocial development?
1) Attachment
2) Assimilation
3) Centration
4) Resilience

Question 14

A nurse is assessing language development in all the infants presenting at the doctor's office for well-child visits. At which age range would the nurse expect a child to verbalize the words "dada" and "mama"?
1) 3 and 5 months
2) 6 and 8 months
3) 9 and 12 months
4) 13 and 18 months

Question 15

An adolescent client with cystic fibrosis suddenly becomes noncompliant with the medication regime. Which intervention by the nurse will most likely improve compliance for this client?
1) Give the child a computer-animated game that presents information on the management of cystic fibrosis.
2) Arrange for the physician to sit down and talk to the child about the risks related to noncompliance with medications.
3) Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively.
4) Discuss with the child's parents the privileges that can be taken away, such as cell phone, if compliance fails to improve.

Question 16

A child with hives weighing 40 pounds is prescribed diphenhydramine (Benadryl), 5 mg/kg/day in four divided doses. How many milligrams should the nurse give for each dose?

Question 17

Which statement by the nurse is most appropriate prior to giving an intramuscular injection to a 2-1/2-year-old child?
1) "We will give you your shot when your mommy comes back."
2) "This is medicine that will make you better. First we will hold your leg, then I will wipe it off with this magic cloth that kills the germs on your leg right here, then I will hold the needle like this and say 'one, two, three . . . go' and give you your shot. Are you ready?"
3) "It is all right to cry, I know that this hurts. After we are done you can go to the box and pick out your favorite sticker."
4) "This is a magic sword that will give you your medicine and make you all better."

Question 18

The parents of an 8-year-old state that their son seems very interested in trying new activities. When the parents ask for suggested activities for this age child, the nurse recommends scouts as an activity that will foster growth and development. In which stage of Erikson's "psychosocial stages of development" is this child?
1) Trust versus mistrust
2) Initiative versus guilt
3) Industry versus inferiority
4) Identity versus role confusion

Question 19

The nurse educator is presenting a lecture about risks to developmental progression. Which items will the educator include in the lecture? Select all that apply.
1) Family support
2) Access to the Internet
3) Recent loss of employment
4) Terminal illness of a family member
5) Hazards within the home environment