Peds Ch.28 31

Question 1 See full question 1m 32s
The parent of a 4-year-old expressed concern to the nurse that the child still
believes the pet that died will come back. What explanation should the nurse
give to the parent?
You Selected:
 Denial is a strong mechanism that prevents seeing death as

permanent.
Correct response:
 The child is in the stage of magical thinking and cannot understand

death.
Explanation:
Reference:
 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Care of the Childbearing & Childrearing Family, 8th ed. Philadelphia:
Wolters Kluwer, Chapter 28: Principles of Growth and Development, p.
773.
Chapter 28: Principles of Growth and Development - Page 773
Add a Note
Question 2 See full question 46s

A trend with growth and development of the infant is that development is
proximodistal. This means:
You Selected:
 growth progresses from gross motor movements to fine motor

movements.
Correct response:
 growth progresses from gross motor movements to fine motor

movements.
Explanation:
Reference:

Wolters Kluwer, Chapter 30: Nursing Care of a Family With a Toddler, p.
757.
Add a Note

Based on Piaget's theory of cognitive development, what type of activities
would a nurse recommend to parents of children in the preoperational stage?
You Selected:
 Play activities
Correct response:
 Play activities
Explanation:
Reference:

769.
Add a Note

Using Erikson's theory, a nurse asks a young adult questions about family,
friends, and support systems. Why is this important during assessments of
adolescents?
You Selected:
 Fear of commitments may lead to loneliness and isolation.
Correct response:
 Fear of commitments may lead to loneliness and isolation.
Explanation:
Reference:

769.
Add a Note

An 82-year-old resident of a long-term care facility often tells stories of the
role that he played in the Korean War. According to Erikson, which of the
following needs may underlie the resident’s storytelling?
You Selected:
 The need to demonstrate that his life was meaningful and purposeful.
Correct response:
 The need to demonstrate that his life was meaningful and purposeful.
Explanation:
Reference:

769.
Add a Note

A parent is comparing a child's development on the growth chart with those
of another child and is concerned that her child is not in the "normal" range.
What can the nurse inform the parent to alleviate her anxiety?
You Selected:
 "Growth charts are just a standard measurement. If your child doesn't

fall into the 'normal' range, it doesn't indicate something is wrong."
Correct response:
 "Growth charts are just a standard measurement. If your child doesn't

fall into the 'normal' range, it doesn't indicate something is wrong."
Explanation:
Reference:

758-759.
Chapter 28: Principles of Growth and Development - Page 758-759
Add a Note

A nursing instructor informs the class that for the child to be successful at
achieving maturation, he or she must first master milestones. The instructor
determines that the students understand when they correctly identify these
milestones as what tasks?
You Selected:
 Developmental
Correct response:
 Developmental
Explanation:
Reference:

776.
Add a Note

A hospitalized 2-year-old is toilet training and excited to show the nurse the
product created in the toilet. What stage does the nurse recognize this child
is in according to Freud?
You Selected:
 Anal stage
Correct response:
 Anal stage
Explanation:
Reference:

769.
Add a Note

A nursing student will correctly identify that growth is measured by which of
the following patterns?
You Selected:
 height and weight
Correct response:
 height and weight
Explanation:
Reference:

756
Add a Note

A 2-year-old with pneumonia has recently been hospitalized. When the lunch
tray arrives to the floor, the nurse caring for the patient sets up the tray and
allows the child to self-feed with a spoon despite the mess. What is the
nurse's best reason for these actions?
You Selected:
 to foster autonomy
Correct response:
 to foster autonomy
Explanation:
Reference:

757.
Add a Note

A seasoned pediatric nurse realizes that a hospitalized child's need for
identity is strongest in which of the following groups?
You Selected:
 adolescents
Correct response:
 adolescents
Explanation:
Reference:

769.
Add a Note

A mother who is vegan, when asked about the nutritional intake of her 18-
month-old, tells the nurse not to worry because she is providing plenty of
protein to her daughter. "And," she says, "I avoid giving her fats." Which of
the following would be the most appropriate response for nurse to give this
mother?
You Selected:
 "Your child needs fat in the diet at this age, as it is needed for
myelination of spinal nerves."
Correct response:
 "Your child needs fat in the diet at this age, as it is needed for
myelination of spinal nerves."
Explanation:
Reference:

764.
Add a Note

A mother is concerned about her 2-year-old son acquiring sufficient protein
while following the family's vegan diet. Which of the following foods would be
appropriate for the nurse to recommend to this mother?
You Selected:
 Peanut butter and wheat bread
Correct response:
 Peanut butter and wheat bread
Explanation:
Reference:

764
Add a Note

A father brings his toddler in for the 2-year-well visit. When providing
anticipatory guidance on toilet/potty training the father states, "We are
letting him tell us when he is interested in using the toilet." The nurse
recognizes that this philosophy is most in line with which theories of
development?
You Selected:
 Freud's theory of psychosexual development

Correct response:
 Freud's theory of psychosexual development
Explanation:
Reference:

769.
Add a Note

The nursing instructor is conducting a class on the development of an infant.
The instructor determines the class is successful when the students correctly
illustrate which as the proximodistal development in an infant?
You Selected:
 Walk for several steps, then learns to run
Correct response:
 Kick and to wave the arms, then learns to grasp the foot and pull it to
the mouth
Explanation:
Reference:

769-770.
Add a Note

The nursing instructor is leading a discussion on the theories of growth and
development as described by Piaget. The instructor determines the session is
successful when the students correctly choose which action as an example of
the sensorimotor phase?
You Selected:
 Understanding abstract concepts described only in words or symbols
Correct response:
 Developing an understanding of cause and effect
Explanation:
Reference:

771-773.
Add a Note

An elementary school nurse is leading a group session discussing nutrition
with a group of students and their caregivers. The nurse should provide
additional teaching if which statement is made by one of the participants?
You Selected:
 "My children are at various ages and they all have different daily
requirements."
Correct response:
 "If my child has good nutrition she won't get childhood illnesses."
Explanation:
Reference:

760.
Add a Note

A parent is distressed because the infant is on the 26th percentile for height
and the 17th percentile for weight. What should the nurse teach the client?
You Selected:
 The child is healthy, provided the percentile for height exceeds that of
weight.
Correct response:
 The child's position on a growth chart does not necessarily indicate a

health problem.
Explanation:
Reference:

756.
Add a Note

When assessing a 4-year-old, the nurse understands that the client is
developing a conscience when the client performs which action?
You Selected:
 wants to sit in the parent’s lab
Correct response:
 tattles on a sibling
Explanation:
Reference:

Care of the Childbearing & Childrearing Family, 8th ed, Philadelphia:
774.
Add a Note

Parents of an 18-month-old tell the nurse that the child eats very little during
meals but is constantly asking for snacks. Which recommendation should the
nurse make?
You Selected:
 Offers rewards with meals to increase eating.
Correct response:
 Give nutritious snacks throughout the day.

Which theorist advocates that responses to morality have gender differences
based in child-rearing practices of boys and girls?
You Selected:
 Gilligan
Correct response:
 Gilligan
Explanation:
Reference:

774.
Add a Note

Which of the following can have an influence over the individual's physiologic
growth and development trajectory?
You Selected:
 Sensory stimulation and nutrition
Correct response:
Explanation:
Reference:
762 - 768.
Add a Note

The pattern of growth in which the child is able to control the head and neck
before the arms and legs is known as which of the following?
You Selected:
 Cephalocaudal
Correct response:
 Cephalocaudal
Explanation:
Reference:

759.
Add a Note

Genetics have an influence on many aspects of growth and development.
The genetic influence that has to do with the way a person thinks, behaves,
and reacts is referred to as:
You Selected:
 Temperament
Correct response:
 Temperament
Explanation:
Reference:
760.
Add a Note

Erik Erikson described human psychosocial development as a series of tasks
that must be mastered before moving on to the next task. The stage in which
the child is more assertive and starts to accept punishment for doing wrong
is which stage?
You Selected:
 Initiative vs. guilt
Correct response:
Explanation:
Reference:

770.
Add a Note

A nurse is teaching a 7-year old diabetic child who is in Piaget's concrete
operational stage about insulin injections. Based on Piaget's theory, what
would be the nurse's best method of preparation for this child?
You Selected:
 Demonstrate the procedure on a teddy bear.
Correct response:
 Demonstrate the procedure on a teddy bear.
Explanation:
Reference:

772.
Add a Note

According to Erikson, normal adolescent behavior includes trying on new
roles and possibly even rebelling. What is the purpose of this behavior in
adolescents?
You Selected:
 To establish a sense of identity
Correct response:
 To establish a sense of identity
Explanation:
Reference:

769.
Add a Note

A nurse is asked when to teach children about oral health. Based on Piaget's
theory, at what age would the nurse suggest?
You Selected:
 Preschoolers
Correct response:
 Third and fourth graders
Explanation:
Reference:

758.
Add a Note

Like many 4-year-olds, Ethan is constantly seeking out and exploring new
experiences and repeatedly asking his parents why-type questions. Ethan’s
behavior suggests that he is successfully navigating an important
developmental task within the developmental theory of:
You Selected:
 Erikson
Correct response:
 Erikson
Explanation:
Reference:

770.
Add a Note

A pediatric nurse observes an infant holding a rattle. Upon dropping the
rattle, the baby cannot pick it up with his fingers on his own. The nurse
correctly identifies this to be an example of which type of growth?
You Selected:
 proximodistal
Correct response:
 proximodistal
Explanation:
Reference:

769- 770.
Add a Note

A nursing student realizes that which of the following is true about Kohlberg's
theory of moral development?
You Selected:
 At age 2 to 3 years, the child determines right or wrong by the

physical consequence of a particular act.
Correct response:

Explanation:
Reference:

774.
Add a Note

A nurse sees a brother and sister, both 12 years old, in back-to-back physical
examinations. The girl is adopted, whereas the boy is biologically related to
their parents. The girl has clearly begun her growth spurt, and in the past 6
months has grown 3 inches, overtaking her brother in height. Based on
experience, however, the nurse expects that the boy will begin his growth
spurt in the coming year. The nurse recognizes that which factor best
explains the difference in onset of growth spurts in these two children?
You Selected:
 Genetics
Correct response:
 Gender
Explanation:
Reference:

760.
Add a Note

The mother of a 5-year-old girl expresses concern over the fact that her
daughter is not nearly as verbal as her older two children when they were at
that age. She wonders about the reason for this difference. Which factor is
most likely to account for this difference?
You Selected:
 Ordinal position in the family
Correct response:
Explanation:
Reference:

762.
Add a Note

A nurse at a pediatric clinic is assessing a young client at a well-child visit.
After the assessment, the nurse determines the child is in Erikson's
autonomy stage based on which finding?
You Selected:
 They want to know the rules and enjoy being good and getting
approval.
Correct response:
 Will perform tasks by themselves, even when it takes a long time
Explanation:
Reference:

769.
Add a Note

The nurse is developing a care plan for several clients who were seen in the
clinic that day. Which situation will the nurse conclude is most likely to
experience challenges in the growth and development of the children?
You Selected:
 Both parents work during the day and the child comes home after
school to an empty house
Correct response:
 Children who attend school while the father works and then sleep in
their car at night
Explanation:
Reference:

762.
Add a Note

The nurse is caring for a hospitalized 8-year-old child whose parents have
been divorced. Which of the following is most important for the nurse to do
for this child?
You Selected:
 The nurse should have clear information about who may contact the
child.
Correct response:
child.
Explanation:
Reference:

762.
Add a Note

While assessing an adolescent, a nurse would assess which behavior as
indicating the use of formal thought processes?
You Selected:
 uses abstract thought while engaging in conversations
Correct response:
Explanation:
Reference:

Wolters Kluwer, Chapter 28: Principles of Growth and Development , p.
773.
Add a Note
While preforming a preoperative assessment on a 3-year-old client, a nurse
should be aware of what type of cognitive thought process by the child?
You Selected:
 Preoperational – The child will want to play with the equipment.
Correct response:
 Preoperational – The child will want to play with the equipment.
Explanation:
Reference:

772.
Add a Note

A parent states, “I do not let my child eat any carbohydrates because they
will make her fat.” What is the best response by the nurse?
You Selected:
 "Carbohydrates are a secondary source of fuel and stored as fat."
Correct response:
 "Carbohydrates are a necessary fuel for the body, especially

neurologic functions."
Explanation:
Reference:

765.
Add a Note
The nurse is performing an assessment on a newborn client. Which
assessment should the nurse use to measure the client’s growth? Select all
that apply.
You Selected:
 Weight
 Height

What is the appropriate time when children should be taught genitalia
terminology and about personal privacy?
You Selected:
 Late childhood
Correct response:
 Early childhood
Explanation:
Reference:

769.
Add a Note

You Selected:
 Ethnicity and culture
Correct response:
Explanation:
Reference:

762 - 768.
Add a Note

The pattern of growth in which the child is able to control the head and neck
before the arms and legs is known as which of the following?
You Selected:
 Cephalocaudal
Correct response:
 Cephalocaudal
Explanation:
Reference:

759.
Add a Note

Genetics have an influence on many aspects of growth and development.
The genetic influence that has to do with the way a person thinks, behaves,
and reacts is referred to as:
You Selected:
 Development
Correct response:
 Temperament
Explanation:
Reference:
760.
Add a Note

is which stage?
You Selected:
Correct response:
Explanation:
Reference:

770.
Add a Note

A school-aged child always follows the rules and obeys traffic lights when
crossing the street. Based on Kohlberg's theory, what type of development is
being demonstrated?
You Selected:
 Moral
Correct response:
 Moral
Explanation:
Reference:

774.
Add a Note

A child demonstrates increasing language skills and an understanding of
symbols. Creative play and the use of imagination is an important activity in
the child's life. Based upon these characteristics, what stage of cognitive
development according to Jean Piaget's theory is the child demonstrating?
You Selected:
 Preoperational stage
Correct response:
 Preoperational stage
Explanation:
Reference:

772
Add a Note

According to Freud, which of the following influences is the primary force that
drives an individual’s development?
You Selected:
 Sexuality
Correct response:
 Sexuality
Explanation:
Reference:

768.
Add a Note

Like many 4-year-olds, Ethan is constantly seeking out and exploring new
experiences and repeatedly asking his parents why-type questions. Ethan’s
behavior suggests that he is successfully navigating an important
developmental task within the developmental theory of:
You Selected:
 Erikson
Correct response:
 Erikson
Explanation:
Reference:

770.
Add a Note

A 2-year-old wants to feed herself and becomes agitated when the nurse
attempts to feed her. What does the nurse understand is the developmental
age of this child according to Erikson?
You Selected:
 Autonomy vs. doubt and shame
Correct response:
 Autonomy vs. doubt and shame

Explanation:
Reference:

769.
Add a Note

A pediatric nurse observes an infant holding a rattle. Upon dropping the
rattle, the baby cannot pick it up with his fingers on his own. The nurse
correctly identifies this to be an example of which type of growth?
You Selected:
 proximodistal
Correct response:
 proximodistal
Explanation:
Reference:

769- 770.
Add a Note

A nursing instructor teaching about normal growth and development
identifies a need for further instruction when the student makes which of the
following statements?
You Selected:
 "A growth chart is the best tool to diagnose growth problems."
Correct response:
 "A growth chart is the best tool to diagnose growth problems."

Explanation:
Reference:

756.
Add a Note

A breast-feeding infant will gaze intently into his or her mother's eyes, grasp
her finger, and smell and taste the milk. This use of the senses is attributed
to a phase of development that is part of which theory?
You Selected:
 Freud's theory
Correct response:
 Piaget's theory
Explanation:
Reference:

772.
Add a Note

You Selected:

Correct response:
Explanation:
Reference:

774.
Add a Note

Kohlberg's theory is frequently challenged as being male-oriented because
his original research was conducted entirely with boys.
You Selected:
 False
Correct response:
 True
Reference:

774.
Add a Note

The nurse is caring for a 5-year-old who is upset that the nurse is leaving at
the end of a shift. Which statement by the nurse will most help the child
understand why the nurse is leaving?
You Selected:
 "I have a 4-year-old son and I need to go play with him."
Correct response:
 "I have a 4-year-old son and I need to go play with him."
Explanation:
Reference:

761.
Add a Note

The nurse is caring for a hospitalized 8-year-old child whose parents have
been divorced. Which of the following is most important for the nurse to do
for this child?
You Selected:
child.
Correct response:
child.
Explanation:
Reference:

762.
Add a Note

You Selected:

Correct response:
Explanation:
Reference:

773.
Add a Note

You Selected:
Correct response:

Explanation:
Reference:

765.
Add a Note

The nurse is performing an assessment on a newborn client. Which
assessment should the nurse use to measure the client’s growth? Select all
that apply.
You Selected:
 Height
 Head circumference
 Weight
Correct response:
 Height
 Weight
 Head circumference

Which statement by a school-aged child demonstrates Erikson's psychosocial
stage of industry versus inferiority?
You Selected:
 “I have friends and I succeed" versus "I have no friends and am

incapable.”
Correct response:
 “I have friends and I succeed" versus "I have no friends and am

incapable.”
Explanation:
Reference:

770.
Add a Note

According to the theories of child development of Sigmund Freud, the child
who is between 6 and 10 years old is in which stage?
You Selected:
 Latency stage
Correct response:
 Latency stage
Explanation:
Reference:

769.
Add a Note

All humans learn from both formal and informal experiences. What orderly
pattern of changes results in part from learning?
You Selected:
 Development
Correct response:
 Development
Explanation:
Reference:

758.
Add a Note

A 10-year-old girl is excited when she receives the "most improved player"
award on her softball team. Although she was not the strongest player on the
team, she always tried to perform at her best level and never gave up on
practicing her skills. What stage of psychosocial development according to
Erik Erikson is this child demonstrating?
You Selected:
 Initiative versus guilt
Correct response:
 Industry versus inferiority
Explanation:
Reference:

770.
Add a Note

The mother of a 5-year-old girl expresses concern over the fact that her
daughter is not nearly as verbal as her older two children when they were at
that age. She wonders about the reason for this difference. Which factor is
most likely to account for this difference?
You Selected:
Correct response:
Explanation:
Reference:

762.
Add a Note

A homeless mother arrives in the emergency department with her 5-year-old
son who appears to have the mumps. During assessment, the nurse
discovers the child is behind on his immunization schedule. Which
information should the nurse prioritize for this family?
You Selected:
 A chart depicting the recommended immunization schedules for
infants and children
Correct response:
 A list of organizations that assist families to get food, shelter, and

medical benefits
Explanation:
Reference:

762.
Add a Note

The nursing instructor is explaining the various aspects of growth and
development to a group of nursing students. The instructor determines the
session is successful when the students point out which
example best illustrates the concept of development?
You Selected:
 The 3-year-old who has been toilet trained for 6 months
Correct response:
 The 3-year-old who has been toilet trained for 6 months
Explanation:
Reference:

768.
Add a Note

The nursing instructor is preparing a class discussion covering the theories of
Erikson and the growth and development of infants and children. Which
example would best illustrate the phase referred to as initiative by Erikson?
You Selected:
 Performing a task by oneself, even if it takes a long time
Correct response:
 Knowing the rules, enjoys being good, being independent, and

receiving approval
Explanation:
Reference:

769.
Add a Note

The nursing instructor is leading a discussion on the theories of growth and
development as described by Piaget. The instructor determines the session is
successful when the students correctly choose which action as an example of
the sensorimotor phase?
You Selected:
 Classifying and organizing information about the environment
Correct response:
 Developing an understanding of cause and effect
Explanation:
Reference:

771-773.
Add a Note

A nurse is preparing a teaching plan for the parents of a newborn. When
explaining the neurologic development, how should the nurse point out that
this occurs?
You Selected:
 outward-to-inward
Correct response:
 center-to-outside

You Selected:
Correct response:
Explanation:
Reference:

762 - 768.
Add a Note

You Selected:

Correct response:

Explanation:
Reference:

774.
Add a Note

A homeless mother arrives in the emergency department with her 5-year-old
son who appears to have the mumps. During assessment, the nurse
discovers the child is behind on his immunization schedule. Which
information should the nurse prioritize for this family?
You Selected:
 A chart depicting the recommended immunization schedules for

infants and children
Correct response:
 A list of organizations that assist families to get food, shelter, and

medical benefits
Explanation:
Reference:

762.
Add a Note

The nursing instructor is leading a discussion on the theories of Sigmund
Freud with a group of nursing students. The instructor determines the session
is successful when the students correctly choose which example as
indicating a child is in the anal stage of development?
You Selected:
 Recognizes the physical differences between boys and girls
Correct response:
 Has a desire to mold and control the environment
Explanation:
Reference:

769.
Add a Note

You Selected:
Correct response:

Explanation:

You Selected:
Correct response:

Explanation:
Reference:

762 - 768.
Add a Note

is which stage?
You Selected:
Correct response:
Explanation:
Reference:

770.
Add a Note

A child gains weight and becomes taller each year. What is this process
called?
You Selected:
 Growth
Correct response:
 Growth
Explanation:
Reference:

758.
Add a Note

According to Freud, which of the following influences is the primary force that
drives an individual’s development?
You Selected:
 Sexuality
Correct response:
 Sexuality
Explanation:
Reference:

768.
Add a Note

You Selected:
Correct response:
Explanation:
Reference:

773.
Add a Note
TAKE ANOTHER QUIZ

Parents say they have been using measures to lessen the struggle of getting
their preschooler to bed at night and to sleep. Which practice will the nurse
suggest they discontinue?
You Selected:
 Allowing the preschooler to fall asleep wherever and whenever the

child is tired enough
Correct response:

Explanation:
Reference:

Wolters Kluwer, 31: Nursing Care of a Family With a Preschool Child, p.
840.
Chapter 31: Nursing Care of a Family with a Pre-School Child - Page
840
Add a Note

A 3½-year-old shouts, "Look out for Boo-ga-loo!" as the nurse enters the
exam room. The father explains Boo-ga-loo is his daughter's imaginary
friend. How should the nurse respond?
You Selected:
 "Tell me about Boo-ga-loo."

Correct response:
 "Tell me about Boo-ga-loo."
Explanation:
Reference:

846.
846
Add a Note

The nurse is conducting a physical examination of a young preschooler and
detects the odor of tobacco smoke on the parents' hair and clothing. How
should the nurse respond?
You Selected:
 "Tell me about your child's exposure to tobacco smoke."
Correct response:
 "Tell me about your child's exposure to tobacco smoke."
Explanation:
Reference:

833.
833
Add a Note

The father of a 4½-year-old boy has contacted the nurse because he is
concerned that his son is frequently touching his genitals. The nurse explains
that this is normal during the preschool years. Which statement by the father
would indicate a need for further teaching?
You Selected:
 "I will need to find an appropriate punishment for him if this

continues."
Correct response:

continues."
Explanation:
Reference:

848.
848
Add a Note

The nurse is explaining to parents that the preschooler's developmental task
is focused on the development of initiative rather than guilt. What is
a priority intervention the nurse might recommend for parents of
preschoolers to stimulate initiative?
You Selected:
 Do not set limits on the preschooler's behavior as this results in low

self-esteem.
Correct response:
 Reward the child for initiative in order to build self-esteem.
Explanation:
Reference:

836.
836
Add a Note

The nurse is providing teaching about car safety to the parents of a 5-year-
old girl who weighs 45 pounds. What should the nurse instruct the parents to
do?
You Selected:
 “Place her in a booster seat with lap and shoulder belts in the back
seat.”
Correct response:
seat.”
Explanation:
Reference:

838.
838
Add a Note

The nurse is providing anticipatory guidance for parents of a preschooler
regarding sex education. What is a recommended guideline when dealing
with this issue?
You Selected:
 Before answering questions, find out what the child thinks about the
subject.
Correct response:
subject.
Explanation:
Reference:
848.
848
Add a Note

The parents of a preschooler express concern to the nurse about their son's
new habit of masturbating. What is an appropriate response to this concern?
You Selected:
 Treat the action in a matter-of-fact manner, emphasizing safety.
Correct response:
Explanation:
Reference:

848.
848
Add a Note

A nurse is teaching a group of parents of preschoolers about safety. Which
information would the nurse include? Select all that apply.
You Selected:
 "Do not allow your child to approach strange dogs."

 "Do not refer to medicines as candy."
 "Role-model bicycle safety by wearing a helmet too."
 "Have your child hold hands with a grown-up in parking lots."
Correct response:

Explanation:
Reference:

838.
838
Add a Note

Parents of a preschooler tell the nurse that their child often refuses to go to
sleep at night. Which suggestion by the nurse would be helpful? Select all
that apply.
You Selected:
 "Try reading a favorite story before bedtime."

 "Avoid having your child watch frightening shows on TV before
bedtime."
 "Try using a night light in the child's room."
 "Set up some familiar bedtime rituals for your child."
Correct response:

bedtime."
Explanation:
Reference:

840.
840
Add a Note

During a well-child visit, the mother of a preschooler tells the nurse that her
daughter is "daddy's girl." She says, "It seems like I don't exist." Which
response by the nurse would be most appropriate?
You Selected:
 "Your daughter is showing normal behavior for her age."
Correct response:
 "Your daughter is showing normal behavior for her age."
Explanation:
Reference:

837.
837
Add a Note

A nurse is developing a teaching plan for parents of preschoolers about how
to address the issue of strangers and safety. Which would the nurse expect
to include in the teaching? Select all that apply.
You Selected:
 Urge children never to talk to or accept a ride from a stranger.

 Teach your children to say "no" to anyone whose touching makes them
feel uncomfortable.
 Encourage children to tell you or another trusted adult if someone
asks them to keep a secret about anything uncomfortable.
Correct response:

 Urge your children to report others who are bullying.
feel uncomfortable.
Explanation:
Reference:

838.
838
Add a Note

A bilingual family tells the nurse their desire for their child to learn Spanish
as well as English. English is the predominant language spoken in the home.
The parents ask the nurse when is the best time to teach the child a second
language. What time period would the nurse respond?
You Selected:
 During the preschool years
Correct response:
 During the preschool years
Explanation:
Reference:

833-834.
833-834
Add a Note

A nursing instructor is teaching students about changes in the preschooler.
One such change is genu valgus, which refers to which of the following?
You Selected:
 Knock-knees
Correct response:
 Knock-knees
Explanation:
Reference:

834.
834
Add a Note

A mother tells a nurse that her child has recently established some
friendships for the first time. In which age group do you expect this child to
be?
You Selected:
 School age
Correct response:
 Preschool
Explanation:
Reference:

837.
837
Add a Note

A patient who has just given birth to her second child is concerned that her
preschooler will be jealous when people bring gifts for the newborn. What
would be the best suggestion to make to this mother about the gifts?
You Selected:
 Ask the preschooler if he or she likes the new baby.
Correct response:
 Ask people to bring a small second gift for the preschooler as well.
Explanation:
Reference:

848.
848
Add a Note

The nurse is teaching the preschooler’s parents injury prevention. Which
method would the nurse advise for the parents as the best way to enforce
injury prevention?
You Selected:
 Repetition, modeling, and reinforcement
Correct response:
 Repetition and reinforcement
Explanation:
Reference:

839.
839
Add a Note

A 5-year-old child is overheard by her parents calling her dog a “fat boo–boo
butt” and they are concerned. What advice would the nurse provide for them
regarding this behavior?
You Selected:
 Calmly correct the child, telling her not to say those words again.
Correct response:
Explanation:
Reference:

843.
843
Add a Note

The nurse is assessing a 4-year-old on a routine well-child visit. When
assessing the gross motor skills of this preschooler, which activity will the
nurse predict the child to be able to successfully accomplish?
You Selected:
 Throw and catch a ball
Correct response:
 Hop on one foot
Explanation:
Reference:

835.
835
Add a Note

The father of a 4-year-old is concerned his child is not telling the truth and
blaming others for things that have happened. Which response should the
nurse prioritize after the father shares that the child is blaming someone
named "Andrew" for a broken tool, and they have no idea who this is?
You Selected:
 "You need to show your child the broken tool since at this age they
must see something in order to understand."
Correct response:
 "Your son may have a friend named Andrew, but it could be an

imaginary friend."
Explanation:
Reference:

846.
846
Add a Note
TAKE ANOTHER QUIZ

Which gross motor skill would the 4-year-old child have most recently
attained?
You Selected:
 The child can hop on one foot.
Correct response:

Explanation:
Reference:

835.
835
Add a Note

Johnny exhibits the following growth pattern. Which interpretation of the data
is accurate? Select all that apply.
3 yrs: Ht. 37 inches Wt. 32 pounds
You Selected:
 Johnny is following a normal pattern of growth for the preschool years.
Correct response:
 Johnny is growing slowly in height but rapidly in weight.

 Johnny may be at risk for overweight or obesity.
 Johnny's height and weight should be plotted on a growth chart.
Explanation:
Reference:

834.
834
Add a Note

The nurse is caring for a 5-year-old girl post-tonsillectomy. The girl looks out
the window and tells the nurse that it is raining and says, “The sky is crying
because it is sad that my throat hurts.” The nurse understands that the girl is
demonstrating which mental process?
You Selected:
 Animism
Correct response:
 Magical thinking
Explanation:
Reference:

836.
836
Add a Note

When providing anticipatory guidance to parents about their preschool son
who was caught in a lie, what would the nurse emphasize?
You Selected:
 “You need to determine the reason for lying before punishing the
child.”
Correct response:
 “You need to determine the reason for lying before punishing the
child.”
Explanation:
Reference:

843.
843
Add a Note

The nurse is observing a group of 5 year olds playing in the playroom. Which
developmental milestones does the nurse identify as newly acquired skills
since turning 5 years old? Select all that apply.
You Selected:
 Drawing a 6-part man

 Lacing one's shoes
 Drawing a cross
Correct response:
 Drawing a 6-part man

 Lacing one's shoes
Explanation:
Reference:

835.
835
Add a Note

Nursing students are reviewing information about the cognitive development
of preschoolers. The students demonstrate understanding of the information
when they identify that a 3-year-old is in what stage as identified by Piaget?
You Selected:
 Preoperational thought
Correct response:
Explanation:
Reference:

837.
837
Add a Note

A 4-year-old is going to finger paint for the first time. What is the best action
for the adult supervisor of this activity?
You Selected:
 Support whatever the child paints.
Correct response:
Explanation:
Reference:

836.
836
Add a Note

The parents express concern about their child who has an imaginary friend.
The nurse explains that as long as the imaginary friend does not become the
center of attention and also the child has real friends, this can be beneficial.
What benefits are discussed? Select all that apply.
You Selected:
 Provides an outlet by which the child can express innermost feelings.

 Encourages language development by conversation.
 Protects the child by separating from those who are unkind.
Correct response:
 Encourages language development by conversation.

 Provides an outlet by which the child can express innermost feelings.
 Serves as someone to blame or decrease the child's guilt.
Explanation:
Reference:

846.
846
Add a Note

You Selected:
Correct response:
Explanation:
Reference:

848.
848
Add a Note

At a physical examination, a nurse asks the father of a 4-year-old how the
boy is developing socially. The father sighs deeply and explains that his son
has become increasingly argumentative when playing with his regular group
of three friends. The nurse recognizes that this phenomenon is mostlikely
due to:
You Selected:
 testing and identification of group role.

Correct response:
Explanation:
Reference:

837.
837
Add a Note

Fear of mutilation is significant during the preschool age.
You Selected:
 True
Correct response:
 True
Explanation:
Reference:

843.
843
Add a Note

A 3 1/2 year-old child is found masturbating in the family living room. Which
response by the parent would best address this behavior?
You Selected:
 “Your penis is very interesting, isn’t it? But you can injure it by
touching it so much.”
Correct response:
 “We do not touch ourselves in public. Please go to your room if you

want to continue this behavior.”
Explanation:
Reference:

848.
848
Add a Note

Which behavior by a 3 year-old child does not validate Erikson’s
developmental task for preschoolers?
You Selected:
 Compares his soccer abilities with his peers.
Correct response:
Explanation:
Reference:

853.
853
Add a Note

The mother of a preschooler finds a broken plate in her kitchen floor and
asks the child what happened. The child tells the mother that her imaginary
friend Lulu dropped it when she was getting it out of the cabinet. How should
the mother interpret this fabrication?
You Selected:
 The child feels guilty and wants to pass the blame to someone else.
Correct response:
 Blaming an imaginary friend for accidents is normal behavior for this

age group.
Explanation:
Reference:

846.
846
Add a Note

The nurse is providing health-promotion teaching to a group of parents of
preschoolers at a local daycare. What information would the nurse include in
this education session? Select all that apply.
You Selected:
 Encourage children to select their own clothing to wear each day.

 Parents will need to supervise tooth-brushing and be responsible for
flossing.
 Treat any toileting accidents in a matter-of-fact manner and assist the
child in getting dry clothing.
Correct response:

flossing.
Explanation:
Reference:
Wolters Kluwer, 31: Nursing Care of a Family With a Preschool Child, pp.
840, 842.
Add a Note

The nurse is preparing a safety presentation for a health fair for families.
Which instruction should the nurse prioritize when illustrating car safety
and the family?
You Selected:
 "Set a good example. Wear your own seat belt every time you drive."
Correct response:
Explanation:
Reference:

838.
838
Add a Note

A nurse is preparing a presentation for a health fair discussing various
aspects of toddlers. Which example should the nurse use to best illustrate
dramatic play?
You Selected:
 Acting out a troubling or stressful situation
Correct response:
Explanation:
Reference:
833.
833
Add a Note

When collecting data on a preschool-aged child during a well-child visit, the
nurse discovers the child has gained 12 lb (5.4 kg) and grown 2.5 inches (6.3
cm) in the last year. The nurse interprets these findings to indicate which
situation?
You Selected:
 Weight falls within an expected range and height is less than what
would be expected.
Correct response:
 Weight is above an expected range and height is within an expected

range.
Explanation:
Reference:

834.
834
Add a Note

The nurse is presenting nutritional information at a community health fair.
Which suggestion should the nurse prioritize when illustrating proper
nutrition for preschoolers?
You Selected:
 Should drink at least 4 cups of milk each day
Correct response:
 Snacks throughout the day help the child meet nutritional
requirements
Explanation:
Reference:

839.
839
Add a Note

The mother of a 4-year-old is concerned her child is not eating well. In
addressing the concerns of this mother, which foods should the nurse point
out are high in protein? Select all that apply.
You Selected:
 Strawberries and bananas

 Turkey sandwich
 Whole grain granola with yogurt
Correct response:
 Cheese and crackers

 Turkey sandwich
Explanation:
Reference:
 Silbert-Flagg, J., Pillitteri, P. (2018).

If the child is gaining weight at an expected rate, a child who weighs 36
pounds (16.3 kg) at 3 years of age would weigh what amount at age 5?
You Selected:
 44 lb (20 kg)
Correct response:
 44 lb (20 kg)
Explanation:
Reference:

834.
834
Add a Note
Question 2 See full question 2m

The nurse is developing a nursing care plan for a hospitalized 6-year-old.
Which behavior would warrant nursing intervention?
You Selected:
 The child does not want to play games with other children on the
hospital ward.
Correct response:
 The child does not want to play games with other children on the
hospital ward.
Explanation:
Reference:

837.
837
Add a Note

The nurse is supervising lunch time for children on a pediatric ward. Which
observation is considered abnormal for this age group?
You Selected:
 The child uses his fingers and refuses to use a fork.

Correct response:
 The child uses his fingers and refuses to use a fork.
Explanation:
Reference:

833.
833
Add a Note

The parent of 3 1/2-year-old preschooler tells the nurse that the child argues
quite a bit and says that the child is always right. The nurse interprets this
information as indicating:
You Selected:
 centering.
Correct response:
 centering.
Explanation:
Reference:

838.
838
Add a Note

A nurse is preparing an educational seminar about the moral and spiritual
development of preschoolers. When describing this topic, which information
would the nurse include?
You Selected:
 Determination of right and wrong based on the reason for rules
Correct response:
 Tendency to do good out of self-interest
Explanation:
Reference:

838.
838
Add a Note

What would be most effective in helping promote initiative and nutritional
health for a preschooler?
You Selected:
 Allowing the child to spread soft cheese on crackers
Correct response:
 Allowing the child to spread soft cheese on crackers
Explanation:
Reference:

842.
842
Add a Note

The nurse is caring for a 3-year-old at a well child check. The parent states
that her child still has an afternoon nap but she has a friend whose toddler
no longer naps in the afternoon. She is seeking advice on what do to. When
providing anticipatory guidance to the parent about sleep patterns, what is
the most appropriate response by the nurse?
You Selected:
 "Often, the afternoon nap will be no longer needed after 4 years."
Correct response:
 "Often, the afternoon nap will be no longer needed after 4 years."
Explanation:
Reference:

840.
840
Add a Note
Question 8 See full question 1m

A mother reports to the nurse that her 4-year-old does everything that she
does. She says she is becoming somewhat frustrated with these actions.
What would be the best response by the nurse to this mother?
You Selected:
 "Preschoolers' imitating is a healthy behavior. It is part of their

imagination and normal growth and development."
Correct response:
 "Preschoolers' imitating is a healthy behavior. It is part of their

imagination and normal growth and development."
Explanation:
Reference:

836.
836
Add a Note

A nurse walks into the room to check on a preschool client. When the nurse
asks the preschooler how she is doing, the child says she is Tinker Bell. What
is the best response by the nurse?
You Selected:
 "Hello, Tinker Bell."
Correct response:
 "That will be fun if you want to pretend you are Tinker Bell!"
Explanation:
Reference:

837.
837
Add a Note

A young hospitalized patient cries constantly for daddy even though her
mother has not left her side. When talking to the child's mother, the nurse
learns that the 4 year old wants only her father. The child has even told her
mother that she hates her on numerous occasions. What would be
the best response by the nurse to support this mother?
You Selected:
 "Her behavior is normal for her age. She will outgrow it."
Correct response:
 "Her behavior is normal for her age. She will outgrow it."
Explanation:
Reference:

837.
837
Add a Note

A nurse realizes safety teaching has been successful when the parents
identify which action to help prevent the leading cause of death in
preschoolers?
You Selected:
 Placing the child is an approved car seat.
Correct response:
 Placing the child is an approved car seat.
Explanation:
Reference:

838.
838
Add a Note

You Selected:
Correct response:
Explanation:
Reference:

848.
848
Add a Note

A 5-year-old girl is pretending to be a crocodile during a physical
examination. Her mother just smiles and rolls her eyes at the nurse. What
would be the best response for the nurse to give the child?
You Selected:
 "Oh no! I have a crocodile in my room. Please don't bite me!"
Correct response:
 "What a wonderful imagination you have! I've never seen anyone who
was so good at pretending to be a crocodile."
Explanation:
Reference:

836.
836
Add a Note

Telling tall tales is harmless and should be encouraged in preschoolers
because it helps them develop their imaginations.
You Selected:
 True
Correct response:
 False
Explanation:
Reference:

846.
846
Add a Note

Broken fluency is a serious condition, and children who exhibit it should be
referred to a speech pathologist for treatment.
You Selected:
 True
Correct response:
 False
Explanation:
Reference:

851.
851
Add a Note

During a well-child visit, the caregiver expresses concern that the 3-year-old
child often stutters when speaking. Which response should the nurse
prioritize to best assist this family?
You Selected:
 "Children of this age may stutter while they search for just the right
word."
Correct response:
 "Children of this age may stutter while they search for just the right
word."
Explanation:
Reference:

851.
851
Add a Note

The nurse is caring for several clients on the pediatric unit. When interacting
with the preschooler, which action will the nurse predict to occur?
You Selected:
 Takes in new information at a rapid rate and asks "why" and "how"
Correct response:
 Takes in new information at a rapid rate and asks "why" and "how"
Explanation:
Reference:

848.
848
Add a Note

The nurse is presenting an in-service on the types of playing that children
may engage in. The nurse determines the session is successful when the
attending nurses correctly choose which example as representing
cooperative play?
You Selected:
 Playing together in an activity without organization.
Correct response:
 Playing in an organized group with each other.
Explanation:
Reference:

837.
837
Add a Note

The parents of a toddler are concerned their child is not developing correctly
and are questioning the nurse concerning the child's lack of effort to join
other children in a group activity. Which response should the
nurse prioritize in answering the parents?
You Selected:
 "This is normal for this age group. It's referred to as solitary

independent play."
Correct response:
 "This is normal for this age group. It's referred to as solitary

independent play."
Explanation:
Reference:

833.
833
Add a Note
The nurse is assessing a 3-year-old at a well-child visit and the child appears
to be progressing well. Which activity will the nurse ask the child to attempt
to appropriately assess the fine motor skills of this preschooler?
You Selected:
 Button clothes.
Correct response:
 Button clothes.

The nurse is discussing nutritional issues and concerns with the caregivers of
preschoolers. Which statement made by the caregivers best indicates a
common aspect of the diet and nutrition of the preschool child?
You Selected:
 "My husband is insistent that our 5-year-old not eat any snacks so that
he will eat all of his meals at mealtime."
Correct response:
 "My child is so picky and eats the same thing every day for days on
end!"
Explanation:
Reference:

840.
840
Add a Note

A mother describes her 4-year-old girl's eating habits as "picky" and goes on
to describe using coaxing and threatening measures to get her to eat. The
girl is at the 40th percentile for weight and 50th percentile for height. What
interventions will be suggested? Select all that apply.
You Selected:
 Approach mealtime matter-of-factly.

 Focus on quality, not quantity.
 Offer a variety of healthy foods including those liked and refused.
 Allow the child to decide how much she will eat.
Correct response:
 Offer a variety of healthy foods including those liked and refused.

 Approach mealtime matter-of-factly.
 Allow the child to decide how much she will eat.
 Offer only nutritious between-meal snacks.
 Focus on quality, not quantity.
Explanation:
Reference:

840.
840
Add a Note

In counseling a group of parents regarding the development of school
readiness in preschoolers, it is most important to emphasize:
You Selected:
 visiting the kindergarten.
Correct response:
 the home environment.
Explanation:
Reference:

837.
837
Add a Note

The nurse is assessing the psychosocial development of a preschooler. What
are normal activities characteristic of the preschooler? Select all that apply.
You Selected:
 Plans activities and makes up games

 Classifies or groups objects by their common elements
 Initiates activities with others
 Acts out roles of other people
Correct response:
 Plans activities and makes up games

 Initiates activities with others
 Acts out roles of other people
Explanation:
Reference:

842.
842
Add a Note

Which activity would the nurse least likely include as exemplifying the
preconceptual phase of Piaget's preoperational stage?
You Selected:
 Displays of animism
Correct response:
 Beginning questioning of parents' values
Explanation:
Reference:

837.
837
Add a Note

The parents of a preschooler ask the nurse to help them choose a preschool
for their child. What are recommended guidelines and goals for choosing a
preschool? Select all that apply.
You Selected:
 The main goal of preschool is to improve reading and writing skills and
readiness for entering into grade school.
 The parent should observe the classroom, evaluating the environment,
noise level, and sanitary practices.
 The parent should observe the classroom to determine how the
children interact with each other and how the teachers interact with
the children.
 When selecting a preschool the parent may want to consider the
accreditation of the school and the teachers' qualifications.
Correct response:
 When selecting a preschool the parent may want to consider the

accreditation of the school and the teachers' qualifications.
 The parent should observe the classroom, evaluating the environment,
noise level, and sanitary practices.
 The parent should observe the classroom to determine how the
children interact with each other and how the teachers interact with
the children.
Explanation:
Reference:

850.
850
Add a Note

When observing a group of preschoolers at play in the clinic waiting room,
which type of play would the nurse be least likely to note?
You Selected:
 Parallel play
Correct response:
 Parallel play
Explanation:
Reference:

846.
846
Add a Note

A nurse is observing a 3-year-old preschooler engaged in play. What behavior
would the nurse most likely expect to observe?
You Selected:
 Group play
Correct response:
 Imitative play
Explanation:
Reference:

835.
835
Add a Note

During a well-child visit, the nurse is providing anticipatory guidance to the
parents of a 3 year old about language development. When talking with the
parents about this topic, the nurse would instruct that most of the
preschooler's questions typically focus on which? Select all that apply.
You Selected:
 Why
 What
 How
Correct response:
 How
 Why
Explanation:
Reference:

837.
837
Add a Note

You Selected:
feel uncomfortable.
Correct response:

feel uncomfortable.
Explanation:
Reference:

838.
838
Add a Note

The parent of a preschooler asks the nurse, "Now that my child goes to
preschool and goes to friends' houses, how can I make sure that he is eating
enough?" Which response by the nurse would be most appropriate?
You Selected:
 "Ask the child what he has eaten and drunk at school and at his
friends."
Correct response:
 "Keeping an eye on how active he is will give you a good indication."
Explanation:
Reference:

845.
845
Add a Note

A nurse is noting common changes in a group of preschoolers. Which
predominant change during this period is a topic for anticipatory guidance?
You Selected:
 Personality growth slows.
Correct response:
 Physical growth slows.
Explanation:
Reference:

833.
833
Add a Note

be?
You Selected:
 Preschool
Correct response:
 Preschool
Explanation:
Reference:

837.
837
Add a Note

A nurse instructor is educating the parents about activities preschoolers can
successfully perform independently. Which activities would the nurse
include? Select all that apply.
You Selected:
 Washing hands
 Dressing self
 Playing active games
Correct response:
 Washing hands
 Brushing teeth
 Dressing self
 Playing active games
Explanation:
Reference:

840.
840
Add a Note

A parent brings the 4-year-old child for a check-up. Which finding would
concern the nurse?
You Selected:
 No increase in appetite compared with that in toddler years
Correct response:
 Resting pulse rate of 120
Explanation:
Reference:

834.
834
Add a Note

A mother confides in a nurse that her preschool daughter only wants to play
with her father as soon as he comes home from work in the evenings and
does not seem to have any interest in spending time with the mother. This
phenomenon is an example of which?
You Selected:
 Electra complex
Correct response:
 Electra complex
Explanation:
Reference:

837.
837
Add a Note

You Selected:
 Hop on one foot
Correct response:
 Hop on one foot
Explanation:
Reference:

835.
835
Add a Note

The nurse has brought a group of preschoolers to the playroom to play.
Which activity would the nurse predict the children to become involved in?
You Selected:
 Painting pictures in the art corner of the room
Correct response:
 Pretending to be mommies and daddies in the playhouse
Explanation:
Reference:

835.
835
Add a Note

A nurse is evaluating a 5-year-old client in the clinic. Which finding would
indicate to the nurse that the client is not meeting Erikson’s stages of
psychosocial development?
You Selected:
 The client sleeps 12 hours a day.
Correct response:
 The client asks permission to play.
Explanation:
Reference:

Wolters Kluwer, Chapter 31: Nursing Care of a Family With a Preschool
Child, p. 853.
853
Add a Note

The parent of a four year-old child has expressed concern that the child is
wetting her bed several times each week. What should the nurse teach the
parent?
You Selected:
 Bed wetting is not an unexpected behavior at this age
Correct response:
 Bed wetting is not an unexpected behavior at this age

Parents say they have been using measures to lessen the struggle of getting
their preschooler to bed at night and to sleep. Which practice will the nurse
suggest they discontinue?
You Selected:

Correct response:
Explanation:
Reference:

840.
840
Add a Note

The father of a 4½-year-old boy has contacted the nurse because he is
concerned that his son is frequently touching his genitals. The nurse explains
that this is normal during the preschool years. Which statement by the father
would indicate a need for further teaching?
You Selected:

continues."
Correct response:

continues."
Explanation:
Reference:

848.
848
Add a Note

The nurse is caring for a 5-year-old girl post-tonsillectomy. The girl looks out
the window and tells the nurse that it is raining and says, “The sky is crying
because it is sad that my throat hurts.” The nurse understands that the girl is
demonstrating which mental process?
You Selected:
 Animism
Correct response:
 Magical thinking
Explanation:
Reference:

836.
836
Add a Note

The nurse is explaining to parents that the preschooler's developmental task
is focused on the development of initiative rather than guilt. What is
a priority intervention the nurse might recommend for parents of
preschoolers to stimulate initiative?
You Selected:
Correct response:
Explanation:
Reference:

836.
836
Add a Note

The nurse is providing teaching about car safety to the parents of a 5-year-
old girl who weighs 45 pounds. What should the nurse instruct the parents to
do?
You Selected:
seat.”
Correct response:
seat.”
Explanation:
Reference:

838.
838
Add a Note

The nurse is providing anticipatory guidance for parents of a preschooler
regarding sex education. What is a recommended guideline when dealing
with this issue?
You Selected:
subject.
Correct response:
subject.
Explanation:
Reference:
848.
848
Add a Note

The parents of a preschooler express concern to the nurse about their son's
new habit of masturbating. What is an appropriate response to this concern?
You Selected:
Correct response:
Explanation:
Reference:

848.
848
Add a Note

A nurse is assessing a 3 year old at a well-child visit. Which developmental
milestones would the nurse expect to assess? Select all that apply.
You Selected:
 Completes simple buttons

 Throws a ball overhand
 Stacks a tower of blocks
Correct response:
 Undresses self without difficulty

 Stacks a tower of blocks
Explanation:
Reference:

835.
835
Add a Note

You Selected:

Correct response:

Explanation:
Reference:

838.
838
Add a Note

that apply.
You Selected:
Correct response:

bedtime."
Explanation:
Reference:

840.
840
Add a Note

A nursing instructor is teaching students about changes in the preschooler.
One such change is genu valgus, which refers to which of the following?
You Selected:
 Knock-knees
Correct response:
 Knock-knees
Explanation:
Reference:

834.
834
Add a Note
The nurse is teaching the preschooler’s parents injury prevention. Which
method would the nurse advise for the parents as the best way to enforce
injury prevention?
You Selected:
 Repetition, modeling, and reinforcement
Correct response:
 Repetition and reinforcement
Explanation:
Reference:

839.
839
Add a Note

You Selected:
 “Your penis is very interesting, isn’t it? But you can injure it by
touching it so much.”
Correct response:

Explanation:
Reference:

848.
848
Add a Note

A 5-year-old child is overheard by her parents calling her dog a “fat boo–boo
butt” and they are concerned. What advice would the nurse provide for them
regarding this behavior?
You Selected:
Correct response:
Explanation:
Reference:

843.
843
Add a Note

The mother of a preschooler finds a broken plate in her kitchen floor and
asks the child what happened. The child tells the mother that her imaginary
friend Lulu dropped it when she was getting it out of the cabinet. How should
the mother interpret this fabrication?
You Selected:
 The child feels guilty and wants to pass the blame to someone else.
Correct response:
 Blaming an imaginary friend for accidents is normal behavior for this

age group.
Explanation:
Reference:
846.
846
Add a Note

A first-time father calls the pediatric nurse stating he is concerned that his 4-
year-old daughter still wets the bed almost every night. Remembering his
own experience of being punished for wetting the bed at 4 years old, he is
not sure punishment is the best approach to address this. Which nursing
instruction is the most appropriate?
You Selected:
 "Bedwetting is not uncommon in young children. Try to calmly change

the bed without showing your frustration."
Correct response:
 "Bedwetting is not uncommon in young children. Try to calmly change

the bed without showing your frustration."
Explanation:
Reference:

845.
845
Add a Note

When collecting data on a preschool-aged child during a well-child visit, the
nurse discovers the child has gained 12 lb (5.4 kg) and grown 2.5 inches (6.3
cm) in the last year. The nurse interprets these findings to indicate which
situation?
You Selected:
 Weight falls within an expected range and height is less than what
would be expected.
Correct response:
 Weight is above an expected range and height is within an expected

range.
Explanation:
Reference:

834.
834
Add a Note

The parent of a 4-year-old is expressing concern that this child is not talking
as much—or as well—as her other children did at that age. Which question
should the nurse prioritize when assessing this preschooler for this concern?
You Selected:
 "Does your child have opportunities to have conversations with other

people?"
Correct response:
 "Has your child had her hearing tested?"
Explanation:
Reference:

845.
845
Add a Note

The nurse is presenting nutritional information at a community health fair.
Which suggestion should the nurse prioritize when illustrating proper
nutrition for preschoolers?
You Selected:
 Need extra calcium for proper muscle growth
Correct response:
 Snacks throughout the day help the child meet nutritional

requirements
Explanation:
Reference:

839.
839
Add a Note

The mother of a 4-year-old is concerned her child is not eating well. In
addressing the concerns of this mother, which foods should the nurse point
out are high in protein? Select all that apply.
You Selected:

 Strawberries and bananas
 Turkey sandwich
Correct response:
 Cheese and crackers

 Turkey sandwich

Which gross motor skill would the 4-year-old child have most recently
attained?
You Selected:
Correct response:
Explanation:
Reference:

835.
835
Add a Note

Nursing students are reviewing information about the cognitive development
of preschoolers. The students demonstrate understanding of the information
when they identify that a 3-year-old is in what stage as identified by Piaget?
You Selected:
Correct response:
Explanation:
Reference:

837.
837
Add a Note
A 5-year-old girl is pretending to be a crocodile during a physical
examination. Her mother just smiles and rolls her eyes at the nurse. What
would be the best response for the nurse to give the child?
You Selected:
 "Oh no! I have a crocodile in my room. Please don't bite me!"
Correct response:
 "What a wonderful imagination you have! I've never seen anyone who
was so good at pretending to be a crocodile."
Explanation:
Reference:

836.
836
Add a Note

At a physical examination, a nurse asks the father of a 4-year-old how the
boy is developing socially. The father sighs deeply and explains that his son
has become increasingly argumentative when playing with his regular group
of three friends. The nurse recognizes that this phenomenon is mostlikely
due to:
You Selected:
Correct response:
Explanation:
Reference:

837.
837
Add a Note

Fear of mutilation is significant during the preschool age.
You Selected:
 True
Correct response:
 True
Explanation:
Reference:

843.
843
Add a Note

Which behavior by a 3 year-old child does not validate Erikson’s
developmental task for preschoolers?
You Selected:
 Asks the parent “why” about everything that happens.
Correct response:
Explanation:
Reference:

853.
853
Add a Note

The nurse is conducting a well-child checkup for a 4-year-old child who
weighs 34 lb (15.4 kg), is 35 in. (0.89 m) tall, has 20 teeth and was
developmentally on target at his 3-year-old checkup. What would be the
expected findings for this visit? Select all that apply.
You Selected:
 Current weight of 36 lb (16.3 kg)

 Legs are bowed and short in appearance
 Height of 38 in. (0.96 m)
Correct response:
 Height of 38 in. (0.96 m)

 Able to climb steps with alternating feet
Explanation:
Reference:

834.
834
Add a Note

The nurse is providing health-promotion teaching to a group of parents of
preschoolers at a local daycare. What information would the nurse include in
this education session? Select all that apply.
You Selected:

flossing.
Correct response:

flossing.
Explanation:
Reference:

Wolters Kluwer, 31: Nursing Care of a Family With a Preschool Child, pp.
840, 842.
Add a Note

The nurse is preparing a safety presentation for a health fair for families.
Which instruction should the nurse prioritize when illustrating car safety
and the family?
You Selected:
Correct response:
Explanation:
Reference:

838.
838
Add a Note

A nurse is preparing a presentation for a health fair discussing various
aspects of toddlers. Which example should the nurse use to best illustrate
dramatic play?
You Selected:
Correct response:

You Selected:

Correct response:

Explanation:
Reference:

838.
838
Add a Note

that apply.
You Selected:

Correct response:

bedtime."
Explanation:
Reference:

840.
840
Add a Note

You Selected:

feel uncomfortable.
Correct response:

feel uncomfortable.
Explanation:
Reference:

838.
838
Add a Note

The parent of a preschooler asks the nurse, "Now that my child goes to
preschool and goes to friends' houses, how can I make sure that he is eating
enough?" Which response by the nurse would be most appropriate?
You Selected:
 "Ask the child what he has eaten and drunk at school and at his
friends."
Correct response:
 "Keeping an eye on how active he is will give you a good indication."
Explanation:
Reference:

845.
845
Add a Note

A 4-year-old is going to finger paint for the first time. What is the best action
for the adult supervisor of this activity?
You Selected:
Correct response:
Explanation:
Reference:

836.
836
Add a Note

be?
You Selected:
 Preschool
Correct response:
 Preschool
Explanation:
Reference:

837.
837
Add a Note
You Selected:

Correct response:

Explanation:
Reference:

848.
848
Add a Note

A mother is contemplating beginning her 3-year-old child in a Head Start
program. What benefits of Head Start would the nurse explain to this mother
to encourage her participation? Select all that apply.
You Selected:
 Head Start allows children from disadvantaged home environments to

experience environmental enrichment.
 Family caregiver participation is an integral part of the program.
 The program helps foster strong cognitive skills in the child.
Correct response:
 Head Start allows children from disadvantaged home environments to

experience environmental enrichment.
 Family caregiver participation is an integral part of the program.
 Children who attend Head Start are much better prepared for
kindergarten than those who are not enrolled.
 The program helps foster strong cognitive skills in the child.
Explanation:
Reference:

849.
849
Add a Note

You Selected:
 Hop on one foot
Correct response:
 Hop on one foot
Explanation:
Reference:

835.
835
Add a Note

The nurse has brought a group of preschoolers to the playroom to play.
Which activity would the nurse predict the children to become involved in?
You Selected:
 Painting pictures in the art corner of the room
Correct response:
 Pretending to be mommies and daddies in the playhouse
Explanation:

Peds Ch.28 31

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Peds Ch.28 31

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Question 1 See full question 1m 32s

 Denial is a strong mechanism that prevents seeing death as

 The child is in the stage of magical thinking and cannot understand

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 2 See full question 46s

 growth progresses from gross motor movements to fine motor

 growth progresses from gross motor movements to fine motor

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 3 See full question 20s

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 4 See full question 16s

 Fear of commitments may lead to loneliness and isolation.

 Fear of commitments may lead to loneliness and isolation.

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 5 See full question 24s

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 6 See full question 49s

 "Growth charts are just a standard measurement. If your child doesn't

 "Growth charts are just a standard measurement. If your child doesn't

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 7 See full question 1m 42s

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 8 See full question 22s

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 9 See full question 24s

 height and weight

 height and weight

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 10 See full question 33s

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 11 See full question 20s

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 12 See full question 24s

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 13 See full question 16s

 Peanut butter and wheat bread

 Peanut butter and wheat bread

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 14 See full question 19s

 Freud's theory of psychosexual development

 Freud's theory of psychosexual development

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 15 See full question 24m 34s

 Walk for several steps, then learns to run

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 16 See full question 11s

 Developing an understanding of cause and effect

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 17 See full question 13s

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 18 See full question 11s

 The child's position on a growth chart does not necessarily indicate a

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 19 See full question 10s

 wants to sit in the parent’s lab

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 20 See full question 4s

 Offers rewards with meals to increase eating.

 Give nutritious snacks throughout the day.

Question 1 See full question 40s

 Silbert-Flagg, J., Pillitteri, P. (2018). Maternal & Child Health Nursing:

Question 2 See full question 27s

 Sensory stimulation and nutrition