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Detailed Answer Key Growth and Development: Infants and Toddlers 1.A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane? A. At the end Rationale:When examining a toddler, the nurse should follow a modified head-to-toe approach, starting at the head but deferring anything that the toddler is likely to view as invasive and traumatic to the very end. The toddler is likely to resist not only having the ears examined, but also anything that follows. B. At the beginning Rationale:The nurse should not examine the tympanic membranes first because the toddler is likely to view examination of the ear canal as invasive and traumatic. The toddler is likely to resist not only having the ears examined, but also anything that follows. C. Before examining the head and neck Rationale:The nurse should examine the head and neck before examining the tympanic membrane. D. Before auscultating the chest and abdomen Rationale:The nurse should auscultate the chest and abdomen before examining the tympanic membrane. 2.A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child's stress? A. Set of building blocks Rationale:Although a set of building blocks is an age-appropriate toy for a 2-year-old child, it is not the most therapeutic toy. B. Toy hammer and pounding board Rationale:A toy hammer and pounding board helps the child to express the anger and frustration he feels about the parent leaving but lacks the verbal ability to express. C. Picture book about hospitals Rationale:Although a picture book is an age-appropriate toy for a 2-year-old child, it is not the most therapeutic toy. D. Stuffed animal Rationale:Although a stuffed animal is an age-appropriate toy for a 2-year-old child, it is not the most therapeutic toy. 3. A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When Created on:06/02/2021Page 1 A, B, C, D Nội dung chính
(Childhood communicable diseases requiring strict transmission-based precautions (Contact, Airborne, and Droplet Precautions) include diphtheria, chickenpox, measles, mumps, tuberculosis, adenovirus, Haemophilus influenzae type B, mumps, pertussis, plague, streptococcal pharyngitis, and scarlet fever. Strict isolation is not required for parvovirus B19.) A, B, D (To promote imaginative play for a 3-year-old child, the nurse should provide: dress-up clothes, dolls and dollhouses, housekeeping toys, play-store toys, telephones, farm animals and equipment, village sets, trains, trucks, cars, planes, hand puppets, and medical kits. A 100-piece jigsaw puzzle and a jump rope would be appropriate for a young, school-age child but not a 3-year-old child.) Recommended textbook solutionsPsychology: Principles in Practice1st EditionSpencer A. Rathus 1,024 solutions Myers' Psychology for AP2nd EditionDavid G Myers 900 solutions A Concise Introduction to Logic13th EditionLori Watson, Patrick J. Hurley 1,967 solutions Myers' Psychology for the AP Course3rd EditionC. Nathan DeWall, David G Myers 955 solutions Recommended textbook solutionsA Concise Introduction to Logic13th EditionLori Watson, Patrick J. Hurley 1,967 solutions Myers' Psychology for AP2nd EditionDavid G Myers 900 solutions Myers' Psychology for the AP Course3rd EditionC. Nathan DeWall, David G Myers 955 solutions Understanding Psychology, Student Edition1st EditionRichard A. Kasschau 820 solutions Upgrade to remove ads Only SGD 41.99/year
Terms in this set (60)Which suggestion should the nurse include in the teaching session for the parents of a preschool-age client to assist with the child's transition to school? Select all that apply. Introducing the child to the teacher prior to the first day Providing personal information, such as the name of the child's pet, to the teacher Bringing a toy to assist the child with adjustment After assessing a preschooler, a nurse concludes that a child has high physical skills for his or her age. Which finding in the child supports the nurse's conclusion? The child is able to hold a pencil adeptly and print letters and words. Which findings in a four-year-old indicates an appropriate development of socialization skills? Select all that apply. The child tends to be selfish and impatient. The child takes pride in his or her accomplishments. The child tells family tales to others with no restraint. Which techniques would the nurse use when assessing a preschool-age child? Select all that apply. Asking questions directly to the child Asking the child to sit on the examination table Having the child undress leaving on the undergarments Asking the child when he or she would like to have the head, eye, and ear assessment done Which statement should the nurse include when providing anticipatory guidance to the parents of a 3-year-old client? "It is important to set limits with your child." A nurse is educating the parent of a preschooler about protecting her child from exposure to lead. Which statements made by the parent indicate a need for further education? Select all that apply. "I will use only hot water for cooking food." A child presents with symptoms of iron poisoning from having ingested several chewable mineral supplement pills containing iron. Which symptoms are most likely to indicate that the poisoning has progressed to stage IV? Select all that apply. Jaundice Hypoglycemia Which of these teaching methods are suitable to a preschooler? Select all that apply. Encouraging questions and offering explanations Using role play, imitation, and play to make learning fun A nurse is caring for a preschooler in the immediate postoperative period after a tonsillectomy. What should the nurse encourage the parents to offer the child? Ginger ale What does the nurse explain are the effects of lead poisoning in a preschooler? Select all that apply. Brain damage Growth retardation A nurse educates a group of mothers about the nutritional needs of preschoolers. What statement made by a mother indicates the need for further teaching? "I should limit my child's calorie intake to 1,200 per day." How many words in the vocabulary of a 3-year-old client would indicate the need for further assessment by the nurse? 500 words Which is likely to impact a child's drawing near the end of the preschool stage of development? Select all that apply. Culture Environment Which sources of stress should the nurse include in the assessment process for a 3-year-old client? Select all that apply. Speech Jealousy Stubbornness A young child who has ingested liquid dishwater detergent is brought to the emergency department. Which does the nurse understand as appropriate treatment methods for this client? Select all that apply. Analgesics can be administered. Water or milk, usually less than or equal to 120 mL or 4 oz, can be used to dilute the corrosive. During a community health survey, the nurse is conducting a survey about the language development in preschoolers. What behavior is the nurse able to document in preschoolers? Select all that apply. Preschoolers want to know the reason behind an event. Preschoolers have a vocabulary of 8,000 to 14,000 words. Preschoolers cannot distinguish between phonetically similar words. A nurse educates the mother of a four-year-old child about sexual abuse. What behavioral finding explained by the nurse signifies that the child may be a victim of child abuse? The child may show fear of certain people or places. Which statement correctly describes the difference in fine motor development between four and five-year-olds? "Five-year-olds can print a few letters, numbers, or words; four-year-olds cannot." Which question should the nurse ask the parents of a 3-year-old client to assess fine motor skills? "Is your child able to build a tower using 9 or 10 blocks?" An inadequately immunized 4-year-old client who was injured recently is found to have tetanus and admitted to the pediatric intensive care unit. The parents ask to assist with their daughter's care. What is the best response by the nurse? "Your desire to help is understandable, but we have to avoid excessive stimuli." A nurse plans to teach a group of parents about sleeping patterns of their children between the ages of 4 to 5 years. Which information should the nurse provide to the parents? Select all that apply. Total sleep averages 12 hours at night. In the awake period, the child may sleepwalk. It is common for the child to awaken during the night. Which immunization should the nurse provide parental education on during the health maintenance visit for a 4-year-old client? Inactive poliovirus # 3 According to Freud's theory, which stage should the nurse include while educating the parents about a preschooler? Phallic stage What measure should a nurse suggest to a mother to encourage a preschool child to sleep? Offer warm milk or cocoa before bedtime A nurse needs to use an electronic infrared thermometer to measure the temperature of the tympanic membrane of a 4-year-old child. What steps does the nurse need to take? Select all that apply. Pull the pinna up and out. Avoid applying pressure to the ejection button. Obtain temperature from patient's right ear if nurse is right-handed. A 4-year-old child returns from cardiac catheterization that was performed through the groin area. In what position should the nurse place the child during the immediate postoperative period? Supine, with the bed flat The ventilator of a patient has leakage of air from its tubing. Alveolar hypoventilation is suspected. What blood gas value does the nurse expect to see? pH of 7.32 A nursing instructor asks a nursing student about the sleep patterns of preschoolers. Which statements made by the student indicate a need for more education? Select all that apply. "Daytime naps are very common among preschoolers." "Partial awakening leading to sleeplessness is common in preschoolers." Which questions should the nurse include when conducting a health history interview with the parents of a 4-year-old client to assess fine motor skills? Select all that apply. "Is your child able to use scissors?" "Is your child able to tie shoe laces?" What are the similarities between the teaching methods for a toddler compared to a preschooler? Select all that apply. In both cases, play is used to teach a method or procedure. In both cases, learning is accompanied with pictures and short stories. The nurse is providing education to the parents of a preschool-age client who is obese. Which parental statements indicate correct understanding of the information presented? Select all that apply. "I should avoid giving sugar-sweetened beverages to my child." "My child should have 5 servings of fruits and vegetables each day." "It is important for my child to have at least 1 hour of activity per day." What gross motor skills should the nurse expect a developmentally appropriate 3-year-old child to perform? Select all that apply. Standing on one foot for a few seconds Alternating the feet when walking up stairs Which statement by the parent of a 4-year-old client would prompt the nurse to provide additional education related to expected gross motor skill development during this stage of development? "I shouldn't be concerned that my child is unable to ride a tricycle." A nurse is assessing a preschooler who is brought to the health care center for a general health check. Which characteristics observed in the child helped the nurse identify the child as gifted? Select all that apply. The child has an exceptional sense of humor. The child is able to connect two concepts easily. The child takes pride in solving and posing new problems. Which nursing action is the priority when administering chelation therapy for a preschool-age client? Monitoring urine output A nursing instructor asks a nursing student about tips for examining a 4-year-old sick child. Which statements made by the nurse indicate adequate teaching? Select all that apply. "I should give the child time to play around." "I should start the examination with the child's fingers and hands." "I should gather all information related to the child's sickness from the parents." Which is the most important observation for the nurse when assessing the psychosocial stage of development for a preschool-age client? Interactions with other children during play What are the similarities between a preschooler and a school-aged child? Select all that apply. Both are curious to know about their surroundings. Both are able to relate the events and their causes. A nursing instructor asks a nursing student about the physical changes found in preschoolers. Which statement made by the student indicates adequate teaching? Select all that apply. "They grow about 2.5 to 3 inches per year." "They double their birth length by around 4 years of age." A nursing instructor asks a nursing student about cognitive changes in preschoolers. Which statement made by the student indicates the need for further education? "Preschoolers are less likely to believe that inanimate objects have life-like qualities." A nurse is caring for a 5-year-old child who is a victim of physical abuse. Which interventions are appropriate while talking to the child to help reveal the abuse? Select all that apply. Discussing the body parts using words the child will understand Telling the child that it is not the child's fault and no one is going to blame the child Telling the child that reporting the abuse to the nurse is the right thing to do Which characteristics does the nurse assess from the drawings of a preschooler? Select all that apply. Intelligence Personality development Psychosocial adjustment A registered nurse is teaching a nursing student about the use of activated charcoal as a method of gastrointestinal decontamination in preschoolers who have ingested poison. Which statements should be included in the teaching? Select all that apply. "Use of activated charcoal may cause constipation and intestinal obstruction." "Activated charcoal should be mixed with small amounts of chocolate milk or fruit syrup." "Activated charcoal may be used in children who have ingested large amounts of quinine." The nurse is providing care to a preschool-age client who is diagnosed with celiac disease. Which interventions will the nurse include in the client's plan of care? Select all that apply. Avoiding processed foods Adding oat products to the diet Obtaining a dietary prescription Administering a fat-soluble vitamin supplement The nurse is caring for a child diagnosed with acute aspirin poisoning. Which statements does the nurse know to be true regarding aspirin poisoning? Select all that apply. Chronic aspirin poisoning is often mistaken for viral illness. Chronic ingestion of aspirin occurs when an amount greater than 100 mg/kg per day is ingested for more than 2 days. A 4-year-old child is admitted with burns over the entire right arm and the anterior and posterior aspects of both legs. Using the percentage of total body surface area (TBSA) that was burned, the nurse estimates that the TBSA affected is approximately what percentage? 41% Which toys should the nurse identify as most appropriate for a 3-year-old child? Select all that apply. Pounding toy Play telephone Box filled with plastic figures The nurse is providing teaching to the parents of a preschool-age client who is prescribed iron supplements for iron-deficiency anemia. Which parental statements indicate the need for further education? Select all that apply. "We will mix the iron with milk to enhance absorption." "We will mix the iron with black tea to enhance absorption." A 3.5-year-old child is returned to the room after a cardiac catheterization. What is the priority nursing intervention after this procedure? Monitoring the insertion site for bleeding A preschooler who has undergone adenoidectomy arrives at the healthcare provider's office for a follow-up visit. What other adaptations to the surgery should the nurse assess in addition to hearing? Select all that apply. Sense of taste Sense of smell Speech sounds A preschool child presents to the clinic for a well-child examination. What feature of the child's dress is most important for the nurse to address with the parents? The child's name is embroidered on a jacket pocket. Which findings about spiritual development in a 5-year-old child are appropriate? Select all that apply. The child thinks God as an imaginary friend. The child thinks that one becomes ill because of some wrongdoing. The child learns from concrete representations of religious practices, such as picture books and small statues. What is the best method for the nurse to teach a 4-year-old child about deep breathing before surgery? Having the child practice using an incentive spirometer How would the nurse explain preschoolers are different from school-aged children? Select all that apply. Preschoolers have imaginary playmates. Preschoolers believe that inanimate objects have lifelike qualities. A 2-year-old child is brought to the emergency department after the sudden onset of high fever, drooling, and respiratory distress. What nursing actions should the nurse perform? Select all that apply. Start an intravenous line. Draw a blood sample for a complete blood count and differential. Assess oxygen saturation of the blood and administer oxygen by mask if it is below 94%. Assess the child's temperature and administer an antipyretic if the rectal temperature is higher than 101° F (38.3° C). What is the best approach for the nurse to take when preparing a 4-year-old child for an otoscopic examination? "You can help by holding this tube while I get ready." A 3-year-old child who has acute lymphoblastic leukemia is scheduled to receive cranial radiation. What should the nurse explain to the parents about radiation? It prevents central nervous system involvement. Which assessment questions should the nurse include when assessing the mental health of a preschool-age client? Select all that apply. "Is your child experiencing nightmares?" "Does your child ask questions about the genitalia?" "How do you implement punishment when a rule is broken?" A nurse prepares a chart comparing the language development of four preschoolers. Which child may have developed advanced language skills? Preschooler B What would the nurse state is true about preschoolers at the age of 4 years? They double their birth length at this age. Sets with similar termsEvolve- Preschool46 terms lmpk18 Evolve: Growth and Development60 terms emsteve8 Sets found in the same folderpeds preschool132 terms Madisonbeck26 peds toddler144 terms Madisonbeck26 HESI Peds: Preschoolers42 terms affi_kimberg pediatric122 terms tu_quynh Other Quizlet setsmacro test 148 terms jcpop03 Quiz-I &II Heat&Cold21 terms QRobinson25 MIS 320 Midterm80 terms harmn_ Pnf lecture notes12 terms SPTA2022PLUS Related questionsQUESTION What are some complications of HSP? 10 answers QUESTION How much weight will newborns lose? 7 answers QUESTION What are 7 signs of dehydration? 15 answers QUESTION How does Hirschsprung disease present in older children? 7 answers What are the similarities between a preschooler and toddler quizlet?Both preschoolers and toddlers have similar dietary requirements. Both preschoolers and toddlers are eager to independently perform self-care. A 13-year-old adolescent is found to have idiopathic scoliosis. How are preschoolers different from toddlers?A child of 3 or 4 is considered a preschooler. So whether or not your child is attending a formal preschool program, he is no longer a toddler. Preschoolers are different from toddlers in that they are developing the basic life skills, independence, and knowledge that they will need as they enter their school years. Which similarities in growth and development would the nurse expect between preschoolers and toddlers?What would the nurse describe as a similarity between the growth and development of preschoolers and that of toddlers? Toddlers and preschoolers gain 5 to 7 pounds (2.26 to 3.17 kg) each year. Preschoolers need at least 1800 calories in a day. On the other hand, toddlers need fewer calories and more protein. Which physical changes are characteristic of a preschool aged child?During the preschool years, there is a steady increase in children's height, weight, and muscle tone. Compared with toddlers, preschoolers are longer and leaner. Their legs and trunks continue to grow, and their heads are not so large in proportion to their bodies. Which toys would the nurse select as developmentally appropriate for a 1 year old?Play with push-pull toys. Push-pull toys are appropriate to promote sensorimotor stimulation for a 1-year-old child.
Which toys is appropriate for an infant quizlet?Age appropriate toys and activities for infants include large nesting cups, teething toys, and playing pat-a-cake, rattles, large board books, music, or soft dolls or animals. Playing dress up or pretend play are appropriate activities for the preschool-age child.
Which toy would be developmentally appropriate for a 6 month old infant 1 PushA stuffed animal is the most appropriate toy for a 6-month-old infant because it is safe and cuddly and requires only gross motor movement. A push-pull toy is appropriate for the older infant (9 to 12 months) or toddler because it encourages walking.
Which developmental milestones would the nurse expect in a 9 month old infant quizlet?The nurse is assessing development in a 9-month-old infant. What would the nurse expect to observe? The 9-month-old tries to creep, has developed pincer movement, and can grasp a spoon without keeping food on it.
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