Which behaviors would the nurse recognize as developmentally appropriate in a preschooler quizlet

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Terms in this set (116)

A school nurse observes that children demonstrate mutual play. What is the effect of mutual play in preschoolers?

It provides kinesthetic experiences for preschoolers.

Which statement correctly describes the normal pattern of growth in boys and girls during puberty, when the two growth patterns are compared?

"A pubertal growth spurt at 14 years is normal for a girl, while that at 15½ is normal for a boy."

Which finding would the nurse initially consider normal in assessing the anterior fontanel of a neonate?

Flat

Which factor or habit of a preschooler does the nurse expect to be responsible for inadequate development of the child's musculoskeletal system?

The preschooler plays travel soccer.

What behavior does the nurse expect when caring for a preschooler admitted to the hospital?

Cries quietly for the parents

Tolerates brief periods of separation

Develops trust in adults

The nurse is performing an assessment of a 9-year-old child. The nurse finds that the child's mother is very concerned about the child's appearance because the child is very thin. What is the nurse's best response?

"The child looks thinner now because of the reduction and redistribution of fat throughout the body. This is normal."

Which games are helpful in improving self-expression in preschoolers?

Dramatic play

Imitative play

Imaginative play

The nurse is performing annual assessments of height and weight in school children ages 6 to 12 years. The nurse compares the current assessment of height and weight of the children with the previous year's assessment of the same set of children. What changes does the nurse expect to find in the healthy children?

The 12-year-old children are about 150-155 cm tall.

Which change in the cognitive processes of school-age children in the concrete operational phase, as described by Piaget, helps form the basis for logical thought and the development and maturation of morality?

Reduction in egocentricity

A 14-year-old adolescent male tells a nurse, "My trunk seems so short compared to my legs. Do I have some kind of problem?" What is the nurse's best response?

"You are completely normal."

Which games are helpful in improving self-expression in preschoolers?

Dramatic play

Imitative play

Imaginative play

What are some of the ways in which play helps school-age children develop?

They acquire mastery over themselves, their environment, and others.

Why do peer relationships play a significant role during adolescence?

To provide a source of social reinforcement.

A nurse discusses the Tanner stages of pubertal development in females with student nurses. Which statement made by a student nurse indicates effective learning?

"Stage 4 shows projection of areola and papilla to form a secondary mound."

Which factor or habit of a preschooler does the nurse expect to be responsible for inadequate development of the child's musculoskeletal system?

The preschooler plays travel soccer.

The type of play that is characteristic of toddlers is known as:

Parallel

When the parent tells the preschooler to put on shoes, the preschooler wears the left shoe on the right foot and the right shoe on the left foot. What does this action indicate?

Expected behavior at this age.

What is the major task of learning right from wrong that develops towards the end of toddler years?

Conscience or superego

What has the most significant impact on the socialization of school-age children?

Classmates

Which actions or sources of stress in preschoolers are more predominant in 3-year-olds?

Jealousy of parents' love

Stuttering or stumbling over words

Stubbornness or uncooperative behavior

Parents have brought their child in to the clinic for a well-child visit. They express some concern that the child seems to have short stature. The nurse needs to determine if the cause is familial short stature or constitutional growth delay. What steps does the nurse take to evaluate the growth curve?

Determine the child's absolute height.

Assess the child's height velocity.

Determine the child's weight-to-height ratio.

The nurse is assessing a 10-year-old child in a pediatric unit. Which changes does the nurse observe that indicate the child's degree of physical maturity? .

Increase in leg length in relation to height

Decrease in head circumference in relation to height

Decrease in waist circumference in relation to height

For what signs or symptoms should the nurse look when assessing a preschooler for the characteristics that would enable him or her to prepare for the upcoming school years?

Increased memory

Control of bodily systems

Experience of brief and prolonged periods of separation

Ability to interact cooperatively with other children and adults

A young child sees the operating room overhead lights and thinks the lights are living things that will suck the life out of people. Of what is this example?

Animism

According to Erikson, infancy is concerned with acquiring a sense of:

Trust

What should be incorporated into a weight-reduction program for the management of adolescent obesity?

Limited portion sizes

Dietary modification

Behavior modification

What recommendation should be provided to the parents of toddlers about car restraints?

Use car restraints even for short trips.

What is the most accurate method of determining the length of a child younger than 12 months of age?

Recumbent length measured in the supine position

Parents have brought their child in to the clinic for a well-child visit. They express some concern that the child seems to have short stature. The nurse needs to determine if the cause is familial short stature or constitutional growth delay. What steps does the nurse take to evaluate the growth curve?

Determine the child's absolute height.

Assess the child's height velocity.

Determine the child's weight-to-height ratio.

Which characteristic best describes the fine motor skills of a 5-month-old infant?

Able to grasp an object voluntarily

By what is the onset of puberty in boys characterized?

Testicular enlargement

The nurse is assessing a 4-year-old child. Which behavior in the child indicates that the child has attained socialization capabilities appropriate for this age?

The child takes pride in his or her many accomplishments.

The nurse is assessing the fine motor skills in a 24-month-old toddler. Which action by the toddler indicates delayed development?

The toddler is unable to release an object at will.

The toddler is unable to build a block tower.

The toddler loses balance while throwing a ball.

The toddler cannot drop objects into a narrow-necked bottle.

The pediatric nurse recognizes that which main transition occurs during Piaget's preconceptual phase and the phase of intuitive thought?

The shift from totally egocentric thought to social awareness

According to Freud, middle childhood is associated with an increase in relationships with which children?

Same-sex peers

Injuries are the most common cause of death and disability to children in the United States. The nurse explains to new parents that which factors most increase the risks associated with childhood injury?

Sex

Stress

Poverty

History of previous injury

A nurse is teaching student nurses about puberty and sexual maturation in males. Which statement made by the student nurse indicates effective learning?

"Gynecomastia in pubescent boys is not a cause for concern."

A parent of a young child is fearful his or her child will become overweight. What advice should the nurse provide to the parent to prevent obesity?

Encourage limitation of television viewing.

Limit the consumption of sugar-sweetened beverages.

Encourage 1 hour of physical activity per day.

Encourage the consumption of adequate quantities of fruits and vegetables.

The nurse is assessing a 4-month-old baby for social skills and cognition development. The parent expresses that the baby has become fussy during bottle feeding. The baby is unable to roll from back to side and does not recognize the parent or the feeding bottle. What findings in the baby should raise concern regarding the development of social skills and cognition?

Not recognizing feeding bottle

The potential effects of chronic illness or disability on a child's development vary with age. What is a threat to a toddler's normal development?

Hindered mobility

Which statements are true regarding preschoolers?

Preschoolers have magical thinking.

Preschoolers do not understand the concept of right and left

Preschoolers explain a concept as they have heard it described by others, but their understanding is limited.

An adolescent tells the nurse "I grew up in a rural area and have recently moved to New York City. I don't feel like I fit in. I really find it difficult to make friends here." What is the nurse's best response?

"You should join a club at school in your free time."

Which is one cognitive task that a school-age child is mastering?

Conservation

Which characteristic best describes the fine motor skills of a 5-month-old infant?

Able to grasp an object voluntarily

Which activity can be easily performed by the preschooler?

Riding a tricycle

A young child sees the operating room overhead lights and thinks the lights are living things that will suck the life out of people. Of what is this example?

Animism

The nurse is assessing the fine motor skills in a 24-month-old toddler. Which action by the toddler indicates delayed development?

The toddler is unable to release an object at will.

The toddler is unable to build a block tower.

The toddler loses balance while throwing a ball.

The toddler cannot drop objects into a narrow-necked bottle.

A student nurse compares the changes in reproductive hormones seen in females and males at the initiation of puberty. Which statement made by the nurse is correct?

"Skeletal growth in both boys and girls is stimulated at low levels of estrogen."

The pediatric nurse recognizes that which main transition occurs during Piaget's preconceptual phase and the phase of intuitive thought?

The shift from totally egocentric thought to social awareness

The parents of a 4½-year-old girl are worried because she has an imaginary playmate. What is the most appropriate response by the nurse, drawing on knowledge of the preschooler?

Having imaginary playmates is normal and useful in children of this age.

A student nurse is learning about the timeline associated with sexual maturation in girls. Which girl will be considered by the nurse to have a pubertal delay?

A girl who has not had menarche even after 3 years of the onset of breast development.

The nurse is teaching health promotion activities to a group of adolescents. What is included in the teaching?

"Use safety apparel while driving."

"Use adequate sunscreen."

"Avoid alcohol during water sports."

"Refuse to ride with reckless drivers."

What description characterizes normal cognition during the period of early adolescence (11 to 14 years)?

Exploration of new-found ability for limited abstract thought

A nurse discusses the Tanner stages of pubertal development in females with student nurses. Which statement made by a student nurse indicates effective learning?

"Stage 4 shows projection of areola and papilla to form a secondary mound."

The nurse is assessing the social factors that influence an adolescent. What factors should the nurse include in the assessment?

Relationships with parents

Relationships with peers

Interests and activities

Girls experience an increase in weight and fat deposition during puberty. What considerations related to this fact should the nurse include?

Giving reassurance that these changes are normal

What is a characteristic of the psychosocial development of school-age children?

Feelings of inferiority or lack of worth can be derived from children themselves or from the environment.

The nurse is teaching a community health promotion class to parents and school-age children related to bicycle safety. Which issue is important to cover in this teaching session?

Walking bicycles through busy intersections

According to Erikson, a major task for preschoolers is the development of:

Conscience

What is a characteristic of the psychosocial development of school-age children?

Feelings of inferiority or lack of worth can be derived from children themselves or from the environment.

A nurse is examining an adolescent suspected of facing pubertal delay. The nurse notes that the penis is longer than what it had been in childhood, the scrotum is darker in color, and the pubic region has coarse, dark, curly hair. The hair is spread over the pubic area. It is further seen that the penis had enlarged in both length and breath. Which Tanner stage is seen in the boy?

Stage 4

What type of play is the most characteristic of preschoolers?

Imaginative

During a home visit, the nurse assesses the growth and development of a 7-year-old child. After the assessment, the nurse documents that the child's physical development is inadequate. Which physical characteristic did the nurse find in the child?

Decreased leg length in relation to height

The nurse assesses a toddler and finds that the child is in a growth spurt. What should the nurse tell the family regarding feeding the child to meet his or her nutritional needs?

Plan a nutritionally balanced week.

Serve food in various physical forms.

The nurse is performing annual assessments of height and weight in school children ages 6 to 12 years. The nurse compares the current assessment of height and weight of the children with the previous year's assessment of the same set of children. What changes does the nurse expect to find in the healthy children?

The 12-year-old children are about 150-155 cm tall.

What information should the nurse include when discussing a child's precocious puberty with the parents?

Dress and activities should be appropriate to the chronological age.

The nurse is assessing a 3-year-old African-American child who is being seen in the clinic for the first time. The child's height and weight are in the 20th percentile on the commonly used growth chart from the National Center for Health Statistics. When interpreting the data, what does the nurse recognize?

The child's growth is within normal limits.

According to Erikson, in what stage of psychosocial development is the adolescent?

Identity versus identity confusion

Which statement is most characteristic of the motor skills of a 24-month-old child?

The toddler's activities begin to produce purposeful results.

According to Piaget, at what stage of development do children typically solve problems through trial and error?

Sensorimotor

What maturation of systems is associated with school-age children?

The heart grows more slowly during the middle years and is smaller in relation to the rest of the body.

What gross motor skill is developmentally appropriate for a toddler who is 18 months of age?

Jumps in place with both feet

When caring for a toddler admitted to the hospital, what behavior does the nurse recognize as a sign of separation anxiety in the protest phase?

Attacking strangers verbally

A student nurse is learning about the timeline associated with sexual maturation in boys. Which boy will the nurse consider to have pubertal delay?

A boy who has not had complete genital growth 5.06 years after testicles have begun to enlarge.

An adolescent tells the nurse "I grew up in a rural area and have recently moved to New York City. I don't feel like I fit in. I really find it difficult to make friends here." What is the nurse's best response?

"You should join a club at school in your free time."

A mother tells the nurse that her toddler always says "No" to her requests. How does Erikson describe this toddler's behavior?

Negativism

In what phase of cognitive development are infants, according to Piaget?

Sensorimotor

The nurse is teaching a group of parents about nutrition, its significance in promoting growth and development, and avoiding obesity in childhood. What does the nurse include in the education plan?

The total cholesterol consumption should be less than 300 mg per day.

The fluid intake should be 100 mLper kilogram of body weight per day.

Daily calorie intake should not exceed 90 kcal per kilogram of body weight.

A new adoptive parent asks the nurse about typical play activities to provide for the 4-year-old child they are adopting. Which answers by the nurse expresses understanding of usual play activities of preschool children?

Dramatic play

Winter sledding

Associative play

Number flash cards

The nursing instructor is teaching a group of students about sexual maturation in boys. What is included in the teaching?

Pubescent changes occur between 9.5 and 14 years of age.

Early puberty can be identified with the initial appearance of pubic hair.

Increasing muscularity and voice changes are characteristics of puberty.

Sometimes there is temporary breast enlargement in midpuberty.

Moral development in late adolescence is best characterized by what?

Serious questioning of existing moral values

The parents of 9-year-old twins tell the nurse, "They've filled up their bedroom with collections of rocks, shells, stamps, and cars." The nurse should recognize that this behavior is characteristic of what?

Cognitive development at this age

What are some characteristics of preoperational thought in toddlers?

Belief that their thoughts are all-powerful and caused the event that occurred

The primary healthcare provider asks a nurse to determine the stage of pubertal development in an adolescent female based on Tanner stages. What should the nurse assess?

The distribution of pubic hair

The development of breasts

The parents of a 12-year-old child complain to the nurse that the child asks them about masturbation after watching a contraceptive advertisement. The parents are anxious about their child. Which response of the nurse helps relieve the parents' anxiety?

It is an age-associated behavior.

A group of boys has formed a club that is open to other boys who like to play sports. How is this behavior best described?

Normal social development of school-age children

Which statement is accurate about patterns of sleep and wakefulness in the infant?

The first period of reactivity is the best stage for infant stimulation.

What does Erikson describe in his theory of psychosocial development as the most important task for school-age children?

Sense of industry, in which children have access to tasks that need to be done and are able to complete them

What does the nurse recognize as the best description of a preschooler's concept of death?

Death is a departure, a kind of sleep.

A student nurse compares the issues associated with identity in boys and girls through different stages of adolescence. Which statement is true?

"An early adolescent meticulously conforms to group norms."

The nurse is assessing a child and finds that the child's permanent teeth have started erupting. The child is able to balance on alternating feet with the eyes closed and is able to follow commands in succession. What is the approximate developmental age of the child?

5 years

A parent of a toddler asks the nurse, "Why do toddlers throw tantrums?" What is the most appropriate answer to this question?

"Tantrums result from a toddler's strong drive for mastery and autonomy."

The parent of a 10-month-old infant tells the nurse that the baby cries and screams whenever he is left with his grandparents. What is the nurse's best response?

Stranger anxiety is common for an infant of this age.

What is the foundation for the process of developing a sexual identity in young adolescents?

Forming close friendships with same-sex peers

Which statement is correct about object permanence in infants?

The infant turns and looks for his or her mother when she walks out of sight.

What gross motor skill are infants able to perform at 7 months of age?

Sitting erect momentarily

The nurse is assessing a 3-year-old child and finds that the child has not attained age-appropriate fine motor skills. Which activity shows age-appropriate activity for a 3-year-old?

Building a tower with 10 cubes

A nurse is caring for a girl suspected of having pubertal delay. The nurse notes that the girl has dark, coarse, and curly pubic hair that is spread sparsely over entire pubis in the typical female triangle. She also has enlargement of breast and areola with no separation of their contours. Which Tanner stage is the girl in?

Stage 3

The nurse is providing home care to a child from a Hispanic family. What precautions does the nurse take while providing care?

Does not interfere in the family's lifestyle choices

Learns about the family's communication patterns

Understands the spiritual and religious ideas of the family

Uses culture-specific methods of teaching

Which statement is true about the developmental stages of secondary sexual characteristics and genital development in boys?

Slightly pigmented hair forms at the base of the penis at Tanner stage 2.

In what phase of cognitive development are infants, according to Piaget?

Sensorimotor

A 12-year-old child asks her mother, "What are tampons? One of my friends in school said that she uses them every month because she has bleeding." Which action should the nurse recommend in this situation?

Discuss the menstrual cycle and use of tampons.

The best approach for effective communication with a preschooler is through what?

Play

Which activity documented by the nurse best describes the fine motor skills appropriate with age in a child who is 2 years old?

Imitates drawing a vertical line

The nurse is assessing a child and finds that the child's permanent teeth have started erupting. The child is able to balance on alternating feet with the eyes closed and is able to follow commands in succession. What is the approximate developmental age of the child?

5 years

At a community health center, a nurse is explaining age-related behavior and developmental changes to the parents of a 6-year-old child. Which statements made by the nurse are appropriate?

"At the age of 6 the child follows the actions of adults."

"At the age of 6 the child feels more independent."

"At the age of 6 the child feels jealous of younger brothers or sisters."

Which statement is correct with regard to the safety of toddlers in car restraints?

Shoulder belt is used if it does not cross child's neck or face.

What maturation of systems is associated with school-age children?

The heart grows more slowly during the middle years and is smaller in relation to the rest of the body.

The nurse recognizes that growth and development of children is subject to progressive maturation. How can the nurse describe growth during the first year of life?

Growth is especially rapid during the first 6 months of the first year of life.

A new adoptive parent asks the nurse about typical play activities to provide for the 4-year-old child they are adopting. Which answers by the nurse expresses understanding of usual play activities of preschool children?

Dramatic play

Winter sledding

Associative play

Number flash cards

Which statement is true regarding the changes that start with puberty in females?

The involution of the follicle leads to increased production of follicle-stimulating hormone (FSH).

According to Erikson, the primary psychosocial task of the preschool period is developing a sense of what?

Initiative

Which is a physical change observed in school-age children?

The strength of a school-age child is less than what his or her increase in muscle would warrant.

...

...

The parent of a 10-month-old infant tells the nurse that the baby cries and screams whenever he is left with his grandparents. What is the nurse's best response?

Stranger anxiety is common for an infant of this age.

Which is a physical change observed in school-age children?

The strength of a school-age child is less than what his or her increase in muscle would warrant.

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Which developmental milestone would the nurse expect when assessing a preschooler quizlet?

Which would the nurse anticipate when assessing a preschool-age child, according to Erikson's developmental stages? The nurse would anticipate that a preschool-age child would have highly imaginative thoughts, according to Erikson.

Which gross motor skills are developmentally appropriate in a three year old child quizlet?

d. Three year olds are able to accomplish the gross motor skill of balancing on one foot. Jumping rope, riding a two-wheel bike, and skipping on alternate feet are gross motor skills of 5-year-old children.

Which cognitive developmental milestone is characteristic of preschoolers quizlet?

Cognitive development is at the preoperational stage. At this stage, the child continues to develop language and memory. The thinking style of the preschool stage is often described as magical, giving the child the feeling that he or she is all-powerful.

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What self-care skill does the nurse expect 4-year-olds to be capable of performing? Four-year-old children can put on a shirt and can fasten it if the buttons are large.