Chapter 17: Human Development Flashcards
The nurse is asked by the parent of a pediatric patient to explain the difference between growth and development. Which response by the nurse is best?
a. “Growth is physical while development relates to physical, emotional, and cognitive function.”
b. “There really is no difference between the two since they occur simultaneously.”
c. “Development refers to musculoskeletal and nervous system abilities and growth is a change in height and weight.”
d. “Both refer to an increase in abilities and functions of the child that occur sequentially over time.”
a. “Growth is physical while development relates to physical, emotional, and cognitive function.”
The pediatric nurse is treating a patient who has questions about safer sexual practices. The patient states, “I think I should wait until marriage to be sexually active because I’m not sure sex is OK outside of marriage.” The nurse understands the student is acting with which component of Freud’s theory?
a. Id
b. Ego
c. Superego
d. Anal
c. Superego
The nurse is collecting a history from the parents of a 4-year-old female at a well-child visit. The parents express concern that they often find their daughter performing what appears to be masturbation. The nurse offers reassurance by explaining which stage of development according to Freud?
a. Oral
b. Phallic
c. Anal
d. Latency
b. Phallic
A nurse is providing anticipatory guidance to a new mother about the Erikson stage of trust versus mistrust. What education should the nurse provide to the mother to help her child successfully master this stage?
a. Consistently provide your child with food and attention.
b. Ensure someone is able to feed your child on a schedule.
c. Allow unrestricted crawling and exploring as the child develops.
d. Provide firm guidelines for behavior and activities.
a. Consistently provide your child with food and attention.
The nurse is caring for a patient that is actively trying to conceive a child but continues to drink alcohol. The patient states that she’ll stop drinking once she is pregnant. What is the most appropriate response by the nurse?
a. “Abstaining is best since most fetal development occurs before you realize you are pregnant.”
b. “Small amounts of alcohol are safe at any time during pregnancy.”
c. “Things will be okay if you quit drinking alcohol once you know you are pregnant.”
d. “Alcohol use should be avoided early in pregnancy but is acceptable past week 20.”
a. “Abstaining is best since most fetal development occurs before you realize you are pregnant.”
The perinatal clinic nurse is going to teach a woman from a culture unfamiliar to the nurse about child-rearing practices. What action by the nurse is best before planning the education?
a. Ensure the availability of written material to give the woman
b. Assess what practices are important to her cultural group
c. Determine if the woman is the primary family decision maker
d. Refer the woman to a prenatal educational class
b. Assess what practices are important to her cultural group
A home health care nurse is making a well-baby visit to the home of a new mother who has an infant. What assessment finding leads the nurse to provide further anticipatory guidance and teaching to the mother?
a. Mother states she does not breastfeed but uses a recommended formula.
b. Crib has colorful blankets and pillows for the baby to cuddle.
c. A mobile is hanging well above the crib playing soft music.
d. Several rattles and plush toys are available in different textures.
b. Crib has colorful blankets and pillows for the baby to cuddle.
To help a hospitalized infant master the tasks in Erikson’s stage of Trust versus Mistrust, which action by the nurse is best?
a. Provide calming music during quiet time so the infant can sleep
b. Give the family food vouchers for the hospital cafeteria
c. Arrange to have a cot or small bed placed in the infant’s room
d. Do not allow unlicensed assistive personnel to care for the infant
c. Arrange to have a cot or small bed placed in the infant’s room
The home health care nurse is visiting a family with a 3-year-old to observe a meal. The parent gives the child a plate with 0.5 cup of pureed meat. What action by the nurse is best?
a. Document how well the child eats the serving of meat.
b. Inquire if the child still drinks from a bottle between meals.
c. Ask the parents what they serve the child for snacks.
d. Provide teaching on the appropriate serving size for this child.
d. Provide teaching on the appropriate serving size for this child.
A preschool-aged child got into the cookie jar and ate several cookies before dinner. When confronted by the parent, the child responds, “My pet horse ate them.” What does the nurse teach the parents about this response?
a. It is normal for children to have imaginary friends at this age.
b. This vivid imagination will lead the child to misbehave later on.
c. Lying is disobedient and should be punished consistently.
d. The child is obviously afraid of the parents’ response.
a. It is normal for children to have imaginary friends at this age.
A toddler has been hospitalized. The parents become upset when the toddler starts wetting his bed, saying that he has been potty trained for some time now. What response by the nurse is best?
a. “Don’t worry, this behavior will stop when he gets home.”
b. “Maybe he has a urinary tract infection; I’ll get a urine sample.”
c. “I can call the Child Life Specialist for diversionary activities.”
d. “It is common for kids in the hospital to regress to earlier behaviors.”
d. “It is common for kids in the hospital to regress to earlier behaviors.”
The nurse is conducting a home visit on a newborn. What observation would require the nurse to provide further education?
a. The caregiver warms the bottle and tests heat on the inside of the wrist.
b. The parents state the infant is sleeping with them until they buy a crib.
c. One parent states that when the child gets frustrating, the other parent takes over.
d. Caregivers consistently wash their hands before holding the baby.
b. The parents state the infant is sleeping with them until they buy a crib.
The parents of a 4-year-old express concern that the child is wearing the same size clothing as she did last year. What action by the nurse is most appropriate?
a. Weigh and measure the child and compare with last visit.
b. Reassure parents that their child is growing normally.
c. Assess the child’s eating and activity patterns.
d. Encourage the parents to provide the child a multivitamin.
a. Weigh and measure the child and compare with last visit.
A nurse is conducting a preschool screening in the community. Which child would the nurse refer for further assessment?
a. A 4-year-old who throws a ball over-handed but better under-handed.
b. A 4-year-old who can skip across the room after being shown how.
c. A 5-year-old who is able to ride a bicycle with training wheels.
d. A 5-year-old who is unable to ride a tricycle without falling.
d. A 5-year-old who is unable to ride a tricycle without falling.
A father expresses frustration that his school-aged child is suddenly “sick all the time.” What action by the nurse is best?
a. Encourage the father to give the child a multivitamin each day.
b. Explain that illness is frequent in this age group because of exposure to others.
c. Encourage the father to discuss testing the child’s immunity with the provider.
d. Make sure the parents are washing their hands frequently in the home.
b. Explain that illness is frequent in this age group because of exposure to others.
