Late Childhood Stage (4-5 years) Flashcards
NCLEX Questions - Late Childhood
A Parent Of A 4 Year Old Child Tells The Nurse That She Is Concerned Because The Child Has Been Masturbating. The Appropriate Response By The Nurse Is Which Of The Following?
A. This is the normal behavior at this age.
B. Children usually begin this behavior at the age of 8 years old.
C. This is not normal behavior. The child should be brought to the mental health clinic.
D. The child is very young to begin this behavior and should be brought to the mental health clinic.
A. This is the normal behavior at this age.
Rationale :
According to Freud’s psychosexual stages of development, the child is in the Phallic stage between the ages of 3 and 6. At this time, the child devotes much energy to examining his or her genitalia, masturbating, and expressing interest in sexual concerns. Therefore, the other options are incorrect.
NCLEX Questions - Late Childhood
The parent of a 3 year old tells the nurse that the child is constantly having temper tantrums, which instruction should the nurse provide to the parent?
A. Set limits on the child’s behavior
B. Ignore the child when this behavior occurs.
C. Allow the behavior, because this is normal at this age.
D. Punish the child every time the child says “No” to change the behavior.
B. Ignore the child when this behavior occurs.
NCLEX Questions - Late Childhood
The parent of a 4 year old expresses concern because her hospitalized child has started sucking his thumb. The mother states that this behavior began 2 days after hospital admission. Which of the following is the appropriate nursing response?
A. “It is best to ignore the behavior.”
B. “Your child is acting like a baby.”
C. “The doctor will need to be notified.”
D. “A 4 year old is too old for this type of behavior.”
A. “It is best to ignore the behavior.”
Rationale:
In the hospitalized preschooler, it is best to accept regression if it occurs, because it is most caused most often by the stress of the hospitalization. Parents may be overly concerned about regression and should be told that their child may continue the behavior at home. There is no need to call the physician. Options B and D are inappropriate.
NCLEX Questions - Late Childhood
When caring for a 3 year old child, the nurse should provide which toy for this child?
A. A puzzle
B. A Wagon
C. A golf set
D. A farm set
B. A Wagon
Rationale:
Toys for the toddler must be strong, safe, and too large to swallow of place in the ear or nose. Toddlers need supervision at all times. Push-pull toys, large balls, large crayons, trucks, and dolls are some appropriate toys. A puzzle with large pieces only may be appropriate. A farm set and a golf set may contain items that a child could swallow.
NCLEX Questions - Late Childhood
A nurse is caring for a 5 year old child who has been placed in traction after a fracture of the femur. Which of the following is the most appropriate activity for this child?
A. Blocks
B. A Puzzle
C. A music video
D. Large picture books
B. A Puzzle
Rationale:
In the preschooler, play is simple and imaginative, and it includes activities such as dressing up, paint, crayons, and simple board and card games. Puzzles are also appropriate and aid with fine motor development. Blocks are most appropriate for the toddler. A music video is most appropriate for the adolescent. Large picture books are most appropriate for the infant.
NCLEX Questions - Late Childhood
The father tells the nurse that he is concerned that his child may not be ready for kindergarten. What developmental tasks should the child currently be doing to indicate that her growth and development is appropriate for her age? Select all that apply.
A. Demonstrates a good understanding of time B. Able to skip C. Able to ride a tricycle D. Demonstrates good coordination E. Draws copies of shapes on paper F. Speaks in sentences
B. Able to skip
C. Able to ride a tricycle
E. Draws copies of shapes on paper
F. Speaks in sentences
Rationale:
Able to skip, able to ride a tricycle, draws copies of shapes, and speaks in sentences are appropriate developmental tasks. A good understanding of time and good coordination are usually achieved in school age years.
Which of the following developmental tasks should the nurse tell the father is appropriate to be achieved during the preschool years?
A. Using a knife to cut meat at mealtime
B. Dressing independently
C. Following several directions at once
D. Comprehending satire
B. Dressing independently
Rationale:
Preschooler should be able to dress themselves with occasional help in the tying shoes or fastening complex buckles or closures. Using a knife to cut meat at mealtime, following several directions at once, and comprehending satire are developmental tasks of school aged children.
Berman Book - Chapter 9
Which of the following immunizations should this child receive at his health visit if immunizations are up-to-date? Select all that apply.
A. Hep A B. DTaP C. MMR D. Varicella E. IPV
B. DTaP
C. MMR
D. Varicella
E. IPV
Rationale:
DTaP, IPV, MMR, Varicella should be given between 4 and 6 years of age. Hep A is given in 2 doses at 12 to 23 months, at least 6 months apart.
Berman Book - Chapter 9
At what age does a child’s brain reach almost its adult size?
Age 5
Berman Book - Chapter 9
About how much does a 5 year weigh?
40-45 lbs.
Berman Book - Chapter 9
According to Erikson, what stage of development does this age group represent?
Initiative vs. guilt.
At this stage, preschoolers “role-play” as a form of learning.
Berman Book - Chapter 9
What are the next series of immunizations for preschoolers?
- DTap
- IPV
- MMR
- Hepatitis
- Pneumococcal
- Influenza
Berman Book - Chapter 9
A 5-year-old boy arrives for the preadmission work-up for a surgical procedure . When the nurse brings in the (IV) control pump, the child states: “I am afraid that it will bit me because I have been bad.” Using knowledge of Piaget, Erikson, and Fowler, which of the following is the best nursing action?
A. Reassure the child by providing opportunities for touching and exploring the machine, as well as explaining how it works.
B. Understand that his imagination is out of control. Tell him that his fears are unfounded and that he he needs to be a “big boy”.
C. Recognize that he is too young to understand and that he needs to be quickly distracted.
D. Acknowledge his need for fantasy by reassuring him that if he is a “good boy” the bad machine will not bit him.
A. Reassure the child by providing opportunities for touching and exploring the machine, as well as explaining how it works.
Berman Book - Chapter 9
A nurse working in a pediatrician’s office is performing a routine physical exam on a preschooler when the mother says they are looking forward to opening the swimming pool in their backyard. Which of the following would be a priority teaching point for the nurse to discuss with this parent?
A. Supervise children at all times when near any water.
B. Enroll children in swimming classes at an early age to ensure water safety.
C. Emphasize the danger inherent in swimming and caution child to never go near the water.
D. Allow unsupervised play on in “kiddy pools designated for young children.”
A. Supervise children at all times when near any water.
