Quiz 1 Study Questions

Question 1

Which is an effective technique for communicating with toddlers?

a.

Have the toddler make up a story from a picture.

b.

Involve the toddler in dramatic play with dress-up clothing.

c.

Repeatedly read familiar stories to the child.

d.

Ask the toddler to draw pictures of his fears.

Answer 1

c.

Repeatedly read familiar stories to the child.

Question 2

What is the most important consideration for effectively communicating with a child?

a.

The child’s chronological age

b.

The parent-child interaction

c.

The child’s receptiveness

d.

The child’s developmental level

Answer 2

d.

The child’s developmental level

Question 3

Which behavior is most likely to encourage open communication?

a.

Avoiding eye contact

b.

Folding arms across the chest

c.

Standing with head bowed

d.

Soft stance with arms loose at the side

Answer 3

d.

Soft stance with arms loose at the side

Question 4

Which is the most appropriate question to ask to encourage conversation when interviewing an adolescent?

a.

“Are you in school?”

b.

“Are you doing well in school?”

c.

“How is school going for you?”

d.

“How do your parents feel about your grades?”

Answer 4

c.

“How is school going for you?”

Question 5

Non-English first language person and need to communicate what is going on what do you use?

Answer 5

Translator

Question 6

A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following attions should the nurse include in the plan of care to meet the client’s psychosocial needs according to Erikson?

A. Encourage the client to complete school work.
B. Discourage visits from the client’s friends.
C. Vary the child’s schedule each day .
D. Provide a daily session with a play therapist.

Answer 6

A. Encourage the client to complete school work.

-Encourage the client to complete school work
Industry vs. Inferiority stage of development. By keeping up with school work through a normal routine, the child will feel less inferior to his classmates due to the missed school.

Question 7

A nurse is assessing the psychological development of a toddler. The nurse is aware that this stage is characterized by which of the following?

A. Imaginary playmates
B. Erikson’s stage of initiative versus guilt
C. Demonstrations of sexual curiosity
D. Negative behaviors characterized by the need for autonomy

Answer 7

D. Negative behaviors characterized by the need for autonomy

Assertion of autonomy is seen in toddlers as they begin their language and social development.

Question 8

A child’s moral and ethical habits are a direct reflection of?

Answer 8

their families

Question 9

While interviewing parents who have just arrived in the healthcare clinic, the nurse begins the interview. Which statement below involves therapeutic communication techniques SATA

a) Allow the parents to direct the conversation so that they feel comfortable and in control
b) Use broad, open-ended questions so that parents can feel open to discuss issues
c) Redirect by asking guided questions to keep the parents on task
d) Use careful listening, which relies on the use of clues and verbal leads to help move the conversations along
e) Ask carefully worded, detailed questions to get accurate information

Answer 9

b) Use broad, open-ended questions so that parents can feel open to discuss issues
c) Redirect by asking guided questions to keep the parents on task
d) Use careful listening, which relies on the use of clues and verbal leads to help move the conversations along

Question 10

Children have rights to health care, and they deserve a chance to proper health care so they can do what?

Answer 10

Productive adults and function in society

Question 11

Binuclear family

Answer 11

a postdivorce family with children, consisting of original nuclear family divided into two families one headed by the mother and one headed by the father ; two “new” families may be either single-parent or step-families

Ex: patient admitted for near drowning and was a mom and a dad there divorced but both live in the same household?

Question 12

What are two basic concepts of family center care?

Answer 12

Enabling and empowerment

Question 13

A nurse has accepted a position on a pediatric unit and is learning more about psychosocial development. Identify the order of Erikson’s stages of psychosocial development from birth through 18 years of. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Answer 13

a.Trust vs Mistrust
b. Autonomy vs Shame and doubt
c. Initiative vs Guilt
d. Industry vs Inferiority
e. Identity vs Role Confusion

Question 14

Which statement best describes family-centred care?

a. It reduces the effect of cultural diversity on the family.
b. It encourages family dependence on the health care system.
c. It recognizes that the family is a constant in the child’s life.
d. It does not expect families to be part of the decision-making process.

Answer 14

c. It recognizes that the family is a constant in the child’s life.

The key components of family-centred care require the nurse to support, respect, encourage, and embrace the family’s strength by developing a partnership with the child’s parents. Family-centred care recognizes
the family as a constant in the child’s life. The nurse should support the cultural diversity of the family, not reduce its effect. The family should be enabled and empowered to work with the health care system and to be part of the decision-making process.

Question 15

A nurse is evaluating the parenting styles of a group of parents of school-age children. Which of the following statements by a parent indicates the use of a permissive parenting style?

A. “We decide how our children spend their time.”
B. “We expect our children to follow directions without questioning us.”
C. “We allow our children the freedom to decide their own behavior.”
D. “We explain to our children the reasoning behind the rules that we make.”

Answer 15

C. “We allow our children the freedom to decide their own behavior.”

Rationale: Parents exert little or no control over the child’s behavior and consult them when making decisions

Question 16

What is the characteristic of a healthy family?

Answer 16

• Love, support, and trust each other.

Question 17

A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client?

a. Large building blocks
d. Hanging crib toys
c. Modeling clay
d. Crayons and a coloring book

Answer 17

a. Large building blocks

Question 18

A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which of the following ages?

A. 3 years
B. 4 years
C. 5 years
D. 6 years

Answer 18

A. 3 years

At age 3, children can typically ascend stairs using alternating feet but still descend by placing both feet on each step.

Question 19

A nurse is caring for a toddler who is having difficulty sleeping during hospitalization. Which of the following actions should the nurse take to promote sleep?

A. Turn off the room light.
B. Explain the source of the toddler’s fears.
C. Encourage play exercises in the evening.
D. Provide bedtime rituals.

Answer 19

D. Provide bedtime rituals.

Bedtime rituals, like a soothing bath, reading a book, or soft music, can create a predictable routine that signals to the toddler it’s time to wind down and sleep.
This can help get their bedtime routines under control

Question 20

A nurse is discussing play activities with a group of parents of toddlers. Which of the following activities should the nurse recommend for this age group?

A. Jumping rope
B. Pushing a toy lawn mower
C. Sorting colored marbles
D. Playing a board game

Answer 20

B. Pushing a toy lawn mower

• toddlers are developmentally ready for push-pull toys, and they enjoy play activities that allow imitation of adults.

Question 21

Which function of play is a major component of play at all ages?

a. Creativity
b. Socialization
c. Intellectual development
d. Sensorimotor activity

Answer 21

d. Sensorimotor activity

(Sensorimotor activity is a major component of play at all ages. Active play is essential for muscle development and allows the release of surplus energy. Through sensorimotor play, children explore their physical world by using tactile, auditory, visual, and kinesthetic stimulation. Creativity, socialization, and intellectual development are each functions of play that are major components at different ages.)

Question 22

An infant weighs 7 pounds at birth. What can the nurse expect the baby to weight at one year of age ?

a. 21 pounds
b. 14 pounds
c. 28 pounds
d. 35 pounds

Answer 22

A. 21 pounds

In general, birth weight triples by the end of the first year of life. For an infant who was 7 pounds at birth, 21 pounds would be the anticipated weight at the first birthday.

Question 23

A 12-year-old child enjoys collecting stamps, playing soccer, and participating in Boy Scout activities. The nurse recognizes that the child is displaying which developmental task?

a. Identity
b. Industry
c. Integrity
d. Intimacy

Answer 23

B. Industry

Industry is engaging in tasks that can be carried through to completion, learning to compete and cooperate with others, and learning rules. Industry is the developmental task characteristic of the school-age child. Identity is the developmental task of adolescence. Integrity and intimacy are not developmental tasks of childhood.

Question 24

All children need to have their regular exercise and physical activity. Why is exercise essential for children?

Answer 24

• Muscle development for tone balance and coordination

Question 25

Social development in children as they grow and develop, how does an infant socialize?

Answer 25

• Grasping finger/face

Question 26

Erikson’s theory is built on the ____ which suggests that unconscious influences affect our behavior.

A. environmental hypothesis
B. psychodynamic perspective
C. personal initiative theory
D. generativity approach

Answer 26

B. psychodynamic perspective

Ex: Freud. While Freud focused on how early childhood experiences shape personality through stages centered on different erogenous zones, Erikson expanded this idea to include a broader range of social and cultural factors, emphasizing that development continues throughout life.

Question 27

A nurse is assessing a 9 month old infant. Which of the following findings should the nurse report to the provider as a delay in development?

A. Using a pincer grasp to pick up blocks
B. Requiring support to sit for prolonged periods.
C. Turning the head toward the patent’s voice
D. Reaching for the mother and saying mama

Answer 27

B. Requiring support to sit for prolonged periods.

An infant should be able to sit unsupported by the age of 8 months. This is an indication of a delay in gross motor development.

Question 28

Newborn (neonatal) age period

Answer 28

Birth to 4 weeks (28 days)

Question 29

During the late 1800s and early 1900s, a sick or ill children were viewed by society as what?

Answer 29

• Didn’t want to talk about or admit to and hid it from society.

Question 30

A parent asks the nurse, When will I know my child is ready for toilet training? The nurse should include what in the response? (Select all that apply.)

a. The child should be able to stay dry for 1 hour.
b. The child should be able to sit, walk, and squat.
c. The child should have regular bowel movements.
d. The child should express a willingness to please.

Answer 30

b. The child should be able to sit, walk, and squat.
c. The child should have regular bowel movements.
d. The child should express a willingness to please.

Question 31

When can kids walk without help or creep up stairs?

Answer 31

15 months

Question 32

When assessing a child (2 year old) at the clinic for a routine check up, which skill should the nurse expect the child to perform?

1. ride a tricycle
2. tie his or her shoes
3. kick a ball forward
4. use blunt scissors

Answer 32

3. kick a ball forward

(2 year olds can usually kick a ball forward. 3 year olds can usually ride a tricycle. 5 year olds tie shoes laces. 3 year olds use blunt scissors)

Question 33

Which accomplishment would the nurse expect of a healthy 3-year-old child?

a. a. Jump rope
b. Ride a two-wheel bicycle
c. Skip on alternate feet
d. Balance on one foot for a few second

Answer 33

d. Balance on one foot for a few second

Three-year-olds are able to accomplish the gross motor skill of balancing on one foot.

Question 34

Why are age-appropriate growth parameters (height, weight, head circumference) measured and plotted at each well-child visit?

1-To help monitor neurological development
2-To help evaluate basal metabolic rate (BMR)
3-To predict the amount of fat cells gained yearly
4-To calculate body mass index (BMI) in children over 2 years of age
5-To monitor changes in growth rates, which can indicate an underlying health problem

Answer 34

1-To help monitor neurological development

Head circumference in children less than 2 years of age is used to assess the growth of the skull as it accommodates the growing brain.

2-To help evaluate basal metabolic rate (BMR)

Evaluating a child’s basal metabolic rate can help in understanding his or her growth and development.

4-To calculate body mass index (BMI) in children over 2 years of age

Calculating body mass index can be a helpful indicator for health status in children and adolescence. Height and weight measurements for children over the age of 2 are used in the BMI calculation to assess for the child being underweight, overweight, or obese.

5- To monitor changes in growth rates, which can indicate an underlying health problem

Since a child’s growth is expected to follow certain milestones, a failure to meet these milestones can be an indicator of a long-term or chronic underlying health problem.

Question 35

Gross motor skills involves what large muscles?

Answer 35

• Legs
• Arms
• Torso

Question 36

Sleep and rest are important for the children so they can do what?

Answer 36

• Allows injuries to heal and helps your brain to grow

Question 37

Erickson was a German American who directed his theory towards a child’s personality. So his personality development was accepted and built on whose theory?

Answer 37

Freud

Question 38

Body image is a big part of a child’s?

Answer 38

• Self esteem

Question 39

What is the goal of a pediatric nurse?

Answer 39

• Create a trusting relationship that is responsible for promoting the health and well-being of the child and family, you see that the child and family are a unit together

Question 40

What is a way to integrate spiritual practices into nursing?

Answer 40

• Ask them so you become knowledgeable about other religious world views

Question 41

A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect?

A. Lateral incisors
B. Closed posterior fontanel
C. Sitting steadily without support
D. Uses thumb and index fingers in a pincer grasp

Answer 41

B. Closed posterior fontanel

The posterior fontanel, located on the back of the head, usually closes by the age of 2-3 months. By 6 months of age, it is expected to be closed.

Question 42

What order does babies teeth appear (incisors)

Answer 42

Central incisor 8 to 12 months
Lateral incisor 9 to 13 months

Question 43

A nurse is collecting data from an infant. Which of the following sites is the most reliable location to check the infant’s pulse?

A. Apical
B. Dorsalis pedis
C. Temporal
D. Carotid

Answer 43

A. Apical

The apical pulse is the most reliable location to assess the pulse in infants. It is located at the apex of the heart, which is typically found at the fifth intercostal space at the midclavicular line. Assessing the apical pulse allows for a direct measure of the heart rate and rhythm, which is especially important in infants to evaluate cardiac function accurately. The apical pulse is commonly assessed using a stethoscope placed at the point of maximum impulse (PMI) on the chest.

Question 44

A nurse is teaching an assistive personnel to measure a newborn’s respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute?

A. Newborns are abdominal breathers.
B. Activity will increase the respiratory rate.
C. The rate and rhythm of breath are irregular in newborns.
D. Newborns do not expand their lungs fully with each respiration.

Answer 44

C. The rate and rhythm of breath are irregular in newborns.

The rate and rhythm of breath are irregular in newborns is correct because this is a reason why the respiratory rate should be counted for a complete minute. The rate and rhythm of breath refer to how fast and how regularly one breathes. Newborns have an irregular rate and rhythm of breath, which means that they breathe at different speeds and intervals, sometimes pausing for a few seconds between breaths. This is normal and harmless for newborns, as long as they do not stop breathing for more than 20 seconds or show signs of distress. However, it can make it difficult to measure the respiratory rate accurately, as counting for a shorter period may not reflect the true average rate. Therefore, counting for a complete minute can ensure a more reliable measurement. Therefore, this response is clear and accurate.

Question 45

When does the birth rate double?

Answer 45

• 6 months

Question 46

A nurse in a clinic is assessing a 7-month old infant. Which of the following indicates a need for further evaluation?

a. Uses a unidextrous grasp.
b. Has a fee at of strangers.
c. Shows preferences towards food.
d. Babbles on one-syllable words.

Answer 46

d. Babbles on one-syllable words.

7 month olds should babble in chained syllables such as mama or baba. They should also babble 4 distinct vowel sounds.