Exam 20: Caring for the Developing Child

A couple brings their child to the well-child clinic for guidance in improving the child's school performance.The nurse assesses the child and finds that favorite activities are running,playing basketball,and building models.Which conclusion is most appropriate for the nurse to make based on the assessment findings?

The pediatric nurse explains to a new mother that two factors,"nature" and "nurture," may influence the formation of her child's essence.Which factor among the following would be considered "nature"?

A toddler has been adopted from a foreign country and has the nursing diagnosis of delayed growth and development related to poor nutrition.Which activities should the nurse include in the plan of care to assist the child to meet outcomes?

A nurse is working at a community health-screening event.A woman tells the nurse that her oldest child is leaving home in a month and that this change is making her feel stressed and unneeded.What response by the nurse is the most appropriate?

A nurse is providing anticipatory guidance to the parents of a school-age child.What information is appropriate for the nurse to include for school-age children?

A mother is worried that her 3-month-old child is not holding her own head up.Which action by the nurse is most appropriate?

A home health-care nurse sees several pediatric patients who have the nursing diagnosis of delayed growth and development.Which action by a child would indicate that outcomes have been met?

A nurse educator is presenting developmental theories to a group of students.Which statement encompasses the impact that Carol Gilligan had on developmental theories?

A nurse uses Urie Bronfenbrenner's theory to guide practice.In order to determine a child's microsystem,which items should the nurse assess?

A student nurse asks a pediatric nurse what cephalocaudal development means.Which response by the nurse is most accurate?

A nurse observes several preschool-aged children during play and overhears one of them say "My mommy won't let me do that." What conclusion is the most appropriate by the nurse regarding this child's development?

The pediatric nurse teaches the parents of a 3-month-old baby the principles of growth and development that will occur in their child's lifetime.Which statement accurately describes one of these principles?

The nurse is providing care to a newborn client and family during a well-baby checkup.Using Duvall's family development theory,which question is most appropriate for the nurse to ask?

A pediatric nurse works with the family of twins at designated stages in their lives to help the parents anticipate and move through the periods of disequilibrium.What is the model of child development that focuses on disruptive periods of development?

A father is frustrated that his child frequently disobeys well-established rules and then attempts to excuse the action by stating "Well I just thought ...." The father asks for guidance with discipline.What information is most appropriate for the nurse to provide?

A nurse is assessing a 1-year-old child who weighed 7 lb,8 oz at birth.Today's weight is 23 lb.What conclusion can the nurse make about the child's weight?

A mother brings her 1-year-old child to the pediatric clinic and appears frustrated and stressed.During the assessment,the mother states she tries to give her child exposure to new situations and people several times a week,but the outings always end with the child screaming and crying.Which response by the nurse is the most appropriate?

A young couple brings their 20-month-old daughter to the pediatrician's office for immunizations.The mother tells the nurse that she is going back to work and is looking for a day-care center in the vicinity of the clinic.What assessment is priority before recommending a day-care center that would help the parent and child adapt to the experience?

A nurse notes that when an infant is startled,she looks at her mother.What conclusion can the nurse make about this infant's development?

A hospitalized 11-year-old child turns down opportunities to play or engage in diversionary activities.When questioned,the child states "I'm bad at that" or "I can't do anything." What action by the nurse is best?