Question 1

Which outcome is most appropriate for a 3-year-old with the nursing diagnosis of delayed growth and development related to chronic illness?

Accepted Answer

A)  Child will attain age-appropriate milestones in 3 months. 
B)  Child will attain normal weight and height in 2 months. 
C)  Child will draw using large crayons in 2 months. 
D)  Child will have fewer tantrums in 3 months. 
A)  Child will attain age-appropriate milestones in 3 months. 
B)  Child will attain normal weight and height in 2 months. 
C)  Child will draw using large crayons in 2 months. 
D)  Child will have fewer tantrums in 3 months.

Question 2

A pediatric nurse examines a 7-year-old at a well-child visit.Based on Erikson's theory,which basic task does the nurse anticipate for this child?

Accepted Answer

A)  Balance independence and self-sufficiency against uncertainty and misgiving. 
B)  Develop a sense of confidence through mastery of different tasks. 
C)  Develop resourcefulness to achieve and learn new things without self-reproach. 
D)  Recognize there are people in his or her life who can be trusted to take care of basic needs. 
A)  Balance independence and self-sufficiency against uncertainty and misgiving. 
B)  Develop a sense of confidence through mastery of different tasks. 
C)  Develop resourcefulness to achieve and learn new things without self-reproach. 
D)  Recognize there are people in his or her life who can be trusted to take care of basic needs.

Question 3

A parent is frustrated that her toddler wants to do everything on his own and in "my way." The parent wants to know the appropriate way to discipline the child for not obeying and allowing the parent to dress him quickly in the morning.Which response by the nurse is most appropriate?

Accepted Answer

A)  "At this stage in life, discipline is not very effective and will frustrate you both more." 
B)  "I know it's frustrating, but being independent is a very important job at this age." 
C)  "Put him in a time-out, and because he is 2 years old, have him in time-out for 2 minutes." 
D)  "You really need to allow your child to be independent as much as possible." 
A)  "At this stage in life, discipline is not very effective and will frustrate you both more." 
B)  "I know it's frustrating, but being independent is a very important job at this age." 
C)  "Put him in a time-out, and because he is 2 years old, have him in time-out for 2 minutes." 
D)  "You really need to allow your child to be independent as much as possible."

Question 4

A nurse is teaching parents about appropriate discipline for their toddler.Which information is appropriate for the nurse to include in the session?

Accepted Answer

A)  Be firm and specific but respectful. 
B)  Deliver consequences immediately. 
C)  Tie consequences to the action if possible. 
D)  Time-outs are 5 minutes for each year of life. 
E)  Try to anticipate and avoid tantrums. 
A)  Be firm and specific but respectful. 
B)  Deliver consequences immediately. 
C)  Tie consequences to the action if possible. 
D)  Time-outs are 5 minutes for each year of life. 
E)  Try to anticipate and avoid tantrums.

Question 5

A mother takes her 10-year-old son to the pediatrician for a sprained wrist.During the medical history,the pediatric nurse listens to the mother describe her son as "busy playing basketball all day long with the other boys in the neighborhood." Based on the nurse's assessment,which stage of Freud's psychosocial development is this child experiencing?

Accepted Answer

A)  Anal stage 
B)  Genital stage 
C)  Latency stage 
D)  Phallic stage 
A)  Anal stage 
B)  Genital stage 
C)  Latency stage 
D)  Phallic stage

Question 6

The nurse is preparing to provide information to the parents of a 14-year-old who is within normal limits for growth and development.What information is appropriate for the nurse to include?

Accepted Answer

A)  Children of this age can anticipate long-term consequences of choices. 
B)  Growth, although slowed, can still be significant. 
C)  The child of this age may be able to give informed consent in some situations. 
D)  The child of his age is not normally worried about sexual identity. 
E)  Peer group influence is often stronger than family influence. 
A)  Children of this age can anticipate long-term consequences of choices. 
B)  Growth, although slowed, can still be significant. 
C)  The child of this age may be able to give informed consent in some situations. 
D)  The child of his age is not normally worried about sexual identity. 
E)  Peer group influence is often stronger than family influence.

Question 7

A mother and 1-year-old child are being seen in the well-child clinic.The mother asks the nurse for guidance in setting an appropriate bedtime for the child.She and her husband have tried several different times and can't seem to agree on the right time.Which response by the nurse is the most appropriate?

Accepted Answer

A)  "As long as it's consistent, it doesn't matter when bedtime is." 
B)  "At this age, your child needs 10 to 12 hours of sleep each night." 
C)  "Children get sleepy when warm, so dress your child heavily for bed." 
D)  "What 'sleepy' behaviors does your child show when tired?" 
A)  "As long as it's consistent, it doesn't matter when bedtime is." 
B)  "At this age, your child needs 10 to 12 hours of sleep each night." 
C)  "Children get sleepy when warm, so dress your child heavily for bed." 
D)  "What 'sleepy' behaviors does your child show when tired?"

Question 8

A nurse is providing anticipatory guidance to the parents of a toddler.Which information is most important for the nurse to include regarding typical toddler behaviors?

Accepted Answer

A)  Children at this age rarely lie about misbehaving and want to please their parents. 
B)  Competing and winning are important, so "rewards" for good behavior are great tools. 
C)  Toddlers need constant supervision, because they don't understand what consequences can occur. 
D)  Time-out for misbehavior works well if the child is placed quietly in his or her own room. 
A)  Children at this age rarely lie about misbehaving and want to please their parents. 
B)  Competing and winning are important, so "rewards" for good behavior are great tools. 
C)  Toddlers need constant supervision, because they don't understand what consequences can occur. 
D)  Time-out for misbehavior works well if the child is placed quietly in his or her own room.

Question 9

A nurse is assessing several children during a shift at the well-child clinic.Which child demonstrates successful resolution of the Erikson stage of autonomy versus shame and doubt?

Accepted Answer

A)  A 15-month-old playing on the floor with supervision 
B)  An 18-month-old being consistently consoled by her father 
C)  A 20-month-old using building blocks with her grandfather 
D)  A 24-month-old being allowed to independently dress himself 
A)  A 15-month-old playing on the floor with supervision 
B)  An 18-month-old being consistently consoled by her father 
C)  A 20-month-old using building blocks with her grandfather 
D)  A 24-month-old being allowed to independently dress himself

Exam 20: Caring for the Developing Child

Which outcome is most appropriate for a 3-year-old with the nursing diagnosis of delayed growth and development related to chronic illness?

A pediatric nurse examines a 7-year-old at a well-child visit.Based on Erikson's theory,which basic task does the nurse anticipate for this child?

A parent is frustrated that her toddler wants to do everything on his own and in "my way." The parent wants to know the appropriate way to discipline the child for not obeying and allowing the parent to dress him quickly in the morning.Which response by the nurse is most appropriate?

A nurse is teaching parents about appropriate discipline for their toddler.Which information is appropriate for the nurse to include in the session?

The nurse is preparing to provide information to the parents of a 14-year-old who is within normal limits for growth and development.What information is appropriate for the nurse to include?

A nurse is providing anticipatory guidance to the parents of a toddler.Which information is most important for the nurse to include regarding typical toddler behaviors?

A nurse is assessing several children during a shift at the well-child clinic.Which child demonstrates successful resolution of the Erikson stage of autonomy versus shame and doubt?

Traditional and Community Nursing Care for Women, Families, and Children

Contemporary Issues in Women’s, Families’, and Children’s Health Care

The Evolving Family

Caring for Women, Families, and Children Across the Life Span

Reproductive Anatomy and Physiology

Human Sexuality and Fertility

Conception and Development of the Embryo and Fetus

Physiological and Psychosocial Changes During Pregnancy

The Prenatal Assessment

Promoting a Healthy Pregnancy

Caring for the Woman Experiencing Complications During Pregnancy

The Process of Labor and Birth

Promoting Patient Comfort During Labor and Birth

Caring for the Woman Experiencing Complications During Labor and Birth

Caring for the Postpartal Woman and Her Family

Caring for the Woman Experiencing Complications During the Postpartal Period

Physiological Transition of the Newborn

Caring for the Normal Newborn

Caring for the Newborn at Risk

Caring for the Child in the Hospital,the Community,and Across Care Settings

Caring for the Child With a Psychosocial or Condition

Caring for the Child With a Respiratory Condition

Caring for the Child With a Gastrointestinal Condition

Caring for the Child With an Immunological or Infectious Condition

Caring for the Child With a Cardiovascular Condition

Caring for the Child With an Endocrinological or Metabolic Condition

Caring for the Child With a Neurological or Sensory Condition

Caring for the Child With a Musculoskeletal Condition

Caring for the Child With a Integumentary Condition

Caring for the Child With a Genitourinary Condition

Caring for the Child With a Hematological Condition

Caring for the Child With Cancer

Caring for the Child With a Chronic Condition or the Dying Child

Caring for the Critically Ill Child

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