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Peds Exam 2 Ch 3, 9, 11, 12, 14, 15, Communicable diseases)
Terms in this set (50)
An infant who weights 7 pounds at birth would be expected to weigh how much at 1 year?
At what age does birth length usually double?
Parents of an 8-year-old child ask the nurse how many inches their child should grow each year. The nurse bases the answer on the knowledge that after age 7 years, school-age children usually grow what number of inches per year?
B. It occurs earlier in girls
Parents express concern that their pubertal daughter is taller than the boys in her class. The nurse should respond with which statement regarding how the onset of pubertal growth spurt compares in girls and boys?
a. It occurs earlier in boys.
b. It occurs earlier in girls.
c. It is about the same in both boys and girls.
d. In both boys and girls, the pubertal growth spurt depends on growth in infancy.
D. Approximately 95% of mature height is achieved when menarche occurs
A 13-year-old girl asks the nurse how much taller she will get. She has been growing about 2 inches per year but grew 4 inches this past year. Menarche recently occurred. The nurse should base her response on which statement?
a. Growth cannot be predicted.
b. Pubertal growth spurt lasts about 1 year.
c. Mature height is achieved when menarche occurs.
d. Approximately 95% of mature height is achieved when menarche occurs.
D. radiographs of the hand and wrist
How is a child's skeletal age best determined?
a. Assessment of dentition
b. Assessment of height over time
c. Facial bone development
d. Radiographs of the hand and wrist
D. epiphyseal cartilage plate
Trauma to which site can result in a growth problem for children's long bones?
b. Connective tissue
c. Calcified cartilage
d. Epiphyseal cartilage plate
D. The tissue is twice the adult size by ages 10 to 12 years
A nurse has completed a teaching session for adolescents regarding lymphoid tissue growth. Which statement, by the adolescents, indicates an understanding of the teaching?
a. The tissue reaches adult size by age 1 year.
b. The tissue quits growing by 6 years of age.
c. The tissue is poorly developed at birth.
d. The tissue is twice the adult size by ages 10 to 12 years.
A mother reports that her 6-year-old child is highly active, irritable, and irregular in habits and that the child adapts slowly to new routines, people, or situations. How should the nurse chart this type of temperament?
A 10-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?
D. unable to put self in another's place
A nurse is conducting parenting classes for parents of children ranging from ages 2 to 7 years. The parents understand the term egocentrism when they indicate it means:
c. preferring to play alone
d. unable to put self in another's place.
A. looks for the toy that the parents hide under the blanket
The nurse is observing parents playing with their 10-month-old child. Which should the nurse recognize as evidence that the child is developing object permanence?
a. Looks for the toy that parents hide under the blanket
b. Returns the blocks to the same spot on the table
c. Recognizes that a ball of clay is the same when flattened out
d. Bangs two cubes held in her hands
A school nurse notes that school-age children generally obey the rules at school. The nurse recognizes that the children are displaying which stage of moral development?
A nurse observes a toddler playing with sand and water. How should the nurse document this type of play?
In which type of play are children engaged in similar or identical activity, without organization, division of labor, or mutual goal?
B. Brian playing with his truck next to Kristina playing with her truck
The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?
a. Kimberly and Amanda sharing clay to each make things
b. Brian playing with his truck next to Kristina playing with her truck
c. Adam playing a board game with Kyle, Steven, and Erich
d. Danielle playing with a music box on her mother's lap
D. sensorimotor activity
Which following function of play is a major component of play at all ages?
c. Intellectual development
d. Sensorimotor activity
B. "a toy your child can push or pull would help develop muscles."
Parents are asking the clinic nurse about an appropriate toy for their toddler. Which response by the nurse is appropriate?
a. "Your child would enjoy playing a board game."
b. "A toy your child can push or pull would help develop muscles."
c. "An action figure toy would be a good choice."
d. "A 25-piece puzzle would help your child develop recognition of shapes."
C. I should avoid any alcoholic beverages
A nurse is counseling an adolescent, in her second month of pregnancy, about the risk of teratogens. The adolescent has understood the teaching if she makes which statement?
a. "I will be able to continue taking isotretinoin (Accutane) for my acne."
b. "I can continue to clean my cat's litter box."
c. "I should avoid any alcoholic beverages."
d. "I will ask my physician to adjust my phenytoin (Dilantin) dosage."
B. the toddler expresses himself or herself with verbs or combination words
What should the nurse consider when discussing language development with parents of toddlers?
a. Sentences by toddlers include adverbs and adjectives.
b. The toddler expresses himself or herself with verbs or combination words.
c. The toddler uses simple sentences.
d. Pronouns are used frequently by the toddler.
A. concrete operations
During the school-age years, children best understand concepts that can be seen or illustrated. The nurse knows this type of thinking is termed as
a. Concrete operations
c. School-age rhetoric
d. Formal operations
A. sensorimotor stage
According to Piaget, at what stage of development do children typically solve problems through trial and error?
a. Sensorimotor stage
b. Preoperational stage
c. Formal operational stage
d. Concrete operational stage
What 3 things makes a pattern predictable?
head control then sitting then walking
what is an example of a cephalocaudal trend?
from head to tail
from midline to periphery
moving arms and legs before picking things up with fingers
What is an example of a proximodistal trend?
definite, predictable sequence
You expect your patient to crawl before walking. What kind of trend are you anticipating
What is the single largest influence on growth
even tempered, regular and predictable in habits, adapt to change, mild mood that is typically positive
highly active, irregular in habits, irritable, intense and primarily negative mood
slow to warm up child
react negatively, but with mild intensity, slow to adapt to change, inactive or moody
Trust vs mistrust
birth to 1 year
are basic needs met consistently, adequately, and lovingly?
autonomy vs shame and doubt
learn to be independent and make good decisions, gain self control
initiative vs guilt
begin to develop a conscience, a sense of direction
industry vs inferiority
engage in tasks and activities they can complete, learn to cooperate with others and abide by rules, can feel inadequate and inferior that too much is expected
identity vs role confusion
learn who they are, begin to integrate their concepts and values of those with society
theorist who studied psychosocial development across the lifespan
theorist that developed a series of stages in which an individual passes during cognitive development.
sensorimotor (birth-2 years)
during which of Piaget's development stages does object permanence develop in?
unable to put oneself in the place of another
thought that connects one particular observation to another by creating causal links where none exist
what would the nurse expect to see during the preoperational (2-7) stage of development?
taking pleasure in relationships with people
A nonsocial stimulating experience that originates from without
practicing new abilities
daydream, fiddle, walk aimlessly
pretend play, imitation of roles
imitative, formal, or competitive games
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