The nurse is observing children playing the hospital playroom.
She would expect to see 4 year old
children playing.
COOPERATIVELY WITH OTHER PRESCHOOLER.
Mommy Linda is playing with her infant, who is sitting securely alone on the floor of the clinic. The
mother hides a toy behind her back and the infant looks for it. The nurse is aware that estimated age of
the infant would be:
10 MONTHS
A 16 year old child is hospitalized, according to Erik Erikson, what is an appropriate intervention?
TELL THE FRIENDS TO VISIT THE CHILD.
Which age group has the greatest potential to demonstrate regression when they are sick?
TODDLER.
A nurse is evaluating the developmental level of a 2-year-old. Which of the following does the nurse
expect to observe in this child?
USES A CUP TO DRINK.
Several babies are in the waiting room of pediatrician’s office. Which one would the nurse be most
concerned about?
A 9 MONTH – OLD WHO FELL FORWARD AND DID NOT PUT OUT HIS ARMS.
A clinic nurse assesses the communication patterns of a 5-month-old infant. The nurse determines that
the infant is demonstrating the highest level of developmental achievement expected if the infant
USES MONOSYLLABIC BABBLING.
A nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture of the
femur. The nurse plans care, knowing that which of the following is the most appropriate activity for this
child?
A SPORTS VIDEO.
A 2-year-old is in the supermarket with his mother and begin to have a tantrum because she won’t give
him a lollipop. A nurse standing behind them online might suggest the following to the mother.
IGNORE THE CHILD’S BEHAVIOR.
A mother informs the clinic nurse that her 2 year – old son does not want to play with other children at
the daycare center. The nurse’s response should be based on the understanding that 2 years old
children typically engage in which of the following types of play?
PARALLEL PLAY
A 3 year – old child has an imaginary friend with whom he speaks frequently. The nurse assesses this as
NORMAL DEVELOPMENTAL BEHAVIOR.
When the pre schooler boy identifies himself with his father and has a strong attachment to his mother,
this is known as:
OEDIPAL COMPLEX/ OEDIPUS COMPLEX
A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper
tantrums. The nurse most appropriate tells the mother to:
SETS LIMITS ON THE CHILD’S BEHAVIOR.
The parents of a 2-year-old arrive at a hospital to visit their child. The child is in the playroom when the
parents arrive. When the parents enter the playroom, the child does not readily approach the parents.
The nurse interprets this behavior as indicating that
THIS IS A NORMAL PATTERN.
The nurse is planning care for an 18 month-old child. Which of the following should be included the in
the child's care?
ENCOURAGE THE CHILD TO FEED HIMSELF FINGER FOOD.
The nurse is assessing a four month-old infant. The nurse would anticipate finding that the infant would
be able to
HOLD A RATTLE.
A nurse is evaluating the developmental level of a 10-year-old. Which of the following does the nurse
expect to observe in this child? Except
MAKING A CAREER DECISION
A child given an opportunity for decision making such as offering choices would have a developmental
task of:
AUTONOMY
Which stage of development is most unstable and challenging regarding development of personal
identity?
ADOLESCENCE.
At a visit to the pediatrician office, the mother of a 16 – month – old girl tells the nurse she is tired of
changing diapers and wants to know when she can begin toilet training. Based on growth and
development principles, which response should the nurse make?
“TOILET TRAINING SHOULD BEGIN WHEN YOUR DAUGHTER INDICATES TO YOU THAT SHE IS READY.
A maternity nurse is providing instruction to a new mother regarding the psychosocial development of
the newborn infant. Using Erikson's psychosocial development theory, the nurse would instruct the
mother to
ALLOW THE NEWBORN INFANT TO SIGNAL A NEED.
Which stage of development is a particular crisis for girls who are trying to find a place in a male-
dominated society?
ADOLESCENCE.
During assessment the nurse understand that the Moro reflex should disappear by what age in an
infant?
4 MONTHS
Which of the following toys should the nurse recommend for a 5-month-old?
A COLORFUL BUSY BOX
Which of the following is an indicator in doing the Apgar score?
HEART RATE, RESPIRATORY EFFORT, MUSCLE TONE, REFLEX IRRITABILITY, COLOR
The mother of a 6- month- old is telling the nurse she is worried because this is her 4th child and he is
not yet sitting up well, all her other children were sitting well by this age. The nurse would respond by
saying.
NORMAL CHILDREN DEVELOP AT DIFFERENT RATES
How much would a 6-month-old be expected to weigh if he weighed 9 lbs at birth?
18 LBS.
While teaching a 10 year-old child about their impending heart surgery, the nurse should
EXPLAIN THE SURGERY USING A MODEL OF THE HEART.
A mother observes his pre- schooler boy playing his genitalia. The mother should do the following
except:
CONDEMN HIS ACTION
When performing a physical examination on an infant or child what is most important for the nurse to
remember?
PERFORM INVASIVE OR PAINFUL PROCEDURES LAST.
The nurse is assessing a six-month-old child. Which developmental skills are normal and should be
expected?
SITS ALONE.
An 18 – month old toddler has been hospitalized and placed in isolation. The nurse observes that the
child ignores his mother, who is distressed by this behavior and asks if she should just stay home during
visiting hours. The nurse recognizes this as a normal response to a feeling of
ABANDONMENT
The parents of a 17-month-old report that she is not yet walking. The nurse should respond by saying:
“THE CHILD SHOULD BE EVALUATED BY THE PEDIATRICIAN”.
A 16-year-old is admitted to the hospital due to acute appendicitis, and an appendectomy is performed.
Which of the following nursing interventions is most appropriate to facilitate normal growth and
development?
ALLOW THE CHILD TO PARTICIPATE IN ACTIVITIES WITH OTHER INDIVIDUALS IN THE SAME AGE
GROUP WHEN THE CONDITION PERMITS.
While giving nursing care to a hospitalized adolescent, the nurse should be aware that the MAJOR threat
felt by the hospitalized adolescent
ALTERED BODY IMAGE.
