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2.1
Which is an example of cephalocaudal development?
A. A child crawls before he walks; walks before he runs; runs before he jumps
B. A child lifts his head before lifting his shoulders; sits with support before sitting
without support
C. A child rakes before developing pincer grasps; develops pincer grasps before
feeding himself with a spoon
D. A child first develops reflexive behaviors; then develops imitative behaviors -
CORRECT ANSWER ✔✔ - B. A child lifts his head before lifting his shoulders; sits
with support before sitting without support
Cephalocaudal development states that a child develops from head to toe
2.2
When assessing a school ages child's development, the nurse understands that a
primary developmental task of his group is:
A. Developing friends
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,B. Learning to read
C. Learning to trust others
D. Developing independence - CORRECT ANSWER ✔✔ - A. Developing friends
Erikson's stage of a school age child is industry vs. inferiority; the primary job of a
school age child is to develop competence through achievement in school and
development of friendships; important nursing assessment of children in this
stage is adjustment and success in school setting as well as the formation of
friendships
2.3
Which nursing action would be most important in the psychosocial support of a 2
year old who is having an invasive procedure performed?
A. Assuring her that it is not her fault
B. Providing for parental presence
C. Providing adequate pain control
D. Performing the procedure quickly - CORRECT ANSWER ✔✔ - B. Providing for
parental presence
2 year olds are in Erikson's stage of autonomy vs. shame and doubt and Piaget's
sensorimotor stage; toddlerhood is a time of heightened separation anxiety with
fear of strangers; the most appropriate psychosocial support is to promote
presence of the primary caregiver
2.4
Which of the following would be most helpful when assessing a child's bone age?
Pg. 2
,A. Birth date
B. Body mass index
C. Blood test
D. X-rays - CORRECT ANSWER ✔✔ - D. X-rays
Bone age is preformed by taking an x-ray of the child's hands and wrists for
comparison against an atlas of standard x-rays categorized by age; the test
predicts the remaining height growth based on bone age; typically a child's bone
age should match their chronological age
Delayed bone age: increased height growth prediction
advanced bone age: decreased height growth prediction
2.5
Which of the following assessments would be most concerning in a 3 month old?
A. Closed posterior fontanel
B. In ability to roll over
C. Failure to track object through visual fields
D. Failure to laugh - CORRECT ANSWER ✔✔ - C. Failure to track object through
visual fields
Infants develop the ability to track objects by 3 months
The posterior fontanel closes by 2-3 months
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, Infants do not roll over till 4 months
Laughing typically occurs at 4 months
2.6
Which of the following developmental milestones of the 5 month old best reflects
the principle of proximodistal growth and development?
A. Babbling
B. Raking objects
C. Rolling over
D. Eating solid foods - CORRECT ANSWER ✔✔ - B. Raking objects
Proximodistal growth and development states children develop from the trunk to
the tips of the extremities; raking objects develops at 4 months, pincer grasps
develops at 9 months
2.7
You are the nurse at a community health clinic; the mother of a 2 year old male
expresses concern to you that her previously healthy child is nonverbal; which of
the following responses is most appropriate?
A "Try not to worry, language milestones vary, boys have tendency to lag behind
girls"
B. "Given your son's age, we should probably test his hearing to be sure that is the
source of his delayed language skills"
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