Test Bank For Maternal-Child Nursing 6th Edition By Emily Slone McKinney 25
4. A preschool-age child is being admitted for some diagnostic tests
and possible surgery. The nurse planning care should use which
phrases when explaining procedures to the child? (Select all that
apply.)
a. Fluids will be given through tubing connected to a tiny tube
inserted into your arm.
b. After surgery we will be doing dressing changes.
c. You will get a shot before surgery.
d. The doctor will give you medicine that will help you go into a deep sleep.
e. We will take you to surgery on a bed on wheels.
ANS: A, D, E
A preschool child needs simple concrete explanations that cannot be misinterpreted. An IV
should be explained as fluids going into a tube connected to a small tube in your hand;
anesthesia can be explained as a medicine that will help you go into a deep sleep (put to sleep
should be avoided); and a stretcher can be described as riding on a bed with wheels. The term
―dressing changesǁ is ambiguous and will not be understood by a preschooler. The term ―get a
shotǁ should not be used. A preschooler or young child is likely to misinterpret this
information.
PTS:1 DIF: Cognitive Level: Understanding
OBJ:Integrated Process: Communication and Documentation
MSC:Client Needs: Psychosocial Integrity
Chapter 05: Health Promotion for the Developing Child
McKinney: Evolve Resources for Maternal-Child Nursing, 6th Edition
MULTIPLE CHOICE
1. Which statement best describes development in infants and children?
a. Development, a predictable and orderly process, occurs at varying rates within
normal limits.
b. Development is primarily related to the growth in the number and size of cells.
c. Development occurs in a proximodistal direction with fine muscle development
occurring first.
d. Development is more easily and accurately measured than growth.
ANS: A
Development, a continuous and orderly process, provides the basis for increases in the child‘s
function and complexity of behavior. The increases in rate of function and complexity can
vary normally within limits for each child. An increase in the number and size of cells is a
definition for growth. Development proceeds in a proximodistal direction with fine muscle
organization occurring as a result of large muscle organization. Development is a more
complex process that is affected by many factors; therefore, it is less easily and accurately
measured. Growth is a predictable process with standard measurement methods.
PTS:1 DIF: Cognitive Level: Remembering
OBJ:Nursing Process: Assessment MSC:Client Needs: Health Promotion and Maintenance
2. Frequent developmental assessments are important for which reason?
a. Stable developmental periods during infancy provide an opportunity to identify
any delays or deficits.
b. Infants need stimulation specific to the stage of development.
:
, Test Bank For Maternal-Child Nursing 6th Edition By Emily Slone McKinney 26
c. Critical periods of development occur during childhood.
d. Child development is unpredictable and needs monitoring.
ANS: C
Critical periods are blocks of time during which children are ready to master specific
developmental tasks. The earlier those delays in development are discovered and intervention
initiated, the less dramatic their effect will be. Infancy is a dynamic time of development that
requires frequent evaluations to assess appropriate developmental progress. Infants in a
nurturing environment will develop appropriately and will not necessarily need stimulation
specific to their developmental stage. Normal growth and development is orderly and
proceeds in a predictable pattern based on each individual‘s abilities and potentials.
PTS:1 DIF: Cognitive Level: Understanding
OBJ:Nursing Process: Assessment MSC:Client Needs: Health Promotion and Maintenance
3. The nurse is assessing an infant‘s growth and development. The parents want education on
how to stimulate this process. What action suggested by the nurse is inconsistent with
knowledge of this topic?
a. Have the family draw a three-generation family pedigree.
b. Show the family how to coo and babble with their child.
c. Encourage the parents to buy interactive toys for the child.
d. Involve the child in activities that are outside the home.
ANS: A
A family pedigree can help show relationships and health care problems but will not stimulate
growth and development. Activities that are stimulating for a child include the consistent use
of language by the parents, allowing play time with interactive toys (toys that make noises or
do something in response to the baby‘s actions), and exposing the child to new sights and
sounds.
PTS:1 DIF: Cognitive Level: Applying
OBJ:Integrated Process: Teaching-Learning
MSC:Client Needs: Health Promotion and Maintenance
4. According to Piaget‘s theory, the period of cognitive development in which the child is able to
distinguish between concepts related to fact and fantasy, such as human beings are incapable
of flying like birds, is the period of cognitive development.
a. sensorimotor
b. formal operations
c. concrete operations
d. preoperational
ANS: C
:
4. A preschool-age child is being admitted for some diagnostic tests
and possible surgery. The nurse planning care should use which
phrases when explaining procedures to the child? (Select all that
apply.)
a. Fluids will be given through tubing connected to a tiny tube
inserted into your arm.
b. After surgery we will be doing dressing changes.
c. You will get a shot before surgery.
d. The doctor will give you medicine that will help you go into a deep sleep.
e. We will take you to surgery on a bed on wheels.
ANS: A, D, E
A preschool child needs simple concrete explanations that cannot be misinterpreted. An IV
should be explained as fluids going into a tube connected to a small tube in your hand;
anesthesia can be explained as a medicine that will help you go into a deep sleep (put to sleep
should be avoided); and a stretcher can be described as riding on a bed with wheels. The term
―dressing changesǁ is ambiguous and will not be understood by a preschooler. The term ―get a
shotǁ should not be used. A preschooler or young child is likely to misinterpret this
information.
PTS:1 DIF: Cognitive Level: Understanding
OBJ:Integrated Process: Communication and Documentation
MSC:Client Needs: Psychosocial Integrity
Chapter 05: Health Promotion for the Developing Child
McKinney: Evolve Resources for Maternal-Child Nursing, 6th Edition
MULTIPLE CHOICE
1. Which statement best describes development in infants and children?
a. Development, a predictable and orderly process, occurs at varying rates within
normal limits.
b. Development is primarily related to the growth in the number and size of cells.
c. Development occurs in a proximodistal direction with fine muscle development
occurring first.
d. Development is more easily and accurately measured than growth.
ANS: A
Development, a continuous and orderly process, provides the basis for increases in the child‘s
function and complexity of behavior. The increases in rate of function and complexity can
vary normally within limits for each child. An increase in the number and size of cells is a
definition for growth. Development proceeds in a proximodistal direction with fine muscle
organization occurring as a result of large muscle organization. Development is a more
complex process that is affected by many factors; therefore, it is less easily and accurately
measured. Growth is a predictable process with standard measurement methods.
PTS:1 DIF: Cognitive Level: Remembering
OBJ:Nursing Process: Assessment MSC:Client Needs: Health Promotion and Maintenance
2. Frequent developmental assessments are important for which reason?
a. Stable developmental periods during infancy provide an opportunity to identify
any delays or deficits.
b. Infants need stimulation specific to the stage of development.
:
, Test Bank For Maternal-Child Nursing 6th Edition By Emily Slone McKinney 26
c. Critical periods of development occur during childhood.
d. Child development is unpredictable and needs monitoring.
ANS: C
Critical periods are blocks of time during which children are ready to master specific
developmental tasks. The earlier those delays in development are discovered and intervention
initiated, the less dramatic their effect will be. Infancy is a dynamic time of development that
requires frequent evaluations to assess appropriate developmental progress. Infants in a
nurturing environment will develop appropriately and will not necessarily need stimulation
specific to their developmental stage. Normal growth and development is orderly and
proceeds in a predictable pattern based on each individual‘s abilities and potentials.
PTS:1 DIF: Cognitive Level: Understanding
OBJ:Nursing Process: Assessment MSC:Client Needs: Health Promotion and Maintenance
3. The nurse is assessing an infant‘s growth and development. The parents want education on
how to stimulate this process. What action suggested by the nurse is inconsistent with
knowledge of this topic?
a. Have the family draw a three-generation family pedigree.
b. Show the family how to coo and babble with their child.
c. Encourage the parents to buy interactive toys for the child.
d. Involve the child in activities that are outside the home.
ANS: A
A family pedigree can help show relationships and health care problems but will not stimulate
growth and development. Activities that are stimulating for a child include the consistent use
of language by the parents, allowing play time with interactive toys (toys that make noises or
do something in response to the baby‘s actions), and exposing the child to new sights and
sounds.
PTS:1 DIF: Cognitive Level: Applying
OBJ:Integrated Process: Teaching-Learning
MSC:Client Needs: Health Promotion and Maintenance
4. According to Piaget‘s theory, the period of cognitive development in which the child is able to
distinguish between concepts related to fact and fantasy, such as human beings are incapable
of flying like birds, is the period of cognitive development.
a. sensorimotor
b. formal operations
c. concrete operations
d. preoperational
ANS: C
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