A DOLESCENCE
Potter: Fundamentals of Nursing , 11th Edition
MULTIPLE CHOICE
1. A nurse is caring for a preschooler. Which fear should the nurse most plan
to minimize?
a. Fear of bodil y harm
b. Fear of weight gain
c. Fear of separation
d. Fear of strangers
ANS: A
The greatest fear of preschoolers appears to be that of bodil y harm;
this is evident in children’s fear of the dark, animals, thunderstorms,
and medical personnel. Toddlers who become ill and require
hospitalization are most stressed by the separation from their p arents.
Persons with anorexia nervosa have an intense fear of gaining weight.
By 8 months, most infants are able to differentiate a stranger from a
familiar person and respond differentl y to the two.
DIF: Understand (comprehension) OBJ: Describe cognitive
and psychosocial development from birth to adolescence. TOP:
Planning MSC: Health Promotion and Maintenance
,2. A nurse is teaching a class about the effects of nutrition on fetal growth
and development. A pregnant patient asks the nurse how much weight
should normall y be gained over the pregnancy. Which information should
the nurse share with the patient?
a. About 10 to 20 lb
b. About 15 to 25 lb
c. About 20 to 30 lb
d. About 25 to 35 lb
ANS: D
The diet of a woman both before and during pregnancy has a
significant effect on fetal development. For women who are at normal
weight for height, the recommended weight gain is 25 to 35 lb over
three trimesters. Weight gains of 10 to 20, 15 to 25, and 20 to 30 lb are
too low.
DIF: Understand (comprehension) OBJ: List ways to promote
health during pregnancy. TOP: Teaching/ Learning
MSC: Health Promotion and Maintenance
3. The nurse is caring for an infant. Which activit y is most appropriate for
the nurse to offer to the infant?
a. Set of cards to organize and separate into groups
b. Set of sock puppets with movable eyes
c. Set of plastic stacking rings
d. Set of paperback book
ANS: C
, Adults and nurses facilitate infant learning by planning activities that
promote the development of milestones and providing toys that are safe
for the infant to explore with the mouth and manipulate with the hands
such as rattles, wooden blocks, plastic stacking rings, squeezable
stuffed animals, and busy boxes. Preschoolers demonstrate their abilit y
to think more complexl y by classifying objects according to size or
color, making the cards more appropriate for them. Neither group is
ready for paperback books. The sock puppet with movable eyes could
create a choking hazard if one of the eyes comes off.
DIF: Appl y (application) OBJ: Explain the role of play i n
the development of a child. TOP: Implementation MSC:
Health Promotion and Maintenance
4. A mother expresses concern because her 5 -year-old child frequentl y talks
about friends who don’t exist. What is the nurse’s best response to this
mother’s concern?
a. “Have you considered a child psychological evaluation? ”
b. “You should stop your child from playing electronic games. ”
c. “Pretend play is a sign your child watches too much television. ”
d. “It’s very normal for a child this age to have imaginary playm ates. ”
ANS: D
At age 5, some children have imaginary playmates. Imaginary
playmates are a sign of health and allow the child to distinguish
between realit y and fantasy. The child does not need a psychological
evaluation because this is normal behavior. Television, video s,
electronic games, and computer programs help support development
and the learning of basic skills.