Chapter 15: An Overview of Growth,
Development, and Nutrition
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. When a small group of preschool-age children were playing house, each child was pretending to
be a particular family member. What type of play does the nurse recognize these children are
participating in?
a. Parallel
b. Cooperative
c. Symbolic
d. Fantasy
ANS: B
In cooperative play, children play with each other, each taking a specific role.
DIF: Cognitive Level: Analysis REF: p. 391| Table 15.8
OBJ: 11 TOP: Play KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. When the nurse asks a 10-year-old Native American if he is ready to go to therapy, he does not
answer immediately. How does the nurse interpret this response?
a. Indecision
b. Considering the answer in silence
c. Shyness with strangers
d. Fear of medical personnel
ANS: B
Native Americans value silence. They need to sit and consider matters before replying to
questions.
DIF: Cognitive Level: Analysis REF: p. 370 | Table 15.2 OBJ: 7
, TOP: Ethnic Considerations—American Indian
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
3. A mother tells the nurse, “My 11-month-old son is not as active as my other children were at this
age. He is the youngest of four and the older children love to dote on him.” Which factor is
influencing this child‘s language development?
a. Heredity
b. Sex
c. Mother‘s health during pregnancy
d. Ordinal position
ANS: D
Motor development of the youngest child may be prolonged if the child is babied by others in
the family.
DIF: Cognitive Level: Analysis REF: p. 369 OBJ: 5
TOP: Factors Influencing Development KEY: Nursing Process Step: Data
Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. A mother tells her 4-year-old child that balls should be played with outside and not inside the
house. Why is the child likely to obey the rule?
a. The child does not want to be punished.
b. The child wants to please her mother.
c. The child respects authority figures.
d. The child believes that following the rules is right.
ANS: A
According to Kohlberg, children in the preconventional stage (4 to 7 years) are obedient to
their parents for fear of punishment.
DIF: Cognitive Level: Comprehension REF: p. 374 | Table 15.3
OBJ: 8 TOP: Moral Development
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
Development, and Nutrition
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. When a small group of preschool-age children were playing house, each child was pretending to
be a particular family member. What type of play does the nurse recognize these children are
participating in?
a. Parallel
b. Cooperative
c. Symbolic
d. Fantasy
ANS: B
In cooperative play, children play with each other, each taking a specific role.
DIF: Cognitive Level: Analysis REF: p. 391| Table 15.8
OBJ: 11 TOP: Play KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. When the nurse asks a 10-year-old Native American if he is ready to go to therapy, he does not
answer immediately. How does the nurse interpret this response?
a. Indecision
b. Considering the answer in silence
c. Shyness with strangers
d. Fear of medical personnel
ANS: B
Native Americans value silence. They need to sit and consider matters before replying to
questions.
DIF: Cognitive Level: Analysis REF: p. 370 | Table 15.2 OBJ: 7
, TOP: Ethnic Considerations—American Indian
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
3. A mother tells the nurse, “My 11-month-old son is not as active as my other children were at this
age. He is the youngest of four and the older children love to dote on him.” Which factor is
influencing this child‘s language development?
a. Heredity
b. Sex
c. Mother‘s health during pregnancy
d. Ordinal position
ANS: D
Motor development of the youngest child may be prolonged if the child is babied by others in
the family.
DIF: Cognitive Level: Analysis REF: p. 369 OBJ: 5
TOP: Factors Influencing Development KEY: Nursing Process Step: Data
Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. A mother tells her 4-year-old child that balls should be played with outside and not inside the
house. Why is the child likely to obey the rule?
a. The child does not want to be punished.
b. The child wants to please her mother.
c. The child respects authority figures.
d. The child believes that following the rules is right.
ANS: A
According to Kohlberg, children in the preconventional stage (4 to 7 years) are obedient to
their parents for fear of punishment.
DIF: Cognitive Level: Comprehension REF: p. 374 | Table 15.3
OBJ: 8 TOP: Moral Development
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
