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The nurse administers a second dose of inactivated polio vaccine (IPV) to a 4-
month-old child. When does the child receive the third dose of IPV?
1
8 to 9 months of age
2
4 to 6 years of age
3
12 to 14 years of age
4
14 to 18 months of age - answers-4
The inactivated polio vaccine (IPV) vaccine is given to children in four doses at 2
months, 4 months, 14 to 18 months, and 4 to 6 years of age, respectively. The child
has received a second dose at 4 months of age, so he or she should receive the
third dose at 14 to 18 months of age
While assessing the development of a child, the nurse finds that the child is
imitating the actions of her elders. Which stage, according to Erickson's
developmental theory, does the nurse expect the child is in?
,1
Initiative versus guilt
2
Industry versus inferiority
3
Identity versus role confusion
4
Autonomy versus shame and doubt - answers-4
According to Erickson's developmental theory, a child who is 1 to 3 years old is in
the autonomy versus shame and doubt stage. The child will have control over his
or her body and environment. Therefore, the child starts imitating elders in an
attempt to learn and do things for him- or herself. A 3- to 6-year-old child is in
the initiative versus guilt stage according to Erickson's theory of development.
The child who is in the initiative versus guilt stage will try to explore things with all
of the senses. A 6- to 12-year-old child is in the industry versus inferiority stage
according to Erickson's theory of development. Industry versus inferiority is a
higher stage of development where the child will perform tasks to attain real
achievements, not mere imitation. A child who is 12 to 18 years old is in the identity
versus role confusion stage of Erickson's developmental theory. In this stage, the
child becomes preoccupied with personal appearance.
The nurse is assessing the development of a male child and finds that the child is
tall, with deficient secondary sex characteristics and hypogenitalism. Which
chromosomal notation is associated with the child's condition?
,1
45,XO
2
47,XXX
3
47,XYY
4
48,XXXY - answers-4
The male child is tall, with deficient secondary sex characteristics and
hypogenitalism, indicating Kleinfelter syndrome. The chromosomal abnormality
present in the child is denoted as 48,XXXY. The chromosomal complement 45,XO is
seen in children with Turner syndrome. A child with Turner syndrome will have
short stature and a webbed neck. The 47,XXX chromosomal complement indicates
that the child has triple X, or superfemale, chromosomal abnormality. This
condition is associated with impaired language and mental capacity. A child with
the chromosomal complement 47,XYY has Jacobs XYY chromosomal abnormality,
which is associated with normal sexual development and aggressive sexual
tendencies.
What are the different stages of cognitive development in an infant as described
by Piaget? Select all that apply.
1
Narcissism
, 2
Separation
3
Attachment
4
Using symbols
5
Object permanenc - answers-245
The first stage of cognitive development is separation, in which infants learn that
they are separate from the objects in their environment. Using symbols or mental
representation to think of an object without actually experiencing it is the last
stage of intellectual development and occurs at 12 months of age. In the object
permanence stage the infant understands that the objects exist even after they
are outside the visual field. Narcissism refers to total control for oneself, which is
seen in infants at the first stage of psychosocial development. Attachment is a
development of the social aspects in a child, and is not a stage of cognitive
development.
When assessing a child's reflexes, the nurse places the child in the prone position
and presses a thumb along the child's spine from sacrum to neck. The nurse finds
that the child starts crying and urinates while flexing the extremities. Which reflex
is the nurse assessing in the child?
1