Peds Final Exam
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1. 27s
The nursing instructor is conducting a class on the development of an infant.
The instructor determines the class is successful when the students correctly
illustrate which as the proximodistal development in an infant?
?
Kick and to wave the arms, then learns to grasp the foot and pull it to the
mouth
Roll over, then learns to follow an object with the eyes
Walk for several steps, then learns to run
Imitate speech-like sounds, then learns to speak a language: Kick and to wave
the arms, then learns to grasp the foot and pull it to the mouth
Explanation:
Proximodistal growth starts in the center of the body and progresses toward the
periphery; learning progresses from the simple to the complex. Kicking and waving
require only gross motor skills originating close to the trunk that move entire limbs,
whereas grasping the foot and guiding it to the mouth each require fine control of
the extremities. The other examples show other normal growth and development,
but not the progression from proximal/gross to distal/fine movements.
2. 34s
The daughter of a divorced couple is hospitalized for injuries received in an
automobile accident. The custodial father is at work when the mother arrives
extremely agitated and demanding to see her daughter immediately. Which
action will be most appropriate for the nurse to take at this time?
?
Tell the mother what room the child is in
Check to see who is allowed to have contact with the child
Ask the child if she would like to see her mother
Ask the mother if she is allowed to see the child: Check to see who is allowed
to have contact with the child
Explanation:
The instructions from the custodial parent or courts should be honored. The nurse
should check to find out if the mother is allowed access to the child. Asking the child
may cause problems with one or both parents and could inflict fear or guilt on the
, Peds Final Exam
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child. In addition, even when a parent has been hurtful to a child, the child will often
desire to have contact with that parent. Asking the mother if she has access to the
child is unlikely to produce a truthful answer if that answer is "no".
Reference:
Hatfield, N. T., Kincheloe, C. A. Introductory Maternity & Pediatric Nursing, 4th
ed., Philadelphia: Wolters Kluwer, 2018, Chapter 22, Principles of Growth and
Development, p. 493-494.
Chapter 22: Principles of Growth and Development - Page 493-494
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Question 3
3. 31s
The parents of a 6-year-old boy express frustration and worry that he doesn't
seem to be developing a sense of responsibility. For example, he recently drew
on the walls of his room and was told he had to clean the walls by dinnertime.
Although he agreed and was shown how to do it and was provided cleaning
materials, he had not even started when the deadline arrived. What aspect of
child development should the nurse prioritize to explain to the parents how
best to handle similar situations?: The boy has not yet developed a sense of time
Explanation:
At 6, this boy is old enough to perform tasks independently and to want to be good
and please his parents. Morally, he is becoming aware of the feelings of others and
likely wants to live up to his parents' expectations. He accepted the punishment and
was willing to perform it. However, his concept of time may not be very well developed
yet, so a deadline is unlikely to be meaningful to him.
Reference:
Hatfield, N. T., Kincheloe, C. A. Introductory Maternity & Pediatric Nursing, 4th
ed. ., Philadelphia: Wolters Kluwer, 2018, Chapter 22, Principles of Growth and
Development, p. 498.
Chapter 22: Principles of Growth and Development - Page 498
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Question 4
4. 26s
The mother of a 3-year-old girl is asking for suggestions for feeding a child
who constantly complains there is not enough food on her plate while still not
eating the foods provided to her. Which suggestion should the nurse prioritize
for this mother??
Use a smaller plate with the same portions of food.
Use a larger plate with the same portions of food.
Scold the child for her poor behavior.
Promise the child more food after she eats what she has.: Use a smaller plate
with the same portions of food.
Explanation:
The same portion of food on a smaller plate will cover more of the surface area of the
plate and will thus look to her like more food. By contrast, putting the same portion
on a larger plate will make the portion look even smaller. Because she cannot yet
see things from another's point of view, your feelings about giving her more will not
be important to her. Because her sense of time is not developed yet, a promise of
more later is likely to be meaningless to her.
Reference:
Hatfield, N. T., Kincheloe, C. A. Introductory Maternity & Pediatric Nursing, 4th
ed., Philadelphia: Wolters Kluwer, 2018, Chapter 22: Principles of Growth and
Development, p. 499.
Chapter 22: Principles of Growth and Development - Page 499
Add a Note
×Close
Add Note
Save
Cancel
500 characters remaining
, Peds Final Exam
Study online at https://quizlet.com/_6lhfyv
Question 5
5. 29s
The nursing instructor is explaining the various aspects of growth and devel-
opment to a group of nursing students. The instructor determines the session
is successful when the students point out which example best illustrates the
concept of development?
?
The 5-month-old whose head circumference and chest measurement are the
same
The 3-year-old who has been toilet trained for 6 months
The 5-year-old who is 2 inches taller than she was 4 months ago
The 10-year-old who weighs the same amount as his 8-year-old brother: The
3-year-old who has been toilet trained for 6 months
Explanation:
Development is the progressive change in the child toward maturity. Toilet training
in the child shows evidence the child is moving toward maturity. The other choices
have to do with physical increase in the body's size and appearance, which relates
to the concept of growth.
Reference:
Hatfield, N. T., Kincheloe, C. A. Introductory Maternity & Pediatric Nursing, 4th
ed., Philadelphia: Wolters Kluwer, 2018, Chapter 22: Principles of Growth and
Development, p. 489.
Chapter 22: Principles of Growth and Development - Page 489
Add a Note
×Close
Add Note
Save
Cancel
500 characters remaining
Question 6
6. 8s
The nursing student is preparing a presentation which will illustrate the
various stages of growth and development starting with a newborn. Which
Study online at https://quizlet.com/_6lhfyv
1. 27s
The nursing instructor is conducting a class on the development of an infant.
The instructor determines the class is successful when the students correctly
illustrate which as the proximodistal development in an infant?
?
Kick and to wave the arms, then learns to grasp the foot and pull it to the
mouth
Roll over, then learns to follow an object with the eyes
Walk for several steps, then learns to run
Imitate speech-like sounds, then learns to speak a language: Kick and to wave
the arms, then learns to grasp the foot and pull it to the mouth
Explanation:
Proximodistal growth starts in the center of the body and progresses toward the
periphery; learning progresses from the simple to the complex. Kicking and waving
require only gross motor skills originating close to the trunk that move entire limbs,
whereas grasping the foot and guiding it to the mouth each require fine control of
the extremities. The other examples show other normal growth and development,
but not the progression from proximal/gross to distal/fine movements.
2. 34s
The daughter of a divorced couple is hospitalized for injuries received in an
automobile accident. The custodial father is at work when the mother arrives
extremely agitated and demanding to see her daughter immediately. Which
action will be most appropriate for the nurse to take at this time?
?
Tell the mother what room the child is in
Check to see who is allowed to have contact with the child
Ask the child if she would like to see her mother
Ask the mother if she is allowed to see the child: Check to see who is allowed
to have contact with the child
Explanation:
The instructions from the custodial parent or courts should be honored. The nurse
should check to find out if the mother is allowed access to the child. Asking the child
may cause problems with one or both parents and could inflict fear or guilt on the
, Peds Final Exam
Study online at https://quizlet.com/_6lhfyv
child. In addition, even when a parent has been hurtful to a child, the child will often
desire to have contact with that parent. Asking the mother if she has access to the
child is unlikely to produce a truthful answer if that answer is "no".
Reference:
Hatfield, N. T., Kincheloe, C. A. Introductory Maternity & Pediatric Nursing, 4th
ed., Philadelphia: Wolters Kluwer, 2018, Chapter 22, Principles of Growth and
Development, p. 493-494.
Chapter 22: Principles of Growth and Development - Page 493-494
Add a Note
×Close
Add Note
Save
Cancel
500 characters remaining
Question 3
3. 31s
The parents of a 6-year-old boy express frustration and worry that he doesn't
seem to be developing a sense of responsibility. For example, he recently drew
on the walls of his room and was told he had to clean the walls by dinnertime.
Although he agreed and was shown how to do it and was provided cleaning
materials, he had not even started when the deadline arrived. What aspect of
child development should the nurse prioritize to explain to the parents how
best to handle similar situations?: The boy has not yet developed a sense of time
Explanation:
At 6, this boy is old enough to perform tasks independently and to want to be good
and please his parents. Morally, he is becoming aware of the feelings of others and
likely wants to live up to his parents' expectations. He accepted the punishment and
was willing to perform it. However, his concept of time may not be very well developed
yet, so a deadline is unlikely to be meaningful to him.
Reference:
Hatfield, N. T., Kincheloe, C. A. Introductory Maternity & Pediatric Nursing, 4th
ed. ., Philadelphia: Wolters Kluwer, 2018, Chapter 22, Principles of Growth and
Development, p. 498.
Chapter 22: Principles of Growth and Development - Page 498
Add a Note
×Close
, Peds Final Exam
Study online at https://quizlet.com/_6lhfyv
Add Note
Save
Cancel
500 characters remaining
Question 4
4. 26s
The mother of a 3-year-old girl is asking for suggestions for feeding a child
who constantly complains there is not enough food on her plate while still not
eating the foods provided to her. Which suggestion should the nurse prioritize
for this mother??
Use a smaller plate with the same portions of food.
Use a larger plate with the same portions of food.
Scold the child for her poor behavior.
Promise the child more food after she eats what she has.: Use a smaller plate
with the same portions of food.
Explanation:
The same portion of food on a smaller plate will cover more of the surface area of the
plate and will thus look to her like more food. By contrast, putting the same portion
on a larger plate will make the portion look even smaller. Because she cannot yet
see things from another's point of view, your feelings about giving her more will not
be important to her. Because her sense of time is not developed yet, a promise of
more later is likely to be meaningless to her.
Reference:
Hatfield, N. T., Kincheloe, C. A. Introductory Maternity & Pediatric Nursing, 4th
ed., Philadelphia: Wolters Kluwer, 2018, Chapter 22: Principles of Growth and
Development, p. 499.
Chapter 22: Principles of Growth and Development - Page 499
Add a Note
×Close
Add Note
Save
Cancel
500 characters remaining
, Peds Final Exam
Study online at https://quizlet.com/_6lhfyv
Question 5
5. 29s
The nursing instructor is explaining the various aspects of growth and devel-
opment to a group of nursing students. The instructor determines the session
is successful when the students point out which example best illustrates the
concept of development?
?
The 5-month-old whose head circumference and chest measurement are the
same
The 3-year-old who has been toilet trained for 6 months
The 5-year-old who is 2 inches taller than she was 4 months ago
The 10-year-old who weighs the same amount as his 8-year-old brother: The
3-year-old who has been toilet trained for 6 months
Explanation:
Development is the progressive change in the child toward maturity. Toilet training
in the child shows evidence the child is moving toward maturity. The other choices
have to do with physical increase in the body's size and appearance, which relates
to the concept of growth.
Reference:
Hatfield, N. T., Kincheloe, C. A. Introductory Maternity & Pediatric Nursing, 4th
ed., Philadelphia: Wolters Kluwer, 2018, Chapter 22: Principles of Growth and
Development, p. 489.
Chapter 22: Principles of Growth and Development - Page 489
Add a Note
×Close
Add Note
Save
Cancel
500 characters remaining
Question 6
6. 8s
The nursing student is preparing a presentation which will illustrate the
various stages of growth and development starting with a newborn. Which