Growth and Development: NCLEX
Questions & Answers
ANS: A
The posterior fontanelle closes between 2 and 3 months of age. - ANSWERSThe nurse
is aware that the age at which the posterior fontanelle closes is _____ months.
a. 2 to 3
b. 3 to 6
c. 6 to 9
d. 9 to 12
A) Adolescence - ANSWERSWhich stage of development is most unstable and
challenging regarding development of personal identity?
A) Adolescence
B) Toddler hood
C) Childhood
D) Infancy
A) Allow the newborn infant to signal a need. Trust vs Mistrust stage-This will allow the
infant opportunity to gain trust. - ANSWERSA maternity nurse is providing instruction to
a new mother regarding the psychosocial development of the newborn infant. Using
Erikson's psychosocial development theory, the nurse would instruct the mother to
A) Allow the newborn infant to signal a need
B) Anticipate all of the needs of the newborn infant
C) Avoid the newborn infant during the first 10 minutes of crying
D) Attend to the newborn infant immediately when crying
C) Set limits on the child's behavior-According to Erikson, the child focuses on
independence between ages 1 and 3 years. Gaining independence often means that
the child has to rebel against the parents' wishes. Saying things like "no" or "mine" and
having temper tantrums are common during this period of development. Being
consistent and setting limits on the child's behavior are the necessary elements. -
ANSWERSA mother of a 3-year-old tells a clinic nurse that the child is rebelling
constantly and having temper tantrums. The nurse most appropriately tells the mother
to:
,A) Punish the child every time the child says "no", to change the behavior
B) Allow the behavior because this is normal at this age period
C) Set limits on the child's behavior
D) Ignore the child when this behavior occurs
B. By age 2 years, the child can use a cup and can use a spoon correctly but with some
spilling. By ages 3 to 4, the child begins to use a fork. By the end of the preschool
period, the child should be able to pour milk into a cup and begin to use a knife for
cutting. - ANSWERSA nurse is evaluating the developmental level of a 2-year-old.
Which of the following does the nurse expect to observe in this child?
A) Uses a fork to eat
B) Uses a cup to drink
C) Uses a knife for cutting food
D) Pours own milk into a cup
B. Using monosyllabic babbling occurs between 3 and 6 months of age. Using simple
words such as "mama" occurs between 9 and 12 months. Linking syllables together
when communicating occurs between 6 and 9 months. Cooing begins at birth and
continues until 2 months. - ANSWERSA clinic nurse assesses the communication
patterns of a 5-month-old infant. The nurse determines that the infant is demonstrating
the highest level of developmental achievement expected if the infant:
A) Uses simple words such as "mama"
B) Uses monosyllabic babbling
C) Links syllables together
D) Coos when comforted
C. In the preschooler, play is simple and imaginative and includes activities such as
crayons and coloring books, puppets, felt and magnetic boards, and Play-Doh. Large
picture books are most appropriate for the infant. A radio and a sports video are most
appropriate for the adolescent. - ANSWERSA nurse is preparing to care for a 5-year-old
who has been placed in traction following a fracture of the femur. The nurse plans care,
knowing that which of the following is the most appropriate activity for this child?
A) Large picture books
B) A radio
C) Crayons and coloring book
D) A sports video
D. Adolescents often are not sure whether they want their parents with them when they
are hospitalized. Because of the importance of the peer group, separation from friends
is a source of anxiety. Ideally, the members of the peer group will support their ill friend.
Options a, b, and c isolate the child from the peer group. - ANSWERSA 16-year-old is
admitted to the hospital for acute appendicitis, and an appendectomy is performed.
, Which of the following nursing interventions is most appropriate to facilitate normal
growth and development?
A) Allow the family to bring in the child's favorite computer games
B) Encourage the parents to room-in with the child
C) Encourage the child to rest and read
D) Allow the child to participate in activities with other individuals in the same age group
when the condition permits
A. The transition point for switching to the forward facing position is defined by the
manufacturer of the convertible car safety seat but is generally at a body weight of 9 kg
or 20 lb and 1 year of age. Convertible car safety seats are used until the child weighs
at least 40 lb. Options b, c, and d are incorrect - ANSWERSThe mother of a toddler
asks a nurse when it is safe to place the car safety seat in a face-forward position. The
best nursing response is which of the following?
A) When the toddler weighs 20 lbs
B) The seat should not be placed in a face-forward position unless there are safety
locks in the car
C) The seat should never be place in a face-forward position because the risk of the
child unbuckling the harness
D) When the weight of the toddler is greater than 40 lbs
ANS: D
One technique the nurse can offer parents of a fussy infant is to rock the infant gently
and slowly while being careful to avoid sudden movements. - ANSWERSA mother calls
the pediatrician's office because her infant is "colicky." The helpful measure the nurse
would suggest to the parent is to:
a. sing songs to the infant in a soft voice.
b. place the infant in a well-lit room.
c. walk around and massage the infant's back.
d. rock the fussy infant slowly and gently.
B) Initiative vs Guilt. The stage of initiative versus guilt occurs from ages 3 to 6 years,
during which children develop direction and purpose. Teaching impulse control and
cooperative behaviors during this stage help the child to avoid risks of altered growth
and development. In the autonomy versus sense of shame and doubt stage, toddlers
learn to achieve self-control and willpower. Trust versus mistrust is the first stage,
during which children develop faith and optimism. During the industry versus inferiority
stage, children develop a sense of competency. - ANSWERSThe nurse teaches parents
how to help their children learn impulse control and cooperative behaviors. This would
occur during which of the stages of development defined by Erikson?
A.Trust versus mistrust
B.Initiative versus guilt
C.Industry versus inferiority
Questions & Answers
ANS: A
The posterior fontanelle closes between 2 and 3 months of age. - ANSWERSThe nurse
is aware that the age at which the posterior fontanelle closes is _____ months.
a. 2 to 3
b. 3 to 6
c. 6 to 9
d. 9 to 12
A) Adolescence - ANSWERSWhich stage of development is most unstable and
challenging regarding development of personal identity?
A) Adolescence
B) Toddler hood
C) Childhood
D) Infancy
A) Allow the newborn infant to signal a need. Trust vs Mistrust stage-This will allow the
infant opportunity to gain trust. - ANSWERSA maternity nurse is providing instruction to
a new mother regarding the psychosocial development of the newborn infant. Using
Erikson's psychosocial development theory, the nurse would instruct the mother to
A) Allow the newborn infant to signal a need
B) Anticipate all of the needs of the newborn infant
C) Avoid the newborn infant during the first 10 minutes of crying
D) Attend to the newborn infant immediately when crying
C) Set limits on the child's behavior-According to Erikson, the child focuses on
independence between ages 1 and 3 years. Gaining independence often means that
the child has to rebel against the parents' wishes. Saying things like "no" or "mine" and
having temper tantrums are common during this period of development. Being
consistent and setting limits on the child's behavior are the necessary elements. -
ANSWERSA mother of a 3-year-old tells a clinic nurse that the child is rebelling
constantly and having temper tantrums. The nurse most appropriately tells the mother
to:
,A) Punish the child every time the child says "no", to change the behavior
B) Allow the behavior because this is normal at this age period
C) Set limits on the child's behavior
D) Ignore the child when this behavior occurs
B. By age 2 years, the child can use a cup and can use a spoon correctly but with some
spilling. By ages 3 to 4, the child begins to use a fork. By the end of the preschool
period, the child should be able to pour milk into a cup and begin to use a knife for
cutting. - ANSWERSA nurse is evaluating the developmental level of a 2-year-old.
Which of the following does the nurse expect to observe in this child?
A) Uses a fork to eat
B) Uses a cup to drink
C) Uses a knife for cutting food
D) Pours own milk into a cup
B. Using monosyllabic babbling occurs between 3 and 6 months of age. Using simple
words such as "mama" occurs between 9 and 12 months. Linking syllables together
when communicating occurs between 6 and 9 months. Cooing begins at birth and
continues until 2 months. - ANSWERSA clinic nurse assesses the communication
patterns of a 5-month-old infant. The nurse determines that the infant is demonstrating
the highest level of developmental achievement expected if the infant:
A) Uses simple words such as "mama"
B) Uses monosyllabic babbling
C) Links syllables together
D) Coos when comforted
C. In the preschooler, play is simple and imaginative and includes activities such as
crayons and coloring books, puppets, felt and magnetic boards, and Play-Doh. Large
picture books are most appropriate for the infant. A radio and a sports video are most
appropriate for the adolescent. - ANSWERSA nurse is preparing to care for a 5-year-old
who has been placed in traction following a fracture of the femur. The nurse plans care,
knowing that which of the following is the most appropriate activity for this child?
A) Large picture books
B) A radio
C) Crayons and coloring book
D) A sports video
D. Adolescents often are not sure whether they want their parents with them when they
are hospitalized. Because of the importance of the peer group, separation from friends
is a source of anxiety. Ideally, the members of the peer group will support their ill friend.
Options a, b, and c isolate the child from the peer group. - ANSWERSA 16-year-old is
admitted to the hospital for acute appendicitis, and an appendectomy is performed.
, Which of the following nursing interventions is most appropriate to facilitate normal
growth and development?
A) Allow the family to bring in the child's favorite computer games
B) Encourage the parents to room-in with the child
C) Encourage the child to rest and read
D) Allow the child to participate in activities with other individuals in the same age group
when the condition permits
A. The transition point for switching to the forward facing position is defined by the
manufacturer of the convertible car safety seat but is generally at a body weight of 9 kg
or 20 lb and 1 year of age. Convertible car safety seats are used until the child weighs
at least 40 lb. Options b, c, and d are incorrect - ANSWERSThe mother of a toddler
asks a nurse when it is safe to place the car safety seat in a face-forward position. The
best nursing response is which of the following?
A) When the toddler weighs 20 lbs
B) The seat should not be placed in a face-forward position unless there are safety
locks in the car
C) The seat should never be place in a face-forward position because the risk of the
child unbuckling the harness
D) When the weight of the toddler is greater than 40 lbs
ANS: D
One technique the nurse can offer parents of a fussy infant is to rock the infant gently
and slowly while being careful to avoid sudden movements. - ANSWERSA mother calls
the pediatrician's office because her infant is "colicky." The helpful measure the nurse
would suggest to the parent is to:
a. sing songs to the infant in a soft voice.
b. place the infant in a well-lit room.
c. walk around and massage the infant's back.
d. rock the fussy infant slowly and gently.
B) Initiative vs Guilt. The stage of initiative versus guilt occurs from ages 3 to 6 years,
during which children develop direction and purpose. Teaching impulse control and
cooperative behaviors during this stage help the child to avoid risks of altered growth
and development. In the autonomy versus sense of shame and doubt stage, toddlers
learn to achieve self-control and willpower. Trust versus mistrust is the first stage,
during which children develop faith and optimism. During the industry versus inferiority
stage, children develop a sense of competency. - ANSWERSThe nurse teaches parents
how to help their children learn impulse control and cooperative behaviors. This would
occur during which of the stages of development defined by Erikson?
A.Trust versus mistrust
B.Initiative versus guilt
C.Industry versus inferiority
