MCH Exam 3 Study Guide Updated 2024 -2025
Complete 130 Questions with 100% Correct
Detailed Answers (Verified Answers) Graded A+
Nutrition is: - Correct Answer - the single most important factor in the
growth and development of children.
Are food fads that different children encounter harmful? - Correct Answer - -
No, and are usually self- limiting.
-Adolescents have many different needs for greater caloric intake and more
concentrated iron, folic acid, and protein.
Nutritional needs for baby's/infants - Correct Answer - -breast milk or
formula for 1 full year.
-Solids; at around 6 mo. when Surge of growth
Hospitalization causes many issues - Stress is the Big one. This can be
positive and negative, please explain. - Correct Answer - Positive - Child
begins to expand their world when parents are absent. Healthcare
providers can see the child adapt. If parents are gone too
long........abandonment can set in.
**Stress helps them learn how to cope.
-Negative - Long term stress (not good), however display itself in physical
manifestation.
Ways to interact friendly interchange with parents/address child: - Correct
Answer - *No medical jargon
pg. 1
,-Get to their eye level, engage child and address child
-Talk slowly & clearly (concrete words) assess child's cognitive ability
-Utilize play, transitional objects, drawings, colors, pictures
-Use a child life specialist to assist with communication & interactions
-Allow child to make noise and be upset, give child something to do.
[Make nice with parents]
What is the child most afraid of - 3 things? - Correct Answer - 3 big
stressors:
-losing control or independence
-their punishment/pain
-change in body images.
**[separation from parent and family, fear of unfamiliar, fear of pain and loss
of control]
How can we minimize the stress of hospitalization? - Correct Answer -
**Alleviate stress and fears: ask parents stay participate, explain
procedure, and provide distractions
**Ways to min. stress - rooming in w/ patient [parent should be primary
source for coping & comfort], bring an object from home, draw pic to hang
in room, offer choices of watching movie or picking a game, therapeutic
play, child life specialist, guided imagery, role modeling (decrease fear and
anxiety and coping skills), move to procedure room [not in their own room]
Separation anxiety - Correct Answer - -Refers to severe distress that
occurs when a child is separated from his or her primary caretaker-Begins
6 months of age and peaks in intensity at 14-18 months and then gradually
declines;start to accept fact that parents will come back.
pg. 2
,How do we communicate with children? - Correct Answer - Children in
general - Get to their level physically. Simple words. Eye contact. Play to
demonstrate. Approachable.
Communication: Hearing deficit - Correct Answer - sign language, pictures,
computerized electronics, eye contact, touch, turn light on. Gain their
attention before speaking, face child when speaking, speak slowly and
loudly.
Communication:Visual deficit - Correct Answer - announce yourself, let
them know that you are there. Keep routine in the room the same. Make
sure they have their glasses on. Bright lights.
Communication: Cognitive issues - Correct Answer - Be gentle and kind,
very short directives. Praise. Hold boundaries.
Adapting to deficits - Correct Answer - **Child will learn to adapt to deficits
quickly, better to recognize problem early on before they adapt, then harder
to find the problems. May adapt to disabilities so that you may not notice
them
Basic fears of children are: - Correct Answer - separation, abandonment
and fear of pain/unknown. [Infants from 6 mos. through toddler hood - fear
of separation.]
Separation comfort care - Correct Answer - -with favorite items or activity,
distraction, parents room in or go with child to procedures.
-Child will protest separation due to anxiety, [prep with tours and
explanation, use transitional objects] reinforce when they will see parent
again.
pg. 3
, -Despair follows due to grief of separation, detachment due to ongoing
anger/coping skills.
Alleviate stress and fears: - Correct Answer - -explain procedure
-distraction
-ask parent to stay and participate in care
-explain what's going on
HOW they play in each of these stages?
Note: primary school they tend to play in single sex groups.....and in high
school they group by interest groups. - Correct Answer - *5 types of play
• Solitary (0-2 Years) - infant/ toddlers. Adolescent. Child should be
socialized. Can be at any stage, but do not want this type of play only
• Parallel (2.5-3 Years) - toddlers. Two toddlers doing the same task, hasn't
learned to play with each other. Egocentric. (two children playing together
but oblivious to the fact, don't understand the concept of someone outside
of themselves)
• Associative (3-4 Years) - preschool, early child. Get together to something
accomplished, but no rules.
• Organized/cooperative (4-6 Years) - school aged/adolescents. Organized
sports, rules. Concept of rules upholding. Need moderators. Sports
w/Rules
• Onlooker/Spectator (2-2.5 Years) - toddlers, young preschool. RED flag if
it continues with this type of play; autism, cognitive development problems
(can see in toddler or preschooler, but should want to participate)
What is the benefit of play? - Correct Answer - - learn to socialize
-learning society rules
pg. 4
Complete 130 Questions with 100% Correct
Detailed Answers (Verified Answers) Graded A+
Nutrition is: - Correct Answer - the single most important factor in the
growth and development of children.
Are food fads that different children encounter harmful? - Correct Answer - -
No, and are usually self- limiting.
-Adolescents have many different needs for greater caloric intake and more
concentrated iron, folic acid, and protein.
Nutritional needs for baby's/infants - Correct Answer - -breast milk or
formula for 1 full year.
-Solids; at around 6 mo. when Surge of growth
Hospitalization causes many issues - Stress is the Big one. This can be
positive and negative, please explain. - Correct Answer - Positive - Child
begins to expand their world when parents are absent. Healthcare
providers can see the child adapt. If parents are gone too
long........abandonment can set in.
**Stress helps them learn how to cope.
-Negative - Long term stress (not good), however display itself in physical
manifestation.
Ways to interact friendly interchange with parents/address child: - Correct
Answer - *No medical jargon
pg. 1
,-Get to their eye level, engage child and address child
-Talk slowly & clearly (concrete words) assess child's cognitive ability
-Utilize play, transitional objects, drawings, colors, pictures
-Use a child life specialist to assist with communication & interactions
-Allow child to make noise and be upset, give child something to do.
[Make nice with parents]
What is the child most afraid of - 3 things? - Correct Answer - 3 big
stressors:
-losing control or independence
-their punishment/pain
-change in body images.
**[separation from parent and family, fear of unfamiliar, fear of pain and loss
of control]
How can we minimize the stress of hospitalization? - Correct Answer -
**Alleviate stress and fears: ask parents stay participate, explain
procedure, and provide distractions
**Ways to min. stress - rooming in w/ patient [parent should be primary
source for coping & comfort], bring an object from home, draw pic to hang
in room, offer choices of watching movie or picking a game, therapeutic
play, child life specialist, guided imagery, role modeling (decrease fear and
anxiety and coping skills), move to procedure room [not in their own room]
Separation anxiety - Correct Answer - -Refers to severe distress that
occurs when a child is separated from his or her primary caretaker-Begins
6 months of age and peaks in intensity at 14-18 months and then gradually
declines;start to accept fact that parents will come back.
pg. 2
,How do we communicate with children? - Correct Answer - Children in
general - Get to their level physically. Simple words. Eye contact. Play to
demonstrate. Approachable.
Communication: Hearing deficit - Correct Answer - sign language, pictures,
computerized electronics, eye contact, touch, turn light on. Gain their
attention before speaking, face child when speaking, speak slowly and
loudly.
Communication:Visual deficit - Correct Answer - announce yourself, let
them know that you are there. Keep routine in the room the same. Make
sure they have their glasses on. Bright lights.
Communication: Cognitive issues - Correct Answer - Be gentle and kind,
very short directives. Praise. Hold boundaries.
Adapting to deficits - Correct Answer - **Child will learn to adapt to deficits
quickly, better to recognize problem early on before they adapt, then harder
to find the problems. May adapt to disabilities so that you may not notice
them
Basic fears of children are: - Correct Answer - separation, abandonment
and fear of pain/unknown. [Infants from 6 mos. through toddler hood - fear
of separation.]
Separation comfort care - Correct Answer - -with favorite items or activity,
distraction, parents room in or go with child to procedures.
-Child will protest separation due to anxiety, [prep with tours and
explanation, use transitional objects] reinforce when they will see parent
again.
pg. 3
, -Despair follows due to grief of separation, detachment due to ongoing
anger/coping skills.
Alleviate stress and fears: - Correct Answer - -explain procedure
-distraction
-ask parent to stay and participate in care
-explain what's going on
HOW they play in each of these stages?
Note: primary school they tend to play in single sex groups.....and in high
school they group by interest groups. - Correct Answer - *5 types of play
• Solitary (0-2 Years) - infant/ toddlers. Adolescent. Child should be
socialized. Can be at any stage, but do not want this type of play only
• Parallel (2.5-3 Years) - toddlers. Two toddlers doing the same task, hasn't
learned to play with each other. Egocentric. (two children playing together
but oblivious to the fact, don't understand the concept of someone outside
of themselves)
• Associative (3-4 Years) - preschool, early child. Get together to something
accomplished, but no rules.
• Organized/cooperative (4-6 Years) - school aged/adolescents. Organized
sports, rules. Concept of rules upholding. Need moderators. Sports
w/Rules
• Onlooker/Spectator (2-2.5 Years) - toddlers, young preschool. RED flag if
it continues with this type of play; autism, cognitive development problems
(can see in toddler or preschooler, but should want to participate)
What is the benefit of play? - Correct Answer - - learn to socialize
-learning society rules
pg. 4
