Peds 13 || with Complete Solutions.
A pediatric nurse examines a 7-year-old at a well-child visit. Based on developmental
milestones, what observation should the nurse anticipate should be present?
A. Ability to follow a complicated series of instructions
B. Eager to participate in the conversation
C. Increase in height of 4 inches since last year's check-up
D. Asks "why" questions repeatedly through the conversation correct answers ANS: B
A developmental milestone for a school-aged child include a child who is eager to participate in
a lengthy conversation
A young couple brings their 20-month-old daughter to the pediatrician's office for
immunizations. The mother tells the nurse that she is going back to work and is looking for a
day-care center in the vicinity of the clinic. What priority assessment should the nurse perform
prior to recommending a day-care center?
A. Available financial assets
B. Available support people
C. Potty-training status
D. The child's temperament correct answers ANS: D
During a normal daily routine, the child may be exposed to a variety of settings and to several
people in a day-care center or while visiting extended family, visiting a physician's office, or in
public places in the community. Understanding an infant's temperament is essential in the care of
the child to help both the parent and child adapt to these experiences.
The pediatric nurse is examining a newborn infant and notes a turning in of the foot and turning
out of the toes when the sole of the foot is stroked. Which action by the nurse is most
appropriate?
A. Arrange a consultation with a developmental specialist.
B. Assess the parents' family histories for genetic defects.
C. Document the findings in the patient's chart.
D. Instruct the parents on required follow-up care. correct answers ANS: C
The newborn is exhibiting the Babinski reflex, one of the normal primitive reflexes that should
disappear by 9 months of age. Documentation is all that is required
A nurse observes several preschool-aged children during play and overhears one of them say,
"My mommy won't let me do that." What conclusion is the most appropriate by the nurse
regarding this child's development?
A. The child has developed a superego according to Freud.
B. The child has mastered Bandura's concept of self-mastery.
C. The child is behind in moral reasoning and development.
D. The child is in Erikson's autonomy versus shame and doubt phase correct answers ANS: A
According to Freud, between the ages of 3 and 6, children begin to develop a superego, which
serves to regulate behavior. The child who knows there are limits to behavior is demonstrating
this development.
, A 10-year-old child who has been hospitalized frequently and for long periods of time has the
nursing diagnosis of delayed growth and development. Which action by the child would
demonstrate that outcomes for this diagnosis have been met?
A. Able to play harmoniously with peers
B. Does own homework independently C. Seeks out parental approval for activities
D. Learns the rules of simple games correct answers ANS: B
A 10-year-old child is in the Erikson stage of industry versus inferiority. Mastery of tasks leads
to self-confidence. Industry is apparent when the child feels capable of doing homework or other
assigned tasks independently. This shows resolution of the nursing diagnosis, as appropriate
developmental tasks have been accomplished.
A hospitalized 11-year-old child turns down opportunities to play or engage in diversionary
activities. When questioned, the child states, "I'm bad at that" or "I can't do anything." What
action by the nurse is best?
A. Arrange a pediatric psychology consultation.
B. Assess the child for emotional abuse at home.
C. Consult the child developmental specialist.
D. Document the statements in the child's chart correct answers ANS: C
This 11-year-old child is in the Erikson stage of industry versus inferiority, and it seems they
have not mastered tasks and developed a sense of self-confidence. Illness can frequently disrupt
growth and behavior, and the child developmental specialist is a vital resource in meeting the
developmental needs of the hospitalized child
A nurse notes that when an infant is startled, she looks at her mother. What conclusion can the
nurse make about this infant's development?
A. The child is slow to adapt and is distressed over small changes.
B. The developmental needs of the child are not being met.
C. The infant can develop other relationships because he is secure.
D. The infant has an unstable home environment and is insecure. correct answers ANS: C
According to John Bowlby's theory of attachment, the infant becomes attached to the mother as a
way to survive the vulnerabilities of infancy. When the attachment is secure, the mother is seen
as home base. When the child becomes startled or frightened, they will look to the mother for
security. Knowing that home base is secure allows the child to go on to develop other
relationships.
A nurse is working with a child at a nutrition site. The father is not in the child's life, and the
mother has been in and out of jail, resulting in a series of caregivers for the child, who appears
malnourished. Using Bandura's theory of growth and development, what should the nurse assess
as a priority? A. Bonding
B. Industry
C. School success
D. Self-esteem correct answers ANS: D
According to Bandura, lack of positive modeling leads to poor self-esteem, and the child has no
opportunity to master developmental tasks and skills
A pediatric nurse examines a 7-year-old at a well-child visit. Based on developmental
milestones, what observation should the nurse anticipate should be present?
A. Ability to follow a complicated series of instructions
B. Eager to participate in the conversation
C. Increase in height of 4 inches since last year's check-up
D. Asks "why" questions repeatedly through the conversation correct answers ANS: B
A developmental milestone for a school-aged child include a child who is eager to participate in
a lengthy conversation
A young couple brings their 20-month-old daughter to the pediatrician's office for
immunizations. The mother tells the nurse that she is going back to work and is looking for a
day-care center in the vicinity of the clinic. What priority assessment should the nurse perform
prior to recommending a day-care center?
A. Available financial assets
B. Available support people
C. Potty-training status
D. The child's temperament correct answers ANS: D
During a normal daily routine, the child may be exposed to a variety of settings and to several
people in a day-care center or while visiting extended family, visiting a physician's office, or in
public places in the community. Understanding an infant's temperament is essential in the care of
the child to help both the parent and child adapt to these experiences.
The pediatric nurse is examining a newborn infant and notes a turning in of the foot and turning
out of the toes when the sole of the foot is stroked. Which action by the nurse is most
appropriate?
A. Arrange a consultation with a developmental specialist.
B. Assess the parents' family histories for genetic defects.
C. Document the findings in the patient's chart.
D. Instruct the parents on required follow-up care. correct answers ANS: C
The newborn is exhibiting the Babinski reflex, one of the normal primitive reflexes that should
disappear by 9 months of age. Documentation is all that is required
A nurse observes several preschool-aged children during play and overhears one of them say,
"My mommy won't let me do that." What conclusion is the most appropriate by the nurse
regarding this child's development?
A. The child has developed a superego according to Freud.
B. The child has mastered Bandura's concept of self-mastery.
C. The child is behind in moral reasoning and development.
D. The child is in Erikson's autonomy versus shame and doubt phase correct answers ANS: A
According to Freud, between the ages of 3 and 6, children begin to develop a superego, which
serves to regulate behavior. The child who knows there are limits to behavior is demonstrating
this development.
, A 10-year-old child who has been hospitalized frequently and for long periods of time has the
nursing diagnosis of delayed growth and development. Which action by the child would
demonstrate that outcomes for this diagnosis have been met?
A. Able to play harmoniously with peers
B. Does own homework independently C. Seeks out parental approval for activities
D. Learns the rules of simple games correct answers ANS: B
A 10-year-old child is in the Erikson stage of industry versus inferiority. Mastery of tasks leads
to self-confidence. Industry is apparent when the child feels capable of doing homework or other
assigned tasks independently. This shows resolution of the nursing diagnosis, as appropriate
developmental tasks have been accomplished.
A hospitalized 11-year-old child turns down opportunities to play or engage in diversionary
activities. When questioned, the child states, "I'm bad at that" or "I can't do anything." What
action by the nurse is best?
A. Arrange a pediatric psychology consultation.
B. Assess the child for emotional abuse at home.
C. Consult the child developmental specialist.
D. Document the statements in the child's chart correct answers ANS: C
This 11-year-old child is in the Erikson stage of industry versus inferiority, and it seems they
have not mastered tasks and developed a sense of self-confidence. Illness can frequently disrupt
growth and behavior, and the child developmental specialist is a vital resource in meeting the
developmental needs of the hospitalized child
A nurse notes that when an infant is startled, she looks at her mother. What conclusion can the
nurse make about this infant's development?
A. The child is slow to adapt and is distressed over small changes.
B. The developmental needs of the child are not being met.
C. The infant can develop other relationships because he is secure.
D. The infant has an unstable home environment and is insecure. correct answers ANS: C
According to John Bowlby's theory of attachment, the infant becomes attached to the mother as a
way to survive the vulnerabilities of infancy. When the attachment is secure, the mother is seen
as home base. When the child becomes startled or frightened, they will look to the mother for
security. Knowing that home base is secure allows the child to go on to develop other
relationships.
A nurse is working with a child at a nutrition site. The father is not in the child's life, and the
mother has been in and out of jail, resulting in a series of caregivers for the child, who appears
malnourished. Using Bandura's theory of growth and development, what should the nurse assess
as a priority? A. Bonding
B. Industry
C. School success
D. Self-esteem correct answers ANS: D
According to Bandura, lack of positive modeling leads to poor self-esteem, and the child has no
opportunity to master developmental tasks and skills
