C HAPTER 17: C ARE OF THE P RESCHOOLER
MULTIPLE CHOICE
1. A child age 4 1/2 years sometimes wakes her parents up at night screaming,
thrashing, sweating, and apparently frightened, yet she is not aware of her
parents presence when they check on her. She lies down and sleeps without any
parental intervention. This is most likely what?
a. Nightmare
b. Sleep terror
c. Sleep apnea
d. Seizure activity
ANS: B
This is a description of a sleep terror. The child is observed during the
episode and not disturbed unless there is a possibility of injury. A child who
awakes from a nightmare is distressed. She is aware of and reassured by the
parents presence. This is not the case with sleep apnea. This behavior is not
indicative of seizure activity.
2. During the preschool period, the emphasis of injury prevention should be placed
on what?
a. Limitation of physical activities
b. Punishment for unsafe behaviors
c. Constant vigilance and protection
d. Teaching about safety and potential hazards
, ANS: D
Education about safety and potential hazards is appropriate for preschoolers
because they can begin to understand dangers. Limitation of physical
activities is not appropriate. Punishment may make children scared of trying
new things. Constant vigilance and protection are not practical at this age
because preschoolers are becoming more independent.
3. The nurse is talking to the parent of a 5-year-old child who refuses to go to sleep
at night. What intervention should the nurse suggest in helping the parent to cope
with this sleep disturbance?
a. Establish a consistent punishment if the child does not go to bed when
told.
b. Allow the child to fall asleep in a different room and then gently move the
child to his or her bed.
c. Establish limited rituals that signal readiness for bedtime.
d. Allow the child to watch television until almost asleep.
ANS: C
An appropriate intervention for a child who resists going to bed is to establish
limited rituals such as a bath or story that signal readiness for bed and
consistently follow through with the ritual. Punishing the child will not
alleviate the resistance problem and may only add to the frustration. A llowing
the child to fall asleep in a different room and to watch television to fall
asleep are not recommended approaches to sleep resistance.
4. At a seminar for parents with preschool-age children, the nurse has discussed
anticipatory tasks during the preschool years. Which statement by a parent should
indicate a correct understanding of the teaching?
, a. I should be worried if my 4-year-old child has an increase in sexual
curiosity because this is a sign of sexual abuse.
b. I should expect my 5-year-old to change from a tranquil child to an
aggressive child when school starts.
c. I should be concerned if my 4-year-old child starts telling exaggerated
stories and has an imaginary playmate, since these could be signs of stress.
d. I should expect my 3-year-old child to have a more stable appetite and an
increase in food selections.
ANS: D
A 3-year-old child exhibits a more stable appetite than during the toddler
years and is more willing to try different foods. A 4 -year-old child is
imaginative and indulges in telling tall tales and may have an imaginary
playmate; these are normal findings, not signs of stress. Also a 4 - year-old
child has an increasing curiosity in sexuality, which is not a sign of child
abuse. A 5- year-old child is usually tranquil, not aggressive like a 4-year-old
child.
5. The nurse is explaining average weight gain during the preschool years to a
group of parents. Which average weight gain should the nurse suggest to the
parents?
a. 1 to 2 kg
b. 2 to 3 kg
c. 3 to 4 kg
d. 4 to 5 kg
ANS: B
MULTIPLE CHOICE
1. A child age 4 1/2 years sometimes wakes her parents up at night screaming,
thrashing, sweating, and apparently frightened, yet she is not aware of her
parents presence when they check on her. She lies down and sleeps without any
parental intervention. This is most likely what?
a. Nightmare
b. Sleep terror
c. Sleep apnea
d. Seizure activity
ANS: B
This is a description of a sleep terror. The child is observed during the
episode and not disturbed unless there is a possibility of injury. A child who
awakes from a nightmare is distressed. She is aware of and reassured by the
parents presence. This is not the case with sleep apnea. This behavior is not
indicative of seizure activity.
2. During the preschool period, the emphasis of injury prevention should be placed
on what?
a. Limitation of physical activities
b. Punishment for unsafe behaviors
c. Constant vigilance and protection
d. Teaching about safety and potential hazards
, ANS: D
Education about safety and potential hazards is appropriate for preschoolers
because they can begin to understand dangers. Limitation of physical
activities is not appropriate. Punishment may make children scared of trying
new things. Constant vigilance and protection are not practical at this age
because preschoolers are becoming more independent.
3. The nurse is talking to the parent of a 5-year-old child who refuses to go to sleep
at night. What intervention should the nurse suggest in helping the parent to cope
with this sleep disturbance?
a. Establish a consistent punishment if the child does not go to bed when
told.
b. Allow the child to fall asleep in a different room and then gently move the
child to his or her bed.
c. Establish limited rituals that signal readiness for bedtime.
d. Allow the child to watch television until almost asleep.
ANS: C
An appropriate intervention for a child who resists going to bed is to establish
limited rituals such as a bath or story that signal readiness for bed and
consistently follow through with the ritual. Punishing the child will not
alleviate the resistance problem and may only add to the frustration. A llowing
the child to fall asleep in a different room and to watch television to fall
asleep are not recommended approaches to sleep resistance.
4. At a seminar for parents with preschool-age children, the nurse has discussed
anticipatory tasks during the preschool years. Which statement by a parent should
indicate a correct understanding of the teaching?
, a. I should be worried if my 4-year-old child has an increase in sexual
curiosity because this is a sign of sexual abuse.
b. I should expect my 5-year-old to change from a tranquil child to an
aggressive child when school starts.
c. I should be concerned if my 4-year-old child starts telling exaggerated
stories and has an imaginary playmate, since these could be signs of stress.
d. I should expect my 3-year-old child to have a more stable appetite and an
increase in food selections.
ANS: D
A 3-year-old child exhibits a more stable appetite than during the toddler
years and is more willing to try different foods. A 4 -year-old child is
imaginative and indulges in telling tall tales and may have an imaginary
playmate; these are normal findings, not signs of stress. Also a 4 - year-old
child has an increasing curiosity in sexuality, which is not a sign of child
abuse. A 5- year-old child is usually tranquil, not aggressive like a 4-year-old
child.
5. The nurse is explaining average weight gain during the preschool years to a
group of parents. Which average weight gain should the nurse suggest to the
parents?
a. 1 to 2 kg
b. 2 to 3 kg
c. 3 to 4 kg
d. 4 to 5 kg
ANS: B
