Maternal child Chapter 38 questions and
100% verified answers 2025/2026 version
What represents the major stressor of hospitalization for children from middle infancy throughout the
preschool years?
a. Separation anxiety c. Fear of bodily injury
b. Loss of control d. Fear of pain - Answer ANS: A
The major stress for children from infancy through the preschool years is separation anxiety, also called
anaclitic depression. This is a major stressor of hospitalization. Loss of control, fear of bodily injury, and
fear
of pain are all stressors associated with hospitalization. However, separation from family is a primary
stressor
in this age-group.
When a preschool child is hospitalized without adequate preparation, the nurse should recognize that
the
child may likely see hospitalization as:
a. Punishment. c. An opportunity for regression.
b. Threat to childs self-image. d. Loss of companionship with friends. - Answer ANS: A
If a toddler is not prepared for hospitalization, a typical preschooler fantasy is to attribute the
hospitalization to
punishment for real or imagined misdeeds. Threat to childs self-image and loss of companionship with
friends
are reactions typical of school-age children. Regression is a response characteristic of toddlers when
threatened
with loss of control.
Because of their striving for independence and productivity, which age-group of children is particularly
vulnerable to events that may lessen their feeling of control and power?
a. Infants c. Preschoolers
b. Toddlers d. School-age children - Answer ANS: D
, When a child is hospitalized, the altered family role, physical disability, loss of peer acceptance, lack of
productivity, and inability to cope with stress usurp individual power and identity. This is especially
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 614
detrimental to school-age children, who are striving for independence and productivity and are now
experiencing events that lessen their control and power. Infants, toddlers, and preschoolers, although
affected
by loss of power, are not as significantly affected as are school-age children.
A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the nurse, Wait a
minute, and, Im not ready. The nurse should recognize that:
a. This is normal behavior for a school-age child.
b. This behavior is usually not seen past the preschool years.
c. The child thinks the nurse is punishing her.
d. The child has successfully manipulated the nurse in the past. - Answer ANS: A
This school-age child is attempting to maintain control. The nurse should provide the girl with structured
choices about when the IV will be inserted. This can be characteristic behavior when an individual needs
to
maintain some control over a situation. The child is trying to have some control in the hospital
experience.
Amy, age 6 years, needs to be hospitalized again because of a chronic illness. The clinic nurse overhears
her
school-age siblings tell her, We are sick of Mom always sitting with you in the hospital and playing with
you.
It isnt fair that you get everything and we have to stay with the neighbors. The nurses best assessment
of this
situation is that:
a. The siblings are immature and probably spoiled.
b. Jealousy and resentment are common reactions to the illness or hospitalization of a sibling.
c. The family has ineffective coping mechanisms to deal with chronic illness.
d. The siblings need to better understand their sisters illness and needs. - Answer ANS: B
100% verified answers 2025/2026 version
What represents the major stressor of hospitalization for children from middle infancy throughout the
preschool years?
a. Separation anxiety c. Fear of bodily injury
b. Loss of control d. Fear of pain - Answer ANS: A
The major stress for children from infancy through the preschool years is separation anxiety, also called
anaclitic depression. This is a major stressor of hospitalization. Loss of control, fear of bodily injury, and
fear
of pain are all stressors associated with hospitalization. However, separation from family is a primary
stressor
in this age-group.
When a preschool child is hospitalized without adequate preparation, the nurse should recognize that
the
child may likely see hospitalization as:
a. Punishment. c. An opportunity for regression.
b. Threat to childs self-image. d. Loss of companionship with friends. - Answer ANS: A
If a toddler is not prepared for hospitalization, a typical preschooler fantasy is to attribute the
hospitalization to
punishment for real or imagined misdeeds. Threat to childs self-image and loss of companionship with
friends
are reactions typical of school-age children. Regression is a response characteristic of toddlers when
threatened
with loss of control.
Because of their striving for independence and productivity, which age-group of children is particularly
vulnerable to events that may lessen their feeling of control and power?
a. Infants c. Preschoolers
b. Toddlers d. School-age children - Answer ANS: D
, When a child is hospitalized, the altered family role, physical disability, loss of peer acceptance, lack of
productivity, and inability to cope with stress usurp individual power and identity. This is especially
Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 614
detrimental to school-age children, who are striving for independence and productivity and are now
experiencing events that lessen their control and power. Infants, toddlers, and preschoolers, although
affected
by loss of power, are not as significantly affected as are school-age children.
A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the nurse, Wait a
minute, and, Im not ready. The nurse should recognize that:
a. This is normal behavior for a school-age child.
b. This behavior is usually not seen past the preschool years.
c. The child thinks the nurse is punishing her.
d. The child has successfully manipulated the nurse in the past. - Answer ANS: A
This school-age child is attempting to maintain control. The nurse should provide the girl with structured
choices about when the IV will be inserted. This can be characteristic behavior when an individual needs
to
maintain some control over a situation. The child is trying to have some control in the hospital
experience.
Amy, age 6 years, needs to be hospitalized again because of a chronic illness. The clinic nurse overhears
her
school-age siblings tell her, We are sick of Mom always sitting with you in the hospital and playing with
you.
It isnt fair that you get everything and we have to stay with the neighbors. The nurses best assessment
of this
situation is that:
a. The siblings are immature and probably spoiled.
b. Jealousy and resentment are common reactions to the illness or hospitalization of a sibling.
c. The family has ineffective coping mechanisms to deal with chronic illness.
d. The siblings need to better understand their sisters illness and needs. - Answer ANS: B
