C HAPTER 15: A N O VERVIEW OF G ROWTH ,
D EVELOPMENT , AND N UTRITION
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. What does the nurse recognize as an example of Piagets concrete
operational thinking?
a. 2-year-old says, Its nighttime when his room is darkened.
b. 4-year-old refers to the hospital as m y house.
c. 5-year-old coloring a picture of a puppy says, This is m y puppy.
d. 7-year-old says, I am sick because I have germs in m y chest.
ANS: D
The 7-year-olds remark reflecting the cause and effect of germs and
illness is an example of operational thinking. All other options are
examples of preoperational thought, which is egocentric and symbolic.
DIF: Cognitive Level: Anal ysis REF: Page 373 OBJ: 8
TOP: Cognitive Development KEY: Nursing Process
Step: Data Collection MSC: NC LEX: Health Promotion
and Maintenance: Growth and Development
2. The nurse has discussed with a mother the process of introducing solid
foods to her 6 -month-old infant. What statement by the mother leads the
nurse to determine that learning has taken p lace?
, a. I will give m y infant rice cereal first.
b. I will give m y infant yellow vegetables first.
c. I will give m y infant egg yolks first.
d. I will give m y infant fruits first.
ANS: A
Solid foods are usually introduced at about 6 months of age, starting
with rice cereal, which is the least allergenic.
DIF: Cognitive Level: Comprehension REF: Page 379
OBJ: 9 TOP: Feeding the Healthy Child KEY:
Nursing Process Step: Evaluation MSC: NC LEX: Health
Promotion and Maintenance: Growth and Development
3. What is the best nursing action when an 8 -year-old child comes to the
school nurse with his central incisor in his hand and reports he knocked
his tooth out on the water fountain?
a. Give him an ice cube to suck on.
b. Have him wash his mouth out with peroxide and water.
c. Wrap the tooth in a clean tissue.
d. Wash off the tooth and place it in a container of milk.
ANS: D
The tooth should be washed off and put in a container of milk to
preserve it for possible reimplantation.
, DIF: Cognitive Level: Application REF: Page 387 OBJ: 10
TOP: Loss of Tooth KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y:
Reduction of Risk
4. The mother of a 7 -month-old states, The baby is eating food now. Should I
give him regular milk, too? What is the nurses best r esponse?
a. You should give the baby low -fat milk.
b. Try the milk. See if he has any digestive problems.
c. Continue breast milk or iron -fortified formula until 1 year of age.
d. At this age, infants can tolerate lactose -free or soy-based milk.
ANS: C
Whole milk sh ould not be introduced before 1 year of age. Low -fat
milk should not be introduced before 2 years of age.
DIF: Cognitive Level: Application REF: Page 381 OBJ: 9
TOP: Nutrition and Health KEY: Nursing Process
Step: Implementation MSC: NC LEX: Health P romotion
and Maintenance: Growth and Development
5. When a small group of preschool -age children were playing house, each
child was pretending to be a particular famil y member. What type of play
does the nurse recognize these children are participating in?
a. Parallel
b. Cooperative
c. Symbolic
d. Fantasy
D EVELOPMENT , AND N UTRITION
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. What does the nurse recognize as an example of Piagets concrete
operational thinking?
a. 2-year-old says, Its nighttime when his room is darkened.
b. 4-year-old refers to the hospital as m y house.
c. 5-year-old coloring a picture of a puppy says, This is m y puppy.
d. 7-year-old says, I am sick because I have germs in m y chest.
ANS: D
The 7-year-olds remark reflecting the cause and effect of germs and
illness is an example of operational thinking. All other options are
examples of preoperational thought, which is egocentric and symbolic.
DIF: Cognitive Level: Anal ysis REF: Page 373 OBJ: 8
TOP: Cognitive Development KEY: Nursing Process
Step: Data Collection MSC: NC LEX: Health Promotion
and Maintenance: Growth and Development
2. The nurse has discussed with a mother the process of introducing solid
foods to her 6 -month-old infant. What statement by the mother leads the
nurse to determine that learning has taken p lace?
, a. I will give m y infant rice cereal first.
b. I will give m y infant yellow vegetables first.
c. I will give m y infant egg yolks first.
d. I will give m y infant fruits first.
ANS: A
Solid foods are usually introduced at about 6 months of age, starting
with rice cereal, which is the least allergenic.
DIF: Cognitive Level: Comprehension REF: Page 379
OBJ: 9 TOP: Feeding the Healthy Child KEY:
Nursing Process Step: Evaluation MSC: NC LEX: Health
Promotion and Maintenance: Growth and Development
3. What is the best nursing action when an 8 -year-old child comes to the
school nurse with his central incisor in his hand and reports he knocked
his tooth out on the water fountain?
a. Give him an ice cube to suck on.
b. Have him wash his mouth out with peroxide and water.
c. Wrap the tooth in a clean tissue.
d. Wash off the tooth and place it in a container of milk.
ANS: D
The tooth should be washed off and put in a container of milk to
preserve it for possible reimplantation.
, DIF: Cognitive Level: Application REF: Page 387 OBJ: 10
TOP: Loss of Tooth KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y:
Reduction of Risk
4. The mother of a 7 -month-old states, The baby is eating food now. Should I
give him regular milk, too? What is the nurses best r esponse?
a. You should give the baby low -fat milk.
b. Try the milk. See if he has any digestive problems.
c. Continue breast milk or iron -fortified formula until 1 year of age.
d. At this age, infants can tolerate lactose -free or soy-based milk.
ANS: C
Whole milk sh ould not be introduced before 1 year of age. Low -fat
milk should not be introduced before 2 years of age.
DIF: Cognitive Level: Application REF: Page 381 OBJ: 9
TOP: Nutrition and Health KEY: Nursing Process
Step: Implementation MSC: NC LEX: Health P romotion
and Maintenance: Growth and Development
5. When a small group of preschool -age children were playing house, each
child was pretending to be a particular famil y member. What type of play
does the nurse recognize these children are participating in?
a. Parallel
b. Cooperative
c. Symbolic
d. Fantasy
