Test Pediatric Growth and Development: NCLEX Questions FLASH CARDS_ Fall 22|23.

Test Pediatric Growth and Development: NCLEX Questions FLASH CARDS_ Fall 22|23.Test Pediatric Growth and Development: NCLEX Questions FLASH CARDS 1. The nurse is aware that the age at which the posterior fontanelle closes is _____ months. a. 2 to 3 b. 3 to 6 c. 6 to 9 d. 9 to 12 2. Which stage of development is most unstable and challenging regarding development of personal identity? A) Adolescence B) Toddler hood C) Childhood D) Infancy 3. A maternity nurse is providing instruction to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory, the nurse would instruct the mother to A) Allow the newborn infant to signal a need B) Anticipate all of the needs of the newborn infant C) Avoid the newborn infant during the first 10 minutes of crying D) Attend to the newborn infant immediately when crying 4. A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. The nurse most appropriately tells the mother to: A) Punish the child every time the child says "no", to change the behavior B) Allow the behavior because this is normal at this age period C) Set limits on the child's behavior D) Ignore the child when this behavior occurs 5. A nurse is evaluating the developmental level of a 2-year-old. Which of the following does the nurse expect to observe in this child? A) Uses a fork to eat B) Uses a cup to drink C) Uses a knife for cutting food D) Pours own milk into a cup 6. A clinic nurse assesses the communication patterns of a 5-monthold infant. The nurse determines that the infant is demonstrating the highest level of developmental achievement expected if the infant: A) Uses simple words such as "mama" B) Uses monosyllabic babbling C) Links syllables together D) Coos when comforted 7. A nurse is preparing to care for a 5- year-old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which of the following is the most appropriate activity for this child? A) Large picture books B) A radio C) Crayons and coloring book D) A sports video 8. A 16-year-old is admitted to the hospital for acute appendicitis, and an appendectomy is performed. Which of the following nursing interventions is most appropriate to facilitate normal growth and development? A) Allow the family to bring in the child's favorite computer games B) Encourage the parents to room-in with the child C) Encourage the child to rest and read D) Allow the child to participate in activities with other individuals in the same age group when the condition permits 9. The mother of a toddler asks a nurse when it is safe to place the car safety seat in a face-forward position. The best nursing response is which of the following? A) When the toddler weighs 20 lbs B) The seat should not be placed in a face-forward position unless there are safety locks in the car C) The seat should never be place in a This study source was downloaded by from CourseH on :25:37 GMT -06:00 1 Test Pediatric Growth and Development: NCLEX Questions FLASH CARDS face-forward position because the risk of the child unbuckling the harness D) When the weight of the toddler is greater than 40 lbs 10. A mother calls the pediatrician's office because her infant is "colicky." The helpful measure the nurse would suggest to the parent is to: a. sing songs to the infant in a soft voice. b. place the infant in a well-lit room. c. walk around and massage the infant's back. d. rock the fussy infant slowly and gently. 11. The nurse teaches parents how to help their children learn impulse control and cooperative behaviors. This would occur during which of the stages of development defined by Erikson? A.Trust versus mistrust B.Initiative versus guilt C.Industry versus inferiority D.Autonomy vs. Shame and doubt 12. The nurse knows that an infant's birth weight should be tripled by: a. 9 months. b. 1 year. c. 18 months. d. 2 years. 13. The nurse is aware that the earliest age at which an infant is able to sit steadily alone is _____ months. a. 4 b. 5 c. 8 d. 15 14. The nurse is aware that the earliest age at which the infant should be able to walk independently is _____ months. a. 8 to 10 b. 12 to 15 c. 15 to 18 d. 18 to 21 15. The parent of a 3-month-old infant asks the nurse, "At what age do infants usually begin drinking from a cup?" The nurse would reply: a. 5 months. b. 9 months. c. 1 year. d. 2 years. 16. The nurse would expect a 4-month-old to be able to: a. hold a cup. b. stand with assistance. c. lift head and shoulders. d. sit with back straight. 17. The abnormal finding in an evaluation of growth and development for a 6- month-old infant would be: a. weight gain of 4 to 7 ounces per week. b. length increase of 1 inch in 2 months. c. head lag present. d. can sit alone for a few seconds. 18. A parent brings a 6-month-old infant to the pediatric clinic for her well-baby examination. Her birth weight was 8 pounds, 2 ounces. The nurse weighing the infant today would expect her weight to be at least _____ pounds. a. 12 b. 16 c. 20 d. 24 19. The nurse would advise a parent when introducing solid foods to: a. begin with one tablespoon of food. b. mix foods together. c. eliminate a refused food from the diet. d. introduce each new food 4 to 7 days apart. 20. When assessing development in a 9- month-old infant, the nurse would expect to observe the infant: a. speaking in 2-word sentences. b. grasping objects with palmar grasp. c. creeping along the floor. d. beginning to use a spoon rather sloppily. This study source was downloaded by from CourseH on :25:37 GMT -06:00 2 Test Pediatric Growth and Development: NCLEX Questions FLASH CARDS 21. The statement made by a parent that indicates correct understanding of infant feeding is: a. "I've been mixing rice cereal and formula in the baby's bottle." b. "I switched the baby to low-fat milk at 9 months." c. "The baby really likes little pieces of chocolate." d. "I give the baby any new foods before he takes his bottle." 22. The nurse discusses child-proofing the home for safety with the mother of a 9-month-old. The statement made by the mother that indicates an unsafe behavior is: a. "I put covers on all of the electrical outlets." b. "In the car, she rides in a frontfacing car seat." c. "There are locks on all of the cabinets in the house." d. "I have a gate at the top and bottom of the stairs." 23. The nurse observes a 10-month-old infant using her index finger and thumb to pick up pieces of cereal. This behavior is evidence that the infant has developed: a. the pincer grasp. b. a grasp reflex. c. prehension ability. d. the parachute reflex. 24. The most appropriate activity to recommend to parents to promote sensorimotor stimulation for a 1-yearold would be to: a. ride a tricycle. b. spend time in an infant swing. c. play with push-pull toys. d. read large picture books. 25. The nurse explains that by the age of 6 months an iron-rich formula should be offered because the infant has: a. limited ability to produce red blood cells. b. ineffective digestive enzymes. c. exhausted maternal iron stores. d. need of the iron to support dentition. 26. A 3-month-old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her hands, but she will not voluntarily grasp it. The nurse should interpret this as: a. Normal development. b. Significant developmental lag. c. Slightly delayed development caused by prematurity. d. Suggestive of a neurologic disorder such as cerebral palsy. 27. In terms of fine motor development, the infant of 7 months should be able to: a. Transfer objects from one hand to the other. b. Use thumb and index finger in crude pincer grasp. c. Hold crayon and make a mark on paper. d. Release cubes into a cup. 28. In terms of gross motor development, what would the nurse expect a 5-month-old infant to do? a. Roll from abdomen to back. b. Roll from back to abdomen. c. Sit erect without support. d. Move from prone to sitting position. 29. Most infants begin to fear strangers at age: a. 2 months c. 6 months b. 4 months d. 12 months 30. In terms of gross motor development, what would the nurse expect a 5-month-old infant to do? Choose all that apply. a. Roll from abdomen to back b. Put feet in mouth when supine c. Roll from back to abdomen d. Sit erect without support e. Move from prone to sitting position f. Adjust posture to reach an object This study source was downloaded by from CourseH on :25:37 GMT -06:00 Powered by TCPDF () 3 Pediatric Nursing Practice Test Part 1 1. While performing physical assessment of a 12 month-old, the nurse notes that the infant’s anterior fontanel is still slightly open. Which of the following is the nurse’s most appropriate action? a. Notify the physician immediately because there is a problem. b. Perform an intensive neurologic examination. c. Perform an intensive developmental examination. d. Do nothing because this is a normal finding for the age. 2. When teaching a mother about introducing solid foods to her child, which of the following indicates the earliest age at which this should be done? a. 1 month b. 2 months c. 3 months d. 4 months 3. The infant of a substance-abusing mother is at risk for developing a sense of which of the following? a. Mistrust b. Shame c. Guilt d. Inferiority 4. Which of the following toys should the nurse recommend for a 5-month-old? a. A big red balloon b. A teddy bear with button eyes c. A push-pull wooden truck d. A colorful busy box 5. The mother of a 2-month-old is concerned that she may be spoiling her baby by picking her up when she cries. Which of the following would be the nurse’s best response? a. “ Let her cry for a while before picking her up, so you don’t spoil her” b. “Babies need to be held and cuddled; you won’t spoil her this way” c. “Crying at this age means the baby is hungry; give her a bottle” d. “If you leave her alone she will learn how to cry herself to sleep” 6. When assessing an 18-month-old, the nurse notes a characteristic protruding abdomen. Which of the following would explain the rationale for this finding? a. Increased food intake owing to age b. Underdeveloped abdominal muscles c. Bowlegged posture d. Linear growth curve 7. If parents keep a toddler dependent in areas where he is capable of using skills, the toddle will develop a sense of which of the following? a. Mistrust b. Shame c. Guilt d. Inferiority 8. Which of the following is an appropriate toy for an 18-month-old? a. Multiple-piece puzzle b. Miniature cars c. Finger paints d. Comic book 9. When teaching parents about the child’s readiness for toilet training, which of the following signs should the nurse instruct them to watch for in the toddler? a. Demonstrates dryness for 4 hours b. Demonstrates ability to sit and walk c. Has a new sibling for stimulation d. Verbalizes desire to go to the bathroom 10. When teaching parents about typical toddler eating patterns, which of the following should be included? a. Food “jags” b. Preference to eat alone c. Consistent table manners d. Increase in appetite 11. Which of the following suggestions should the nurse offer the parents of a 4-year-old boy who resists going to bed at night? a. “Allow him to fall asleep in your room, then move him to his own bed.” b. “Tell him that you will lock him in his room if he gets out of bed one more time.” c. “Encourage active play at bedtime to tire him out so he will fall asleep faster.” 1