Which growth and developmental assessments would the nurse include when conducting a health maintenance visit for a 15 month old toddler quizlet?

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1. Science
2. Medicine
3. Pediatrics

Terms in this set (50)

Which question should the nurse ask the parent of a 7-month-old infant to assess fine motor skill development?

"Does your baby transfer a rattle from one hand to the other?"

A toddler wearing a diaper is impatient with the wet diaper and a shows a desire to have it changed. Which toilet training readiness does this behavior indicate?

Correct 4
Psychological readiness

The nurse is preparing to assess height, length/height, and head circumference for several pediatric clients who are scheduled for health maintenance visits at a pediatric clinic. For which client should the nurse plot growth using the World Health Organization's (WHO) growth chart?

Correct 1
A 15-month-old infant who was bottle-fed

The parents inform the nurse that their school-age child frequently plays in hazardous places. However, the parents find it difficult to restrain the child from engaging in such activities. Which instruction is a priority in this case?

Correct 3
"Ensure the child has eye, ear, or mouth protection.

A 21-year-old male client sustains a spinal injury at the level of T5. Which developmental task will be most difficult for this client to achieve?

Correct 3
Developing meaningful relationship

A mother complains to the nurse that her 4-year-old child partially awakens from sleep, sweats profusely, and screams in the night. What is the best nursing action in this situation?

Correct 4
Advise the mother to observe her child for a few minutes until the child is calm.

The nurse is assessing head growth in an 8-month-old infant. The nurse observes that the rate of the growth has been 0.5 cm per month since the 6-month check-up. What does the nurse tell the parents about the child's development?

"The child's head growth is normal."

Which reflex does the nurse assess in a newborn to determine auditory ability?

Startle reflex

A mother of a 7-year-old child complains to the nurse that her child wets the bed at night. Upon interaction with the child, the nurse learns that the child is afraid of the dark. What does the nurse recommend to the mother? Select all that apply.

Allow your child to keep a light on in the bedroom at night."
Correct 5
"Encourage your child to copy his siblings who sleep alone in their rooms.

According to Freud, which aspect of one's life helps in the development of personality?

Correct 2
The need for sensual pleasure

The nurse is planning a presentation related to growth and development for the parents of school-age children. Which topic is most appropriate related to the topic of sexual maturation?

Correct 2
Typical questions and learning need

Which topics should the nurse include in the teaching session for a pregnant client regarding maternal discomforts caused by fetal growth and hormonal changes? Select all that apply.

Emesis
Nausea
Backache
Dyspepsia

When assessing the reflexes of a 4-month-old, the nurse observes that the child is extending an arm to the side while the head is turned. Which reflex does the nurse observe?

Correct 3
Tonic neck reflex

While caring for a pregnant client with a body mass index of 32 during labor, the nurse observes that the second stage of labor lasts for about 11 minutes. The nurse also finds that the expected birth weight of the fetus is around 4200 g. Which complication does the nurse anticipate in the neonate after birth?

Erb palsy

Which statement made by the mother of a 6-month-old infant would warrant further assessment regarding the infant's fine motor skills?

i hold her bottle

What birth weight in a neonate indicates that the infant is a very low birth weight (VLBW) infant?

1300g

A nurse is supportive of a child receiving long-term rehabilitation in the home rather than in a health care facility. Why is living with the family so important to a child's emotional development?

It is where child's identity and roles are learned.

The nurse is assessing a newborn whose parents are Asian. The nurse finds that the child has irregular, deep-blue pigmentation on the gluteal regions. What does the nurse interpret from these findings?

Correct 2
The child has Mongolian spots.

Which nursing intervention will help the toddler-age client diagnosed with a chronic illness develop autonomy?

Correct 2
Allowing the child to dress independentl

What nursing intervention would be given to an individual in the initiative versus guilt stage of Erikson's theory?

The nurse should teach parents about a child's impulse control to avoid the risks of altered growth and development.

The nurse is conducting a growth and development assessment and must calculate the body mass index (BMI) of a pediatric client. The child's weight is 33 pounds and 4 ounces. The child's height is 37 and 5/8 inches tall. What is the child's BMI? Record your answer to the nearest tenth

[(33.25 lb ÷ 37.625 in) ÷ 37.625 in] × 703 = 16.5

A mother complains to a nurse that her three-year-old child refuses to go to play school. The child rarely interacts and avoids playing with other children. What statement should the nurse tell the mother?

give the child time to get aquainted

Which should the school nurse include in a teaching session with elementary school students related to nutritional intake and activity?

Correct 4
Consuming foods that are nutrient-rich, such as fruits

While interacting with a 4-year-old child, the nurse observes that the child exhibits which behavior congruent with Piaget's cognitive developmental theory?

The child is unable to see things from others' perspectives

While playing with a toy car, a toddler accidentally hits the wall and falls down. The toddler then gets angry at the wall for making him fall. Which characteristic of preoperational thought does this behavior indicate?

Animism

During physical examination of a 3-year-old child, the nurse finds that the child has only 15 teeth. Which food substances should be included in the child's diet to promote tooth formation? Select all that apply

milk, boiled egg

The nurse is teaching a group of adolescents about the calendar method of contraception. Which statement made by an adolescent indicates effective learning?

The calendar method of contraception is refraining from sexual intercourse during the fertile period.

What should be included in the assessment of a school health promotional program for adolescents? Select all that apply.

school violence, risk for drug abuse, gun safety

Which client situation may benefit from the nurse issuing a contract regarding the plan of care?

An adolescent who is seeking information regarding birth control

The nurse notes that the peak height velocity (PHV) for an 11-year-old female has occurred since the last health maintenance visit. Which assessment question should the nurse ask the adolescent based on this data?

menustrate

Which fears related to growth and development should the nurse plan for when providing care to a hospitalized pediatric client? Select all that apply.

Having limited independence

Being separated from family

Receiving investigational treatment

Being in an unfamiliar environment

The student nurse is classifying four infants according to their gestational age. Which infant's information requires correction? pre-term, full term, late pre-term, postterm

Infant 3 late pre-term

Which intervention should the nurse implement to help the infant, who has a chronic illness, in order to establish trust?

Encouraging consistent caregivers for the infant

The nurse is teaching an adolescent female client about growth changes that will occur during this stage of development. Which statement should the nurse include in the teaching session?

"Your peak rate of growth occurs by 12 years of age.

While assessing a 2-month-old infant, the nurse makes a loud sound and observes that the child forms a C shape with thumb and index finger while flexing the extremities. What does the nurse interpret from these findings?

moro

Which information related to school-age play should the nurse include in a teaching session for parents of children in this stage of development? Select all that apply.

team play, card games, board games, and club membership

The American parents of an adopted Spanish preschooler inform the nurse that the child often stutters while speaking. Upon assessment, the nurse finds that there is no hearing impairment, brain injuries, or developmental disorders in the child. What does the nurse suspect is the cause for the stuttering?

change in language

Which forms of conservation should the nurse include in the developmental assessment process for a 6-year-old client? Select all that apply.

mass, length and number

The nurse is assessing a pediatric client diagnosed with chronic renal failure exhibiting alterations in growth patterns. When educating the client's parents about the child's growth, which statement is accurate?

"Resistance to growth hormone associated with your child's diagnosis is causing poor growth.

The nurse assesses and reports a disproportionate head-to-chest ratio for a 6-month-old infant. Which information should the nurse prepare to share with the infant's parents as the most likely cause of this assessment data?

"Your infant is likely experiencing abnormal head growth.

Which should the nurse teach to a preschool-age client to avoid the risk of altered growth and development?

Impulse control

The nurse observes dental caries in an 8-month-old infant. Which action of the parents is likely responsible for this condition?

Giving the infant fruit juice in a bottle

Which chart should the nurse use to plot an infant's physical growth during a scheduled health maintenance visit?

World Health Organization (WHO)

The nurse is providing care to an infant diagnosed with Down syndrome. Which parental statement related to the infant's growth indicates the need for further education?

My child will have accelerated growth during adolescence.

Which activities should the nurse encourage for a preschool-age client diagnosed with a chronic illness in order to enhance socialization? Select all that apply.

Trips to the park

Day care experiences

Play dates with friends

According to Piaget's theory, which of these statements would a nurse say to a mother about her four-year-old child? Select all that apply.

"The child will only be able to consider his or her own point of view."

"The child will consider that inanimate objects may be alive.

After assessing the behavior of a 3-year-old child, the nurse concludes that the child is slow to warm up. Which behavior helps the nurse reach this conclusion?

The child adapts gradually to a new environment with repeated contact.

Which growth and developmental assessments should the nurse include when conducting a health maintenance visit for a 15-month-old toddler? Select all that apply.

weight, head circumference, length

Which growth characteristics does the nurse anticipate for a 16-year-old female client? Select all that apply.

decreasing rate of growth, to have reached ninety-five percent of adult height, and to have well advanced secondary sexual characteristics

What considerations should be included in caring for an infant who is failing to thrive (FTT)?Select all that apply

Dietary history

Signs of malnutrition

Familial stress factors

Parent and infant interaction

Sustained growth under 5th percentile

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