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NURSINGTB.COM Chapter 33: The Preschooler and Family Perry: Maternal Child Nursing Care, 6th Edition MULTIPLE CHOICE 1. Which accomplishment would the nurse expect of a healthy 3-year-old child? Balance on one foot for a few seconds ANS: D Three year olds are able to accomplish the gross motor skill of balancing on one foot. Jumping rope, riding a two-wheel bike, and skipping on alternate feet are gross motor skills of 5-year-old children. PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 2. In terms of fine motor development, what could the 3-year-old child be expected to do? Use scissors or a pencil very well Draw a person with 7 to 9 parts ANS: D Three-year-olds are able to accomplish the fine motor skill of drawing a circle. Tying shoelaces, using scissors or a pencil very well, and drawing a person with multiple parts are fine motor skills of 5-year-old children. PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 3. In terms of cognitive development, the preschooler would be expected to engage in what behavior? Understand conservation of matter Be able to comprehend another person’s perspective ANS: A Preschoolers’ thinking is often described as magical thinking. Because of their egocentrism and transductive reasoning, they believe that thoughts are all-powerful. Abstract thought does not develop until school-age years. The concept of conservation is the cognitive task of school-age children ages 5 to 7 years. Five year olds cannot understand another’s perspective. PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 4. What is descriptive of the preschooler’s understanding of time? Has no understanding of time NURSINGTB.COM MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK This check will happen between 3-and-a-quarter and 3-and-a-half years of age. Posture and large movementsPosture is how your child holds their body. Large movements (also called 'gross motor skills') are the movement and coordination of the arms, legs and other large body parts. Examples include sitting, crawling and walking. The public health nurse will check or ask if your child:
TestesIf your child is a boy, the nurse will check their testicles (testes) to make sure they have moved down into the scrotum (this is called testicular descent). EyesightThe nurse will ask you about your child’s eyesight (vision). They will check to see if your child’s eyes look in the same direction. Fine movementsFine movements (also called 'fine motor skills') are the use of smaller muscles like the muscles in hands, fingers and wrists. The nurse will check if your child can:
Hearing and speechThe nurse will ask if your child passed the universal newborn hearing screening (UNHS) test shortly after birth. They will ask if your child can hear:
The nurse will ask about your child’s speech. They will check if your child can:
You will also be asked about your child’s interaction skills, for example if they can:
CognitiveThe cognitive check looks at learning, thinking and problem-solving. The nurse will ask if your child:
Social, emotional, play and behaviourThe nurse will ask if your child:
Which question would the nurse ask the parents of a 3The nurse would ask the parent of a 3-year-old if the child is able to build a tower using 9 or 10 blocks to assess fine motor skills. A preschool-age child is not expected to use scissors, also a fine motor skill, until 4 years of age.
Which should the nurse expect of a healthy 3Which accomplishment would the nurse expect of a healthy 3-year-old child? Three-year-olds are able to accomplish the gross motor skill of balancing on one foot. Jumping rope, riding a two-wheel bike, and skipping on alternate feet are gross motor skills of 5-year-old children.
Which statement should the nurse include when providing anticipatory guidance to the parents of a 3Which statement should the nurse include when providing anticipatory guidance to the parents of a 3-year-old client? "It is important to set limits with your child."
How many words should the nurse expect the 3How many words should the nurse expect the 3-year-old child to acquire each day? The nurse would expect the 3-year-old toddler-age child to acquire 5 to 6 new words each day.
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