Growth & Development Clinical Activity

Infant

A nurse is talking with the parents of a 6-month-old about gross motor development. Which of the following gross motor skills are expected findings in the next 3 months? (Select all that apply)

A. Rolls from back to front

B. Bears weight on legs

C. Walks holding onto furniture

D. Sits unsupported

E. Sits down from a standing position

A, B, D

Infant

A nurse is cautioning the mother of an 8-month-old infant about safety. Which of the following statements by the mother indicates an understanding of safety for the infant?

A. “My baby loved to play with his crib gym, but I took it away from him.”

Infant

A nurse is reviewing car seat safety with the parents of a 1-month-old infant. When reviewing car seat use, which of the following instructions should the nurse include?

B. Position the car seat so that the infant is rear-facing.

Infant

A nurse is assessing from a 2-week-old newborn during a routine checkup. Which of the following findings should the nurse expect? (Select all that apply.)

A. Sleeps 14 to 16 hrs. each day

B. Posterior fontanel closed

C. Pincer grasp present

D. Hands remain in a closed position

E. Current weight same as birth weight

A, D, E

Toddler

A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident-prevention strategies should the nurse include? (Select all that apply.)

A. Store toxic agents in locked cabinets

B. Keep toilet seats up.

C. Turn pot handles toward the back of the stove.

D. Place safety gates across stairways.

E. Make sure balloons are fully inflated.

A, C, D

Toddler

A nurse is planning diversionary activities for toddlers on an inpatient unit. Which of the following activities should the nurse include? (Select all that apply.)

A. Building small models

B. Working with clay

C. Filling and emptying containers

D. Playing with blocks

E. Looking at books

C, D, E

Toddler

A nurse is teaching the parents of a toddler about discipline. Which of the following actions should the nurse suggest?

A. Establish consistent boundaries for the toddler.

Toddler

A mother tells the nurse that her 2-year-old toddler has temper tantrums and says “no” every time the mother tries to help her get dressed. The nurse should recognize, the toddler is manifesting which of the following stages of development?

A. Trying to increase her independence

Preschool

A nurse is talking with the parent of a 4-year-old child who states that his child is waking up at night with nightmares. Which of the following interventions should the nurse suggest?

C. Ensure the child takes a nap during the day.

Preschool

A nurse is planning diversionary activities for preschoolers on an impatient pediatric unit. Which of the following activities should the nurse include? (Select all that apply)

A. Assembling puzzles

B. Pulling wheeled toys

C. Playing simple board games

D. Playing with puppets

E. Coloring with crayons

A, C, D, E

Preschool

A nurse is preparing to administer medications to a preschooler. Which of the following strategies should the nurse implement to increase the child’s cooperation in taking medications? (Select all that apply.)

A. Reassure the child an injection will not hurt.

B. Mix oral medications in a large glass of milk.

C. Offer a choice between two flavored medications if available

D. Have the parents bring in a favorite toy from home.

E. Engage the child in pretend play with a toy medical kit.

D, E

Preschool

A nurse is talking with a parent who is concerned about several issues with her preschooler. Which of the following issues should the nurse identify as the priority?

B. “My son has temper tantrums every time we tell him to do something he doesn’t want to do.”

School-Age Children

A nurse is talking with parents of a 12-year-old child. Which of the following issues verbalized by the parents should the nurse identify as the priority?

A. “We just don’t understand why our son can’t keep up with the other kids in simple activities like running and jumping.”

School-Age Children

A nurse is planning diversionary activities for school-age children on an inpatient pediatric unit. Which of the following activities should the nurse include? (Select all that apply.)

A. Building models

B. Playing video games

C. Reading books

D. Using toy carpentry tools

E. Playing board games

A, B, C, E

School-Age Children

A nurse is talking with the parents of a 10-year-old child who is concerned that their son is becoming secretive, such as closing door when he showers, and dresses. Which of the following responses should the nurse make?

C. “At this age, children tend to become modest and value their privacy.”

School-Age Children

A nurse is planning a health promotion and primary prevention class for the parents of school-age children. Which of the following information should the nurse include? (Select all that apply)

A. Provide information about the risk of childhood obesity.

B. Discuss the danger of substance use disorders.

C. Promote discussion about sexual issues.

D. Recommend the school-age child sit in the front seat of the car.

E. Reinforce stranger awareness.

A, B, C, E

Adolescent

A nurse on a pediatric unit is caring for an adolescent who has multiple fractures. Which of the following interventions should the nurse take? (Select all that apply.)

A. Suggest that his parents bring in video games for him to play.

B. Provide a television and DVDs for the adolescent to watch.

C. Limit visitors to the adolescent’s immediate family.

D. Involve the adolescent in treatment decisions when possible.

E. Allow the adolescent to perform his own morning care.

A, B, D, E

Adolescent

A nurse is talking with an adolescent who is having difficulty dealing with several issues. Which of the following issues should the nurse identify as the priority?

C. “I am so fat; I skip meals to try to lose weight.”

Adolescent

A nurse is preparing a wellness presentation for families about health screening for adolescents. Which of the following should the nurse include? (Select all that apply)

A. Obtain a periodic mental health assessment.

B. Discuss prevention of sexually transmitted infections.

C. Regularly blood pressure screenings

D. Provide education about drug and alcohol use.

E. Teach monthly breast examinations.

A, B, C, D

Adolescent

A nurse is teaching parents about safety measures for their adolescent child. Which of the following statements by the parents indicates a correct understanding of adolescent safety needs?

A. “It’s normal for teens to take more risks because their judgment is still develop.”

Young Adult

A nurse is teaching a young adult client about health promotion and illness prevention. Which of the following statements by the client indicates an understanding of the teaching?

B. “It is important to schedule routine health care visits even if I am feeling well.”

Young Adult

A charge nurse is explaining the stages of the lifespan to a group of newly licensed nurses. Which of the following examples should the charge nurse should include as a developmental task for a young adult?

C. Devoting a great deal of time to establishing an occupation

Young Adult

A nurse is counseling a young adult who describes having difficulty dealing with several issues. Which of the following client statements should the nurse identify as the priority to assess further?

C. “I don’t even know who I am yet, and now I’m supposed to know what to do.”

Young Adult

A nurse is reviewing safety precautions with a group of young adults at a community health fair. Which of the following recommendations should the nurse include to address common health risks for this age group? (Select all that apply)

A. Install bath rails and grab bars in bathrooms.

B. Wear a helmet while skiing.

C. Install a carbon monoxide detector.

D. Secure firearms in a safe location.

E. Remove throw rugs from the home.

B, C, D

Middle Adult

A nursing instructor is explaining the various stages of the lifespan to a group of nursing students. Which of the following examples should the nurse include as a developmental task for middle adulthood?

D. Achieving career stability and contributing to society.

Middle Adult

A nurse is collecting data to evaluate a middle adult’s psychosocial development. The nurse should expect middle adults to demonstrate which of the following developmental tasks? (Select all that apply)

A. Develop an acceptance of diminished strength and increased dependence on others.

B. Spend time focusing on improving job performance.

C. Welcome opportunities to be creative and productive.

D. Commit to finding friendship and companionship.

E. Become involved with community issues and activities.

B, C, E

Middle Adult

A nurse is collecting history and physical examination data from a middle adult. The nurse should expect to find decreases in which of the following physiologic functions? (Select all that apply)

A. Muscle mass and strength

B. Bone density

C. Visual acuity

D. Heart rate at rest

E. Lung capacity

A, B, C

Middle Adult

A nurse is preparing health promotion course for a group of middle adults. Which of the following strategies should the nurse recommend? (Select all that apply)

A. Engaging in regular physical exercise

B. Consuming a diet high in saturated fats

C. Attending routine health screenings

D. Avoiding tobacco use and limiting alcohol consumption

E. Ignoring signs of stress to build resilience

A, C, D

Older Adult

A nurse is counseling an older adult who describes having difficulty dealing with several issues. Which of the following problems verbalized by the client should the nurse identify as the priority?

D. “I keep forgetting which medications I have taken during the day.”

Older Adult

A nurse is planning a presentation for a group of older adults about health promotion and disease prevention. Which of the following interventions should the nurse plan to recommend? (Select all that apply.)

A. Receiving the influenza vaccine annually

B. Participating in regular weight-bearing exercise

C. Limiting fluid intake to prevent incontinence

D. Eating a balanced diet rich in fiber and vitamins

E. Scheduling regular vision and hearing screenings

A, B, D, E

Older Adult

A nurse is talking with an older adult client about improving her nutritional status. Which of the following interventions should the nurse recommend? (Select all that apply.)

A. Increase protein intake to increase muscle mass.

B. Decrease fluid intake to prevent urinary incontinence.

C. Increase calcium intake to prevent osteoporosis.

D. Limit sodium intake to prevent osteoporosis.

E. Increase fiber intake to prevent constipation.

A, C, D, E

Older Adult

A nurse is collecting data from an older adult client as part of a comprehensive physical examination. Which of the following findings should the nurse expect as associated with aging? (Select all that apply.)

A. Skin thickening

B. Decreased height

C. Increased saliva production

D. Nail thickening

E. Decreased bladder capacity

B, D, E