speech predicates ch 3 pt 2

An infant is lying in a crib watching and listening to a colorful mobile. Which of the following statements is correct concerning a mobile for an infant?

a. Provides stimulation necessary for continued growth and development for the infant

b. Provides too much stimulation for the infant, making it difficult for the infant to

focus

c. Serves as inadequate stimulation for the infant because it is an inanimate object

d. Serves as a distractor for the infant, making it easier to fall asleep

a. Provides stimulation necessary for continued growth and development for the infant

The nurse performs a home visit for a new mother and infant. The nurse observes that the infant lacks a regular feeding schedule, has diapers that are not changed promptly, and cries for long periods of time before being consoled. Which of the following problems is the infant most at risk for encountering in the future?

a. Developing enuresis as a todder

b. Having difficulty forming relationships

c. Becoming a picky eater

d. Taking longer to toilet train

b. Having difficulty forming relationships

By what age is an infant's retina fully developed?

a. Birth

b. 2 months

c. 4 months

d. 6 months

c. 4 months

A nurse is completing a well-child assessment of a 6-month-old infant. Which of the following guidelines should be used when assessing the infant's height and weight?

a. CDC growth charts

b. CDC body mass index (BMI) charts

c. WHO growth standards

d. Denver Developmental Screening height and weight standards

c. WHO growth standards

A delivery room nurse senses disappointment when a mother is told she just delivered a baby girl. Which of the following would be the most therapeutic response by the nurse?

"Yes, you just delivered a healthy, beautiful baby girl."

"This is your first baby. You can always try again for a boy."

"Don't worry, many parents often feel the same way you do."

"You are tired. I think you should get some rest."

"Yes, you just delivered a healthy, beautiful baby girl."

A nurse is working with a family of an infant to improve their health perception and health management pattern. Which of the following interventions would be most appropriate for the nurse to implement?

a. Assess the home for safety hazards.

b. Teach parents appropriate coping mechanisms.

c. Demonstrate effective parenting skills.

d. Encourage appropriate stimulation of the infant.

c. Demonstrate effective parenting skills.

The mother of an 8-month-old asks what the minimum recommended amount of fat intake is for her infant. Which of the following would be the minimum recommended fat intake?

a. 18 g/day

b. 25 g/day

c. 30 g/day

d. 48 g/day

c. 30 g/day

Which of the following statements concerning infant nutrition is correct?

During hot and especially dry weather, infants should have supplemental water.

50% of an infant's intake should come from protein to insure adequate growth.

Breast milk and formulas contain 50% of their calories from fat.

Skim milk started during infancy will help prevent later childhood obesity.

Breast milk and formulas contain 50% of their calories from fat.

A nurse is completing a home visit of a new mother who is breastfeeding her infant. Which of the following instructions should the nurse provide during this visit?

a. Consume 500 kcal/day above pre-pregnancy energy intake to avoid excessive

weight loss.

b. Drink 1 quart of fluids daily to produce sufficient quantity of breast milk.

c. Be sure to wipe off all breast milk on the nipples between feedings to avoid

infection.

d. All of the above statements are correct.

b. Drink 1 quart of fluids daily to produce sufficient quantity of breast milk.

A mother asks the nurse when she should start feeding her infant solid foods. Which of the following is the most appropriate response by the nurse?

a. "It is recommended that solid foods are introduced no earlier than 3 months of

age."

b. "It is recommended that solid foods are introduced no earlier than 6 months of age."

c. "You should wait until your child is 9 months old to start solid foods."

d. "You should wait until your child is 1 year old to start solid foods."

b. "It is recommended that solid foods are introduced no earlier than 6 months of age."

A new mother has decided to breastfeed her infant after having bottle-fed her other two children. Which of the following information about having a breast-fed infant should the nurse discuss with the mother?

Breast-fed infants have darker bowel movements than bottle-fed babies.

Breast-fed infants have smellier bowel movements than bottle-fed babies.

Breast-fed infants have more frequent bowel movements than bottle-fed babies.

Breast-fed infants have harder bowel movements than bottle-fed babies.

Breast-fed infants have more frequent bowel movements than bottle-fed babies.

During a home visit, the nurse finds a 9-month-old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth and development of the child?

a. For safety, suggest removing all toys except soft stuffed animals from the playpen.

b. Suggest keeping the infant in the playpen as much as possible to promote safe play.

c. Encourage providing the infant with supervised time outside of the playpen.

d. All of the above.

c. Encourage providing the infant with supervised time outside of the playpen.

A new young mother asks the nurse what she should do to play with her 3-month-old infant. Which of the following suggestions should the nurse provide?

Take the infant for a walk outside.

Place several toys around the infant when lying on the floor.

Rock the infant in a rocking chair.

Search the Internet for toys highly recommended for infants.

Rock the infant in a rocking chair.

The mother of a 4-month-old infant is concerned about the possibility of SIDS because her neighbor's daughter passed away last year as a result of SIDS. The mother reports she is so nervous that she has taken up smoking again. The mother informs you that the 4-month-old sleeps supine and takes a pacifier to help her fall asleep. Which of the following statements would be the best response from the nurse?

a. "You should place the infant in the bed with you until 6 months of age."

b. "You should never give the infant a pacifier while she is sleeping."

c. "You should try to stop smoking."

d. "You should place the infant on her stomach."

c. "You should try to stop smoking."

A nurse is developing an educational program about SIDS for a new mothers' support group in the community. Which of the following information would be included in this presentation?

Parents are encouraged to place their infants in the supine sleeping position.

SIDS is the leading cause of death among infants aged 6 months to 1 year old.

SIDS is associated with infants who have had difficulty sleeping at night.

Parents are encouraged to limit the amount of "tummy time" of their infant.

Parents are encouraged to place their infants in the supine sleeping position.

A nurse is assessing the language development of a 6-month-old infant. Which of the following findings would the nurse anticipate would start to emerge?

The infant forms two-syllable sounds.

The infant coos and makes vowel sounds.

The infant babbles.

The infant says "ma-ma" and "bye-bye."

The infant babbles.

Which of the following infants is most at risk to experience child abuse?

The father has experienced paternal engrossment.

The infant responds to parental touch.

The infant's parents have low self-esteem.

The infant has been adopted.

The infant's parents have low self-esteem.

A nurse is assessing a 4-month-old infant during a well-child visit. Which of the following findings will require the nurse to collect additional information?

The infant's shirt is wet from drooling.

The infant has gained less than predicted (growth charts) since her 2-month visit.

The infant grasps objects with two hands instead of one.

All of the above are issues of concern.

The infant has gained less than predicted (growth charts) since her 2-month visit.

A nurse visits a 3-month-old infant of a single mother for a weight check. She finds two older children running around the home, the infant is crying, the mother yelling at the two children and a half-lit cigarette is in an ashtray. The mother tells the nurse the visit needs to be cut short today because she has to pick up her other children from the bus stop. Which of the following would be the most beneficial intervention this nurse can provide during this visit?

a. Advise the mother that the nurse will wait in the home until mom returns from the bus stop.

b. Advise the mother that if she does not reschedule the visit within 1 week, the nurse will notify child protective services.

c. Weigh the infant and offer community resources to the mother.

d. Offer to go pick up the other children at the bus stop.

Weigh the infant and offer community resources to the mother.

Where do most accidents occur?

a. In the home

b. In the car

c. At day care

d. On the playground

a. In the home

Which of the following is an example of passive immunity?

An attenuated (weakened) but live vaccine—measles, mumps, rubella (MMR)

A toxin of the disease organism, which fosters immunity

Diphtheria, tetanus, and acellular pertussis (DTaP) killed vaccine

Protection from drinking breast milk

Protection from drinking breast milk

Which of the following is the most common poison ingested by infants?

a. Houseplants

b. Lead

c. Cleaning agents

d. Aspirin

d. Aspirin

A new father is installing a car seat for an infant in the car. Which of the following

information should be given to the father by the nurse?

The infant should be in a rear-facing car seat in the front seat.

The infant should be in a rear-facing car seat in the back seat.

The infant should be in a front-facing car seat in the front seat.

The infant should be in a front-facing car seat in the back seat.

The infant should be in a rear-facing car seat in the back seat.

A 15-month-old infant has been brought into the office by his Spanish-speaking mother for symptoms of an upper respiratory infection. Which of the following should be the initial action taken by the nurse?

Ask the mother if she would like an interpreter.

Ask the mother what home remedies have been used.

Ask the mother how long the child has had these symptoms.

Ask the mother about any allergies the child may have.

Ask the mother if she would like an interpreter.

A nurse would like to be involved in promoting change in health care policies. Which of the following statements would be accurate as applied to this goal?

a. Becoming a member of a health planning counsel or joining an advisory group to a legislator would be a good first start.

b. Nurses must have a minimum of a master's degree to directly advise legislators on a one-to-one basis regarding healthcare.

c. Engaging in political lobbying activities is unprofessional and inappropriate to the nursing role.

d. All of the above statements are correct.

a. Becoming a member of a health planning counsel or joining an advisory group to a legislator would be a good first start.

A mother asks a nurse what the best toy would be for her 2-month-old. Based on the growth and development of the infant, which of the following recommendations should be made by the nurse?

a. Colorful mobile with music

b. Rattle

c. Stuffed teddy bear

d. Play telephone

a. Colorful mobile with music

A 5-month-old boy was born at 6 pounds, 7 ounces. He is being seen in the office for a well-child visit. The nurse would expect him to weigh approximately

a. 10 pounds, 14 ounces.

b. 11 pounds, 7 ounces.

c. 12 pounds, 14 ounces.

d. 13 pounds, 7 ounces.

c. 12 pounds, 14 ounces.

A 9-month-old has mastered the pincer grasp. Which of the following tasks would the nurse anticipate that the infant can do by himself?

a. Play with a rattle.

b. Eat Cheerios off a hard surface.

c. Hold a spoon to feed himself.

d. Drink from a cup.

b. Eat Cheerios off a hard surface.

A nurse makes a home visit to a 15-month-old following a hospitalization for a fall. Which finding would be concerning to the nurse?

Radiator heating system in the home

The child drinking from a cup

The child experiencing a temper tantrum

A decorative bowl filled with colorful marbles on the coffee table

A decorative bowl filled with colorful marbles on the coffee table

Which of the following represents a developmental task(s) normally accomplished in infancy?

a. Develops a feeling of affection for others

b. Able to run

c. Uses short sentences

d. Choices "A" and "C" are correct

a. Develops a feeling of affection for others

An infant is going through the toys in his toy box. He looks at each one before dropping it to the floor and picking the next toy out of the box. Using a growth and development perspective, which of the following conclusions can the nurse draw by assessing this behavior?

The infant is testing his limits.

The infant is exploring his environment.

The infant is expressing his emotions.

The infant is developing fine motor skills.

The infant is exploring his environment.

The mother of a 16-month-old infant asks a nurse her opinion about holiday decorating. Which of the following recommendations should the nurse provide to the mother?

Avoid hanging a wreath with holly and berries on the front door.

Avoid hanging decorative pictures of a bearded Santa Claus on the window.

Avoid placing poinsettia plants around the home.

Avoid hanging stockings on the fireplace mantle.

Avoid placing poinsettia plants around the home.

Which of the following statements is correct concerning weaning?

Weaning should not be started until the infant can sit only slightly supported.

Weaning can not be started until the extrusion reflex is fully developed.

Once the child has learned to use as cup, he or she should no longer have a bottle or breast.

AAP recommends weaning begin at 8 to 9 months and be completed by age 1 year.

Weaning should not be started until the infant can sit only slightly supported.

A 2-month-old infant is in for a well-baby visit. Which of the following immunizations should the nurse administer to the infant?

a. DTaP-1

b. MMR

c. Varicella

d. Influenza

a. DTaP-1

Which of the following statements are correct concerning language development? (Select all that apply.)

a. Infants initially make vowel sounds using the front part of their mouth.

b. Cooing sounds begin at 2 to 3 months.

c. Babbling begins at approximately 9 to 12 months.

d. By one year words such as “ma-ma” or “bye-bye” begin to emerge.

A, B, D

A nurse is completing an initial genetic counseling interview with a couple. Which of the following data would be collected during the interview? (Select all that apply.)

a. Paternal age

b. Maternal age

c. Family history

d. Religious affiliation

B, C

At a well-child visit, a 2-year-old toddler measures 2 feet 8 inches tall. The nurse estimates the toddler's approximate final adult height to be

a. 4 feet 8 inches.

b. 5 feet.

c. 5 feet 2 inches.

d. 5 feet 4 inches.

d. 5 feet 4 inches.

A 2 1/2 year-old toddler is in for an office visit. He was born at 6 pounds, 10 ounces. At today's visit, the nurse expects his weight to be

a. 13 pounds, 4 ounces.

b. 19 pounds, 14 ounces.

c. 26 pounds, 8 ounces.

d. 33 pounds, 2 ounces.

c. 26 pounds, 8 ounces.

At a well-child visit, the parents of a toddler ask the nurse how they should teach their toddler the importance of dental hygiene. Which of the following actions should the nurse recommend to the parents?

Remind the toddler to brush his teeth every day.

Have the dentist tell the toddler about the importance of dental hygiene.

Schedule a time to brush their own teeth with their toddler.

Have the toddler watch an educational cartoon video on the teeth brushing.

Schedule a time to brush their own teeth with their toddler.

A mother is concerned because her 22-month-old has been skipping meals lately. Which of the following actions should the nurse recommend to the mother?

a. Put the child in time out whenever he skips a meal.

b. Offer small amounts of favorite foods (cookies, chips) at meals to stimulate

appetite.

c. Limit the child's consumption of juices and cookies.

d. Talk to the child about how important it is to eat three meals a day.

c. Limit the child's consumption of juices and cookies.

Which of the following toddlers would require further investigation from the nurse?

a. Sitting quietly on a couch

b. Experiencing a temper tantrum

c. Playing with a toy next to another child also playing with a toy

d. Exploring his environment and playing with new toys

a. Sitting quietly on a couch

Approximately how much sleep do toddlers require each day?

a. 10 h

b. 11 h

c. 12 h

d. 13 h

c. 12 h

The inability of a toddler to put him- or herself in another's shoes is known as

a. autonomy.

b. egocentrism.

c. self-perception.

d. integrity.

b. egocentrism.

Which of the following statements is correct concerning hearing in the toddler?

a. Toddlers characteristically endlessly repeat sounds, words, and word combos.

b. Mild hearing loss will not affect speech skills but moderate or worse loss will do so.

c. Infants at risk who passed neonatal screening need diagnostic audiometry by age 15 to 18 months.

d. All of the above statements are correct.

a. Toddlers characteristically endlessly repeat sounds, words, and word combos.

A deviation of the line of vision from the midline resulting from extraocular muscle weakness or imbalance is known as

a. amblyopia.

b. farsightedness.

c. nearsightedness.

d. strabismus.

d. strabismus.

A toddler has been diagnosed with amblyopia. Which of the following treatment measures would most likely be prescribed for the child?

a. Using corrective lenses

b. Patching of the eye

c. Applying artificial tears to the eye

d. Allowing the passage of time

b. Patching of the eye

Which of the following behaviors exemplifies a toddler working through his developmental task?

a. Clinging to his mother

b. Refusing to take a bath

c. Playing quietly with one toy

d. Having no interest in a new toy

b. Refusing to take a bath

A nurse is providing anticipatory guidance to parents about the self-perception-self-concept pattern of a toddler. Which of the following statements would the nurse most likely make?

a. "Temper tantrums are expected, so giving into them reduces parental stress."

b. "Put your toddler in time out if he has a temper tantrum."

c. "Childproof your home."

d. "Always provide your toddler with challenging toys."

c. "Childproof your home."

The mother of a 2-year-old toddler recently lost her job. In addition, her husband asked for a separation. Which of the following actions should the nurse take based on this information?

Give the mother information about local support groups.

Provide the mother the name of a prominent local attorney.

Do not offer any advice unless the mother asks.

Help the mother find a job.

Give the mother information about local support groups.

A 2-year-old Asian American boy is being seen for an office visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. Which of the following actions should the nurse take after examining the child?

a. Report the suspected child abuse to the Department of Children and Families.

b. Not a significant concern as the vast majority of toddler bruises are from falls.

c. Ask the mother about the bruises.

d. Schedule a follow-up appointment in 2 weeks to see if the bruises are still present.

c. Ask the mother about the bruises.

An individual's style of emotional and behavioral response across situations, especially those involving change or stress, is known as

a. ritual.

b. temperament.

c. coping.

d. autonomy.

b. temperament.

Which of the following statements is correct concerning stress and coping for toddlers?

a. Toddlers commonly imitate their parent's behavior in dealing with stressors.

b. Siblings are viewed as allies and, thus, not common sources of stress for toddlers.

c. Regressing to earlier infantile behavior is serious developmental problem.

d. Discussing upcoming stressful events is ill-advised; it intensifies the child's stress.

a. Toddlers commonly imitate their parent's behavior in dealing with stressors.

A toddler needs to have blood drawn at his next appointment. Which of the following actions would the nurse suggest that the mother do with the child before the next visit?

a. Tell the child about the blood work early on the day of the appointment.

b. Tell the child about the blood work right before leaving for the appointment.

c. Tell the child at the office right before the phlebotomist enters the room.

d. Do not tell the child about the blood work.

b. Tell the child about the blood work right before leaving for the appointment.

Which of the following events poses the greatest threat to a toddler's health?

a. Childhood diseases

b. Complications from adverse vaccine reactions

c. Accidents

d. Influenza in an unvaccinated child

c. Accidents

A nurse is assessing the home environment of a toddler. Which of the following poses the greatest and most immediate risk to the child?

a. A fenced-in pool in the backyard

b. An entertainment center with the remote control on the top shelf

c. A closed window in the child's bedroom

d. A toy box overflowing with toys

b. An entertainment center with the remote control on the top shelf

A nurse is providing primary prevention education to reduce the risk of lead poisoning to a mother of a toddler. Which of the following recommendations would the nurse make?

a. Encourage the toddler to drink orange juice and eat yogurt.

b. Encourage the toddler to eat concentrated carbohydrates to absorb the lead.

c. Limit foods high in iron such as spinach because iron retains lead in the body

d. Encourage dark chocolate, which contains antioxidants to help reduce lead levels.

a. Encourage the toddler to drink orange juice and eat yogurt.

An 18-month-old toddler is being seen for a well-child visit. Which of the following strategies would the nurse use to enlist the toddler's cooperation?

Ask the toddler if he wants to be examined today.

Ask his mother to leave the room while the nurse examines him.

Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest.

Have his mother hold him down while the nurse examines him.

Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest.

A mother expresses her concern and frustration over the fact that her toddler has not been successful at toilet training yet. Which of the following would be the best response by the nurse?

"Don't worry; eventually all children become toilet-trained."

"How long does the child stay dry during the day?"

"Train him on a regular toilet instead of a potty chair."

"Here is a training schedule to follow which is almost always successful."

"How long does the child stay dry during the day?"

A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse?

"This is a sign that he is not ready to toilet train yet."

"This behavior is developmentally normal."

"Tell him calmly to stop touching himself."

"Mentioning it to the child will increase the behavior; best to ignore it."

"This behavior is developmentally normal."

Which is a common temperament pattern described by Chess and Thomas?

a. The fussy child

b. The happy child

c. The unhappy child

d. The slow-to-warm-up child

d. The slow-to-warm-up child

How many words are in a toddler's receptive language at 24 months of age?

a. 500 words

b. 1200 words

c. 2400 words

d. 3600 words

b. 1200 words

A mother asks her toddler if she is tired. The toddler responds by saying, "Sammy bed." Based on her expressive language and speech pattern, the nurse determines that this child is likely how old?

a. 18 months

b. 24 months

c. 30 months

d. 36 months

b. 24 months

Which scenario places a toddler at risk for injury? (Select all that apply.)

a. Toddler playing with his preschool sibling’s toy

b. Mop and a bucket of clean water in the kitchen

c. Cup of hot coffee on the kitchen counter

d. A 25 pound toddler sitting in a forward-facing car seat in the back seat of a car

A, B, C

A nurse is assessing a toddler during a well-child visit. Which of the following findings warrant further investigation? (Select all that apply.)

a. Bare spots on the scalp, and broken hair

b. Overly concerned parents

c. Burns with sharply demarcated edges

d. Bruises to the knees and chin, reportedly from a fall.

A, C

The nurse is about to administer prescribed medication to a 4 year old. The medication is renally excreted. Which of the following statements is correct concerning this scenario?

The dosage reflects the status that kidneys are not fully matured until after age 5.

The dosage reflects the status that kidneys have reached full maturity.

The dosage reflects the status that kidneys are hyperactive from birth to age 5.

Renally excreted meds are contraindicated for children under 5 years. The nurse

needs to call the physician for clarification.

The dosage reflects the status that kidneys have reached full maturity.

A nurse is discussing genetic disorders with a local community group. Which of the following statements would the nurse make during the presentation?

Down syndrome is most likely to appear during the preschool years.

Hemophilia is most likely to appear during the preschool years.

Cystic fibrosis is most likely to appear during the preschool years.

Multiple sclerosis is most likely to appear during the preschool years.

Cystic fibrosis is most likely to appear during the preschool years.

A mother comments to the school nurse that her child has poor hygiene habits and asks the nurse for suggestions as to how to teach her child to improve on his hygiene. Which of the following recommendations would the nurse give the mother?

a. Have him learn it at school.

b. Model the behavior at home.

c. Lecture him about hygiene.

d. Punish him when he forgets to brush his teeth.

b. Model the behavior at home.

A 5-year-old is consuming a daily caloric intake of 1400 calories. What percentage of the grains he consumes should be whole grains.

a. At least 25%

b. At least 35%

c. At least 50%

d. At least 75%

c. At least 50%

Which of the following caloric intake is appropriate for a preschooler?

a. 950 calories

b. 1200 calories

c. 1600 calories

d. 1800 calories

b. 1200 calories

Which of the following foods will a 5-year-old child need help eating?

a. Pudding

b. Macaroni and cheese

c. Chicken

d. Jelly sandwich

c. Chicken

A 2-year-old child has hives. Of the following items ingested, which is most likely to havecaused the allergic reaction?

a. Apple juice

b. Oatmeal-peanut cookies

c. Jelly sandwich

d. Banana

b. Oatmeal-peanut cookies

A 4-year-old boy had an episode of enuresis. Which of the following actions should be taken by the parents?

a. Have him change his own pajamas before returning to bed.

b. Take away one video game.

c. Tell his 6-year-old sister about the incident.

d. Make him wear his diaper to bed

a. Have him change his own pajamas before returning to bed.

A nurse is working with a local day care center to develop appropriate outdoor play activities for 5-year-old children at the center. Which of the following activities would the nurse most likely recommend?

a. Having the children bring their bikes to the center so they can go for bike rides in the neighborhood

b. Drawing outdoor scenes using portable easels and chalks or crayons

c. Taking the children swimming at the neighborhood pool

d. Playing on the outdoor preschool equipment while being supervised by day care personnel

d. Playing on the outdoor preschool equipment while being supervised by day care personnel

A 4-year-old girl asks her mother for a second cup of yogurt before starting to eat the first cup she was given. What will the child most likely do with the extra helping?

Eat it herself.

Ask her brother if he wants it.

Feed it to her dog.

Give it to her imaginary friend.

Give it to her imaginary friend.

Which sleep ritual is age appropriate for a preschooler?

Asking for every light in the home to be turned on at bedtime

Saying good night to all 20 stuffed animals in the room before going to sleep

Going right to sleep

Asking the parent to read multiple books on the bookshelf before going to bed

Saying good night to all 20 stuffed animals in the room before going to sleep

During a well-child visit, a parent tells the nurse that their preschooler occasionally wakes up during the middle of the night and tells them about "scary things." He is fully awake when the parents enter the room. The child often recalls the incident the following morning. Based on growth and development, which of the following would be the most common reason for the preschooler to wake up?

a. Nightmares

b. Night terrors

c. Enuresis

d. Hunger

a. Nightmares

Which of the following is a hallmark of Piaget's preconceptual substage?

a. Using language to function symbolically

b. Using concrete thought processes

c. Using mental abstracting

d. Using transductive reasoning

a. Using language to function symbolically

A preschooler and her school-age brother both have received the same swimming tube as a gift. The brother accidentally took his sister's swimming tube. The sister protested that she needed her swimming tube to go swimming. Which of the following is being demonstrated by this behavior by the sister?

a. Abstract thinking

b. Concrete thinking

c. Jealousy

d. A temper tantrum

b. Concrete thinking

A school nurse is planning to assess the visual acuity of the preschool students at the school. Which of the following tests would be used?

a. Snellen E Screening test

b. Denver Eye Screening test

c. Ishihara's test

d. Cover test

a. Snellen E Screening test

A nurse is reviewing the chart of a preschool child who has been diagnosed with Autism Spectrum Disorder (ASD) Which of the following findings is the nurse most likely to discover?

a. Eating finger foods at 10 months old

b. Avoiding eye contact

c. Separation anxiety at 10 months old

d. Saying "ma-ma" at 10 months old

b. Avoiding eye contact

A 4-year-old child tells the school nurse that he invented a new song. Which of the following would be the best response by the nurse?

a. Congratulate the child on a job well done.

b. Tell the child that he is too young to invent anything.

c. Nicely tell the child that it does not sound like a song.

d. Ask the child to come back later when there is more time to listen to the song.

a. Congratulate the child on a job well done.

Autism disorder is common and is invariably encountered by nurses providing care for children. Which of the following statements is correct concerning this disorder?

a. It is caused by maternal drug abuse especially cocaine during the in utero period.

b. It is caused by child vaccines.

c. It is has been linked to genetics but no single gene has been identified.

d. It is more common with children who had high Apgar scores as newborns.

c. It is has been linked to genetics but no single gene has been identified.

A nurse is using primary prevention strategies to prevent child abuse in the community. Which of the following interventions would the nurse implement?

a. Educate the public about violence and the potential for abuse.

b. Remove a child who has been abused from the home.

c. Report a case of child abuse.

d. Refer a parent who abused their child to counseling.

a. Educate the public about violence and the potential for abuse.

During a well-child visit, a father tells the nurse that the preschool-aged child has been enjoying their "road trips" that they take together. On such occasions, the child gets to sit in the front seat of the car with him. Which of the following actions should the nurse take next?

Report the father to the local child protective agency.

Encourage the father to have the child sit in the back seat instead.

Instruct the father on the dangers of having small children in the front seat.

Provide the parent with educational materials about car seat safety.

Instruct the father on the dangers of having small children in the front seat.

A nurse is discussing with parents how to prevent burns in a preschooler. Which of the following recommendations is the nurse most likely to give the parents?

a. Do not read to the child while sitting on the sofa in front of the fireplace.

b. Do not cook on a gas grill until the child is a teenager.

c. Do not leave cigarettes and matches on the kitchen counter.

d. Do not cook with the child in the kitchen.

c. Do not leave cigarettes and matches on the kitchen counter.

A mother thinks her 2-year-old child drank Drano. What should the nurse tell the mother to do next?

a. Call the pediatrician on call.

b. Give ipecac syrup.

c. Call the Poison Control Center.

d. Wait to see if the child will vomit.

c. Call the Poison Control Center.

Which of the following is the most common intraocular tumor in young children?

a. Neuroblastoma

b. Wilms' tumor

c. Retinoblastoma

d. Leukemia

c. Retinoblastoma

The nurse suspects a 5-year-old child has asthma. Which information garnered from the child's medical history would be a risk factor for asthma or for exacerbating asthma?

a. The child was breast-fed.

b. The child sleeps every night with the family dog in his bed.

c. The child was born via a C-section.

d. The child had pressure equalizer as an infant.

b. The child sleeps every night with the family dog in his bed.

The nurse makes a home visit to a child who has recently been diagnosed with asthma. Which environmental finding has the potential to trigger an asthma exacerbation?

a. Radiator heating system

b. Air conditioner

c. Hardwood flooring

d. Cockroach infestations

d. Cockroach infestations

The nurse is conducting a physical exam on a 3-year-old child. Which of the following would be the best way for the nurse to approach the child during the exam?

Let the child listen to the nurse's heart with the stethoscope.

Tell him to sit quietly while the nurse examines him.

Ask his parents to leave the room to minimize distractions.

Ask another nurse to hold him while the nurse examines him.

Let the child listen to the nurse's heart with the stethoscope.

A nurse is using the Healthy People 2030 health promotion and disease prevention objectives for preschoolers when planning for health policy development in the community. Which of the following health policies would the nurse support?

a. Increased regulation of WIC programs to insure compliance

b. Decrease pet owner ship and thus the number of children exposed to pet dander

c. Regulation of the paint allowed for use with toys

d. All of the above

c. Regulation of the paint allowed for use with toys

The nurse is observing the development of gross motor skills of young children at a community recreation center. The nurse is watching a particular child who alternates feet when descending stairs and uses a pencil with good control. On average, what is the youngest age this child is likely to be?

a. 3 years old

b. 4 years old

c. 5 years old

d. 6 years old

b. 4 years old

On average, how old is a preschooler with a receptive vocabulary of up to 5600 words?

a. 42 months old

b. 48 months old

c. 54 months old

d. 60 months old

b. 48 months old

Which of the following signs may be indicative of childhood cancer? (Select all that apply.)

a. Bruises

b. Pale skin

c. Enlarged lymph nodes

d. Hives

A, B, C

Which of the following behaviors by a preschooler indicates use of an effective copingmechanism? (Select all that apply.)

a. The preschooler walks away from the situation.

b. The preschooler blames a friend for causing the problem.

c. The preschooler states what he is upset about.

d. The preschooler has a temper tantrum.

B, C