(Test Bank) Nursing Care of Children Principles and Practice

James,Nelson,Ashwill, 4

Nursing

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4th Edition

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Test Bank for Nursing Care of Children Principles and Practice, The downloadable file consists of 162 pages, and the total size of the file is 1.21 MB. Purchase now only for highly discounted price.

Author(s): James, Nelson, Ashwill

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TEST BANK FOR NURSING CARE OF CHILDREN PRINCIPLES AND PRACTICE, (JAMES, NURSING CARE OF CHILDREN) 4TH EDITION IF You Want To Purchase A+ Work Then Click The Link Below , Instant Download http://www.acehomework.net/?download=test-bank-for-nursing-care-of- children-principles-and-practice-4e-james-nursing-care-of-children-4th-edition If You Face Any Problem E- Mail Us At whisperhills@gmail.com 01: Introduction to Nursing Care of Children Chapter 01: Introduction to Nursing Care of ChildrenTest Bank MULTIPLE CHOICE 1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which current trend in the pediatric setting should the nurse expect to find? Increased hospitalization of children Decreased number of uninsured children An increase in ambulatory care Decreased use of managed care 2. A nurse is referring a low-income family with three children under the age of 5 years to a program that assists with supplemental food supplies. Which program should the nurse refer this family to? Medicaid Medicare Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program Women, Infants, and Children (WIC) program 3. In most states, adolescents who are not emancipated minors must have parental permission before: treatment for drug abuse. treatment for sexually transmitted diseases (STDs). obtaining birth control. surgery. 4. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia. Which characteristic of a clinical pathway is correct? Developed and implemented by nurses Used primarily in the pediatric setting Specific time lines for sequencing interventions One of the steps in the nursing process5. When planning a parenting class, the nurse should explain that the leading cause of death in children 1 to 4 years of age in the United States is: premature birth. congenital anomalies. accidental death. respiratory tract illness. 6. Which statement is true regarding the “quality assurance” or “incident” report? The report assures the legal department that there is no problem. Reports are a permanent part of the client’s chart. The nurse’s notes should contain the following: “Incident report filed and copy placed in chart.” This report is a form of documentation of an event that may result in legal action. 7. Which client situation fails to meet the first requirement of informed consent? The parent does not understand the physician’s explanations. The physician gives the parent only a partial list of possible side effects and complications. No parent is available and the physician asks the adolescent to sign the consent form. The infant’s teenage mother signs a consent form because her parent tells her to. 8. A nurse assigned to a child does not know how to perform a treatment that has been prescribed for the child. What should the nurse’s first action be? 4Delay the treatment until another nurse can do it. 5Make the child’s parents aware of the situation. 6Inform the nursing supervisor of the problem. 7Arrange to have the child transferred to another unit. 9. A nurse is completing a care plan for a child and is finishing the assessment phase. Which activity is not part of a nursing assessment? 4Writing nursing diagnoses 5Reviewing diagnostic reports 6Collecting data 7Setting priorities10. Which patient outcome is stated correctly? 4The child will administer his insulin injection before breakfast on 10/31. 4The child will accept the diagnosis of type 1 diabetes mellitus before discharge. 5The parents will understand how to determine the child’s daily insulin dosage. 6The nurse will monitor blood glucose levels before meals and at bedtime. MULTIPLE RESPONSE 1. A nurse is reviewing the nursing care plan for a hospitalized child. Which statements are collaborative problems? Select all that apply. 4Risk for injury 5Potential complication of seizure disorder 6Altered nutrition: Less than body requirements 7Fluid volume deficit 8Potential complication of respiratory acidosis 2. Which nursing activities do not meet the standard of care? Select all that apply. 4Failure to notify a physician about a child’s worsening condition 5Calling the supervisor about staffing concerns 6Delegating assessment of a new admit to the Unlicensed Assistive Personnel (UAP) 7Asking the Unlicensed Assistive Personnel (UAP) to take vital signs 4Documenting that a physician was unavailable and the nursing supervisor was notified 02: Family-Centered Nursing Care Chapter 02: Family-Centered Nursing Care Test Bank MULTIPLE CHOICE 1. A nurse is teaching parents how to apply “time-out” as a disciplinary method for their 4 year old. Parents have understood the teaching if they state which formula correctly guides the use of “time-out”? 4Use the guideline of 1 minute per each year of the child’s age. 5Relate the length of the time-out to the severity of the behavior. 6Never use time-out for a child younger than age 4 years. 7Follow the time-out with a treat. 2. What is the nurse’s best approach when an 8-year-old boy frequently causes a disruption in the playroom by taking toys from other children? 4Exclude the child from the playroom. 5Explain to the children in the playroom that he is very ill and should be allowed to have the toys. 6Approach the child in his room and ask, “Would you like it if the other children took your toys from y Approach the child in his room and state, “I am concerned that you are taking the other children’s toy 7me.” 3. Families that deal most effectively with stress have which behavior patterns? 4Focus on family problems. 5Feel weakened by stress. 6Expect that some stress is normal. 7Feel guilty when stress exists. 4. Which family will most likely have the greatest difficulty in coping with an ill child? 4A single-parent mother who has the support of her parents and siblings 5Parents who have just moved to the area and are living in an apartment while they look for a house The family of a child who has had multiple hospitalizations related to asthma and has adequate relatio 6nursing staff 7A family in which there is a young child and four older married children who live in the area5. Which is the priority nursing intervention for the family of a child who has been admitted to the hospital? 4Begin discharge teaching. 5Identify and mobilize internal and external strengths. 6Identify ways in which the family could have prevented their child’s hospitalization. 7Instruct the parents on normal growth and development. 6. A nurse is planning culturally competent care for a child of Hispanic descent. Which characteristic found in a Hispanic family should the nurse include in the plan of care? 4Stoicism 5Close extended family 6Docile children are considered weak 7Very interested in health-promoting lifestyles 7. While reviewing nursing documentation on dietary intake for a 7-year-old child of Asian descent, the nurse notes that he consistently refuses to eat the food on his tray. Which assumption is most likely accurate? 4He is a picky eater. 5He needs less food because he is on bed rest. 6He may have culturally related food preferences. 7He is probably eating between meals and spoiling his appetite. 8. To resolve family conflict, it is necessary to have open communication, accurate perception of the problem, and a(n): 4intact family structure. 5arbitrator. 6willingness to consider the view of others. 7balance in personality types.9. A nurse is planning a parenting class for expectant parents. Which statement is true about the characteristics of a healthy family? 4The parents and children have rigid assignments for all the family tasks. 5Young families assume total responsibility for the parenting tasks, refusing any assistance. 6The family is overwhelmed by the significant changes that occur as a result of childbirth. 7Adults agree on the majority of basic parenting principles. 10. A nurse determines that a child consistently displays predictable behavior and is regular in performing daily habits. Which temperament is the child displaying? 4Easy 5Slow-to-warm-up 6Difficult 7Shy 11. The parent of a child who has had numerous hospitalizations asks the nurse for advice because her child has been having behavior problems at home and in school. In discussing effective discipline, which is an essential component? 4All children display some degree of acting out and this behavior is normal. 5The child is manipulative and should have firmer limits set on her behavior. 6Use positive reinforcement and encouragement to promote cooperation and the desired behaviors. Underlying reasons for rules should be given and the child should be allowed to decide on which rule 7followed. 12. A nurse assesses that parents discuss rules with their children when the children do not agree with the rules. Which style of parenting is being displayed? 4Authoritarian 5Authoritative 6Permissive 7Disciplinarian13. Which should the nurse expect to be problematic for a family whose religious affiliation is Jehovah’s Witness? 4Immunizations 5Autopsy 6Organ donation 7Blood transfusion MULTIPLE RESPONSE 1. The nurse is caring for a child from a Middle Eastern family. Which interventions should the nurse include in planning care? Select all that apply. 4Include the father in the decision making. 5Ask for a dietary consult to maintain religious dietary practices. 6Plan for a male nurse to care for a female patient. 7Ask the housekeeping staff to interpret if needed. 2. A nurse is caring for a child with the religion of Christian Science. What interventions should the nurse include in the care plan for this child? Select all that apply. 4Offer iced tea to the child who is experiencing fluid volume deficit. 5Inform the Christian Science practitioner that the child has been admitted to the hospital. 6Allow parents to sign a form opting out of routine immunizations. 4Ask parents if the child has been baptized and if parents want a pastor to visit. 03: Communicating with Children Chapter 03: Communicating with Children Test Bank MULTIPLE CHOICE 1. Which information should the nurse include when preparing a 5-year-old child for a cardiac catheterization? 4A detailed explanation of the procedure 5A description of what the child will feel and see during the procedure 6An explanation about the dye that will go directly into his vein 7An assurance to the child that he and the nurse can talk about the procedure when it is over 2. Who are the “experts” in planning for the care of a 9-year-old child with a profound sensory impairment who is hospitalized for surgery? 4The child’s parents 5The child’s teacher 6The case manager 7The primary nurse 3. Which is an effective technique for communicating with toddlers? 4Have the toddler make up a story from a picture. 5Involve the toddler in dramatic play with dress-up clothing. 6Repeatedly read familiar stories to the child. 7Ask the toddler to draw pictures of his fears. 4. What is the most important consideration for effectively communicating with a child? 4The child’s chronological age 5The parent–child interaction 6The child’s receptiveness 7The child’s developmental level 5. Which behavior is most likely to encourage open communication? 4Avoiding eye contact 5Folding arms across the chest 6Standing with head bowed 7Soft stance with arms loose at the side 6. Which strategy is most likely to encourage a child to express feelings about the hospital experience? 4Asking close-ended questions 5Asking direct questions 6Sharing personal experiences 7Actively listening 7. Which is the most appropriate question to ask to encourage conversation when interviewing an adolescent? 4“Are you in school?” 5“Are you doing well in school?” 6“How is school going for you?” 7“How do your parents feel about your grades?” 8. What is the most appropriate response for the nurse to make to the parent of a 3-year- old child found in a bed with the side rails down? 4“You must never leave the child in the room alone with the side rails down.” “I am very concerned about your child’s safety when you leave the side rails down. The hospital has g 5that side rails need to be up if the child is in the bed.” 6“It is hospital policy that side rails need to be up if the child is in bed.” 7“When parents leave side rails down, they might be considered as uncaring.” 9. Which is an appropriate preoperative teaching plan for a school-age child? 4Begin preoperative teaching the morning of surgery. 5Schedule a tour of the hospital a few weeks before surgery. 6Show the child books and pictures 4 days before surgery. 7Limit teaching to 5 minutes and use simple terminology. 10. A primary nurse bought a hospitalized child a new toy to replace a broken one. What is the best interpretation of the nurse’s behavior?4The nurse is displaying signs of overinvolvement. 5The nurse is a kind and generous person. 6The nurse feels a special closeness to the child. 7The nurse wants to make the child happy. 11. When meeting a toddler for the first time, the nurse initiates contact by: 4calling the toddler by name and picking the toddler up. 5asking the toddler for her first name. 6kneeling in front of the toddler and speaking softly to the child. 7telling the toddler that you are her nurse. MULTIPLE RESPONSE 1. A nurse is admitting a school-age child with a visual impairment to the hospital. To effectively communicate the nurse should plan which interventions? Select all that apply. 4Orient the child to his or her surroundings. 5Enter quietly and touch the child before speaking. 4Put the nurse call bell close to the parent. 5Allow the child to handle equipment. 6Explain sounds the child may hear frequently. 2. A preschool age child is being admitted for some diagnostic tests and possible surgery. The nurse planning care should use which statements when explaining procedures to the child? Select all that apply. 4“Fluids will be given through tubing connected to a small tiny tube inserted into your arm.” 5“After surgery, we will be doing dressing changes.” 6“You will get a shot before surgery.” 7“The doctor will give you medicine that will help you go into a deep sleep.” 8“We will take you to surgery on a bed on wheels.”Chapter 04: Health Promotion for the Developing Child Chapter 04: Health Promotion for the Developing Child Test Bank MULTIPLE CHOICE 1. A nurse is reviewing developmental concepts for infants and children. Which statement best describes development in infants and children? 4Development, a predictable and orderly process, occurs at varying rates within normal limits. 5Development is primarily related to the growth in the number and size of cells. 6Development occurs in a proximodistal direction with fine muscle development occurring first. 7Development is more easily and accurately measured than growth. 2.Frequent developmental assessments are important for which reason? 4Stable developmental periods during infancy provide an opportunity to identify any delays or deficits. 5Infants need stimulation specific to the stage of development. 6Critical periods of development occur during childhood. 7Child development is unpredictable and needs monitoring. 3. Which factor has the greatest influence on child growth and development? 4Culture 5Environment 6Genetics 7Nutrition 4. A nurse is planning a teaching session with a child. According to Piagetian theory, the period of cognitive development in which the child is able to distinguish fact from fantasy is the _____ period of cognitive development. 4sensorimotor 5formal operations 6concrete operations7preoperational 5. The theorist who viewed developmental progression as a lifelong series of conflicts that need resolution is: 4Erikson. 5Freud. 6Kohlberg. 7Piaget. 6.What does the nurse need to know when observing chronically ill children at play? 4Play is not important to hospitalized children. 5Children need to have structured play periods. 6Children’s play is an indication of a child’s response to treatment. 7Play is to be discouraged because it tires hospitalized children. 7. Which child is most likely to be frightened by hospitalization? 4A 4-month-old infant admitted with a diagnosis of bronchiolitis 5A 2-year-old toddler admitted for cystic fibrosis 6A 9-year-old child hospitalized with a fractured femur 7A 15-year-old adolescent admitted for abdominal pain 8. Which statement made by a 15-year-old adolescent with a diagnosis of neurofibromatosis (an autosomal dominant genetic disorder) best demonstrates an understanding of the mechanism of inheritance for the disease? 4“My babies will probably not have neurofibromatosis.” 5“My babies have a 50% chance of having neurofibromatosis.” 6“Whether my babies have problems depends on the father.” 7“My babies have a 25% chance of having neurofibromatosis.” 9. During a routine healthcare visit, a parent asks the nurse why her 9-month-old infant is not walking as her older child did at the same age. Which response by the nurse best demonstrates an understanding of child development? 4“She’s a little slow.” 5“If she is pulling up, you can help her by holding her hand.”6“Babies progress at different rates. Your infant’s development is within normal limits.” 7“Maybe she needs to see a behavioral specialist.” 10. Which “expected outcome” would be developmentally appropriate for a hospitalized 4-year-old child? 4The child will be dressed and fed by the parents. 5The child will independently ask for play materials or other personal needs. 6The child will be able to verbalize an understanding of the reason for the hospitalization. 7The child will have a parent stay in the room at all times. 11. A nurse has completed a teaching session with parents of preschool aged children. Which statement made by the parent identifies an appropriate level of language development for a 4-year- old child? 4The child has a vocabulary of 300 words and uses simple sentences. 5The child uses correct grammar in sentences. 6The child is able to pronounce consonants clearly. 7The child uses language to express abstract thought. 12. Which should the nurse evaluate before administering the Denver Developmental Screening Test II (DDST-II)? 4The child’s height and weight 5The parent’s ability to comprehend the results 6The child’s mood 7The parent–child interaction 13. Which children are at greater risk for not receiving immunizations? 4Children who attend licensed day care programs 5Children entering school 6Children who are home schooled 7Young adults entering college 14. Which developmental assessment instrument is appropriate to assess a 5-year-old child? 4Brazelton Behavioral Scale5Denver Developmental Screening Test II (DDST-II) 6Dubowitz Scale 7New Ballard Scale 15. A 2-month-old child has not received any immunizations. Which immunizations should the nurse give? 4DTaP, Hib, HepB, IPV , varicella 5DTaP, Hib, HepB, MMR, IPV 6DTaP, Hib, HepB, PCV , IPV , rotavirus 7DTaP, Hib, HepB, PCV , IPV , HepA 16. You are preparing immunizations for a 12-month-old child who is immunocompromised. Which immunization cannot be given? 4DTaP 5HepA 6IPV 7Varicella 17. Which immunization can cause fever and rash to occur 1 to 2 weeks after administration? 4HepB 5DTaP 6Hib 7MMRMULTIPLE RESPONSE 1. The nurse is preparing immunizations for a healthy 11-year-old boy who has received all his primary immunizations. Which immunizations will the nurse consider? Select all that apply. 4Meningococcal 5DTaP 6OPV 7Smallpox 2. Parents of a 4-month-old child ask the nurse what they can do to help relieve the discomfort of teething. The nurse should include which suggestions for the parents? Select all that apply. 4Provide warm liquids. 5Rub the gums with aspirin. 6Over-the-counter topical medications for gum pain relief can be used as directed. 7Administer acetaminophen (Tylenol) as directed. 8Provide a hard food such as a frozen bagel for chewing. OTHER 1. Place in order the gross motor developmental milestones a nurse expects to assess in an infant. Begin with the earliest gross motor milestone expected and progress to the last gross motor milestone attained. 4Turns from abdomen to back 5Lifts head off of bed when in a prone position 6Walks holding on to furniture 7Turns from back to abdomen 8Sits unsupportedChapter 05: Health Promotion for the Infant Chapter 05: Health Promotion for the Infant Test Bank MULTIPLE CHOICE 1. Which milestone is developmentally appropriate for a 2-month-old infant when the nurse pulls the infant to a sitting position? 4Head lag is present when the infant’s trunk is lifted. 5The infant is able to support the head when the trunk is lifted. 6The infant is briefly able to hold the head erect. 7The infant is fully able to support and hold the head in a straight line. 2. Approximately what should a newborn weigh at 1 year of age if the newborn’s birth weight was 7 pounds 6 ounces? 414 3/4 pounds 522 1/8 pounds 629 1/2 pounds 7Unable to estimate weight at 1 year ANS: B An infant triples the birth weight by 1 year of age. An infant doubles the birth weight by 6 months of age. An infant quadruples the birth weight by 2 years of age. Weight at 6 months, 1 year, and 2 years of age can be estimated from the birth weight. DIF: Cognitive Level: Application REF: p. 78 OBJ: Nursing Process Step: Assessment MSC: Health Promotion and Maintenance 3. Which statement made by a parent would be consistent with a developmental delay? 4“I have noticed that my 9-month-old infant responds consistently to the sound of his name.” 5“I have noticed that my 12-month-old child does not get herself to a sitting position or pull to stand.”6“I am so happy when my 1 1/2-month-old infant smiles at me.” 7“My 5-month-old infant is not rolling over in both directions yet.” 4. At a healthy 2-month-old infant’s well-child clinic visit, the nurse should give which immunizations? 4DTaP, IPV , HepB, Hib, PCV , rotavirus 5MMR, DTaP, PVC, and IPV 6Hib, DTaP, rotavirus, and OPV 7Hib and MMR, IPV , and rotavirus 5. The nurse advises the mother of a 3-month-old infant, exclusively breast-fed, to: 4start giving the infant a vitamin D supplement. 5start using an infant feeder and add rice cereal to the formula. 6start feeding the infant rice cereal with a spoon at the evening feeding. 7continue breast-feeding without any supplements. 6. At _____ months of age, an infant should first be expected to locate an object hidden from view. 44 56 69 720 7. The parents of a newborn infant state, “We will probably not have our baby immunized because we are concerned about the risk of our child being injured.” Which is the best response for the nurse to make? 4“It is your decision.” 5“Have you talked with your parents about this? They can probably help you think about this decision. 6“The risks of not immunizing your baby are greater than the risks from the immunizations.” 7“You are making a mistake.” 8. The mother of a 9-month-old infant is concerned because the infant cries when she leaves him. Which is the best response for the nurse to make to the mother? 4“You could consider leaving the infant more often so he can adjust.” 5“You might consider taking him to the doctor because he may be ill.” 6“Have you noticed whether the baby is teething?” 7“This can be a healthy sign of attachment.”9. Which statement concerning physiological factors of infancy is true? 4The infant has a slower metabolic rate than an adult. 5An infant is not able to digest protein and lactase. 6Infants have a slower circulatory response than adults. 7The kidneys of an infant are less efficient in concentrating urine than an adult’s kidneys. 10. Which is a priority in counseling parents of a 6-month-old infant? 4Increased appetite from secondary growth spurt 5Allowing the infant to self-feed 6Securing a developmentally safe environment for the infant 7Strategies to teach infants to sit up 11. A mother of a 2-month-old infant tells the nurse, “My child doesn’t sleep as much as his older brother did at the same age.” What is the best response for the nurse? 4“Have you tried to feed the baby more often?” 5“Infant sleep patterns vary widely, with some infants sleeping only 2 to 3 hours at a time.” “It is helpful to keep a record of your baby’s eating, waking, sleeping, and elimination patterns and to 6week to discuss them.” 7“This infant is difficult. It is important for you to identify what is bothering the baby.” 12. The mother of a 10-month-old infant tells the nurse that her infant “really likes cow’s milk.” Which is the best response to this mother? 4“Milk is good for him.” 5“It is best to wait until he is a year old before giving him cow’s milk.” 6“Limit cow’s milk to his bedtime bottle.” 7“Mix his cereal with cow’s milk and give him formula in a bottle.” 13. The mother of a 10-month-old infant asks the nurse about beginning to wean her child from the bottle. Which statement by the mother suggests that the child is not ready to be weaned? 4“My son is frequently throwing his bottle down.” 5“The baby takes a few ounces of formula from the bottle.” 6“He is constantly chewing on the nipple. It concerns me.”7“He consistently is sucking.” 14. Which is appropriate play for a 6-month-old infant? 4Pat-a-cake, peek-a-boo 4Ball rolling, hide and seek game 5Bright rattles and tactile toys 6Push and pull toys 15. Which statement by a mother indicates that her 5-month-old infant is ready for solid food? 4“When I give my baby solid foods, she has difficulty getting it to the back of her throat to swallow.” 5“She has just started to sit up without any support.” 6“I am surprised that she only weighs 11 pounds. I expected her to have gained some weight.” 7“I find that she really has to be encouraged to eat.” 16. A mother asks the nurse, “When should I begin to clean my baby’s teeth?” What is the best response for the nurse? 4“You can begin when all her baby teeth are in.” 5“You can easily begin now. Just put some toothpaste on a gauze pad to clean the teeth.” 6“I don’t think you have to worry about that until she can handle a toothbrush.” “You can begin as soon as your child has a tooth. The easiest way is to take cotton swabs or a face clo 7teeth. Toothpaste is not necessary.” MULTIPLE RESPONSE 1. A nurse has completed a teaching session for parents about “baby-proofing” the home. Which statements made by the parents indicate an understanding of the teaching? Select all that apply. 4“We will put plastic fillers in all electrical plugs.” 5“We will place poisonous substances in a high cupboard.” 6“We will place a gate at the top and bottom of stairways.” 7“We will keep our household hot water heater at 130 degrees.” 8“We will remove front knobs from the stove.”Chapter 06: Health Promotion During Early Childhood Chapter 06: Health Promotion During Early Childhood Test Bank MULTIPLE CHOICE 1. The mother of a 14-month-old child is concerned because the child’s appetite has decreased. The best response for the nurse to make to the mother is: 4“It is important for your toddler to eat three meals a day and nothing in between.” 5“It is not unusual for toddlers to eat less.” 6“Be sure to increase your child’s milk consumption, which will improve nutrition.” 7“Giving your child a multivitamin supplement daily will increase your toddler’s appetite.” 2. Which toy is the most developmentally appropriate for an 18- to 24-month-old child? 4A push and pull toy 5Nesting blocks 6A bicycle with training wheels 7A computer 3. Which is the priority concern in developing a teaching plan for the parents of a 15-month-old child? 4Toilet training guidelines 5Guidelines for weaning children from bottles 6Instructions on preschool readiness 4Instructions on a home safety assessment4. What is the primary purpose of a transitional object? 4It helps the parents deal with the guilt they feel when they leave the child. 5It keeps the child quiet at bedtime. 6It is effective in decreasing anxiety in the toddler. 7It decreases negativism and tantrums in the toddler. 5. A nurse is teaching parents of a toddler about language development. Which statement best identifies the characteristics of language development in a toddler? 4Language development skills slow during the toddler period. 5The toddler understands more than he or she can express. 6Most of the toddler’s speech is not easily understood. 4The toddler’s vocabulary contains approximately 600 words. 6. Parents of a toddler ask the nurse when they should start toilet training. Which statement best addresses their concerns 4When the child is 18 months of age 5When the child exhibits signs of physical and psychological readiness 6When the child has been walking for 9 months 7When the child is able to sit on the “potty” for 10 to 15 minutes 7. Which statement by a mother of a toddler indicates a correct understanding of the use of discipline? 4“I always include explanations and morals when I am disciplining my toddler.” 5“I always try to be consistent when disciplining the children, and I correct my children at the time the 6“I believe that discipline should be done by only one family member.” 4“My rule of thumb is no more than one spanking a day.” 8. Which comment indicates that the mother of a toddler needs further teaching about dental care? 4“We use well water so I give my toddler fluoride supplements.” 5“My toddler brushes his teeth with my help.” 6“My child will not need a dental checkup until his permanent teeth come in.” 7“I use a small nylon bristle brush for my toddler’s teeth.” 9. Which assessment finding in a preschooler would suggest the need for further investigation? 4The child is able to dress independently. 5The child rides a tricycle. 6The child has an imaginary friend. 7The child has a 2-pound weight gain in 12 months.10. Which is the most appropriate action for the nurse to take when telling a preschool child about an upcoming procedure? 4Explain all the information in detail to the child. 5Speak loudly and clearly to the child. 6Inform the parents of the procedure and ask them to tell the child. 7Use symbolic play to explain the procedure. 11. In caring for a 4-year-old child with a diagnosis of suspected child abuse, which is the best nursing intervention? 4Avoid touching the child. 5Provide the child with play situations that allow for disclosure. 6Discourage the child from remembering the incident. 7Deny the suspected perpetrator visiting rights to the child. 12. Which is helpful to tell a mother who is concerned about preventing sleep problems in her preschool child? 4Have the child always sleep in a quiet, darkened room. 5Provide high-carbohydrate snacks before bedtime. 6Communicate with the child’s daytime caretaker to encourage a longer nap. 7Use a nightlight in the child’s room. 13. Which statement is true about the care of the toddler’s teeth? 4Because deciduous teeth are not permanent, they are not important to the child. 5Children can be encouraged to brush their teeth after the teeth have been thoroughly cleaned by the pa 6Secondary tooth eruption begins at 4 to 5 years of age. 7Fluoride supplements can be discontinued when the secondary teeth erupt. 14. What do parents of preschool children need to understand about discipline? 4Both parents and the child should agree on the method of discipline. 5Discipline should involve some physical restriction. 6The method of discipline should be consistent with the discipline methods of the child’s peers.7Discipline should include positive reinforcement of desired behaviors. 15. Parents of a preschool child ask the nurse, “What can we do to prepare our child for kindergarten?” In response, the nurse should include which critical factor in preparing a child for kindergarten entry? 4The child’s ability to sit still 5The child’s sense of learned helplessness 6The parent’s interactions and responsiveness to the child 7Attending a preschool program MULTIPLE RESPONSE 1. Which play patterns does a 3-year-old child typically display? Select all that apply. 4Imaginary play 5Parallel play 6Cooperative play 7Structured play 2. A nurse is planning care for a hospitalized toddler in the preoperational thinking stage. Which characteristics should the nurse expect in this stage? Select all that apply. 4Concrete thinking 5Egocentrism 6Animism 7Magical thought 8Ability to reason OTHER 1. Place in order the gross motor developmental milestones a nurse expects to assess in a toddler. Begin with the earliest gross motor milestone expected and progress to the last gross motor milestone attained. Use the following format for your answers: A, B, C, D 4Throws a ball overhand 5Walks c Kicks a ball d. Runs