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NUR 230 Growth and Development Galen OB/Peds Flashcards | StudBud
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NUR 230 Growth and Development Galen OB/Peds
NUR 230 Growth and Development Galen OB/Peds
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1
Which stage of development is
most
unstable and challenging regarding the development of personal identity?
Middle Childhood
Toddlerhood
Young Adulthood
Adolescence
2
According to Piaget's Theory of Development, what stage would a 14-month-old be in
Perioperational
Sensorimotor
Concrete operational
Formal Operational
3
You see a group of children working together to build a sand castle. What type of play is this?
Parallel
Cooperative
Solidary
Associative
4
The nurse is observing children playing in the hospital playroom. She would expect to see 5-year-old children playing:
Associative play: play together with no group goal
Parallel play: play independently around each other
Building a tower out of blocks
Alone with handheld computer games
5
Which pain scale would you use for neonate/infant?
Numeric Scale
NIPS
FLACC
Wong-Baker Faces
6
Erickson’s stage of psychosocial development in which social relationships develop and productivity increases.
Initiative vs guilt
Industry vs inferiority
Autonomy vs shame and doubt
Identity vs. Confusion
7
What milestone would a nurse expect to see in a 9 month old patient?
Pulls self to standing position
Bounces
Sits steadily unsupported
Walks with guidance
8
When considering Erikson's Stages for a 3-year-old which action below would potentially hinder a child's development?
Making choices and decisions for the child
Giving the child freedom to try new things
Accepting reasonable choices made by the child
Offering options of play that are imaginary
9
Your patient is 4yr. According to Erikson the child should develop what by the end of their developmental stage?
Purpose
Autonomy
Competence
Trust
10
Which Erickson stage is a period of rapid body changes, peers are important, and fidelity.
Identity vs. role confusion
Trust vs Mistrust
Autonomy vs Shame
Initiative vs guilt
11
The toddlers parents had to temp leave. The child was inconsolable and is now withdrawn. Which stage of sep anxiety now?
Despair
Detachment
Denial
Protest
12
At what age is the child cruising/walks with both hand held, shakes head no, and has eruption of lower lateral incisors?
11 months
4 months
2 months
6 months
13
A 2yr is having a temper tantrum. What actions below are not appropriate for dealing with this situation?
Ignore the behavior
Be consistent with your approach
Reason with the child
Leave the child alone until the tantrum stops
Protect the child from hurting themselves
Attempt to stop the tantrum
14
Which of the following best describes the development of a school-age child. Select all that apply.
Same-sex peers are more important than family
Death has no meaning
Children enjoys playing board games and sports
Causes of injuries include bicycle crashes, head injuries, and sprains
School-age children are concerned about how they appear to others
15
What milestones would a nurse expect to see in a three month old patient?
Social smile
Turns head to follow sounds
Holds objects but will not reach for them
Coos, squeals to show pleasure
16
According to Piaget's your formal operations stage patient whould show what in their development?
The child pretend plays
The child possesses abstract thinking
Thoughts become more logical and coherent
Adaptable and flexible
17
According to Erikson the adolescent is in the ________ vs. __________ stage with a goal to develop ____________.
Intimacy vs. Isolation; fidelity
Initiative vs. Guilt; purpose
Identity vs. Role Confusion; devotion/fidelity
Industry vs. Inferiority; competence
18
What milestone would a nurse expect to see in a 7 month old patient?
Increasing stranger danger
Sits, leaning forward on hands
Pulls up to standing position
Sits steadily unsupported
19
Which Erickson stage characterized by vigourous, intrusive behavior and outcome is direction and purpose?
Initiative vs guilt
Autonomy vs Shame
Industry vs. inferiority
Trust vs Mistrust
20
A 5 month-old: The nurse determines that the infant is demonstrating the highest level of developmental achievement:
Coos when comforted
Uses simple words such as "Mama"
Rapid mood swings
Uses monosyllabic babbling
Discovers body parts
Makes consonant sounds
21
Evaluating the developmental level of a 2 year old. Which of the following does the nurse expect to observe?
Pours own milk into a cup
Parallel play
Runs fairly well
Uses a knife for cutting food
22
Your patient is 5 mo. Which developmental milestone, if not performed by the infant, should be further investigated?
Rolling over from back to tummy
Sitting without support
Crawling
Grasp object voluntarily
23
Two toddlers are playing with toys, but they are not playing together. This type of play is known as?
Solitary play
Parallel play
Co-operative
Associate play
24
What milestone would a nurse expect to see in a 4 year old patient?
Birth length doubled
Uses scissors
Throws/catches a ball
May cheat while playing
25
The nurse is assessing a six-month-old child. Which developmental skills are normal and should be expected?
Holds bottle
Imitates sounds, actions
Can feed self with a spoon
Babbles one syllable
Sits alone
Speaks in short sentences
26
A 16 year old boy is hospitalized, according to Erikson, what is an appropriate intervention?
Ask the patient's girlfriend to visit
Encourage the boy to learn missed school lessons
Call the priest to intervene
Tell the friends to visit the patient
27
Which Erickson stage is centered on a toddlers ability to control their body and enviorn. Good outcome is self control
Autonomy vs Shame
Trust vs Mistrust
Initiative vs guilt
Industry vs. inferiority
28
The development of a 5yr: Which of the following are motor skills a child should be able to perform at this age?
Hop
Throw/catch a ball
Balance on one foot
Walk backwards
Skip
Ride a tricycle
29
What could a 10yr experience during a hospitalization?
Fear that the hospitalization is punishment for doing wrong
Invasion of privacy
Fear of strangers
Fear of pain/injury
30
According to Erikson's Stages of Development, what intervention below would help promote development in a 24 monther?
Encourage the child to ask questions about care.
Give the child opportunities to make food and drink selections.
Take time to swaddle and rock the child when crying.
Thoroughly communicate the rules to the child.
31
A 30 month old weighed 5 lbs. at birth. How much should the child weigh now?
36 lbs.
14 lbs
20 lbs
21 lbs.
32
For a 2-month-old infant. Which finding below is a normal milestone that should be reached by this infant at this age?
The infant can sit up with support
The infant is afraid of strangers
Social smile
The infant holds a rattle
Posterior fontanel closed
Vocalized distinct from cyring
33
Which of the following is a change experienced by the school-aged group?
Anger more apt to be concealed
The child's weight increases by 2-6lbs per year
Growth decelerates in females
The child typically grows about 2 inches per year.
34
Which interventions are appropriate for a toddler just admitted for gastroenteritis? Select all that apply.
Inform the child of his scheduled ultrasound on day 5 of his stay
Provide an option between fruit cups and jellies for dessert.
Allow to bring his favorite pillow or provide activity e.g, blowing bubbles
Allow the child to hold the thermometer before getting the temperature
Limit parental presence to promote faster recovery
35
The nurse is planning care for an 18 month-old child. Which of the following should be included in the child’s care?
Engage the child in games with other children
Encourage the child to feed himself finger food
Allow the child to walk independently on the nursing unit
Hold and cuddle the child often
36
According to Piaget's Theory of Development, what stage would a 10 year old be in
Perioperational
Concrete operational
Formal Operational
Sensorimotor
37
What observation found in a preschooler would demonstrate the child is in the protest phase of separation anxiety?
Happy and content
Crying quietly and acting out
Withdrawn and sullen
Loud crying that is inconsolable
38
Using Erikson’s psychosocial development theory, the nurse would instruct the mother of a newborn to
Allow the newborn infant to signal a need
Avoid the newborn infant during the first 10 min of crying
Anticipate all of the needs of newborn infant
Allow the infant to cry, once lessen, then attend to the infant
39
According to Piaget's Theory of Development, what stage would a 5 year be in
Concrete operational
Sensorimotor
Perioperational
Formal Operational
40
A nurse should be aware that the major threat felt by the hospitalized adolescent as what?
Altered body image
Fear of the unknown
Loss of bodily control
Separation from family
41
You're providing caring to a 2-year-old. Which would be the best response to the patient?
"Are you ready for your medicine?"
"Can you take your medicine in a cup?"
"You can take your medicine in the blue or green cup."
"Do you want to take your medicine now?"
42
Your patient is 7-years-old. What stage of psychosocial development, according to Erikson, should this child be in?
Initiative vs. Guilt
Industry vs. Inferiority
Autonomy vs. Shame and Doubt
Identify vs. Role Confusion
43
Five year-old who has been placed in traction a femur fx. Which is an approriate learning activity for this child?
A sports video
Crayons and coloring book
A radio
Large picture books
44
A infant is hospitalized. What nursing intervention will you include in their plan of care?
Maintain the same nursing staff during each shift
Maintain the infant's daily rituals and routines
Separate the infant and parent during procedures
Allow the infant to examine equipment before usage
45
What age group is associated with Erickson's initiative vs guilt?
12-18 years
3-6 years
6-12 years
1-3 years
46
According to Erikson's Stages what is the outcome for 6-12yr child to obtain during this stage?
Accomplishment
Learn rules
Ready to work and engage in tasks
Sense of Purpose
47
A 25-month-old is in what stage of development according to Erikson's Stages of Development?
Trust vs. Mistrust
Industry vs. Inferiority
Autonomy vs. Shame and Doubt
Initiative vs. Guilt
48
What interventions below should the nurse implement to help the adolescent cope with prolonged hospitalization?
Encourage the patient to participate in recreational room activities.
Restrict visitors to family members.
Allow the patient to wear their own clothes.
Reassure the patient that procedures are not meant as punishment.
49
You're assessing a 10-month-old infant. You note on examination the anterior fontanelle is open. The nurse will:
Document a normal finding because this fontanelle closes at about 12 months
Document a normal finding because this fontanelle closes at about 18 months
Document abnormal finding because this fontanelle should close at 2 months
Document abnormal finding because this fontanelle should close at 6 months
50
A plan of care for a 3yr include play activities. What type of play does a child participate in at this age?
Cooperative
Associative
Parallel
Solidary
51
You need to start an IV on a 4yr. Select the appropriate interventions to perform before starting the IV to help
Be honest with the child about what to expect with starting the IV.
Have a doll available that the child can start an IV on.
Let the child know that at 9:00 am you will be starting the IV.
Encourage and answer all the child's questions before starting the IV.
Give the child privacy with parents out of the room while the IV is started
52
Which pain scale would you use for a 3-4 year old?
NIPS
Wong-Baker Faces
FLACC
Numeric Scale
53
A preschooler would struggle with which of the following issues during the hospitalization?
Separation anxiety
Loss of control
Negativism
Loss of relationship with peers
54
What milestone would a nurse expect to see in a 10 months old patient?
Walks with both hands held
Bounces
Birth weight tripled
Develops object permanence
55
Which Erickson stage has an outcome of faith and optimism?
Industry vs. inferiority
Autonomy vs Shame
Trust vs Mistrust
Initiative vs guilt
56
According to Piaget's Theory of Development, what stage would a 13 year old be in
Formal Operational
Sensorimotor
Perioperational
Concrete operational
57
Which type of growth occurs when nervous system develops more rapidly than muscle system. Fine motor skills develop.
Near to far
Proximodistal
Head to toe direction
Cephalocaudal
58
According to Piaget's your perioperational stage patient whould show what in their development?
This concept of object permanence is not yet developed
Transdunctive reasoning
The child likes to play pretend
The child is egocentric
59
A potty trained 3yr old hospitalized is now wetting the bed. What should the nurse tell the parents
Try potty training again while the child is hospitalized.
Have parent set limits and use discipline strategies for toilet accidents.
Avoids ritualistic routines until the child is not hospitalized.
Reassure the parent that this is temporary and is because of hospitalizatio
60
Your patient is 6-months-old. According to Erikson's Stage of Development, this patient is in what stage?
Autonomy vs. Shame & Doubt
Identity vs. Role Confusion
Initiative vs. Guilt
Trust vs. Mistrust
61
What milestones would a nurse expect to see from a one month old patient?
Social smile
Visually searching to locate sounds
Flexed position
Turn head from side to side
62
A 16yr is admitted. Which of the following nursing interventions is most appropriate for normal growth and development?
Allow the family to bring in the child’s favorite computer games
Allow them to participate in activities with peers when condition permits
Encourage the parents to room-in with the child
Encourage the child to rest and read
63
Which type of growth occurs when head develops first and have more control over head movements before trunk?
Near to far
Proximodistal
Head to toe direction
Cephalocaudal
64
Which are principles of atraumatic care?
Prevent separation
Promote sense of control
Privacy
Pain control
65
The anal and urethral sphincter can be voluntarily controlled around _______________.
24-36 months
12-18 months
6-12 months
18-24 months
66
What milestone would a nurse expect to see in a 6 month old patient?
Imitates sounds
Rolls from abdomen to back
Teething: two lower central incisors
Babbles one syllable
67
While teaching a 10-year-old child about their impending heart surgery, the nurse should
Provide the child with a booklet to read about the surgery
Introduce the child to another child who had heart surgery three days ago
Explain the surgery using a model of the heart
Provide a verbal explanation just prior to the surgery
68
According to Piaget's your concrete operations stage patient whould show what in their development?
Understands time and quanitity
The child likes to play pretend
Concrete and systematic problem solving
Logical and coherent thoughts
69
An infant weighed 8 lbs. at birth. How many lbs. should the infant weigh at 5 months?
32 lbs
16 lb
10 lbs
24 lbs
70
What milestone would a nurse expect to see in a 15 month old patient?
Creeps upstairs
May be potty trained
Talks incesantly
Says 4-6 words
71
What milestones would a nurse expect to see in a 4 month old patient?
Plays with hands
Rolls from back to side
Moro and rooting reflex is gone
Laughs
72
Which pain scale would you use for a patient 8 years or older?
NIPS
Numeric Scale
Wong-Baker Faces
FLACC
73
According to Piaget's your sensorimotor stage patient whould show what in their development?
Problem solving through trial and error
Has abstract thinking
Likes to play pretend
Understands time and quantity
74
At 8 months of age, what milestone should an infant be able to successfully perform?
Sit without support
Follow basic commands
Say several words like mama or dada
Begin walking
75
The nurse is assessing a four-month-old infant. The nurse would anticipate finding that the infant would be able to
Full head lag
Move the small toy from one hand to another
Almost no head lag
Able to sit propped up
Rolls from back to side
Wave "bye-bye"
76
A 12 month old: You're assessing the infant's developmental milestones. Which should the child be able to perform?
Follows simple commands like "wave bye-bye"
Draws a triangle
Walks with one hand held
Rides a tricycle
Says 3-5 words besides mama and dada
Birth weight tripled