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Human Development Final Review
Human Development Final Review
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Chapter 18, 19, 20
Flashcards
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Answers
1
1. At a well-child visit, a 2 yr toddler measures 2 feet 8 inches. A nurse estimates the toddlers approximate adult ht:
c. 5 feet 2 inches.
b. 5 feet.
a. 4 feet 8 inches.
d. 5 feet 4 inches.
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28.
b. 4 years old
c. 5 years old
d. 6 years old
a. 3 years old
3
1. Which scenario places a toddler at risk for injury? (select all that apply)
c. Cup of hot coffee on the kitchen counter
b. Mop and a bucket of clean water in the kitchen
a. Toddler playing with his preschool siblings toy
d. Twenty-five pound toddler sitting in a forward-facing car seat in the ba
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18. A 3rd grade teacher asks a school nurse what she can expect from kids in her classroom related to language ability.
b. Research has shown that children will learn to read more quickly if you
c. The children will write b and d without reversing them
d. You can evaluate the cognitive ability of the children in your classroom
a. Children in the second grade should have about a 4000-word vocabulary.
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27.
d. You will need to find coverage through another member of your family.
c. The state has an insurance program to assist you.
b. The school district has a health insurance policy that you can access.
a. Currently, there is no health care program available for your child.
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7. Which of the following initiatives related to childhood nutrition outlined in Healthy People 2010 was most successful
d. Reducing obesity rates
b. Increase in consumption of fruit
a. Reduction of fat consumption
c. Adequate food supplies at home
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7. The inability of a toddler to put him- or herself in another's shoes is known as:
c. self-perception.
b. egocentrism.
d. integrity.
a. autonomy.
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22. A nurse has recently accepted a position as a school nurse at a middle school and plans to offer sex education to th
b. Develop information to teach about abstinence and condom use.
a. Offer gender-segregated sex education classes.
c. Determine how this education has been provided in the past.
d. Survey parents to determine their desire for this education to be provid
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4. Which of the following kids may have difficulty with Eriksons industry versus inferiority stage of development?
c. Difficulty making friends
a. Poor motor skills and is rarely chosen for team play during recess
d. Cannot speak his or her native language fluently
b. Difficulty with math homework
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23. A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals.
c. Tell him to stop touching himself.
a. This is a sign that he is not ready to toilet train yet.
d. Dont worry about it.
b. This behavior is developmentally normal.
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nurse is conducting a physical exam on a 3-yr-old child. What's the best way to approach the child during the exam?
a. Let the child listen to the nurses heart with the stethoscope.
c. Ask his parents to leave the room to minimize distractions.
d. Ask another nurse to hold him while the nurse examines him.
b. Tell him to sit quietly while the nurse examines him.
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c. Obesity
b. Hyperactivity
d. Type 2 diabetes
a. Hypertension
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20. A parent asks the nurse working in a pediatric clinic how she can help her 6-year-old child feel good about himself.
a. Doing most things for your child will give them a sense of security, and
b. Have them help around the house with tasks such as setting the table
d. There is little you can do to increase your childs self-esteem. Their pe
c. Make sure to highly praise even the smallest effort your child makes at
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28.
d.
a.
c.
b.
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19.
a. 9-year-old whose parents recently divorced
b. 10-year-old who cannot sit still longer than 15 minutes
c. 12-year-old with a 4000-word vocabulary
d. 11-year-old who scored 102 on an IQ test
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nurse is assessing a toddler during a visit. Which of the following findings warrant further investigation (select all)
a. Bare spots on the scalp, and broken hair
c. Burns with sharply demarcated edges
b. Overly concerned parents
d. Bruises anywhere on the body
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21. 18-mo-old toddler is being seen for a visit. Which of the following strategies would the nurse use for cooperation
a. Ask the toddler if he wants to be examined today.
c. Have him hold the stethoscope diaphragm on his chest while nurse listens
b. Ask his mother leave the room while the nurse examines him.
d. Have his mother hold him down while the nurse examines him.
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6. Which of the following elements is most likely deficient in a school-age childs diet?
a. Protein
d. Vitamin B12
b. Sodium
c. Iron
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25. A school nurse is caring for a child with an upper respiratory tract infection. How should the nurse intervene?
a. Send the child with a mild sore throat back to class.
b. Advise the parent of a child with a group A strep throat infection that
c. Educate the parent that treatment of group A strep infections usually re
d. Ask parent of a kid with a mild fever&sore throat to take them to doctor
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12. A nurse is providing anticipatory guidance to parents about the self-perception pattern. What should she suggest?
d. Always provide your toddler with challenging toys.
c. Childproof your home.
a. Temper tantrums are expected, so always give in to them.
b. Put your toddler in time out if he has a temper tantrum.
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19. A nurse is using primary prevention strategies to prevent child abuse in the community. What should the nurse do?
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.
b. Remove a child who has been abused from the home.
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10. A 4-year-old girl asks her mother for a second cup of yogurt before eating the first one. What will she do with it?
a. Eat it herself.
c. Feed it to her dog.
d. Give it to her imaginary friend.
b. Ask her brother if he wants it.
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3.
d. Library outings
b. Family activity days that promote nature walks and biking
a. Highly competitive games that focus on individual accomplishment and win
c. Co-ed organized sports
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2.
c. Research poster showing germ transmission
a. Microscopes set up to show bacteria on common objects
d. Hand-washing booth with colored soap
b. Games such as find the germs in a cartoon picture
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16.
a. Many preschool children are hyperopic and need glasses to prevent headac
d. Approximately one in four children has a vision problem.
b. Fewer than 10% of children entering school have had eye exams.
c. Vision screening can diagnose vision/eye problems before they become sev
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3. The school nurse has seen several students in the health office.who should the nurse set a follow up exam for?
b. A 7-year-old boy who has grown 2 inches in a year
d. An 8-year-old boy who has lost four deciduous teeth in the past year
c. A 10-year-old girl who has gained 11 pounds in a year
a. A 14-year-old girl who has not experienced menarche
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11. Which of the following behaviors exemplifies a toddler working through his developmental task?
d. Having no interest in a new toy
c. Playing quietly with one toy
b. Refusing to take a bath
a. Clinging to his mother
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15. During a school gift fair, a parent asks the school nurse what gift would be most appropriate for her 6-yr-old
a. A box of wooden blocks of various sizes for sorting
c. A world map
b. A jar of sea shells in various shapes, colors, and textures
d. A beginning encyclopedia of animals
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5. A nurse is determining caloric needs for a preschooler who weighs 18 kilograms. daily caloric needs for this child?
c. 1620 calories
b. 1540 calories
d. 1800 calories
a. 1360 calories
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8. A 4-year-old boy had an episode of enuresis. Which of the following actions should be taken by the parents?
b. Take away one video game
c. Tell his 6-year-old sister about the incident.
a. Have him change his own pajamas before going to bed
d. Make him wear his diaper to bed.
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nurse makes a home visit to a child who has recently been diagnosed with asthma. Which environmental finding is a risk
b. Air conditioner
d. Leaky roof
c. Hardwood flooring
a. Radiator heating system
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5.
d. 9-year-old girl who visits the nurse on a daily basis for vague complain
c. 12-year-old boy who has started lifting weights
a. 11-year-old girl who has been involved in fighting during the past month
b. 10-year-old boy who no longer wants to play on the schools soccer team
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1. Which of the following children should the school nurse monitor closely for hypertension (HTN)? (select all that appl
c. 6-year-old Black child with no family history of HTN
b. 9-year-old White female whose maternal grandfather has HTN
d. 10-year-old Mexican American child with known family history of HTN
a. 7-year-old White male with no known family history of HTN
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17. A 4-year-old child tells the school nurse that he invented a new song. What should the nurse say?
a. Congratulate the child on a job well done.
c. Nicely tell the child that it does not sound like a song.
b. Tell the child that he is too young to invent anything.
d. Ask the child to come back later when there is more time to listen to th
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3. Parents of a toddler ask the nurse how to stress the importance of dental hygiene. What should the nurse recommend
c. Schedule a time to brush their own teeth with their toddler.
b. Have the dentist tell the toddler about the importance of dental hygiene
d. Have the toddler watch an educational cartoon video on the teeth brushin
a. Remind the toddler to brush his teeth every day.
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1. The school nurse conducting an in-service program for teachers is asked about general growth and development...
c. Children in this age group have some difficulty with coordination and ba
d. growth in school-age children is slower than during infancy and adolesc
b. Because of the rapid growth pattern in this age group, snacks are import
a. By age 11, blood pressure readings are the same as for an adult.
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5. Which of the following statements is correct?
d. Overweight kids have muscle pain more often than average-weight kids
a. Tonsils in a school-age child are smaller than in an adult.
b. The nervous system generally matures between ages 11 to 13.
c. Fractures heal more slowly in a 10-year-old child than in an adult.
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13. A nurse is discussing sleep patterns in school-age children. Which of the following should be stressed by the nurse?
b. School-age children need between 6 and 9 hours of sleep a night.
a. Sharing a bed with siblings/parents has a long-lasting psychological imp
d. School-age children generally agree with and adhere to a regular bedtime
c. Daytime naps are important in children until they reach the age of 9/10
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13. Which of the following is a hallmark of Piagets preconceptual substage?
b. Using concrete thought processes
d. Using transductive reasoning
a. Using language to function symbolically
c. Using mental abstracting
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10. A kid with a BMI of 34 visits the school nurse. What factor does the nurse recognize the kid may be experiencing?
c. Increased resiliency
b. Increased self-esteem
a. Increased bullying by peers
d. Increased motivation to lose weight
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6. Which of the following is responsible for ensuring that children are up-to-date on their immunizations? (select all)
c. Teacher
a. School nurse
b. Parent or caregiver
d. School principal
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6. Which of the following foods will a 5-year-old child need help eating?
d. Jelly sandwich
a. Pudding
c. Chicken
b. Macaroni and cheese
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7. A 2-year-old child has hives. Of the following items ingested, which is most likely to have caused the allergic react
d. Banana
c. Jelly sandwich
b. Oatmeal raisin cookies
a. Apple juice
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9. nurse is planning activities to help children learn about good nutritional practices. What should the nurse implement
c. Plan a game using the concept of MyPlate.
b. Find a book about nutrition to read the students.
d. Search on-line for a video about nutrition to the students.
a. Coordinate a Try This food day offering a variety of nutritious snacks.
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4. A 5-year-old is consuming a daily caloric intake of 1400 calories. How much should be carbohydrates?
b. 700 calories
a. 300 calories
900 calories
d. 1200 calories
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15. A school nurse is planning to assess the visual acuity of the preschool students at the school. which test is used?
c. Ishiharas test
a. Snellen Screening test
b. Denver Eye Screening test
d. Cover test
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1. A 5-year-old is prescribed a medication that is renally excreted. Which consideration should be made in dosage
c. The dosage should be higher than the recommended dose.
a. The dosage should be lower than the recommended dose.
d. The medication should not be administered.
b. The dosage should be at the recommended dose.
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9. deviation of the line of vision from the midline resulting from extraocular muscle weakness or imbalance is known as:
a. amblyopia.
c. nearsightedness.
b. farsightedness.
d. strabismus.
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17. Which of the following statements concerning hearing in school-age children is correct?
d. The use of tympanograms has improved the accuracy of hearing screenings.
a. The rate of otitis media infections met Healthy People 2010 targets.
b. Hearing and visual problems occur with the same frequency.
c. All 50 states require routine hearing evaluations.
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24. A school nurse is assessing a childs social environment. Which of the following strategies would the nurse implement
a. Interview family members.
d. Evaluate the childs activity and rest patterns.
b. Conduct a windshield assessment.
c. Review the childs past medical history.
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4.
c.
b.
d.
a.
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2. A nurse is discussing genetic disorders with a local community group. What should the nurse say?
b. Hemophilia is most likely to appear during the preschool years.
a. Downs syndrome is most likely to appear during the preschool years.
d. Multiple sclerosis is most likely to appear during the preschool years.
c. Cystic fibrosis is most likely to appear during the preschool years.
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A mom expresses her concern & frustration over her toddler that hasn't been successful at toilet training. Best response
d. Here is a training schedule to follow.
a. Dont worry; it will happen eventually.
b. How long does the child stay dry during the day?
c. Train him on a regular toilet instead of a potty chair.
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15.Individuals style of emotional and behavioral response across situations, especially those involving change or stress
c. coping.
b. temperament.
d. autonomy.
a. ritual.
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11.
b. There is not much you can do to stop this problem until he gets older.
d. Im going to collect a urine sample from him, then talk about bed wetting
a. Ill be sure to mention this to the doctor because we rarely see a child
c. This is a common disease in children his age. Lets talk about some optio
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24. Which is a common temperament pattern described by Chess and Thomas?
a. The fussy child
d. The slow-to-warm-up child
c. The unhappy child
b. The happy child
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19. nurse is assessing the home environment of a toddler. Which of the following poses the greatest/most immediate risk?
c. A closed window in the childs bedroom
a. A fenced-in pool in the backyard
b. An entertainment center with the remote control on the top shelf
d. A toy box overflowing with toys
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3. Which of the following behaviors by a preschooler indicates use of an effective coping mechanism? (select all that ap
d. The preschooler has a temper tantrum.
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.
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26. Which of the following statements about smoking is true?
c. Each day over 6000 children try smoking.
d. Tobacco use prevention programs should be initiated in eighth grade.
a. Black children begin smoking at an earlier age than do White children.
b. Almost 80% of schools prohibit tobacco use in all locations.
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21. Which of the following statements made by a parent is most helpful when discussing rules of the household?
d. What you did was bad. We all need to care for the dog.
a. You did not feed the dog like you promised, so you cannot have ice cream
b. I was upset when you did not feed the dog Lets talk about what happened.
c. Why did you forget to feed the dog? Would you like me to forget to feed
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3.
c. Lecture him about hygiene.
d. Punish him when he forgets to brush his teeth.
b. Model the behavior at home.
a. Have him learn it at school.
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4. A mother is concerned because her 22-mo-old has been skipping meals. What should the nurse recommend?
b. Offer him foods he likes such as cookies and chips.
d. Talk to the child about how important it is to eat three meals a day.
c. Limit the childs consumption of juices and cookies.
a. Put the child in time out whenever he skips a meal.
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9.
a. Having the children bring their bikes to the center so they can go for b
b. Playing hopscotch on the sidewalk in front of the daycare center
d. Playing on the outdoor preschool equipment while being supervised by day
c. Taking the children swimming at the neighborhood pool
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25. How many words are in a toddlers receptive language at 24 months of age?
c. 2400 words
a. 500 words
b. 1200 words
d. 3600 words
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22. A mother thinks her 2-year-old child drank Drano. What should the nurse tell the mother to do next?
d. Wait to see if the child will vomit.
c. Call the Poison Control Center.
a. Call the pediatrician on call.
b. Give ipecac syrup.
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12. Which of the following children is at risk for developing encopresis?
c. A 5-year-old child who has been in four foster care homes since age 3
d. A 4-year old child who sleeps soundly at night
a. A 6-year-old child who takes Colace on a daily basis to soften stool
b. A 3-year-old child who is not fully toilet-trained
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13. The mother of a 2-year-old toddler recently lost her job and is getting a divorce. What should the nurse do?
c. Do not offer any advice unless the mother asks.
a. Give the mother information about local support groups.
b. Provide the mother the name of a prominent local attorney.
d. Help the mother find a job.
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24. nurse suspects a 5-yr-old has asthma. Which information from the childs past medical history is a risk factor?
a. The child was breast-fed.
b. The child had respiratory infections as an infant.
c. The child was born via a C-section.
d. The child had pressure equalizer tubes as an infant.
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8. A school nurse is planning a series on nutrition. Which of the following factors should the nurse take into account?
d. A child is three times more likely to eat in a restaurant than at home.
c. Each day, approximately 60% of children eat fast food.
b. Children watch approximately two hours of television a day.
a. Television commercials frequently advertise food-related products.
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10. A toddler has been diagnosed with amblyopia. What would most likely be prescribed for the child?
d. Allowing the passage of time
a. Using corrective lenses
c. Applying artificial tears to the eye
b. Patching of the eye
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26. A mom asks her toddler if she is tired. The toddler responds by saying, Sammy bed. Based on her language, how old?
c. 30 months
d. 36 months
a. 18 months
b. 24 months
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7.
a. Caregivers and parents who are reluctant to take the child for treatment
c. Explanation of the injury from the child and caregiver or parent that ar
d. Lack of emotional response from child to a playground injury
b. Statement by the day care provider that the child was injured by falling
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8. A nurse is assessing the cognitive-perceptual pattern of a toddler. Which of the following findings is concerning?
a. Uses the word blanky to mean both that he wants to go to bed and that he
b. Refuses to eat something he ate and enjoyed the day before
c. Has visual acuity that is not 20/20
d. Has a history of recurrent ear infections
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1. A mother tells the nurse her 3-year-old child has not been himself lately. The nurse examines the child....
b. Pale skin
c. Enlarged lymph nodes
a. Bruises
d. Hives
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17. A toddler needs to have blood drawn at his next appointment. Which of the following actions would the nurse suggest
a. Tell the child about the blood work on when the appointment is scheduled
c. Tell the child when they are in the office right before the phlebotomist
d. Do not tell the child about the blood work.
b. Tell the child about blood work right before leaving for the appointment
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23. a school nurse is conducting a community awareness program about accidents that impact school-age kids. include?
d. Burn accidents are more common in the summer months.
b. Drowning and motor vehicle accidents are the leading causes of fatality.
a. Poisonings and falls are the leading causes of death.
c. The majority of accidents happen in the home.
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11. Which sleep ritual is age appropriate for a preschooler?
d. Asking the parent to read all books on the bookshelf before going to bed
c. Going right to sleep
a. Asking for every light in the home to be turned on at bedtime
b. Saying gn to all 20 stuffed animals in the room before going to sleep
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21. A nurse is discussing with parents how to prevent burns in a preschooler. What should the nurse recomend?
d. Do not cook with the child in the kitchen.
a. Do not read to the child while sitting on the sofa in front of the firep
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.
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20. A nurse is providing primary prevention education to reduce the risk of lead poisoning to a mother of a toddler.
c. Limit foods high in iron such as spinach to help reduce lead levels.
d. Encourage dark-chocolatecontaining products that contain antioxidants to
a. Encourage the toddler to drink orange juice and eat yogurt.
b. Encourage the toddler to eat plenty of cakes and cookies to help absorb
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5. Which of the following toddlers would require further investigation from the nurse?
a. Sitting quietly on a couch
b. Experiencing a temper tantrum
d. Exploring his environment and playing with new toys
c. Playing with a toy next to another child also playing with a toy
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18. What would be the best way for a parent to explain to a toddler that he needs to receive the influenza vaccine at to
d. No, you will not get any needles today.
c. You need a shot, but dont worry, you wont feel a thing.
a. You need the shot to keep you healthy. You will feel a little pinch
b. You need the shot to prevent the flu. They will use a small needle to ad
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29. How old is a preschooler with a receptive vocabulary of up to 5600 words?
b. 48 months old
a. 42 months old
d. 60 months old
c. 54 months old
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12.
c. Enuresis
d. Hunger
b. Night terrors
a. Nightmares
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23. Which of the following is the most common intraocular tumor in young children?
c. Retinoblastoma
d. Leukemia
a. Neuroblastoma
b. Wilms tumor
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20.
b. Encourage the father to have the child sit in the back seat instead.
d. Provide the parent with educational materials about car seat safety.
c. Instruct the father on the dangers of having small children in the front
a. Report the father to the Department of Human Services.
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A nurse is reviewing the chart of a preschool child who has been diagnosed with Aspergers syndrome. what is discovered?
b. Absent crawling at 10 months old
a. Eating finger foods at 10 months old
d. Saying ma-ma at 10 months old
c. Separation anxiety at 10 months old
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16. A parent expresses frustration over constant fighting between her toddler & preschooler. What should the nurse do?
a. Tell the mother not to worry about it and continue with the office visit
d. Say to the mother, Dont worry; this behavior will all end soon.
c. Say to the mother, Dont you remember fighting with your sibling? Dont wo
b. say it's normal for them, and she should be firm but not take sides
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6. Approximately how much sleep do toddlers require each day?
12 hours
11 hours
10 hours
13 hours
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2. A nurse administers the Draw-a-Person and Draw-a-Family tests with a preschool student...
d. Assess emotional development.
b. Assess intelligence development.
a. Assess verbal development.
c. Assess social development.
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14.
c. Jealousy
b. Concrete thinking
a. Abstract thinking
d. A temper tantrum
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14. Parents of an 8-yr-old tell a nurse they are concerned about their son's sleepwalking. What is the best response?
b. I am glad you mentioned this. Sleepwalking is sometimes a sign of a neur
d. This is not abnormal for a child of this age. He will most likely outgro
a. Sleepwalking is much more common in girls than boys.
c. Does he also have nightmares? Do the two problems often occur together?
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27.
b. Regulation of the use of electronic devices used by preschoolers
a. Elimination of the school requirement for the MMR vaccine
d. Elimination of WIC programs
c. Regulation of the paint allowed for use with toys
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2. A -1yr-old toddler is in for an office visit. He was born at 6 lbs, 10 oz. At todays visit, the nurse expects his wt:
c. 26 pounds, 8 ounces.
a. 13 pounds, 4 ounces.
d. 33 pounds, 2 ounces.
b. 19 pounds, 14 ounces.
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18.
c. He plays well with a group of neighborhood children.
b. He never engages in any activity until his mother tells him to.
d. He moves from one activity to another.
a. He gives his brother the ball when he is tired of playing with it.
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2. According to the American Heart Association, at what age should blood pressure screening begin?
12
6
3
9
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14.
d. Schedule a follow-up appointment in 2 weeks to see if bruises present
b. Assume the bruises are the result of a fall.
c. Ask the mother about the bruises.
a. Report the suspected child abuse to the Department of kids and Families
