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Child Development Quiz
Child Development Quiz
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Test your knowledge on child development and learn about key milestones and stages of growth.
Flashcards
56 cards
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Questions
56
Answers
1
What is the first action for cyanotic infant?
Prepare for intubation
Administer morphine
Administer oxygen
Knee-chest position
2
Which stage involves abstract reasoning?
Concrete operational
Sensorimotor
Formal operational
Preoperational
3
True or false: Kawasaki disease causes chest pain.
False
True
4
True or false: Young adults focus on intimacy vs. isolation.
True
False
5
Ventricular septal defects (VSDs) have lower pulmonary pressure
True
False
6
True or false: Children in the preoperational stage can think logically.
False
True
7
Discussing the s/s of Kawasaki disease with parents of a child, the nurse explains that one of the first signs may be?
Persistent fever lasting more than 5 days
Cracked lips and strawberry tongue
Peeling of the skin on the hands and feet
Swelling of the lymph nodes
8
Nurse preparing instructions for the parents of a child with (CF). Which components should be in the plan of care
Avoiding all vaccines to prevent potential reactions
Encouraging physical activity to promote lung function
Administering pancreatic enzyme supplements with meals and snacks
Providing a high-calorie, high-protein diet
Perform chst physiotherapy w/ highfrequency chestwall oscilation vest daily
Restricting fluids to prevent pulmonary secretions from thickening
9
When assessing a child with celiac disease, which findings would the nurse expect?
Weight gain despite increased appetite
Delayed growth and development
Elevated blood glucose levels
Abdominal distension
Chronic diarrhea or steatorrhea
Fatigue and irritability
10
True or false: Concrete operational stage includes abstract reasoning.
False
True
11
Which stage involves developing competence?
Industry vs. Inferiority
Identity vs. Role Confusion
Autonomy vs. Shame
Trust vs. Mistrust
12
Will a pediatric patient with RSV present with a runny nose? True or False
False
True
13
While caring for a 3 m infant dx with Tetralogy of Fallot. During a crying episode, the infant suddenly becomes cyanotic
Prepare for intubation
Administer oxygen by mask
Administer morphine as ordered
Place the infant in a knee-chest position
14
Which symptom is concerning in Kawasaki disease?
Fever over 5 days
Chest pain and dyspnea
Swelling in hands
Cracked lips
15
Which symptom indicates patent ductus arteriosus?
Bounding pulses
Bradycardia
Faint heart sounds
Cyanosis
16
Nurse reviews plan of care w/ mom of a school aged d/c from the hospital for rheumatic fever w/carditis. More teaching?
Our child should avoid strenuous activities until cleared by cardiologist
This was a one-time illness; we don’t need to worry abt longterm f/u appts.
Our child will complete all prescribed antibotics preventing more complica.
We will give aspirin as prescribed to reduce inflammation and fever
17
What is a sign of Kawasaki disease?
Cracked lips
Headache
Chest pain
Sore throat
18
What shows object permanence in infants?
Object permanence
Symbolic play
Conservation
Egocentrism
19
Nurse is assessing a child dx with Kawasaki disease. Which finding is most concerning and should be reported immediately
Swelling in the hands and feet
Cracked lips and red tongue
Fever persisting for more than 5 days
Chest pain and dyspnea
20
True or false: PDA causes cyanosis with exertion.
False
True
21
What activity supports an 18-month-old's development?
Exploratory toys
Make-believe play
Explaining concepts
Sorting objects
22
True or false: Infants learn through sensory experiences.
False
True
23
True or false: Children in the concrete stage can reason logically.
False
True
24
Nurse is giving d/c inst to parents of a 3 y/o after cardiac cath. Which statement by the parents need for more teaching
"Avoid giving our child a tub bath X 3 days to keep the site clean and dry.
We will encourage our child to resume normal play when we get home."
"Watch for signs of infection, redness, swelling, or drainage at the site.
If he gets a fever, c/o pain at the catheterization site, we will call Dr.
25
The HCP awaiting lab results for a child w/ nephrotic syndrome. Which results should the nurse expect to find?
Hematuria
Decreased serum albumin
Increased serum creat
Hypoglycemia
Proteinuria
Hyperlipidemia
26
The HCP is awaiting lab results for a child with nephrotic syndrome. Which results should the nurse expect to find?
Hematuria
Hypoglycemia
Hyperlipidemia
Proteinuria
Decreased serum albumin
Increased serum creatinine
27
The nurse is assessing 4 peds patients in the ER department; which child should the nurse prioritize care for?
5 yo with asthma reported mild wheezing, a RR of 24, O2 sat 95% RA
7 y/o w/croup a barking cough, audible stridor w/crying, RR 28
2 y/o, restless, fever 102.8, substernal retractions, nasal flaring, RR 32
3 months with a temp of 101.5°F occ. Nasal congested and RR 30
28
Which behavior shows preoperational thinking?
Logical reasoning
Symbolic thinking
Conservation understanding
Reversibility
29
The nurse cares for a toddler diagnosed with (RSV) bronchiolitis. Which assessment findings are most consistent w/dx?
Nasal flaring, wheezing, and intercostal retractions
Fever, productive cough, and crackles heard throughout the lungs
Stridor, drooling, refusal to lie flat
Barking cough, hoarseness, and inspiratory stridor
30
True or false: Autonomy vs. Shame occurs in toddlers.
False
True
31
True or false: Children develop reasoning in stages.
False
True
32
True or false: Industry vs. Inferiority is for toddlers.
False
True
33
Which symptom indicates patent ductus arteriosus?
Weak heart sounds
Bradycardia
Bounding pulses
Cyanosis
34
What behavior indicates a child's industry?
Ignoring tasks
Playing alone
Helping with chores
Asking for toys
35
A nurse reviews lab results of a child with suspected rheumatic fever. Which result is most indicative of the diagnosis
Elevated serum bilirubin level
Positive throat culture for Streptococcus
Increased B-type natriuretic peptide (BNP)
Decreased hemoglobin level
36
When teaching parents of infant diagnosed w/ Hirschsprung's disease. Which statement indicates that teaching effective?
Our baby’s condition is caused by an infection in the intestine
We should expect frequent, loose stools as part of this condition
We will monitor for signs of constipation and and swelling
Our baby will need to avoid solid foods until after surg.
37
Assessing a peds pt. with rt-sided HF, the nurse would expect to observe or treat which of the following conditions?
Hepatomegaly and peripheral edema
Cyanosis and clubbing of the fingers
Increased urine output and bounding pulses
Pulmonary edema and crackles in the lungs
38
The nurse is caring for a child with severe asthma. Which sx require immediate attention?
Cyanosis around the lip
Oxygen saturation of 89% on room air
Respiratory rate of 24 breaths per minute
Absence of breath sounds in one or both lung fields
Inspiratory and expiratory wheezing
Use of accessory muscles during breathing
39
When teaching parents about the signs and symptoms of Kawasaki disease, they should monitor for which of the following?
Rash on the torso or groin
Irritability/conjunctivitis w/o discharge
Highpitched inspiratory stridor
Swelling and redness of the hands and feet
Persistent fever lasting more than 5 days
Cracked lips and a red "strawberry" tongue
40
What indicates a child's understanding of conservation?
Singing songs
Sorting toys
Pouring liquids
Drawing pictures
41
Which assessment finding in a newborn should prompt the nurse to suspect coarctation of the aorta?
Hypertension in the upper extremities
Strong femoral pulses
Continuous "machinery" murmur
Cyanosis in the lower extremities
42
When teaching about congenital heart defects, which does the student nurse correctly identify as
acyanotic defects
?
Atrial septal defect (AS
Coarctation of the aorta
Patent ductus arteriosus (PDA
Ventricular septal defect (VSD)
Tetralogy of Fallot
Transposition of the great arteries
43
What finding suggests coarctation of the aorta?
Continuous murmur
Cyanosis in legs
Strong femoral pulses
Hypertension in arms
44
True or false: Rheumatic fever is caused by strep infection.
False
True
45
True or false: Egocentrism is common in toddlers.
False
True
46
The nurse is teaching the parent of a child with (PDA) about the s/s of the condition. Which symptom is indicated first
Cyanosis with exertion
Bounding peripheral pulses
Faint heart sounds
Bradycardia
47
The nurse is teaching the parents of an infant who has had surgery for Hirschsprung's about post-op care. SATA
Notify the HCP if the infant refuses feedings or vomits persistently
Begin a regular diet immediately after surgery
Perform stoma care if a colostomy was created
Avoid tub baths until the surgical site is healed
Monitor for signs of infection at the surgical site
Observe for changes in bowel habits, such as constipation or diarrhea
48
True or false: Children learn best through play.
False
True
49
What is a key sign of rheumatic fever?
Positive throat culture
Joint pain
Skin rash
High fever
50
Caring for a child w/ nephrotic syndrome having blood drawn. Which laboratory tests would the HCP order to monitor this?
Complete blood count (CBC)
Blood urea nitrogen (BUN)
Arterial blood gases (ABGs)
Serum album
Lipid pane
Serum creatinine
51
When assessing a child with glomerulonephritis, which findings would the nurse expect
Hematuria
Tea-colored or cola-colored urine
Periorbital edema
Proteinuria
Hypotension
Hypervolemia
52
True or false: Infants develop object permanence at 6 months.
False
True
53
Which behavior shows independence in toddlers?
Asking for help
Ignoring parents
Saying yes
Insisting on dressing
54
True or false: Preoperational stage involves logical reasoning.
False
True
55
Educating parents of a chld w/congenital heart anomaly abt assessment finds common w/chronic cyanosis. Need for F/U edu?
Notify dr if child shows signs of increse breathing difficulty or fainting
We will increase our child’s oxygen flow rate if their lips appear bluish.
We will watch for signs of clubbing in our child fingers and toes over time
We understand cyanosis may cause him to be tired during feedings or play
56
True or false: Adolescents explore their identity.
True
False
