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