While in the pediatrician's office for their child's 12-month well child exam, the parents ask the nurse for advice on age-appropriate toys for their child
Based on the child's developmental level, the nurse should suggest which types of toys? Select all that apply. 1. Soft toys that can be manipulated and mouthed
2. Toys that can pop apart and go back together
3. Jack-in-the-box toys
4. Toys with black-and-white patterns
5. Push-and-pull toys
Correct
2; 3; 5
Rationale:
1. Both gross and fine motor skills are becoming more developed, and children at this age enjoy toys that can help them refine these skills. They tend to enjoy more colorful toys at this age, and are more mobile, thus they have less interest in placing toys in their mouth and more interest in toys that can be manipulated.
.
Chapter 33_LO05Q12
A nurse is assessing language development in all the infants presenting at the doctor's office for well child visits. The child that would be expected to be verbalizing the words "dada" and "mama" is the child between the ages of:
1. 3 and 5 months.
2. 6 and 8 months.
3. 9 and 12 months.
4. 13 and 18 months.
3
Rationale:
1. A child should be able to verbalize "mama" or "dada" to identify her parents by 1 year of age.
Chapter 33_LO06Q13
While trying to inform a 5-year-old girl about what will occur during an upcoming CAT scan, the nurse notices that the child is engaged in a collective monologue, talking about a new puppy. The nurse's best response would be:
1. "Please stop talking about your puppy. I need to tell you about your CT scan."
2. To ignore the child's responses and continue discussing the procedure.
3. "I'll come back when you are ready to talk with me more about your CT scan."
4. "You must be so excited to have a new puppy! They are so much fun. Now let me tell you again about going downstairs in a wheelchair to a special room."
4
Rationale:
1. When a child becomes engaged in a collective monologue, it is best to respond to the content of her conversation and then attempt to reinsert facts about the content that needs to be covered.
Chapter 33_LO07Q14
Two 3-year-olds are playing in a hospital playroom together. One is working on a puzzle while the other is stacking blocks. The mother of one of the children scolds them for not sharing their toys. The nurse counsels this mother that this is normal developmental behavior for this age, and that the term for it is:
1. Cooperative play.
2. Associative play.
3. Parallel play.
4. Solitary play.
3
Rationale:
1. Cooperative play is when children demonstrate the ability to cooperate with others and to play a part in order to contribute to a unified whole.
2. Associative play is characterized by children interacting in groups and participating in similar activities.
3. Parallel play is when two or more children play together, each engaging in his own activities.
4. Solitary play is when a child plays alone.
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Why is vitamin K given by injection to the newborn?
a. Most mothers have a vitamin K deficiency that develops during pregnancy. b. Bacteria that synthesize vitamin K are not present in newborns. c. Vitamin K prevents the synthesis of prothrombin. d. The newborn does not store vitamin K.
When administering parenteral medications, the nurse considers the viscosity of the fluid when determining which item?
1. The length of the needle required 2. The size of the syringe required 3. The size of the bevel required 4. The gauge of the needle required
Which statement about food insecurity would the nurse include in a presentation regarding nutritional issues in the older patient?
1. "Food insecurity is when a person hoards food." 2. "White older persons are at a higher risk for food insecurity than African Americans." 3. "African American older persons are at a higher risk for food insecurity than Caucasian Americans." 4. "Food insecurity is when a person is concerned that he or she is eating foods that might be harmful to his or her health."
A 10-year-old girl who is living with a foster family is brought to the clinic for evaluation. When caring for this child, which intervention is a priority?
A) Determining if the child is being bullied at school B) Dealing with mixed expectations of parents C) Establishing who the child's actual caretaker is D) Performing a comprehensive health assessment