NUR 4827 Growth and Development HESI IMP QUESTIONS AND ANSWERS

Growth and Development 1.A child is frightened and refuses to use the toilet after watching a television commercial that shows the toilet bowl turning into a monster and swallowing the person using it. Which behavior does the child exhibit? Animism 2. The diabetic parent of a school-age child receives home care education for diabetes. The parent needs to take multiple medications. Which instruction does the nurse give for the child’s safety? Store medications away from the child’s reach 3. The parents inform the nurse that their child often engages in ‘doctor play’ with other kids, with an aim to learn more about the sexual organs. The parents have often expressed their disapproval to the child, but it has no effect on the child’s behavior. What does the nurse suggest to the parents? “Tell the child to talk about any questions related to sexuality. 4. The parent of a school-age child tells the nurse, “Sometimes my child is fatigued in the morning.” Upon assessment, the nurse finds that the blood and urine reports of the child are normal. What could be the possible cause of the child’s fatigue? The child often stays up late 5. The parents of a school-age child tell the nurse, “We evade any questions about sex that our child asks us. It is very embarrassing to discuss such things with our child.” What does the nurse inform the parents? The child may speak with peers and get inaccurate information. 6. A school-age child is mostly at home after school and gets engrossed in video games. Once a week, the child engages in swimming activity. The child’s family also often orders fast food from restaurants. What does the nurse need to inform the parents about the child? The child is at risk for childhood obesity 7. The nurse observes an infant using his thumb and index finger to hold an object. What does the nurse infer from this? The infant is showing crude pincer grasp reflex 8. The nurse instructs parents to avoid placing their infant in a prone position while sleeping. Which risk does the nurse seek to prevent with this instruction? Sudden infant death syndrome 9. The mother of a 2-year-old girl expresses concern that her daughter's growth rate has slowed. What should the nurse explain to the mother about the growth of toddlers? "This growth pattern is typical at this age." 10. Which fine motor skill will be seen in a 10-month-old infant? Picking up finger foods 11. A child watches an older sibling playing with a ball, but makes no effort to participate in the play. What social character of play is the child exhibiting? Onlooker play 12. An 8-year-old child is being prepared for surgery the next day. How should the nurse present preoperative instructions to this child? By focusing on simple anatomical diagrams 13. When assessing a neonate and mother after a vaginal delivery, the nurse finds that the neonate’s blood group is B positive and mother’s is AB negative. The nurse also finds that the mother is negative to Coombs’ test. What is the appropriate intervention in this situation? Administer RhoGAM intramuscularly to the mother within 72 hours of delivery. 14. The parents of a preschooler are worried, as the child is often seen talking to imaginary friends. The parents admit that they often scold the child for such behavior. What does the nurse inform the parents? The behavior is normal at this age and it will help counter loneliness.