NUR 101 Unit 13: Growth and Development Exam
Practice Questions Verified by Expert
A pediatric nurse caring for children of all ages knows that children learn about themselves, the
environment, and relationships best through: - Answer play
During a home visit, the nurse observes a mother prepare a bottle of skim milk for an 18-month-old
child. Which nursing diagnosis should the nurse use to base instruction for this mother? - Answer
imbalanced nutrition
If a pre-school age child sees you pour his liquid medicine from a tall, thin glass into a short, wide one,
he will probably reason that: - Answer the amount of medicine is less (the glass is not as full).
A client is concerned that the new baby is going to have a weight problem growing up because other
family members are obese. How should the nurse respond to this client? - Answer Do not restrict fatty
foods until the age of 2 years.
A trend with growth and development of the infant is that development is proximodistal. This means: -
Answer Growth progresses from gross motor movements to fine motor movements.
A mother who is vegan, when asked about the nutritional intake of her 18-month-old, tells the nurse not
to worry because she is providing plenty of protein to her daughter. "And," she says, "I avoid giving her
fats." Which of the following would be the most appropriate response for the nurse to give this mother?
- Answer "Your child needs fat in the diet at this age, as it is needed for myelination of spinal nerves."
The parent of an infant asks the nurse when to begin brushing the infant's teeth. What would be the
nurse's best response? - Answer as soon as the first tooth erupts
The nurse is providing anticipatory guidance to the parent of a 2-month-old infant in relation to growth
and development. Which statement from the parent demonstrates proper understanding? - Answer "I
can expect my infant to be able to raise the head up when on the stomach within the next month."
The nurse is conducting a physical examination of an 8-month-old infant. Which observation may be
cause for concern about the infant's neurologic development? - Answer The infant displays an
,asymmetric tonic neck reflex (fencing reflex). The tonic neck reflex normally disappears by between 4
and 7 months
The nurse is visiting a mother who has a 3-month-old infant. Which anticipatory guidance information
should the nurse provide to the mother at this time? - Answer The child should be able to turn over onto
the back around age 4 months.
Which milestone would the nurse expect an infant to accomplish by 8 months of age? - Answer Sitting
without support
In working with infants, the nurse would expect the posterior fontanel to be closed in an infant who is
which age? - Answer 3 months
A nurse is teaching parents of a 2-year-old child about discipline and limit setting. When describing the
use of "time-out," the nurse would inform the parents that the maximum duration of time-out should be
how many minutes per each year of age? - Answer 1 minute
The nurse is providing anticipatory guidance and education to the parents of child entering into the
preschool age group. What information would the nurse include in the teaching? - Answer The
preschool-age child's physical growth will slow compared to previous years.
In teaching school-aged children and their parents, what facts would be valuable for the nurse to
emphasize? Select all that apply.
-School-age children require 8 to 10 hours of sleep each night.
-Dental checkups are recommended twice a year.
-Children need to learn about human reproduction at home.
-Education about the unhealthy aspects of tobacco and alcohol should begin in elementary school.
-For nutritional recommendations, a good resource for parents is choosemyplate.gov. - Answer -Dental
checkups are recommended twice a year.
-Education about the unhealthy aspects of tobacco and alcohol should begin in elementary school.
-For nutritional recommendations, a good resource for parents is choosemyplate.gov.
, The nurse is teaching a group of school-age children about physical development. Which statement
made by one of the children indicates the correct understanding of the teaching? - Answer "I will grow
an average of 2.5 in (6.5 cm) per year."
A nurse is obtaining a weight on a 7-year-old who weighed 8 pounds (3632 g) at birth. How much does
the nurse anticipate that he should weigh now? - Answer 56 pounds (25.5 kg)
An 8-year-old male child is being seen for a well-child visit. His weight at his visit last year was 50 lb (22.7
kg) and his height was 47 in (119 cm). If he is developing normally, which finding will the nurse expect to
note this year? - Answer Height 49.5 in (124 cm)
A nurse is preparing a class for a group of parents of school-age children about language development
and problems with speech articulation, specifically difficulty pronouncing specific letters. The nurse
would inform the parents that a referral for initiating speech therapy may be necessary for these
problems after which which age? - Answer 8 years
The school-age child develops the ability to recognize that if a block of clay is in a round ball and then is
flattened, the shape changes but not the amount of clay. What understanding has this child developed?
- Answer conservation
A parent brings a 6-year-old to the clinic and informs the nurse that the child is tired all the time, even
though the child sleeps 7 to 8 hours each night. What is the best response by the nurse? - Answer "Your
child should be getting 11 to 12 hours of sleep per night with some quiet time after school."
A nurse is providing anticipatory guidance to the parents of an 8-year-old child, explaining that when the
child returns next year for a well check-up, the child will likely undergo which screening? - Answer
scoliosis
A 17-year-old girl has come to the clinic to get a rubella immunization that is required by the college she
plans to attend. Before administering this immunization, the child should have which screening or test? -
Answer pregnancy test
Nurses should provide anticipatory guidance to males to prepare them for what particular pubertal
change in middle-to-late adolescence? - Answer nocturnal emissions
Practice Questions Verified by Expert
A pediatric nurse caring for children of all ages knows that children learn about themselves, the
environment, and relationships best through: - Answer play
During a home visit, the nurse observes a mother prepare a bottle of skim milk for an 18-month-old
child. Which nursing diagnosis should the nurse use to base instruction for this mother? - Answer
imbalanced nutrition
If a pre-school age child sees you pour his liquid medicine from a tall, thin glass into a short, wide one,
he will probably reason that: - Answer the amount of medicine is less (the glass is not as full).
A client is concerned that the new baby is going to have a weight problem growing up because other
family members are obese. How should the nurse respond to this client? - Answer Do not restrict fatty
foods until the age of 2 years.
A trend with growth and development of the infant is that development is proximodistal. This means: -
Answer Growth progresses from gross motor movements to fine motor movements.
A mother who is vegan, when asked about the nutritional intake of her 18-month-old, tells the nurse not
to worry because she is providing plenty of protein to her daughter. "And," she says, "I avoid giving her
fats." Which of the following would be the most appropriate response for the nurse to give this mother?
- Answer "Your child needs fat in the diet at this age, as it is needed for myelination of spinal nerves."
The parent of an infant asks the nurse when to begin brushing the infant's teeth. What would be the
nurse's best response? - Answer as soon as the first tooth erupts
The nurse is providing anticipatory guidance to the parent of a 2-month-old infant in relation to growth
and development. Which statement from the parent demonstrates proper understanding? - Answer "I
can expect my infant to be able to raise the head up when on the stomach within the next month."
The nurse is conducting a physical examination of an 8-month-old infant. Which observation may be
cause for concern about the infant's neurologic development? - Answer The infant displays an
,asymmetric tonic neck reflex (fencing reflex). The tonic neck reflex normally disappears by between 4
and 7 months
The nurse is visiting a mother who has a 3-month-old infant. Which anticipatory guidance information
should the nurse provide to the mother at this time? - Answer The child should be able to turn over onto
the back around age 4 months.
Which milestone would the nurse expect an infant to accomplish by 8 months of age? - Answer Sitting
without support
In working with infants, the nurse would expect the posterior fontanel to be closed in an infant who is
which age? - Answer 3 months
A nurse is teaching parents of a 2-year-old child about discipline and limit setting. When describing the
use of "time-out," the nurse would inform the parents that the maximum duration of time-out should be
how many minutes per each year of age? - Answer 1 minute
The nurse is providing anticipatory guidance and education to the parents of child entering into the
preschool age group. What information would the nurse include in the teaching? - Answer The
preschool-age child's physical growth will slow compared to previous years.
In teaching school-aged children and their parents, what facts would be valuable for the nurse to
emphasize? Select all that apply.
-School-age children require 8 to 10 hours of sleep each night.
-Dental checkups are recommended twice a year.
-Children need to learn about human reproduction at home.
-Education about the unhealthy aspects of tobacco and alcohol should begin in elementary school.
-For nutritional recommendations, a good resource for parents is choosemyplate.gov. - Answer -Dental
checkups are recommended twice a year.
-Education about the unhealthy aspects of tobacco and alcohol should begin in elementary school.
-For nutritional recommendations, a good resource for parents is choosemyplate.gov.
, The nurse is teaching a group of school-age children about physical development. Which statement
made by one of the children indicates the correct understanding of the teaching? - Answer "I will grow
an average of 2.5 in (6.5 cm) per year."
A nurse is obtaining a weight on a 7-year-old who weighed 8 pounds (3632 g) at birth. How much does
the nurse anticipate that he should weigh now? - Answer 56 pounds (25.5 kg)
An 8-year-old male child is being seen for a well-child visit. His weight at his visit last year was 50 lb (22.7
kg) and his height was 47 in (119 cm). If he is developing normally, which finding will the nurse expect to
note this year? - Answer Height 49.5 in (124 cm)
A nurse is preparing a class for a group of parents of school-age children about language development
and problems with speech articulation, specifically difficulty pronouncing specific letters. The nurse
would inform the parents that a referral for initiating speech therapy may be necessary for these
problems after which which age? - Answer 8 years
The school-age child develops the ability to recognize that if a block of clay is in a round ball and then is
flattened, the shape changes but not the amount of clay. What understanding has this child developed?
- Answer conservation
A parent brings a 6-year-old to the clinic and informs the nurse that the child is tired all the time, even
though the child sleeps 7 to 8 hours each night. What is the best response by the nurse? - Answer "Your
child should be getting 11 to 12 hours of sleep per night with some quiet time after school."
A nurse is providing anticipatory guidance to the parents of an 8-year-old child, explaining that when the
child returns next year for a well check-up, the child will likely undergo which screening? - Answer
scoliosis
A 17-year-old girl has come to the clinic to get a rubella immunization that is required by the college she
plans to attend. Before administering this immunization, the child should have which screening or test? -
Answer pregnancy test
Nurses should provide anticipatory guidance to males to prepare them for what particular pubertal
change in middle-to-late adolescence? - Answer nocturnal emissions
