VERIFIED ANSWER 2026
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1 of 59
Term
Which of the following statements concerning growth and
development is true?
a.Growth implies an increase in size and development
b. Development refers to the maturation of structures of the body
but does not include growth
c. Development refers to the maturation of structures of the body
and includes growth
d. Growth and development usually progress from specific to general
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ANS: D
Young school-age children are particularly fearful of disruption of their body
integrity. Stranger anxiety subsides at the end of infancy and separation anxiety
typically resolves at the end of toddlerhood.
, ANS: C
Development refers to the maturation of structures of the body and
includes growth. Growth and development progress from general to
specific. Growth implies an increase in size but does not necessarily include
development.
ANS: C
An infant develops the ability to track objects by 3 months of age, so the failure to
do so is a concerning sign in a 3-month-old infant. The posterior fontanel closes by
2-3 months of age. The infant does not begin to roll over until 4 months of age, so
this is not a developmental delay at this point. Laughing typically occurs at 4
months of age.
ANS: A
The anterior fontanel normally closes between 12 and 18 months of age. Prior to
this time, the open anterior fontanel allows for brain growth and compensation of
changes in intracranial pressure.
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2 of 59
Term
The nurse is teaching a parenting class to a group of expectant
parents. One of the parents asks at what age a child typically begins
to develop modesty. Which of the following is the nurse's best answer?
a. "Most children do not develop modesty until the adolescent years."
b. "Most children develop modesty by age 4."
c. "Most children develop modesty by the age of ten."
d. "Most children develop modesty by 2."
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ANS: B
Most 1-year-old children have a vocabulary of about 5 words. A vocabulary of 50
words is not usually developed until 18 months.
ANS: B
Although the child should be included in the education, the parent should still be
the focus of the education. Information should be provided in a manner that
addresses the learner's preferred learning style. Questions should be encouraged
and not hidden from the child.
ANS: A
It is important to allow a preschooler the opportunity to handle and play with
equipment being used in her care. Short simple explanations are most
appropriate for a preschooler. Participation in procedures should be
encouraged within age-
appropriate limits. Finger sticks and insulin administration are not appropriate tasks
for a 3-year-old to participate in.
ANS: B
Most children develop modesty by the age of four. It is a good idea to
reinforce body safety at this time by teaching preschoolers and young school-
age children that "no one should look or touch where their bathing suit covers
unless they are your mommy, daddy, doctor or nurse."
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3 of 59
Term
At 18 months Jose is admitted for same-day surgery. What does the
nurse anticipate as his biggest fear?
, a. Pain
b. Separation anxiety
c. Death
d. Body integrity
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ANS: A
The anterior fontanel normally closes between 12 and 18 months of age. Prior to
this time, the open anterior fontanel allows for brain growth and compensation of
changes in intracranial pressure.
ANS: A
The anterior fontanel closes between 12 and 18 months of age. So in a healthy 6-
month-old, the nurse would expect it to be open. Both a sunken fontanel, a sign of
dehydration, and a bulging fontanel, a sign of increased intracranial pressure, are
abnormal findings in a healthy 6-month-old.
ANS: B
The principle of proximodistal growth and development states that children
develop from the trunk outward to the tips of the extremities. Raking objects,
which develops at 4 months, involves the use of hands to "rake" objects prior to
the
development of the more specific pincer grasp occurring by 9 months of age.
ANS: B
Separation anxiety is the greatest fear among toddlers. Fear of pain and
invasion of body integrity are issues of concern for older preschoolers and
particularly school-age children. Fear of death is a more common concern for
the adolescent who is able to think abstractly.