Nursing Care of Children Health Promotion and
Maintenance QUESTIONS AND ANSWERS | GRADED A
The parent of a two-year-old child reports feeling frustrated with the fact that her
son is saying no to everything. The nurse should teach the parent that this behavior
is a normal expression of the child's desire to accomplish which of the following?
Select one:
a. Increase their independence.
b. Gratify their oral fixation.
c. Develop their sense of trust.
d. Finish a project they set out to do. Correct Answer: a. Increase their
independence.
The drive for independence is expressed by the toddler opposing the desires of
those in authority (tantrums) and attempting to do everything for themselves. The
Erickson developmental stage for this age is "Autonomy vs. Shame and Doubt."
At a well-child visit, the parents report that their toddler occasionally touches and
fondles her genital area. The parents ask the nurse if this behavior is something to
be concerned about. Which of the following is a correct response?
Select one:
a. This is an early emergence of sexual expression that should be discouraged
b. Awareness of body structures and sensations is normal and expected
c. Your child is probably imitating behaviors that she has observed
d. This is a possible infection or irritation in the genital area Correct Answer: b.
Awareness of body structures and sensations is normal and expected
Genital self-stimulation by the toddler is normal and expected. It is a new area to
explore, similar to exploring the toes at an earlier age, but it has pleasurable
sensations too! It should be ignored unless the behavior becomes pervasive, and
then it should still be ignored and the child should be distracted to come and do
some fun and exciting activity
, A nurse is taking the health history of a school-age girl. Which statement by the
client's mother indicates a need for further teaching regarding the client's
nutritional status?
Select one:
a. "We increase her protein intake when she's playing sports."
b. "She enjoys helping to prepare her snacks in the kitchen."
c. "We allow her to pick out a treat at the grocery store for good behavior."
d. "She eats a large breakfast every morning." Correct Answer: c. "We allow her
to pick out a treat at the grocery store for good behavior."
This statement indicates a need for further teaching. This client's mother should be
educated about the importance of praising the client's abilities and skills rather than
using food as a reward, which may lead to an increased risk for obesity.
A nurse correctly understands which of the following characteristics is a possible
developmental delay for a 3-month-old client?
Select one:
a. The infant demonstrates stranger anxiety
b. The infant is unable to point to objects
c. The infant is unable to sit with support
d. The infant does not raise his head when placed on his abdomen Correct Answer:
d. The infant does not raise his head when placed on his abdomen
When placed on the abdomen the 3 month old should attempt to raise his head.
Some sources refer to this as "tummy time" which provides the infant with the
stimulation to strengthen upper body and neck muscles in preparation for good
head control when sitting upright and the some of the muscles required for
crawling.
A nurse has administered the first DTaP (diphtheria toxoid, tetanus and pertussis)
immunization to a two-month-old infant. For which of the following symptoms
should the nurse teach the parents to seek immediate medical attention?
Select one:
a. The baby is crying inconsolably for more than three hours
Maintenance QUESTIONS AND ANSWERS | GRADED A
The parent of a two-year-old child reports feeling frustrated with the fact that her
son is saying no to everything. The nurse should teach the parent that this behavior
is a normal expression of the child's desire to accomplish which of the following?
Select one:
a. Increase their independence.
b. Gratify their oral fixation.
c. Develop their sense of trust.
d. Finish a project they set out to do. Correct Answer: a. Increase their
independence.
The drive for independence is expressed by the toddler opposing the desires of
those in authority (tantrums) and attempting to do everything for themselves. The
Erickson developmental stage for this age is "Autonomy vs. Shame and Doubt."
At a well-child visit, the parents report that their toddler occasionally touches and
fondles her genital area. The parents ask the nurse if this behavior is something to
be concerned about. Which of the following is a correct response?
Select one:
a. This is an early emergence of sexual expression that should be discouraged
b. Awareness of body structures and sensations is normal and expected
c. Your child is probably imitating behaviors that she has observed
d. This is a possible infection or irritation in the genital area Correct Answer: b.
Awareness of body structures and sensations is normal and expected
Genital self-stimulation by the toddler is normal and expected. It is a new area to
explore, similar to exploring the toes at an earlier age, but it has pleasurable
sensations too! It should be ignored unless the behavior becomes pervasive, and
then it should still be ignored and the child should be distracted to come and do
some fun and exciting activity
, A nurse is taking the health history of a school-age girl. Which statement by the
client's mother indicates a need for further teaching regarding the client's
nutritional status?
Select one:
a. "We increase her protein intake when she's playing sports."
b. "She enjoys helping to prepare her snacks in the kitchen."
c. "We allow her to pick out a treat at the grocery store for good behavior."
d. "She eats a large breakfast every morning." Correct Answer: c. "We allow her
to pick out a treat at the grocery store for good behavior."
This statement indicates a need for further teaching. This client's mother should be
educated about the importance of praising the client's abilities and skills rather than
using food as a reward, which may lead to an increased risk for obesity.
A nurse correctly understands which of the following characteristics is a possible
developmental delay for a 3-month-old client?
Select one:
a. The infant demonstrates stranger anxiety
b. The infant is unable to point to objects
c. The infant is unable to sit with support
d. The infant does not raise his head when placed on his abdomen Correct Answer:
d. The infant does not raise his head when placed on his abdomen
When placed on the abdomen the 3 month old should attempt to raise his head.
Some sources refer to this as "tummy time" which provides the infant with the
stimulation to strengthen upper body and neck muscles in preparation for good
head control when sitting upright and the some of the muscles required for
crawling.
A nurse has administered the first DTaP (diphtheria toxoid, tetanus and pertussis)
immunization to a two-month-old infant. For which of the following symptoms
should the nurse teach the parents to seek immediate medical attention?
Select one:
a. The baby is crying inconsolably for more than three hours
