C HAPTER 18: T HE P RESCHOOL C HILD
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. What should the nurse suggest as the most appropriate toy choice for a 3 -
year-old?
a. A board game
b. A small pet, such as a goldfish
c. A large construction set
d. Push-pull toys
ANS: C
Large construction sets are suita ble toys for the preschool -age child.
DIF: Cognitive Level: Application REF: Page 438 TOP:
Play KEY: Nursing Process Step: Implementation MSC:
NCLEX: Health Promotion and Maintenance: Growth and
Development
2. The parent of a 3 -year-old child tells th e nurse, My daughter points
instead of speaking whenever she wants me to get something for her, but
she understands me when I ask her to do something. Based on the parents
comment, what does the nurse suspect?
a. Age-appropriate language development
b. An expressive language delay
c. A receptive language delay
, d. A potential hearing deficit
ANS: B
An expressive language delay is suspected when the child understands
spoken language but is not talking.
DIF: Cognitive Level: Application REF: Page 432 OBJ: 3
TOP: Language Development KEY: Nursing Process
Step: Data Collection MSC: NC LEX: Health Promotion
and Maintenance: Growth and Development
3. The parent of a 4 -year-old child tells the nurse, Bedtime is difficult. I
cant get m y son to go to bed at night. The nurse and the childs mother
discuss options. What intervention is the most appropriate choice?
a. Allow the child to put himself to bed when he is tired.
b. Let the child read in his room until he falls asleep.
c. Establish a bedtime routine and use it consistentl y.
d. Tire him out with physical activit y before bedtime.
ANS: C
Parents should engage the child in quiet activities before bedtime and
establish a ritual that signals readiness for bedtime.
DIF: Cognitive Level: Application REF: Page 431 TOP:
Bedtime Habit s KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Growth and Development
, 4. What fear is unique to the preschool period?
a. Water
b. Animals
c. Bodil y harm
d. Death
ANS: C
The fear of bodil y harm, particularl y the loss of bod y parts, is unique
to this stage.
DIF: Cognitive Level: Knowledge REF: Page 432 TOP:
Fear KEY: Nursing Process Step: Data Collection MSC:
NCLEX: Health Promotion and Maintenance: Growth and
Development
5. A 4-year-old child tells the nurse she will not eat peas because they are
green. Of what is this an example?
a. Egocentrism
b. Artificialism
c. Animism
d. Centering
ANS: D
The tendency to concentrate on a single outstanding characteristic of
an object while excluding other features is known as centering.
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. What should the nurse suggest as the most appropriate toy choice for a 3 -
year-old?
a. A board game
b. A small pet, such as a goldfish
c. A large construction set
d. Push-pull toys
ANS: C
Large construction sets are suita ble toys for the preschool -age child.
DIF: Cognitive Level: Application REF: Page 438 TOP:
Play KEY: Nursing Process Step: Implementation MSC:
NCLEX: Health Promotion and Maintenance: Growth and
Development
2. The parent of a 3 -year-old child tells th e nurse, My daughter points
instead of speaking whenever she wants me to get something for her, but
she understands me when I ask her to do something. Based on the parents
comment, what does the nurse suspect?
a. Age-appropriate language development
b. An expressive language delay
c. A receptive language delay
, d. A potential hearing deficit
ANS: B
An expressive language delay is suspected when the child understands
spoken language but is not talking.
DIF: Cognitive Level: Application REF: Page 432 OBJ: 3
TOP: Language Development KEY: Nursing Process
Step: Data Collection MSC: NC LEX: Health Promotion
and Maintenance: Growth and Development
3. The parent of a 4 -year-old child tells the nurse, Bedtime is difficult. I
cant get m y son to go to bed at night. The nurse and the childs mother
discuss options. What intervention is the most appropriate choice?
a. Allow the child to put himself to bed when he is tired.
b. Let the child read in his room until he falls asleep.
c. Establish a bedtime routine and use it consistentl y.
d. Tire him out with physical activit y before bedtime.
ANS: C
Parents should engage the child in quiet activities before bedtime and
establish a ritual that signals readiness for bedtime.
DIF: Cognitive Level: Application REF: Page 431 TOP:
Bedtime Habit s KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Growth and Development
, 4. What fear is unique to the preschool period?
a. Water
b. Animals
c. Bodil y harm
d. Death
ANS: C
The fear of bodil y harm, particularl y the loss of bod y parts, is unique
to this stage.
DIF: Cognitive Level: Knowledge REF: Page 432 TOP:
Fear KEY: Nursing Process Step: Data Collection MSC:
NCLEX: Health Promotion and Maintenance: Growth and
Development
5. A 4-year-old child tells the nurse she will not eat peas because they are
green. Of what is this an example?
a. Egocentrism
b. Artificialism
c. Animism
d. Centering
ANS: D
The tendency to concentrate on a single outstanding characteristic of
an object while excluding other features is known as centering.
