Question 1

The mother of a 7-year-old pediatric patient asks the nurse about her child's sleep requirement.What is the most accurate response by the nurse?
A) "7 to 10 hours a night"
B) "5 to 7 hours a night with one daytime nap"
C) "11 to 13 hours a night"
D) "4 to 6 hours a night with two daytime naps"

Accepted Answer

Sleep patterns vary with age.The neonate sleeps 8 to 9 hours per night and naps an equal amount of time during the day.The 2-year-old child may sleep 10 hours during the night and have only one short daytime nap.The 7-year-old child usually requires 11 to 13 hours of sleep and rarely has a daytime nap.These patterns may be altered by cultural practices.

Question 2

The nurse suggests to the parents of an obese 10-year-old child that they use the Portion Plate for Kids place mat.How does this tool help with selection of portion sizes? (Select all that apply. )
A) Cartoon characters eating healthy foods
B) Tips on healthy food choices
C) Portion measurement in tablespoons for common food
D) Calorie values for cup-size portions of common foods
E) Familiar objects such as a deck of cards to measure servings

Accepted Answer

The Portion Plate for Kids is a place mat that uses common objects such as a deck of playing cards or a baseball to measure serving portions.

Question 3

How do children differ from adults? (Select all that apply. )
A) Higher metabolic rate
B) Greater surface area in relation to their weight
C) Less mature organ systems
D) More fluid reserves
E) Continuously changing growth and development pattern

Accepted Answer

Children are in a continuous growth and development pattern.Children have a greater surface area and a higher metabolic rate.All of their organ systems are not mature.

Question 4

An educational program is being presented to pediatric nurses on the relationship of play to childhood development.What information should be included in this presentation? (Select all that apply. )
A) Art play should be used sparingly.
B) Use of computer/video games is detrimental.
C) Understanding of child-parent relationships can be gained by observing play.
D) Play encourages self-expression.
E) Play provides a sense of accomplishment.

Accepted Answer

Art is an appropriate play activity at almost any age and provides an avenue for experimentation as well as for creative expression and a feeling of accomplishment in the child.Observing the child at play can aid in assessing growth and development and understanding the child's relationships with family members.Any plan of care for a hospitalized child of any age should include a play activity that either encourages growth and development or encourages the expression of thoughts and feelings.Computer programs are popular with all age groups,providing problem-solving skills,manipulative skills,and opportunities for new learning.

Question 5

Which healthy snack foods would the school nurse suggest to a group of adolescents? (Select all that apply. )
A) Bubble gum
B) Chocolate-covered peanuts
C) Raw vegetables
D) Cheese
E) Dried fruits

Accepted Answer

Cheese and raw vegetables are acceptable healthy snacks.Bubble gum,chocolate-covered peanuts,and dried fruits all contain high amounts of sugar.

Question 6

Parents attending a well visit for their 11-year-old son verbalize concern over his computer use.When asked about it,the boy states,"I play games on my computer for 1 hour a day." The nurse knows that computer games can provide what opportunities to childhood development? (Select all that apply. )
A) Problem-solving skills
B) Gross motor development
C) Manipulative skills
D) Learning opportunities
E) Increased self-worth

Accepted Answer

Computer programs are popular with all age groups,providing problem-solving skills,manipulative skills,and opportunities for new learning.

Question 7

What approaches should the nurse suggest for introducing a toddler to new foods? (Select all that apply. )
A) Serve one food at a time.
B) Avoid showing personal likes or dislikes.
C) Offer foods in small amounts,less than a teaspoon.
D) Entice the toddler to eat with sweets.
E) Serve food warm.

Accepted Answer

Foods should be introduced in small,warm servings,one food at a time.Sweets and milk should not be offered until after solid food.

Question 8

What does the nurse calculate the basal metabolic index (BMI)of an 8-year-old child who is 48 inches tall (1.2 meters)and weighs 100 pounds (45.4 kg)to be?
A) 28.9
B) 32.4
C) 34.8
D) 37.6

Accepted Answer

The formula for BMI calculation is weight in kg divided by height in meters (squared): 45.4 (weight in kg)divided by 1.4 (1.2 squared)= 32.4.A BMI of over 30 is classified as obese.

Question 9

A mother tells her 4-year-old child that balls should be played with outside and not inside the house.Why is the child likely to obey the rule?
A) The child does not want to be punished.
B) The child wants to please her mother.
C) The child respects authority figures.
D) The child believes that following the rules is right.

Accepted Answer

According to Kohlberg,children in the preconventional stage (4 to 7 years)are obedient to their parents for fear of punishment.

Question 10

What should the nurse avoid when demonstrating a bath procedure to parents of Vietnamese origin?
A) Talking directly to the mother
B) Exposing the child's genitals
C) Touching the child's head
D) Using cool water

Accepted Answer

The Vietnamese are very sensitive about anyone touching a child's head because that is where consciousness lies.

Question 11

The nurse caring for a 4-year-old postoperative patient instructs him to blow bubbles.What nursing intervention is the nurse most likely implementing by using this form of therapeutic play?
A) Providing pain relief
B) Encouraging deep breathing
C) Decreasing risk of infection
D) Maintaining body temperature

Accepted Answer

Play can also be therapeutic and aid in the recovery process.An example of therapeutic play is the game of having the child blow bubbles to promote deep breathing.

Question 12

What toy is developmentally appropriate for the nurse to suggest to entertain a 5-year-old child?
A) Jack-in-the-box
B) Book of nursery rhymes
C) Model airport with toy planes
D) Model car construction kit

Accepted Answer

At this age children are into creative play.The model airport with toy planes is the most developmentally appropriate.

Quiz 15: An Overview of Growth, Development, and Nutrition

The mother of a 7-year-old pediatric patient asks the nurse about her child's sleep requirement.What is the most accurate response by the nurse?

The nurse suggests to the parents of an obese 10-year-old child that they use the Portion Plate for Kids place mat.How does this tool help with selection of portion sizes? (Select all that apply. )

How do children differ from adults? (Select all that apply. )

An educational program is being presented to pediatric nurses on the relationship of play to childhood development.What information should be included in this presentation? (Select all that apply. )

Which healthy snack foods would the school nurse suggest to a group of adolescents? (Select all that apply. )

Parents attending a well visit for their 11-year-old son verbalize concern over his computer use.When asked about it,the boy states,"I play games on my computer for 1 hour a day." The nurse knows that computer games can provide what opportunities to childhood development? (Select all that apply. )

What approaches should the nurse suggest for introducing a toddler to new foods? (Select all that apply. )

What does the nurse calculate the basal metabolic index (BMI) of an 8-year-old child who is 48 inches tall (1.2 meters) and weighs 100 pounds (45.4 kg) to be?

A mother tells her 4-year-old child that balls should be played with outside and not inside the house.Why is the child likely to obey the rule?

What should the nurse avoid when demonstrating a bath procedure to parents of Vietnamese origin?

The nurse caring for a 4-year-old postoperative patient instructs him to blow bubbles.What nursing intervention is the nurse most likely implementing by using this form of therapeutic play?

What toy is developmentally appropriate for the nurse to suggest to entertain a 5-year-old child?