Growth and Development 2019 Proctored exam review/ Elaborated Distinctively.
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Course
NURSING MS 791 (NURSINGMS791)
Institution
Western Governors University
growth and development 2019 Exam Answered (Jan 2022) A+ Guide The nurse in a pediatric clinic is performing well-baby checks. The nurse is checking an infant who is 7 months old for developmental milestones. Which finding is of greatest concern to the nurse? 1. The infant remains flat when in a pro...
,Growth and Development 2019 Proctored exam review/ Elaborated
Distinctively.
2. Energy focused on socialization
3. Curiosity about anatomical differences
4. Mild struggles with sexuality
7. The nurse in a pediatric clinic is counseling a parent who expresses concern about a toddler who
plays alone at daycare and does not interact with the other children who are present. Which
information does the nurse provide to alleviate the parent’s concern?
1. Parallel play is being exhibited and is normal at this age.
2. The toddler is likely to grow into a shy, introverted adult.
3. It is important for the child to learn to be alone at this age.
4. The toddler is exhibiting the normal behavior of solitary play.
8. The school nurse in a high school setting expresses concern to school administration regarding the
increase in student complaints about bullying, physical violence, and rejection. Which concern
related to psychosocial development does the nurse share as being most important?
1. Students are preoccupied with how they are seen in the eyes of others.
2. Students who are bullied will develop issues related to sexual orientation.
3. Students may be unable to provide a meaningful definition of self.
4. Students who are aggressive will develop a strong sense of guilt as adults.
9. The nurse is counseling parents about management of their children who are 2, 4, and 6 years of
age. One of the parents states, “We believe in Kohlberg’s theory of social-moral development.”
The nurse is aware that the preconventional stage of this theory involves which characteristic?
1. Behavior is adjusted according to good/bad and right/wrong thinking.
2. A personal and functional value system is constructed by the child.
3. The focus of the child is on following rules and maintaining social order.
4. Value systems are independent of authority figures and peers.
10. The nurse is teaching a parenting class being held in a community clinic. The nurse is focusing on
behaviors that will assist in increasing the number of children who score well in kindergarten
readiness screening. Which comment by a parent indicates the need for additional information?
1. “I am not athletic, but the kids would love an outdoor play area.”
2. “Practicing counting with the kids while traveling is a good idea.”
3. “I like the suggestion to label basic items for word recognition.”
4. “In our family we watch TV; books are a waste of money.”
11. The nurse in a pediatric clinic is performing an assessment on an infant in the presence of both
parents. The parents are short and moderately overweight. The father states, “We are going to
do everything we can to raise a strong, tall, athletic child.” How does the nurse respond?
1. Provides materials about healthy diets and lifestyles for families
2. Shares the impact of genetics on environmental conditions
3. Suggests to the parents how to alter their lifestyles
4. Recognizes the parents for having positive attitudes and goals
12. The pediatric home-care nurse is visiting a toddler born with a genetically related illness. Which
comment by the parent is the greatest cause for the nurse to assess for additional information?
1. “I am having more difficulty keeping her confined.”
, Growth and Development 2019 Proctored exam review/ Elaborated
Distinctively.
2. “A chronically ill child affects the entire family.”
3. “The other children seem so accepting of the illness.”
4. “Hospitalization would cause some severe stress.”
13. The nurse is performing a development assessment on a 3-month-old infant who was 6 weeks
premature. The nurse states the infant’s development is normal. The parent expresses that the baby
seems behind what other babies the same age are doing. Which information does the nurse share
to provide reassurance to the parent?
1. The infant will catch up developmentally by age 1 year.
2. Developmental milestones vary from infant to infant.
3. The infant’s age is adjusted because of prematurity.
4. Each infant is an individual with unique development.
14. The pediatric nurse is providing care for a 14-year-old female patient. After the patient’s parents
leave the hospital, the patient begins to cry. The nurse explores the patient’s feelings using
therapeutic communication. Which information causes the nurse to report suspected sexual
abuse?
1. The patient is frequently denied access to needed health care.
2. The patient reports frequent episodes of genital irritation.
3. The patient admits to multiple incidences of skipping school.
4. The patient states that an older brother frequently “hurts” her.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
15. Erickson’s psychosocial development theory proposes that the school-aged child between ages 6
and 12 years is in the stage of industry vs. inferiority. Based on this theory, how will the pediatric
nurse design activities as part of a diversional program for children who are in a long-term medical
facility? Select all that apply.
1. Identify adequate activities suited for solitary play.
2. Provide activities that involve more than one person.
3. Allow participation in simple tasks on the unit of care.
4. Designate methods of recognition for completed tasks.
5. Set guidelines and policies that are clear and enforceable.
16. The nurse is gathering information during a routine checkup for a preschool-age child who lives
with grandparents. The grandmother expresses distress about “how loud and busy” the child is,
and “how expensive it is to feed and clothe” the child. Which referrals does the nurse make to the
grandmother? Select all that apply.
1. Community programs for the child aimed at playing and learning
2. Social service for determination of benefits available for the care of the child
3. Legal services to assist in obtaining financial support from the parents
4. Child protection services to survey the home and psychosocial environment
5. Caretaker programs and support groups for grandparents performing as parents
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