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Growth and Development Questions, Answers, Rationales Exam Questions with Complete Solutions
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A 1-year-old male child is scheduled for a routine exam at the pediatric clinic. The child's birth weight was 8 lbs. 2 oz. The child now weighs 18 pounds, 4 oz. The nurse knows that this weight is: Below the expected weight. Appropriate for the child's age. Above the expected weight. Individu...

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  • August 31, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • growth and development questions answers rationa
  • a 1 year old male child is scheduled for a routine

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Growth and Development Questions,
Answers, Rationales Exam Questions
with Complete Solutions
A 1-year-old male child is scheduled for a routine exam at the pediatric clinic. The
child's birth weight was 8 lbs. 2 oz. The child now weighs 18 pounds, 4 oz. The nurse
knows that this weight is:

Below the expected weight.
Appropriate for the child's age.
Above the expected weight.
Individualized and thus unpredictable. - Answer-Below the expected weight.

The first year of life is one of rapid growth. The birth weight usually doubles by 5 months
and triples by the end of the first year. The other choices are incorrect.

A school nurse prepares a lecture on puberty for 5th- and 6th-grade girls. She asks the
group, "What is the first sign of puberty?" A student correctly replies:

Enlargement of Breasts
Increase in energy and appetite
Occurence of first menarche
Appearance of body odor - Answer-The enlargement of breasts.

Puberty is a process that brings about the development of secondary sex
characteristics, which begin, with the appearance of breast buds at 9 to 11 years
followed by the growth of pubic hair. Menarche follows approximately 1 year later. Body
odor may result later because of an increase in secretions from the apocrine glands.

A teenager refuses to wear the clothes his mother bought for him. He states he wants to
look like the other kids at school and wear clothes like they wear. The nurse explains
this behavior is an example of teenage rebellion related to internal conflicts of:

A. Autonomy vs. shame and doubt.
B. Trust vs. mistrust.
C.Identity vs. role confusion.
D. Initiative vs. inferiority. - Answer-Identity vs. role confusion.

Erikson's theory of psychosocial development states that the child is faced with conflicts
that need to be resolved. Erikson identifies stages of personality development. Identity
vs. role confusion (12 to 19 years) is a period when adolescents search for answers
regarding their future. During this time, the child rejects the identity presented by his
parents and attempts to create his own identity. Identity is often based on peers.

, Positive outcomes result in optimism and confidence. Negative outcomes result in
sense of purposelessness or deviance.

A mother of a 15-month-old brings her son to the clinic. While doing a nursing
assessment, the mother makes the following comments. Which comment merits further
investigation by the nurse?

A. My son won't eat carrots.
B. My son is attached to his blanket.
C. My son is not crawling yet.
D. My son cries when left with others. - Answer-My son is not crawling yet.

The child crawls or pulls their body along the floor by their arms by 8-10 months. This is
a Growth and Developmental milestone during infancy. If the 15-month-old child
displays inability to crawl this is an abnormal finding and it should be referred to the
pediatrician for follow up. It is a normal response for the infant to cry when left with
others.
Infants often become attached to security items, such as a blanket. Toddlers begin to
display food preferences.

The nurse is completing a health history on a 24-year-old male. Which activity is the
best indicator of appropriate psychosocial development?

Creating a scrapbook of his life experiences
Joining the board of directors for three charities
Decorating his new apartment
Attending seminars on choosing a career - Answer-Decorating his new apartment

Correct. Each of these activities indicates achievement of a developmental task, but the
nurse must know which task is appropriate for the client's chronological age. Obtaining
and decorating a place to live is an activity that establishes independence from parents,
a task for young adults.
.

A 65-year-old man who recently retired from 40 years of work as an independent
contractor is scheduled for a physical examination. The nurse should be concerned
about which comment?

My wife and I are planning to drive to Nebraska in June to visit our grandkids."
"Every day, when I wake up, it's hard to find a reason to get out of bed."
"I often take ibuprofen for the pain in my knees."
"People still call me for advice on building projects. I may never get to retire!" - Answer-
Every day, when I wake up, it's hard to find a reason to get out of bed.
Correct. The client is in Erikson's stage of integrity versus despair.

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