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A mother asks the nurse how much food should be offered to her 2-year-old child. What is a good rule of thumb for serving size (in tablespoons) per year of age?
- A. 2
- B. 3
- C. 4
- D. 5
Correct Answer: A
Rationale: The rule of thumb for serving sizes is to offer 1 tablespoon of each food group per year of age.
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The mother of a 7-month-old infant states, 'The baby is eating food now. Should I give him regular milk, too?' What is the nurse's best response?
- A. You should give the baby low-fat milk.'
- B. Try the milk. See if he has any digestive problems.'
- C. Continue breast milk or iron-fortified formula until 1 year of age.'
- D. At this age, infants can tolerate lactose-free or soy-based milk.'
Correct Answer: C
Rationale: Whole milk should not be introduced before 1 year of age. Low-fat milk should not be introduced before 2 years of age.
What does the nurse recognize as an example of Piaget's concrete operational thinking?
- A. A 2-year-old child says, 'It's nighttime' when his room is darkened.
- B. A 4-year-old child refers to the hospital as 'my house.'
- C. A 5-year-old child coloring a picture of a puppy says, 'This is my puppy.'
- D. A 7-year-old child says, 'I am sick because I have germs in my chest.'
Correct Answer: D
Rationale: The 7-year-old child's remark reflecting the cause and effect of germs and illness is an example of operational thinking. All other options are examples of preoperational thought, which is egocentric and symbolic.
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
Correct Answer: B
Rationale: The formula for BMI calculation is weight in kg divided by height in meters (squared): 45.4 (weight in kg) divided by 1.44 (1.2 squared) = 31.53, which rounds to 32.4.
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
Correct Answer: A,C,D
Rationale: Computer programs are popular with all age groups, providing problem-solving skills, manipulative skills, and opportunities for new learning.
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
Correct Answer: C
Rationale: The Vietnamese are very sensitive about anyone touching a child's head because that is where consciousness lies.