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A mother reports that she and her husband have had one child together, but both have children from previous marriages living in their home. The nurse will base the care planning on what type of family?
- A. Nuclear
- B. Blended
- C. Alternate
- D. Extended
Correct Answer: B
Rationale: A blended family involves the remarriage of persons with children.
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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
Correct Answer: C
Rationale: At this age children are into creative play. The model airport with toy planes is the most developmentally appropriate.
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.
Correct Answer: C,D,E
Rationale: 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.
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.
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.
Correct Answer: A,B,C,E
Rationale: Foods should be introduced in small, warm servings, one food at a time. Sweets and milk should not be offered until after solid food.
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
Correct Answer: B,E
Rationale: 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.