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.
Correct Answer: A
Rationale: According to Kohlberg, children in the preconventional stage (4 to 7 years) are obedient to their parents for fear of punishment.
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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'
Correct Answer: C
Rationale: The 7-year-old child usually requires 11 to 13 hours of sleep and rarely has a daytime nap.
The nurse has discussed with a mother the process of introducing solid foods to her 6-month-old infant. What statement by the mother leads the nurse to determine that learning has taken place?
- A. I will give my infant rice cereal first.'
- B. I will give my infant yellow vegetables first.'
- C. I will give my infant egg yolks first.'
- D. I will give my infant fruits first.'
Correct Answer: A
Rationale: Solid foods are usually introduced at about 6 months of age, starting with rice cereal, which is the least allergenic.
What is the best nursing action when an 8-year-old child comes to the school nurse with his central incisor in his hand and reports he knocked his tooth out on the water fountain?
- A. Give him an ice cube to suck on.
- B. Have him wash his mouth out with peroxide and water.
- C. Wrap the tooth in a clean tissue.
- D. Wash off the tooth and place it in a container of milk.
Correct Answer: D
Rationale: The tooth should be washed off and put in a container of milk to preserve it for possible reimplantation.
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.
What type of development is the nurse assessing when an infant can lift his or her head before he or she can sit?
- A. Specific to general
- B. Proximodistal
- C. Cephalocaudal
- D. General to specific
Correct Answer: C
Rationale: Cephalocaudal development proceeds from head to toe.
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