Nokea
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.
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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.
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 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.
When a small group of preschool-age children were playing house, each child was pretending to be a particular family member. What type of play does the nurse recognize these children are participating in?
- A. Parallel
- B. Cooperative
- C. Symbolic
- D. Fantasy
Correct Answer: B
Rationale: In cooperative play, children play with each other, each taking a specific role.
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.