During the preschool period, the emphasis of injury prevention should be placed on what?
- A. Limitation of physical activities
- B. Punishment for unsafe behaviors
- C. Constant vigilance and protection
- D. Teaching about safety and potential hazards
Correct Answer: D
Rationale: Education about safety and potential hazards is appropriate for preschoolers because they can begin to understand dangers. Limitation of physical activities is not appropriate. Punishment may make children scared of trying new things. Constant vigilance and protection are not practical at this age because preschoolers are becoming more independent.
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Parents tell the nurse they found their 3-year-old daughter and a male cousin of the same age inspecting each other closely as they used the bathroom. What is the most appropriate recommendation for the nurse to make?
- A. Punish the children so this behavior stops.
- B. Neither condone nor condemn the curiosity.
- C. Get counseling for this unusual and dangerous behavior.
- D. Allow the children unrestricted permission to satisfy this curiosity.
Correct Answer: B
Rationale: Three-year-old children become aware of anatomic differences and are concerned about how the other sex works. Such exploration should not be condoned or condemned. Children should not be punished for this normal exploration. This is age appropriate and not dangerous behavior. Encouraging the children to ask their parents questions and redirecting their activity is more appropriate than giving permission.
The nurse is explaining average weight gain during the preschool years to a group of parents. Which average weight gain should the nurse suggest to the parents?
- A. 1 to 2 kg
- B. 2 to 3 kg
- C. 3 to 4 kg
- D. 4 to 5 kg
Correct Answer: B
Rationale: The average weight gain remains approximately 2 to 3 kg (4.56.5 lb) per year during the preschool period.
What is descriptive of the nutritional requirements of preschool children?
- A. The quality of the food consumed is more important than the quantity.
- B. The average daily intake of preschoolers should be about 3000 calories.
- C. Nutritional requirements for preschoolers are very different from requirements for toddlers.
- D. Requirements for calories per unit of body weight increase slightly during the preschool period.
Correct Answer: A
Rationale: Parents need to be reassured that the quality of food eaten is more important than the quantity. Children are able to self-regulate their intake when offered foods high in nutritional value. The average daily caloric intake should be approximately 1800 calories. Toddlers and preschoolers have similar nutritional requirements. There is an overall slight decrease in needed calories and fluids during the preschool period.
Which type of play is most typical of the preschool period?
- A. Team
- B. Parallel
- C. Solitary
- D. Associative
Correct Answer: D
Rationale: Associative play is group play in similar or identical activities but without rigid organization or rules. School-age children play in teams. Parallel play is that of toddlers. Solitary play is that of infants.
At a seminar for parents with preschool-age children, the nurse has discussed anticipatory tasks during the preschool years. Which statement by a parent should indicate a correct understanding of the teaching?
- A. I should be worried if my 4-year-old child has an increase in sexual curiosity because this is a sign of sexual abuse.
- B. I should expect my 5-year-old to change from a tranquil child to an aggressive child when school starts.
- C. I should be concerned if my 4-year-old child starts telling exaggerated stories and has an imaginary playmate, since these could be signs of stress.
- D. I should expect my 3-year-old child to have a more stable appetite and an increase in food selections.
Correct Answer: D
Rationale: A 3-year-old child exhibits a more stable appetite than during the toddler years and is more willing to try different foods. A 4-year-old child is imaginative and indulges in telling tall tales and may have an imaginary playmate; these are normal findings, not signs of stress. Also a 4-year-old child has an increasing curiosity in sexuality, which is not a sign of child abuse. A 5-year-old child is usually tranquil, not aggressive like a 4-year-old child.
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