Nokea
The nurse caring for a 4-year-old postoperative patient instructs him to blow bubbles. What nursing intervention is the nurse most likely implementing by using this form of therapeutic play?
- A. Providing pain relief
- B. Encouraging deep breathing
- C. Decreasing risk of infection
- D. Maintaining body temperature
Correct Answer: B
Rationale: Play can also be therapeutic and aid in the recovery process. An example of therapeutic play is the game of having the child blow bubbles to promote deep breathing.
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A mother tells the nurse, 'My 11-month-old son is not as active as my other children were at this age. He is the youngest of four and the older children love to dote on him.' Which factor is influencing this child's language development?
- A. Heredity
- B. Sex
- C. Mother's health during pregnancy
- D. Ordinal position
Correct Answer: D
Rationale: Motor development of the youngest child may be prolonged if the child is babied by others in the family.
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.
At a well-baby visit, parents of a 6-month-old infant ask when to take the infant for the first dental visit. What is the nurse's best response?
- A. If the teeth are brushed regularly, the child should see a dentist by 3 years of age.'
- B. The first dental visit should be arranged after the first tooth erupts.'
- C. The child should have a dental examination when all deciduous teeth have erupted.'
- D. A dental visit by 1 year of age is recommended by the American Academy of Pediatric Dentistry.'
Correct Answer: D
Rationale: The Academy of Pediatric Dentistry recommends that the first dental visit occur by 1 year of age.
What activity would the nurse choose to meet Erikson's developmental task of industry when caring for a 7-year-old child?
- A. Completing a 50-piece jigsaw puzzle
- B. Looking at a comic book
- C. Playing a game of 'I Spy' with the nurse
- D. Coloring a picture in a coloring book
Correct Answer: A
Rationale: In the developmental period of late childhood, children are striving to develop a sense of industry. The completion of a jigsaw puzzle is industrious play.
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.