Pediatric Nurse Education (66-70)

Pediatric Nurse Education Questions 66-70

66. A nurse is evaluating the developmental level of a 2-year old child. Which of the following does the nurse expect to observe?

a) use fork to eat
b) uses a cup to drink
c) pours own milk into a cup
d) uses a knife for cutting food  

67. The parents of a 2-year old child arrive at a hospital to visit their child. The child is in the playroom when the parents arrive. When the parents enter the playroom, the child does not readily approach the parents. The nurse interprets this behavior as indicating that:

a) the child is withdrawn
b) this is a normal pattern
c) the child is self-centered
d) the child has adjusted to the hospital setting

68. A clinic nurse provides information to the mother of a toddler regarding toilet training. Which statement by the mother indicates a need for further information regarding the toilet training?

a) bladder control usually is achieved before bowel control
b) the child should not be forced to sit on the potty for long periods
c) the ability of the child to remove clothing is a sign of physical readiness
d) the child will not be ready to toilet train until the age of about 18 to 24 months

69. A clinic nurse assesses the communication patterns of a 5-month old infant. The nurse determines that the infant is demonstrating the highest level of developmental achievement expected if the infant:

a) coos when comforted
b) links syllables together
c) uses monosyllabic babbling
d) uses simple words such as "mama"

70. A 2-year old child is treated in the emergency room for a burn to the chest and abdomen. The child sustained the burn by grabbing a cup of hot coffee that was left on the kitchen counter. The nurse reviews safety principles with the parents before discharge. Which statement by the parents indicates an understanding of measures to provide safely in the home?

a) we will be sure not to leave hot liquids unattended
b) I guess my children need to understand what the word hot means
c) we will be sure that the children stay in their rooms when we work in the kitchen
d) We will install a safely gate as soon as we get home so the children cannot get into the kitchen




Pediatric Nurse Education:
ANSWERS AND RATIONALE
66) B
- by age 2-years, the child can use a cup and spoon correctly but with some spilling. By age 3 to 4, the child begins to use fork. By the end of the preschool period, the child should be able to pour milk into a cup and begin to use a knife for cutting.

67) B
- the phrases through which young children progress when separated from their parents include protest, despair, and denial or detachment. In the stage of protest, when the parents return, the child readily goes to them. In the stage of despair, the child may not approach them readily or may cling to a parent. In denial or detachment, when the parents return, the child becomes cheerful, interested in the environment and new persons (seemingly unaware of the lost parents), friendly with the staff, and interested in developing superficial relationships. Options A, C,A and D are incorrect interpretations of the child's behavior.

68) A
- bowel control usually is achieved before bladder control. The child should not be forced to sit for long periods. The ability to remove clothing is one of the physical signs of readiness. The physical ability to control the anal and urethral sphincters is achieved some time after the child is walking, probably between the age of 18 and 24 months.

69) C
- using monosyllabic babbling occurs between 3 and 6 months of age. Using simple words such as "mama" occurs between 9 and 12 months of age. Linking syllables together when communicating occurs between 6 and 9 months of age. Cooing begins at birth and continues until 2 months of age.

70) A
- toddler's, with their increased mobility and development of motor skills, can reach hot water or hot objects placed on counters and stoves and can reach open fires or stove burners above their eye level. The nurse should encourage parents to remain in the kitchen when preparing a meal, use the back burners of the stove, and turn pot handles inward and toward the middle of the stove. Hot liquids should never be supervised. The statements in option B, C, and D do not indicate an understanding of the principles of safety.


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