LUNA GOCO COLLEGES

Lalud, Calapan City, Oriental Mindoro

Score: NAME: _____________________________________, RN

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PEDIATRIC NURSING: Growth and Development
Encircle and shade the letter of the correct answer.

1. According to Erikson, infancy is the age for developing which psychosocial task?
a. Sense of initiative verses guilt b. Sense of trust versus mistrust c. Sense of identity versus role diffusion d. Sense of industry versus inferiority A 2-month old infant is assessed for developmental milestones. Which is considered advanced for this age? a. Closed posterior fontanel b. Holds a slim rattle briefly c. Exhibits a social smile d. Rolls from back to side The primary health care nurse assesses an 8-month old infant. Which of the following does the nurse expect to note in this infant? a. Refined thumb-to-finger coordination b. Fears strangers c. Uses the word ma d. Stands with support At which time is the infant able to follow simple commands such as Wave bye-bye? a. Between 8 and 9 months b. Between 4 and 5 months c. Between 12 and 15 months d. Between 11 and 12 months During a well-child visit, the nurse weighs Baby James, 6 months old, and identified that he is growing normally because his present weight, compared to his birth weight has ____________. a. Tripled c. Doubled b. Quadrupled d. Decreased Food allergy is one of the problems in infant feeding. Which of these food items is considered the most allergenic food? a. Fruits c. Meats b. Vegetables d. Milk The clinic nurse instructs the mother on the introduction of solid foods to her baby. Which of the following is the correct sequence of introducing solids? a. vegetable, fruit, cereal, meat, fish b. fruit, meat, cereal, vegetable, fish c. cereal, fruit, vegetable, meat, fish d. cereal, meat, fruit, vegetable, fish The following are feeding problems in infancy. Which is the most important? a. Colic c. Vomiting b. Diarrhea d. Aspiration To stimulate the senses of infant and provide early mental development is to meet the needs of this cognitive stage of infancy. According to Piaget, which of the following stages is this? a. Preoperational b. Sensorimotor c. Concrete operations stage d. Formal operations stage The most significant person of the infant is the _________. a. Parents c. Father b. Mother d. Basic family According to Erikson, 2-year old Peter, is in which stage of psychosocial development? a. Anal b. Autonomy c. Pre-conceptual d. All of the above The nurse notices this characteristic as quite delayed in a 2-year old child: a. Walks alone b. Cruises c. Runs fairly well d. Climb stairs

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LUNA GOCO COLLEGES

Lalud, Calapan City, Oriental Mindoro

13. The public health nurse is conducting a class for mothers with children ages 1-3 years. Which of these characteristics is least likely to be observed in toddlers? a. Negativistic b. Dawdling c. Exhibits temper tantrums d. Cooperative 14. Which of the following is the greatest fear of toddlers? a. Fear of strangers b. Fear of separation c. Fear of the dark d. Fear of death 15. Toilet training can be started when the child is ready to be trained. The most important consideration in evaluating readiness for toilet training is______________. a. Psychosocial readiness: the desire to please the mother b. Physiological readiness: the ability to stand and walk c. Physiologic readiness: sphincter control d. Psychologic readiness: understands elimination and can express desire 16. Which of the following stages of separation occurs last? a. Protest c. Despair b. Denial d. Recovery 17. The mother wants to know the appropriate toys for her 18-month old daughter. Which should not be included in parental teaching? a. Push and pull toy b. Play telephone c. Play hammer d. Dress-up doll 18. The clinic nurse assesses 2-year old Pinky. Among her findings is a weight of 28 lb. Understanding normal growth of children, the nurse is likely correct to assume that Pinkys birth weight is which of these? a. 7 lb c. 6 lb b. 5 lb d. 8 lb 19. Which of the following is/are significant to the toddler? 1. Mother 3. Brothers and sisters 2. Father 4. Aunts and uncles a. 2 only b. 1 and 2 c. 1, 2 and 3 d. 1, 2, 3 and 4 20. If toilet training is on schedule, when is a toddler likely to attain complete toilet training? a. 2 2 years c. 3 4 years b. 1 - 2 years d. 5 6 years 21. According to Sigmund Freuds psychoanalytic theory of development, Carmi, age 4 years, is in the phallic stage and is having Elektra Complex. When asked what behavior will be observed in Carmi, the nurse gives the parents which explanation? a. Carmi will show attachment to her mother and jealousy towards her father. b. Having more independence, Carmi will withdraw from her parents. c. Carmi will show attachment to her father and jealousy towards her mother. d. Carmi will be extra clingy to both parents. 22. Which one of the following psychosocial development tasks is appropriate for the preschool age child to achieve? a. Sense of industry b. Sense of initiative c. Sense of identity d. Sense of autonomy 23. The following traits characterize the preschooler, except: a. Imaginative c. Dramatic b. Imitative d. Industrious 24. Which of these play types is best for the preschooler? a. Solitary c. Cooperative b. Parallel d. Competitive 25. Which of the following fears is greatest of the preschool age? a. Separation anxiety b. Stranger anxiety c. Compromised body integrity d. Fear of death 26. After the parental class on childrens common problems, the nurse evaluates that parents have understood various means and ways to reduce conflicts at bedtime if they verbalize which of the following a. It is alright to allow the child to stay up late sometimes. b. Give the child his favorite cookie so hell go to bed. c. Routines help so there should be a set bedtime.

LUNA GOCO COLLEGES

Lalud, Calapan City, Oriental Mindoro

d. Encourage active play before bedtime because fatigue contributes to quiet sleep. 27. The following are common behavioral problems of the preschool age, except: a. Negativism b. Sibling rivalry c. Destructiveness d. Sleep problems 28. Based on Kohlbergs theory of development, the preschool child is in which stage of moral development? a. Phallic stage b. Preconventional stage c. Initiative stage d. Preoperational stage 29. Mrs. Perez expresses concern about her 4-year old daughter who is often seen talking to herself at play. The nurses explanation should include which characteristic of the stage? a. Language competence b. Imaginative mind c. Transient auditory hallucinations d. Dawdling 30. When assessing Julius, age 5 years, which of the following would the nurse not expect a healthy preschoolers vital signs to be? a. BP: 85/60 90/70 b. RR: 25/min c. PR: 90 100 bpm d. Axillary temp: 100.6 F 31. The most significant person/s to the school-age child is/are __________. a. Girlfriend or boyfriend c. Teacher and classmates b. Firemen or policemen d. Parents 32. The following are causes of accidents in children. Which one is the leading cause of injuries, accidents and deaths in the school age? a. Drowning b. Burns c. Motor vehicle accident d. Aspiration 33. If the school-age child has unsuccessful resolution of the psychosocial crisis according to Erikson, which of the following may result? a. Trust fear conflict and general difficulties relating to people b. Independence fear conflict and severe feelings of self-doubt c. Sense of inferiority difficulty learning and working d. Aggression fear of conflict and feelings of inadequacy or guilt 34. Which of the following toys is best for the school-age? a. Tricycle b. Sorting games and toys c. Painting d. Balls 35. Which of the following fears of children is highest in incidence in the school-age? a. Fear of body image alteration b. Fear of death c. Fear of separation from parents d. Fear of strangers 36. The school-age coincides with the conventional stage according to Kohlbergs theory of moral development. In the conventional stage, the child is thought to be motivated by which of the following? a. Punishment and reward b. Social pressure c. Individual rights d. Presence of external controls 37. Based on Piagets cognitive theory, the school-age child is capable of concrete operations. The following cognitive tasks are possible in this stage, except: a. Centration: focuses on one thing at a time b. Conservation: perceives that quantities of objects remain the same despite changes in appearance c. Symbolic thinking: ability to experience an event without seeing or touching it d. Ability to organize, order or classify objects in logical appearance 38. Which of the following does not correctly describe the pattern of growth in school-age child? a. Increase in physical growth is about 2 inches per year between ages 6 and 12 b. Preadolescent boys usually grow faster than girls c. Girls are taller than boys until age 14, when boys start to grow faster than girls. d. Permanent teeth start to erupt by 6 years, leading to gradual loss of deciduous teeth

LUNA GOCO COLLEGES

Lalud, Calapan City, Oriental Mindoro

39. In order to enhance the refinement and expansion of fine motor skills, which of these toys/ activities will be most appropriate? a. Balls b. Skates c. Drawing and writing tools d. Bicycle 40. In planning play and game activities for the school-age child, which of these characteristics of the age should the nurse consider the least? a. The child likes to participate in team sports b. Play is more competitive, with rules and rituals c. The child likes to participate in imitative games d. The child enjoys listening to radio, watching TV and videos and playing computer games 41. The following is/are fears of adolescents. Which is the least common? a. Hospitalization c. Obesity b. Acne d. Death 42. The rate of growth in the adolescent stage is ___________. a. Slow; like a plateau b. The most rapid growth rate in childhood c. Rapid, with growth spurts d. Slow and follows a regular pattern 43. Fred, age 14, considers which of these persons as the most important? a. Girlfriend c. Mother b. Classmates d. Professor 44. Which is not a common cause of death in the adolescent child? a. Suicide b. Alcohol and drugs c. Accidents: vehicular, drowning d. Cancer 45. According to Sigmund Freud, the adolescent is in which stage of psychosexual development? a. Genital stage b. Oral stage c. Phallic stage d. Anal stage 46. Piagets theory of cognitive development in adolescence identifies which of these behaviors? a. Object permanence b. Abstract thinking c. Animism d. Global organization 47. Which of these games and plays is associated with the adolescent stage? a. Competitive play like sports b. Recreational activities like dancing c. Quiet activities like reading d. Long phone conversations with the best friend 48. Which is least likely a characteristic of puberty in boys? a. Enlargement of the testes b. Pubic and axillary hair c. Nocturnal emission d. Enlargement of the prostate 49. Common health problems in the stage of adolescence do not include ___________. a. Substance abuse b. Pregnancy c. Motor vehicle accident d. Poisoning 50. Kohlbergs postconventional stage of moral development, occurring after 12 years, has these characteristics, except: a. The adolescent gives, as well as takes, and does not expect to get something without paying for it. b. The control of conduct is mostly external, i.e., from significant adults. c. The adolescent follows self-chosen ethical standards and principles d. Conformity is based on the universal principles of justice.