The pediatric nurse is careful to monitor and assess the growth and development of all clients. Which characteristic should the nurse prepare to assess in the infants?

Grows and develops skills more rapidly than at any other time in their life.

Insists they can “do it” and the next moment they revert to being dependent.

Takes in new information at a rapid rate and asks “why” and “how”.

Has an increased attention span and can be interested in an activity for a long length of time.

Answer and Explanation

The Correct Answer is A

Choice A reason: Infancy is marked by rapid physical and skill development, with milestones like crawling and babbling occurring quickly. This aligns with pediatric developmental assessments, making it the correct characteristic for the nurse to monitor, ensuring infants meet critical growth benchmarks during routine evaluations.

Choice B reason: Insisting on independence with dependence reversion is typical of toddlers, not infants, who lack such autonomy. Rapid skill growth defines infancy, making this incorrect, as it describes a later developmental stage rather than the nurse’s focus for infant growth and development assessments.

Choice C reason: Rapid information intake and questioning “why” and “how” characterize preschoolers, not infants, who lack verbal curiosity. Rapid skill development is the infant focus, making this incorrect, as it applies to older children rather than the nurse’s assessment of infant developmental characteristics.

Choice D reason: Increased attention span is seen in older children, not infants, who have short attention spans. Rapid growth and skill acquisition define infancy, making this incorrect, as it does not reflect the developmental characteristics the nurse should assess in infants during pediatric evaluations.

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Correct Answer is C

Explanation

Choice A reason: Play dates maintain social contact but disrupt the 3-year-old’s preschool routine, which provides stability. Continuing preschool supports normalcy and security, making this less effective and incorrect compared to maintaining the familiar structure of school for a child with leukemia.

Choice B reason: Keeping the child home for one-on-one time may isolate her, reducing social interaction critical for a 3-year-old’s security. Preschool attendance fosters normalcy, making this overly restrictive and incorrect compared to supporting the child’s routine and social needs during leukemia treatment.

Choice C reason: Continuing preschool as much as possible maintains routine and social connections, fostering security for a 3-year-old with leukemia. This aligns with pediatric psychosocial care for chronic illness, making it the correct recommendation to help the child feel secure during her treatment.

Choice D reason: Special family outings are bonding but disrupt the 3-year-old’s preschool routine, which provides consistent security. Continuing school is more stabilizing, making this less consistent and incorrect compared to maintaining the child’s normal preschool environment to support her sense of security.

A. Playing apart from others without being part of a group. B. Playing in an organized group with each other. C. Acting out a troubling situation. D. Observing without participating.

Correct Answer is D

Explanation

Choice A reason: Playing apart without group involvement describes solitary play, not onlooker play, which involves watching others without joining. Observing without participating is the defining feature, making this incorrect, as it misidentifies the type of play in the instructor’s illustration of pediatric play types.

Choice B reason: Organized group play is cooperative play, not onlooker play, which entails passive observation. Students identifying observing without participating show understanding, making this incorrect, as it represents a different play type unrelated to the onlooker behavior described in the class.

Choice C reason: Acting out a troubling situation is dramatic play, not onlooker play, which focuses on watching without engagement. Observing without participating is the correct example, making this incorrect, as it does not match the passive nature of onlooker play in the instructor’s lesson.

Choice D reason: Onlooker play involves observing others’ play without participating, typical in young children assessing social situations. Students choosing this example demonstrate understanding, aligning with pediatric developmental play theories, making it the correct choice for a successful class on types of play.

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The pediatric nurse is careful to monitor and assess the growth and development of all clients. Which characteristic should the nurse prepare to assess in the infants?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 3-year-old who has been attending preschool has been diagnosed with leukemia. The caregivers of this child ask the nurse what they can do to help their child feel secure. Which recommendation could the nurse make to these caregivers that would be helpful in making the child feel secure?

Correct Answer is C

Explanation

The nursing instructor is illustrating the various types of play. The instructor determines the class is successful when the students correctly choose which example as best representing onlooker play?

Correct Answer is D

Explanation

In understanding the physiology of the musculoskeletal system, the nurse recognizes that which of the following are stored in the bones?

The nurse is observing an infant and notes that the infant is restless, wide-awake but quiet. The mother reports that her baby often is awake for hours at a time and is very fidgety. How would the nurse respond to her observation?

In discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron-deficiency anemia?

The nursing instructor is conducting a class on the development of an infant. The instructor determines the class is successful when the students correctly illustrate which as the proximodistal development in an infant?

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

A nurse is discussing post-procedure interventions with new pediatric nurses. Which statement addresses the most immediate safety action required?

The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that if the fragments of fractured bone are separated, the fracture is said to be: