The pediatric nurse is discussing the daily activities of a 4-year-old with the caregiver to assess growth and development status. The nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity?

Gets upset when a babysitter is in charge, but will do what is asked by the babysitter.

Tries to sweep up spilled cereal but cries when can’t do well.

Refuses to hold anyone’s hand while crossing the street.

Broke a dish but blamed it on a friend the caregivers don’t know.

Answer and Explanation

The Correct Answer is B

Choice A reason: Complying with a babysitter despite being upset shows adaptability, not initiative, which involves self-directed tasks. Attempting to clean cereal reflects proactive behavior, making this less indicative and incorrect compared to an activity demonstrating the 4-year-old’s initiative in the developmental assessment.

Choice B reason: Trying to sweep spilled cereal and crying when failing demonstrates initiative, as the 4-year-old independently attempts a task, a hallmark of Erikson’s initiative stage. This aligns with pediatric developmental milestones, making it the correct activity to document for assessing the child’s growth and development status.

Choice C reason: Refusing to hold hands while crossing the street indicates defiance, not initiative, which involves purposeful self-started activities. Cleaning cereal better reflects initiative, making this incorrect, as it shows autonomy rather than the proactive behavior expected in the initiative stage of development.

Choice D reason: Blaming a broken dish on a fictional friend shows guilt avoidance, not initiative, which involves taking on tasks independently. Attempting a cleanup task is more indicative, making this incorrect compared to the proactive behavior of sweeping cereal in the 4-year-old’s developmental assessment.

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Correct Answer is A

Explanation

Choice A reason: The infant’s eustachian tube is straighter and wider, increasing susceptibility to infections due to easier pathogen access. This anatomical difference is accurate, aligning with pediatric otolaryngology evidence, making it the most correct statement about children’s ear and hearing development discussed among peers.

Choice B reason: Children’s hearing is acutely developed at birth, not delayed until age 5. Newborns respond to sounds, and hearing matures early. This statement is inaccurate, as it misrepresents the timeline of auditory development, making it incorrect compared to the eustachian tube fact in infants.

Choice C reason: Infants respond to sounds from birth, with noticeable reactions by 1-3 months, not 6 months. This statement underestimates early auditory responsiveness, making it less accurate than the eustachian tube’s anatomical description, which is a key factor in pediatric ear health discussions.

Choice D reason: The eardrum (tympanic membrane) is between the outer and middle ear, not the middle and inner ear. This anatomical error makes the statement incorrect, as the eustachian tube’s structure is the most accurate fact about children’s ear and hearing anatomy in this context.

A. Perianal itching. B. Malnutrition. C. Bedwetting. D. Restlessness.

Correct Answer is A

Explanation

Choice A reason: Perianal itching is the hallmark symptom of enterobiasis, caused by pinworms laying eggs at night, irritating the skin. This aligns with pediatric infectious disease evidence, making it the most likely history in a child admitted with pinworm infection, accurately reflecting the condition’s presentation.

Choice B reason: Malnutrition is not typically associated with pinworms, which cause localized irritation rather than systemic nutrient loss. Perianal itching is the primary symptom, making this incorrect, as it does not reflect the usual clinical history of a child with enterobiasis in a hospital setting.

Choice C reason: Bedwetting is unrelated to pinworm infection, which primarily causes perianal itching due to nocturnal egg-laying. Itching is the expected history, making this incorrect, as bedwetting does not correlate with the typical presentation of enterobiasis in a young admitted child.

Choice D reason: Restlessness may occur due to itching but is less specific than perianal itching, the defining symptom of pinworms. Itching directly ties to the diagnosis, making this less precise and incorrect compared to the primary history expected in a child with enterobiasis infection.

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The pediatric nurse is discussing the daily activities of a 4-year-old with the caregiver to assess growth and development status. The nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discussing the ears and hearing in a child with a group of peers. Which statement is most accurate related to this topic?

Correct Answer is A

Explanation

A young child has been admitted with a diagnosis of enterobiasis (pinworm infection). This child will most likely have a history of:

Correct Answer is A

Explanation

The caregiver of a 2-year-old calls the clinic concerned that her child may have pushed paper into her ears, and she asks the nurse what to do. The mother found the child pushing on her ears with torn paper on the floor in front of her. What would be the appropriate response by the nurse?

The parents of a 16-year-old male are worried about recent changes in his behavior, ignoring his schoolwork and sports, and spending almost all of his free time interacting with his girlfriend. Which suggestion should the nurse point out would best address this situation?

A 10-year-old boy who had an appendectomy had expressed worry that following the procedure he would have lots of pain. Two days after the procedure the child is claiming he is having no pain. Which nursing intervention should the nurse prioritize when assessing this child?

The nurse is collecting data from a caregiver, and the caregiver states that the child has had a “strawberry-colored tongue.” The nurse recognizes this as a manifestation of which disorder?

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?

The nurse is assisting with a physical exam on a child who has been admitted with a diagnosis of possible child abuse (child maltreatment). Which finding might alert the nurse to this possibility that the child may have been abused?

The pediatric nurse recognizes that what statement is true regarding medications administered via the intravenous route?