Custom Growth and Development
ATI Custom Growth and Development
Total Questions : 50
Showing 10 questions Sign up for moreA preschool child is asked, "Why do trees have leaves?" Which response would be an example of animism?
Explanation
The correct answer is Choice B.
Choice A rationale: Suggesting that trees have leaves to provide shade over a sandbox reflects a utilitarian view rather than animism. It attributes a functional benefit to the trees for human use without assigning the trees any lifelike characteristics or intent.
Choice B rationale: Saying trees hide behind leaves when they are scared exemplifies animism. It attributes human-like emotions and behaviors to trees, implying they have feelings and act upon them, which is characteristic of animistic thinking in children.
Choice C rationale: Attributing the presence of leaves to divine creation suggests a religious or spiritual explanation rather than animism. It does not imply the trees themselves have lifelike qualities or motivations; instead, it attributes their existence to an external divine force.
Choice D rationale: Indicating that leaves exist for squirrels to play in provides a functional and ecological explanation. It does not imbue trees with lifelike qualities or behaviors, focusing instead on the interaction between trees and squirrels in nature.
A father is concerned about how long his preschool-age child will continue sucking his thumb.
What is the most helpful response from the nurse?
Explanation
Choice A rationale:
"Thumb-sucking is detrimental to the eruption of the child's teeth and must be stopped as soon as possible.”. This response is not the most helpful because it can create unnecessary anxiety for the father and the child. While prolonged thumb-sucking can affect dental development, it's not an urgent concern in most cases.
Choice B rationale:
"Most children will stop thumb-sucking naturally by school age.”. This is the most helpful response. It reassures the father that thumb-sucking is a common behavior among preschool-age children and that many children naturally outgrow it as they enter school age. It encourages patience and avoids unnecessary intervention.
Choice C rationale:
"Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice.”. This option suggests using a topical solution to discourage thumb-sucking. While it's a valid approach, it may not be necessary for most children, and a more conservative approach (choice B) is often preferable.
Choice D rationale:
"Consistently touching the child's fingers whenever he sucks his thumb is most effective.”. This response may not be as effective or practical as choice B, which advises patience. Constantly touching the child's fingers may disrupt their comfort without necessarily leading to a cessation of thumb-sucking.
Which major developmental tasks will the nurse expect a child to accomplish by the end of the preschool years? (Select all that apply.).
Explanation
Choice A rationale:
"Increased communication skills.”. This is a major developmental task in the preschool years, as children improve their language and communication abilities.
Choice B rationale:
"Acceptance of separation.”. Preschool-age children should begin to develop the ability to separate from their primary caregivers more easily, which is a significant developmental milestone.
Choice C rationale:
"Control of bodily functions.”. Developing control over bodily functions, such as toilet training, is a crucial task during the preschool years.
Choice D rationale:
"Development of parallel play.”. Preschoolers start engaging in parallel play, where they play alongside but not necessarily with other children, which is a typical developmental task for this age group.
Choice E rationale:
"Consistent appetite.”. While eating habits may change during the preschool years, having a consistent appetite is not a major developmental task in this age group. .
What will the nurse advise a parent to do when introducing solid foods?
Explanation
Choice A rationale:
Introducing solid foods to infants is an essential step in their development. The nurse should advise a parent to introduce each new food 4 to 7 days apart. This recommendation is based on the principles of food introduction and infant nutrition. By introducing new foods with this time gap, parents can monitor for any adverse reactions or allergies that may occur. It allows for the identification of potential food sensitivities, making it easier to determine the cause if the child develops any adverse reactions. This cautious approach ensures the safety and well-being of the child while also helping to establish healthy eating habits from a young age.
Choice B rationale:
Mixing foods together is not recommended when introducing solid foods to infants. This approach can make it challenging to identify the cause of any adverse reactions or allergies. If a parent mixes multiple foods and the child has a negative reaction, it becomes difficult to pinpoint which specific food caused the problem. Therefore, it's best to introduce one food at a time, as advised in choice A, to monitor the child's response effectively.
Choice C rationale:
Eliminating a refused food from the diet is not a suitable approach for introducing solid foods to infants. Refusing a new food is a common response in infants who are still getting used to the taste and texture of solid foods. It's important not to eliminate the food altogether, as it may take several attempts before the child accepts it. Parents should be encouraged to reintroduce the refused food at a later time. The focus should be on gradual exposure and persistence.
Choice D rationale:
Beginning with one tablespoon of food is not a recommended approach. Infants should start with small amounts of solid foods and gradually increase the quantity as they become more accustomed to the new textures and flavors. Starting with a larger portion can overwhelm the child and may lead to refusal or choking. A gradual introduction, as suggested in choice A, is a safer and more appropriate method.
How would the nurse advise a parent who states, "I never know how much food to feed my child"?
Explanation
Choice A rationale:
While it's important to provide appropriate food quantities for children, advising that food quantities must be carefully measured to avoid overfeeding may be overly restrictive. Children's appetites can vary, and strict measurements may not be necessary. Instead, it's essential to offer a balanced diet with a variety of foods and let the child's hunger cues guide their intake. Overemphasis on precise measurements may lead to unnecessary stress for both parents and children.
Choice B rationale:
Using 1 tablespoon of each food for each year of age as a guideline is a practical and straightforward approach to portion control for toddlers. It provides a general guideline that can help parents ensure that their child is receiving an appropriate amount of food for their age and developmental stage. This approach is flexible and easy for parents to follow. It also encourages a balanced diet, as it implies that a child should receive a variety of foods in appropriate quantities.
Choice C rationale:
Stating that a toddler should eat three balanced meals and snacks are not necessary oversimplifies the feeding recommendations. While balanced meals are important, toddlers have varying energy needs, and some may require snacks to maintain their energy levels. Snacks can be an essential part of a toddler's diet, especially if there is a long gap between meals. Therefore, it's important to consider individual needs and not dismiss snacks outright.
Choice D rationale:
Serving sizes should not exceed 1 teaspoon of each type of food is overly restrictive and may not provide toddlers with the necessary nutrition. While it's crucial to introduce foods in appropriate portions, limiting serving sizes to just one teaspoon may not meet the nutritional needs of a growing child. This approach may lead to underfeeding and nutrient deficiencies, which is not advisable for healthy development. A more balanced and flexible guideline, such as the one provided in choice B, is a better recommendation.
How many hours should toddlers be able to stay dry for the nurse to suggest they are ready to begin bladder training?
Explanation
Choice A rationale:
Suggesting that toddlers should be able to stay dry for 2 hours before beginning bladder training is too early. Most toddlers do not develop full bladder control until around the age of 3. Starting training too early may lead to frustration for both the child and the parents. It's essential to be patient and wait until the child is developmentally ready, which is typically around the age of 3.
Choice B rationale:
Suggesting that toddlers should be able to stay dry for 3 hours before beginning bladder training is a reasonable and developmentally appropriate guideline. Around the age of 3, many children start to gain better control over their bladder and can stay dry for longer periods. This is a good indication that they may be ready for bladder training. However, it's essential to remember that every child is different, and readiness may vary from one child to another.
Choice C rationale:
Suggesting that toddlers should be able to stay dry for 4 hours before beginning bladder training may be overly restrictive and not necessary. While some children may achieve this level of bladder control, it is not a standard benchmark for readiness. Waiting for 4 hours may delay the start of bladder training unnecessarily for some children.
Choice D rationale:
Suggesting that toddlers should be able to stay dry for 5 hours before beginning bladder training is too long and not a practical guideline. Waiting for such an extended period before initiating training is not developmentally appropriate, and it may lead to difficulties and accidents. It's important to strike a balance between waiting for readiness and not delaying training for an extended period, as suggested in choice B.
The nurse is educating a group of preschool parents about the importance of safety.
Which statement by a parent indicates the need for further education?
Explanation
Choice A rationale:
Stating that "My stairway is always free of clutter" indicates a good understanding of safety, as a clutter-free stairway reduces the risk of accidents. This choice shows awareness of safety measures.
Choice B rationale:
Keeping medications in a locked cabinet is a responsible practice, ensuring that children do not have easy access to potentially harmful substances. This choice reflects a commitment to safety.
Choice C rationale:
The statement "I only leave my child in the car for brief moments" is concerning as leaving a child unattended in a car even for a short time can be dangerous. Extreme temperatures and other hazards pose significant risks to the child's safety, indicating a need for further education on this issue.
Choice D rationale:
Stating, "I continue to provide a great deal of indirect supervision for my child," is a positive sign that the parent is actively engaged in supervising their child. This choice demonstrates a good understanding of the importance of supervision and safety.
What should the nurse suggest as the most appropriate toy choice for a 3-year-old?
Explanation
Choice A rationale:
Push-pull toys are suitable for a 3-year-old because they promote physical activity and coordination. These toys help children develop their motor skills and provide a fun way for them to engage with their environment. Push-pull toys are age-appropriate and safe for toddlers.
Choice B rationale:
A large construction set may have small parts that could be a choking hazard for a 3-year-old. It's essential to select toys that do not pose such risks and are developmentally appropriate. Therefore, this choice is not the most appropriate toy for a 3-year-old.
Choice C rationale:
A small pet, such as a goldfish, is not an appropriate toy for a 3-year-old. Pets are living creatures that require care and attention. Introducing a pet to a young child should be a well-considered decision made by the family and not seen as a toy choice.
Choice D rationale:
A board game is typically too complex for a 3-year-old to fully enjoy and understand. Board games often require following rules, taking turns, and using fine motor skills that may not be well-developed in a child of this age. Therefore, it is not the most appropriate choice.
What should the nurse suggest as the most appropriate toy choice for a 3-year-old?
Explanation
Choice A rationale:
Push-pull toys are the most appropriate toy choice for a 3-year-old because they encourage physical activity and help with the development of gross motor skills. These toys are easy for young children to handle and provide an opportunity for them to explore their environment actively.
Choice B rationale:
A large construction set may have small parts that can be a choking hazard for a 3-year-old. Safety is a paramount concern when selecting toys for young children, so this choice is not the most appropriate.
Choice C rationale:
A small pet, such as a goldfish, is not a suitable toy for a 3-year-old. Pets require care and responsibility, and introducing a pet should be a well-considered decision made by the family, not a toy choice.
Choice D rationale:
A board game is usually too complex for a 3-year-old. Board games involve rules, taking turns, and fine motor skills that may not be well-developed in children of this age. It is not the most appropriate choice for a 3-year-old. .
The nurse observes a 10-month-old infant using her index finger and thumb to pick up pieces of cereal.
What does this behavior indicate the infant has developed?
Explanation
Choice A rationale:
The pincer grasp is the coordination of the index finger and thumb to pick up small objects. It is a developmental milestone that typically occurs around 9-12 months of age. This behavior indicates that the infant has developed the ability to use the pincer grasp to manipulate objects. It is an essential skill for fine motor development and is a positive sign of the child's motor skills progressing.
Choice B rationale:
Prehension ability refers to the general ability to grasp objects but does not specifically describe the pincer grasp. While the infant is displaying a form of prehension by picking up cereal, the pincer grasp is a more specific and advanced skill.
Choice C rationale:
A grasp reflex is an automatic and involuntary response to touch, and it is typically present in newborns but should disappear as the infant develops. The behavior described in the question is not a grasp reflex, as it involves a deliberate use of the index finger and thumb.
Choice D rationale:
The parachute reflex is a protective reflex that appears later in infancy and involves extending the arms when the infant feels like they are falling. It is not relevant to the described behavior of picking up cereal with the fingers.
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