The nurse is questioning the parents of a 2-year-old child to obtain a functional history. Which topics might the nurse include? Select all that apply.

Use of car seats and other safety measures

Use of supplements and vitamins

Prenatal and perinatal histories

The child's race and ethnicity

The child's toileting habits

Answer and Explanation

Correct Answer : A,B,E

A. The use of car seats and other safety measures is crucial for the child's safety and is a standard part of a functional history to ensure that the child is being protected from common household and travel-related injuries.

B. The use of supplements and vitamins can significantly impact a child's health, especially at a developmental age, and should be monitored and recorded.

C. Prenatal and perinatal histories are typically reviewed during initial visits and not necessarily part of a routine functional history for a 2-year-old unless there are ongoing health issues related to birth.

D. The child's race and ethnicity are important for demographic data but are not typically part of a functional history unless there are specific cultural practices or genetic predispositions that affect the child's health.

E. The child's toileting habits are an important aspect of their development and daily functioning, and changes or issues in this area can indicate health concerns.

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Correct Answer is D

Explanation

A. Displays of animism: Animism, attributing life-like qualities to inanimate objects, is a typical characteristic of the preoperational stage as children develop symbolic thinking.

B. Understanding of opposites: The ability to understand opposites, such as big/small, hot/cold, is a cognitive milestone of the preoperational stage as children develop classification skills.

C. Use of active imaginations: Pretend play and active imaginations are hallmark features of the preoperational stage, reflecting children's growing ability to engage in symbolic thought and fantasy play.

D. Beginning questioning of parents' values: Piaget's preoperational stage, which typically occurs between ages 2 and 7, is characterized by significant cognitive development, including language acquisition, symbolic thinking, and the ability to engage in pretend play. While children in this stage may question certain aspects of their environment and beliefs, they are less likely to engage in sophisticated questioning of abstract concepts like parental values.

A. Significant increase in brain size B. Ossification completed later in girls C. Decrease in heart rate D. Decrease in activity of sebaceous glands

Correct Answer is B

Explanation

A. Significant increase in brain sizE. While brain development continues during adolescence, the most significant increase in brain size occurs during early childhood rather than adolescence.

B. Ossification completed later in girls: Ossification, the process of bone formation, typically continues into late adolescence or early adulthood, and completion may occur later in girls compared to boys. This process contributes to changes in height and bone density during adolescence.

C. Decrease in heart ratE. During adolescence, there may be some changes in heart rate due to

the influence of hormones and physical growth, but a decrease in heart rate is not a consistent or universal characteristic of this developmental stage.

D. Decrease in activity of sebaceous glands: Adolescence is typically associated with an increase rather than a decrease in the activity of sebaceous glands, leading to increased oil production and the potential for acne development. Hormonal changes during puberty stimulate the sebaceous

glands, contributing to changes in skin texture and appearance.

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The nurse is questioning the parents of a 2-year-old child to obtain a functional history. Which topics might the nurse include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which activity would the nurse least likely include as exemplifying the preconceptual phase of Piaget's preoperational stage?

Correct Answer is D

Explanation

When describing the various changes that occur in organ systems during adolescence, what would the nurse include?

Correct Answer is B

Explanation

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