(Answered) Growth and Development 2019 Proctored exam review/ Elaborated Distinctively.
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Growth and development 2019
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Chamberlain College Nursing
growth and development 2019 Exam Answered (Jan 2022) A+ Guide
The nurse in a pediatric clinic is performing well-baby checks. The nurse is checking an infant who is 7 months old for developmental milestones. Which finding is of greatest concern to the nurse?
1. The infant remains flat when in a...
the nurse in a pediatric clinic is performing well baby checks the nurse is checking an infant who is 7 months old for de
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growth and development 2019 Exam
Answered (Jan 2022) A+ Guide
The nurse in a pediatric clinic is performing well-baby checks. The nurse is checking an
infant who is 7 months old for developmental milestones. Which finding is of greatest
concern to the nurse?
1. The infant remains flat when in a prone position.
2. The infant exhibits a Babinski reflex.
3. The infant opens and closes her hands to grasp objects.
4. The infant exhibits a lack of startle reflex to sound. - 1,
An infant should be able at the age of 2 to 3 months to raise the head and chest and
support the upper body with arms while in a prone position. The finding that the infant
at 7 months lies flat when placed prone is a matter of concern to the nurse. It is not a
matter of concern to the nurse if the 7-month-old infant still exhibits a Babinski sign.
The Babinski reflex disappears by the age of 1 year. The ability to grasp objects by
opening and closing the hands is normally present at the age of 2 to 3 months. The
presence of this skill is expected to continue. This ability alone is not a reason for
concern; however, assessment for progression is important. The startle reflex disappears
around 4 to 6 months; the absence of this reflex in a 7-month-old infant is not cause for
concern.
The nurse in a pediatric clinic is checking the developmental milestones for a 3-year-old
patient. Which finding causes the nurse to perform additional assessments?
1. The patient's tee-shirt is on backward.
2. The patient loses balance when kicking a ball.
3. The patient draws a circle that is closed but oblong.
4. The patient jumps with both feet about 2 inches high. - 2, ANS: 2
Between the ages of 2 to 3 years, a toddler should be able to kick a ball. The fact that the
patient loses balance when attempting this skill may require additional assessment. At
the age of 3 years, the patient is beginning to self-dress; the backward shirt indicates the
skill is developing but not refined. The backward shirt may also be indicative of toddler
independence. Toddlers correctly draw a circle when the curved line is closed; the shape
is not the most important factor. No matter how high, jumping with both feet off the
floor is an expected developmental skill for a toddler.
A mother of a 9-month-old infant asks the nurse about what toys are age appropriate.
Using Piaget's theory of development, which toy does the nurse recommend?
1. Building blocks
2. Colorful mobiles
3. Picture books
4. Musical rattles - 4, ANS: 4
, At 8 months, the infant should be in Piaget's stage 4: coordination of secondary
schemata. To achieve a desired effect, the infant will repeat an action, such as repeatedly
shaking a rattle to make sounds. The nurse will recommend a variety of rattles as
appropriate toys for this patient. The nurse would not expect an infant of 8 months of
age to play with building blocks. An 8-month-old infant may or may not be interested in
a colorful mobile. Tactile stimulation from this would be limited for safety reasons. An
infant's interest in picture books is more likely to occur in Piaget's stage 6: inventions of
new means/mental combinations, which occurs between 18 and 24 months.
During a well-baby checkup, the mother of an infant states, "Even if he is occupied with
a toy, he cries as soon as he notices I have left the room." Which explanation by the
nurse is best?
1. "Your baby does not know you exist if he cannot see you."
2. "Babies learn very quickly how to get an adult's attention."
3. "You should move the baby with you if you leave the room."
4. "Just ignore him; he will soon learn that you are still present." - 1, ANS: 1
Object permanence is one of the most important developments in the sensorimotor
stage. The child will learn that an object exists even when it cannot be seen or heard.
Prior to this, the child does not understand that someone or something did not
disappear. Playing peek-a-boo is a good way to help the development of object
permanence. The nurse's comment is not the best answer; the baby is most likely to cry
because of a lack of object permanence. Instructing the mother to move the baby when
she leaves the room is not the best answer. The nurse needs to explain the development
of object permanence and share ideas of how to assist the development. Ignoring the
baby is not the best suggestion. The mother needs to understand what development is
taking place and how to assist in the process
The nurse is visiting the home of a new mother and a 2-month-old infant. The nurse
notices the infant vigorously sucking on the fist and whining but not crying. The mother
validates that the behavior is common. Which information does the nurse need to obtain
from the mother?
1. If the mother is breast or bottle feeding
2. How long the infant sleeps at night
3. What type of feeding schedule is followed
4. If the infant draws up the legs when crying - 3, ANS: 3
Normal development requires not depriving oral gratification, such as weaning too soon
or a rigid feeding schedule. Because of the infant's vigorous fist sucking, the nurse needs
to ascertain what type of feeding schedule is being followed. Freud's psychosexual
theory states that from birth to 1 year, sexual gratification is achieved orally. However, it
is not important if the mother breast or bottle feeds her infant. The infant may be
attempting to gratify sexual urges with oral behaviors such as sucking, biting, chewing,
and eating. It is not important to the nurse how long the infant sleeps at night. Asking if
the infant draws up the legs when crying may be assessing for the presence of colic; the
information is not related to the infant's
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