HESI EAQ PEDIATRICS 2022-EXAM NURSING1.Which behavior of a 3-year-old child indicates delayed
development? Select all that apply.
a.The child is unable to feed himself.
b. The child is unable to climb the stairs.
c. The child is unable to tie his or her shoes.
d. The child is unable to name th...
1which behavior of a 3 year old child indicates delayed development select all that apply athe child is unable to feed himself b the child is unable to clim
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1.Which behavior of a 3-year-old child indicates delayed
development? Select all that apply.
a.The child is unable to feed himself.
b. The child is unable to climb the stairs.
c. The child is unable to tie his or her shoes.
d. The child is unable to name the colors.
e. The child is unable to count when asked.
Rational:
3-year-old child has the tendency to ask many questions, talk for long
periods irrespective of someone listening, is able to climbs stairs, and can
eat by him- or herself. If the child is unable to feed himself or climb the
stairs, it indicates impaired gross motor skills and social development. Fine
motor skills like tying the shoelaces develop by age 5. Language
development like naming the colors develops by age 4. Cognitive function
like counting develops by age 4.
2. A 3-year-old child feels a sense of rivalry with his father and wants
him to die. Shortly after these feelings emerge, the child’s father dies
in a road accident. The child then begins to feel intense guilt,
believing that he caused the death. What is the best nursing
intervention in this situation?
a. Teach relaxation techniques to the child.
b. Encourage the child to play with his siblings.
c. Suggest that the child’s uncle spend time with him.
d. Explain to the child that wishes do not make things happen.
Rational:
The nurse should clarify the child’s thoughts and help reduce feelings of
guilt by explaining that wishes do not make events occur. Relaxation
techniques help to reduce anxiety but do not reduce the feeling of guilt.
Playing with siblings or spending time with an uncle may help relieve the
child’s stress, but they do not address the feelings of guilt.
, 3. While teaching parents about the developmental milestones of a
15-month-old child, the nurse informs the parents about various
activities that their child should be able to do. Which statement of the
parent indicates effective learning?
a. "My child can jump with both feet."
b. "My child can walk up stairs with one hand held."
c. "My child can creep up stairs and kneel without support."
d. "My child goes up and down stairs alone with two feet on each step."
Rational:
A 15-month-old child has the ability to creep up stairs and kneel without
support due to the development of gross motor skills. The child starts
jumping with both feet at the age of 30 months. The child will start walking
up stairs with one hand held at the age of 18 months. The calf muscles
develop sufficiently for the child to walk up and down stairs alone at the
age of 24 months.
4. A toddler wearing a diaper is impatient with the wet diaper and
shows a desire to have it changed. Which toilet training readiness
does this behavior indicate?
a. Mental readiness
b. Physical readiness
c. Parental readiness
d. Psychological readiness
Rational:
The toddler’s impatience with the wet diaper and desire for a change
indicates psychological readiness for toilet training. Mental readiness is
indicated when the toddler recognizes the urge to urinate. Physical
readiness is indicated when the toddler is voluntarily able to control the
sphincter and wakes up dry after a nap. Parental readiness is indicated
when the parent is willing to invest the time required for toilet training.
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