HESI Module 1 Developmental Stages and
Transitions.
A nurse is providing information to the parents of a 5 month old infant about introducing solid foods
to the infant. Which of the following instructions should the nurse give to the parents?
A. cheese should not be used as a substitute.
B. Introduce one new food at a time at intervals of 4-7days.
C. Mix soft solid food with formula if the infant refuses to eat.
D. Start with fruits ad vegetables; if these are tolerated, add cereal to the diet. - ANS B
A nurse in a daycare center is planning play activities for a group of toddlers. Which choices are the
*most appropriate* play materials for these children?
A. Videos, compact disc player, board games
B. rattles, stuffed animals, squeaky dolls, soft mobiles
C. cards, Monopoly game, sewing kits, paint-by-number kits
D. blocks, rocking horse, finger paints, wooden puzzles, thick crayons, paper - ANS D
Which instruction should the nurse provide to the mother of a preschooler regarding car seats?
A. place the child in the back seat of the car in a booster seat
B. place the child in the back seat in a forward-facing convertible seat with a harness
C. restrain the child in the passenger side of the front seat as long as the air bag is in place
D. place the child in the back seat of the car in a forward-facing position using the car seat belts. -
ANS B
Upper medial incisor (babies) develops at - ANS 6-8 months
Upper lateral incisor (babies) develops at - ANS 8-10 months
Upper & Lower Cuspid's (babies) develop at - ANS 16-20 months
Upper & Lower 1st Molar's (babies) develop at - ANS 10-16 months
,Upper & lower 2nd Molar's (babies) develop at - ANS 20-30 months
Lower Medial Incisor (babies) develops at - ANS 5-7 months
Lower Lateral incisor (babies) develops at - ANS 7-10 months
A nurse, assigned to care for a hospitalized child who is 8 years old, plans care, taking into account
Erik Erikson's theory of psychosocial development. According to this theory, which choice represents
the primary developmental task of the child?
a. to master useful skills and tools
b. to gain independence from parents
c. to develop a sense of trust in the world
d. to develop a sense of control over self and body functions - ANS a
A nurse has provided information to a 16-year-old girl about adequate nutritional intake. Which
statement by the girl indicates a *need for additional information*?
a. it is all right to eat pizza for breakfast once in a while.
b. it is important to eat at least two servings of fruit per day.
c. it is acceptable to eat an occasional hamburger and fries at a fast-food restaurant.
d. it is acceptable to replace the daily milk requirement with a protein food such as a cheeseburger. -
ANS d
Joanna asks the nurse how to deal with Joel's bedtime temper tantrums. Which strategy should the
nurse recommend to Joanna?
a. safely isolating Joel and ignoring the temper tantrum
b. giving in to Joel's demand and allowing him to stay up a little longer
c. Telling Joel that he will be punished if the temper tantrum continues
d. telling Joel that a favorite toy will be taken away if the temper tantrum doesn't stop - ANS a
What should the nurse tell Joanna?
a. avoid letting Joel take any daytime naps
b. provide a quite activity for 30 minutes before bedtime
c. provide a high-carbohydrate snack before bedtime to promote sleep
, d. allow the stalling tactics for 30 minutes, then Joel that he must go to bed - ANS b
Joanna asks the nurse about toilet-training Joel. She is not sure whether he is ready and anticipates
that he will throw temper tantrums if she begins to toilet-train him. The nurse tells Joanna to watch
for certain signs of readiness to toilet-train. What are they? *Select all that apply*
a. ability to remove clothing
b. refusal to sit on toilet
c. impatience with a wet or soiled diaper
d. an increased number of wet diapers during the day
e. a dry diaper when the child wakes from a nap - ANS a, c, e
human milk is the best food for who? - ANS infants younger than 6 months
skin and low-fat milk should not be used for infants because - ANS the essential fatty acids are
inadequate and the solute concentration of protein and electrolytes is too high.
Fluoride supplementation may be needed starting around what age? - ANS 6 months of age,
depending on the infant's intake of fluoridated tap water.
Introduce solid foods in what way? - ANS one at a time, usually at intervals of 4 to 7 days, to identify
food allergies
Avoid giving solid foods such as nuts, foods with seeds, raisins, popcorn, grapes, pieces of hot dog,
and peanut butter because - ANS it places the child at risk for choking
What should be done at the home with babies and/or infants? - ANS baby-proofing; hazardous items
must be stored out of reach
Toddlers are eager to - ANS explore the world around them
Preschoolers are - ANS active and inquisitive; because of their magical thinking, they may believe
that the daring feats seen in cartoons are possible and may attempt them.
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