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TEST 2 - ANTICIPATORY GUIDANCE - YOOST 17 & 18 QUESTIONS AND ANSWERS
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TEST 2 - ANTICIPATORY GUIDANCE - YOOST 17 & 18 QUESTIONS AND ANSWERS
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TEST 2 - ANTICIPATORY GUIDANCE -YOOST 17 & 18 QUESTIONS AND
ANSWERS
a - Answer-Which action by a 3-month-old infant would the nurse interpret as an
example of Piaget's stage of primary circular reaction?
a. Deliberately placing the thumb into the mouth
b. Accidentally kicking a ball
c. Searching for an object under a blanket
d. Shaking a rattle
b - Answer-the mother of a 5-month-old infant is concerned because her child is not yet
sitting on his own. What is the nurse's best response to her concerns?
a. Informing the mother that this is not normal and recommending further evaluation
b. Telling the mother that this is normal development for a 5-month-old
c. Encouraging the mother to do sit-ups with the child to encourage muscle
development
d. Asking the mother if the child had any trauma at birth
b - Answer-A 1-year-old child grabs an Easter egg and attempts to throw it across the
room. The nurse knows that the child is exhibiting which scheme according to Piaget?
a. Adaptation
b. Assimilation
c. Accommodation
d. Equilibration
d - Answer-A preschooler's mother is concerned because her child behaves in a mean
fashion toward her younger brother. The mother states, "She acts like she has no
sympathy for him!" What is the nurse's best response?
a. "She is very young to exhibit sibling rivalry."
b. "What does her brother do to her to make her act this way?"
c. "Do you fight at home? She is probably imitating you."
d. "Preschoolers are not capable of putting themselves in another's place."
b - Answer-A 2-year-old child insists on having a drink of water and having a story read
to him and says "Good night, sleep tight" at bedtime every night. The nurse knows the
child is exhibiting which type of behavior?
a. Controlling
b. Ritualism
c. Obsession
d. Compulsion
b - Answer-How is the toddler's need for autonomy best met?
, a. The parents' consistently meeting the child's needs
b. Allowing the child limited choices
c. Encouraging imaginative play
d. Promoting experimentation to determine cause and effect
b - Answer-The nurse is performing a health assessment on a 15-year-old female
patient. Which is the best way to obtain accurate information regarding her sexual
activity?
a. Ask the mother about the girl's sexual activity.
b. Privately ask the girl about her sexual activity.
c. Warn the girl about the dangers of sexual activity.
d. Ask the girl if she wants birth control.
a, b, c, e - Answer-When an injury to a child is suspicious for abuse, which is/are
important to document? (Select all that apply.)
a. Size and location of bruising
b. Distinguishing characteristics of injuries
c. Height and weight of the child
d. Time of last meal
e. General state of health of the child
c - Answer-What is the best activity for a hospitalized school-age child to encourage
continued appropriate development?
a. Watching favorite television shows for 2 hours per day
b. Keeping a journal of feelings while in the hospital
c. Working on a paint-by-number project that can be completed in an afternoon
d. Playing a favorite video game each afternoon
a - Answer-A teenage girl faces a long hospitalization after surgery. How can the girl's
continued development be fostered?
a. Encourage her to write her feelings in a journal.
b. Divert her attention by playing video games.
c. Encourage her to work on craft projects.
d. Make sure her parents are constantly by her side.
c - Answer-A kindergartener's mother is concerned because the child has had two bouts
of respiratory infections in the past three months since school started. What is the
nurse's best response?
a. "His immune system should be stronger by now; I think we will need to do some
further screening."
b. "His immune system is compromised because his schedule has changed. Be sure he
gets to bed on time."
c. "He is exposed to more germs now that he is in school. Let's go over good
handwashing."
"You should talk to the school about disinfecting the classroom."
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