Chapter 11 Child Health Nursing Partnering With Children & Families, 3rd Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 11

Question 1

Type: MCSA

The nurse is explaining the primary purpose of performing health maintenance activities at each pediatric visit. The best explanation touches on:

1. Planning appropriate disciplinary measures for control of behavior.
2. Reviewing developmental milestones with the parents.
3. Prevention of disease and injury.
4. Teaching growth and development to the parents.

Correct Answer: 3

Rationale 1: While it is important for parents to understand the normal growth and development, developmental milestones, and age-appropriate discipline measures for children of all ages, these are not the primary purposes of performing health maintenance activities at each pediatric visit.

Rationale 2: While it is important for parents to understand the normal growth and development, developmental milestones, and age-appropriate discipline measures for children of all ages, these are not the primary purposes of performing health maintenance activities at each pediatric visit.

Rationale 3: The primary purpose of health maintenance activities is prevention of disease and injury for children of all ages.

Rationale 4: While it is important for parents to understand the normal growth and development, developmental milestones, and age-appropriate discipline measures for children of all ages, these are not the primary purposes of performing health maintenance activities at each pediatric visit.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 11-1

 

Question 2

Type: MCMA

Which of these developmental milestones should the nurse expect to find in children who are between two and three years old?

Standard Text: Select all that apply.

1. Always feeds self
2. Throws ball overhand
3. Kicks a ball
4. Goes up and down stairs
5. Scribbles and draws on paper

Correct Answer: 3,4,5

Rationale 1: Children between the ages of three and four years old feed themselves.

Rationale 2: Children between the ages of four and five years can throw a ball overhead.

Rationale 3: Children between the ages of two and three years old can kick a ball.

Rationale 4: Children between the ages of two and three years old can go up and down stairs.

Rationale 5: Children between the ages of two and three years old can scribble and draw on paper.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 11-1

 

Question 3

Type: MCSA

A nurse who is the manager of an ambulatory pediatric health care center is planning protocols for the routine health care visits of the children. Children within the catchment area of this care center have a high incidence of obesity. The most important assessment data in monitoring the two-year-old child with obesity is:

1. Weight alone.
2. The child’s percentile score of height and weight and weight on the growth chart.
3. Changes in the child’s percentile on the growth chart from birth to the present.
4. The child’s body mass index.

Correct Answer: 4

Rationale 1: Weight cannot be used alone; weight in comparison to height provides clearer information.

Rationale 2: This can be helpful information, but it compares this child’s height to the average child of this age and this child’s weight to the average to the average child. It does not look at this child’s height to weight comparison.

Rationale 3: Children’s percentile findings on the growth chart may change from one evaluation to the next as they alternate between growth spurts and periods of slower growth.

Rationale 4: The body mass index is a comparison of the child’s weight to height and is the best tool for evaluating obesity.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 11-3

 

Question 4

Type: MCSA

A nurse is preparing to perform a physical assessment on a toddler. Which of these actions should the nurse take?

1. Explain each part of the examination to the child before performing it.
2. Ask the mother to tell the child not to be afraid.
3. Perform the assessment from head to toe.
4. Leave intrusive procedures, such as ear and eye examinations, until the end.

Correct Answer: 4

Rationale 1: Explaining each part before performing it will only make the child more fearful, as it will make the entire procedure last longer.

Rationale 2: This will do little to alleviate the child’s fears.

Rationale 3: The nurse should complete the assessment in whichever order does not upset the child, leaving the head and genital areas for last.

Rationale 4: Intrusive procedures, such as examination of the ears, throat, eye, and genital areas, should be done last to decrease the anxiety of the child during the initial phases of the examination, which include the heart and lungs.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 11-3