Chapter 06: Health Promotion During Early Childhood

Chapter 06: Health Promotion During Early Childhood

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. The mother of a 14-month-old child is concerned because the child’s appetite has decreased. The best response for the nurse to make to the mother is:

a.	“It is important for your toddler to eat three meals a day and nothing in between.”
b.	“It is not unusual for toddlers to eat less.”
c.	“Be sure to increase your child’s milk consumption, which will improve nutrition.”
d.	“Giving your child a multivitamin supplement daily will increase your toddler’s appetite.”

 

 

ANS:   B

 

	Feedback
A	Toddlers need small, frequent meals. Nutritious selection throughout the day, rather than quantity, is more important with this age group.
B	Physiologically, growth slows and appetite decreases during the toddler period.
C	Milk consumption should not exceed 24 to 32 ounces daily. Increasing the amount of milk will only further decrease solid food intake.
D	Supplemental vitamins are important for all children, but they do not increase appetite.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pg 147

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

2. Which of the following toys is the most developmentally appropriate for an 18- to 24-month-old child?

a.	A push and pull toy
b.	Nesting blocks
c.	A bicycle with training wheels
d.	A computer

 

 

ANS:   A

 

	Feedback
A	Push and pull toys encourage large muscle activity and are appropriate for the child between 18 and 24 months of age.
B	Nesting blocks are more appropriate for a 12- to 15-month-old child.
C	A bicycle with training wheels is appropriate for a preschool or young school-age child.
D	A computer can be appropriate as early as the preschool years.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 145

OBJ:    Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

3. Which of the following is the priority concern in developing a teaching plan for the parents of a 15-month-old child?

a.	Toilet training guidelines
b.	Guidelines for weaning children from bottles
c.	Instructions on preschool readiness
d.	Instructions on a home safety assessment

 

 

ANS:   D

 

	Feedback
A	Although it is appropriate to give parents of a 15-month-old child toilet training guidelines, the child is not usually ready for toilet training, so it is not the priority teaching intervention.
B	Parents of a 15-month-old child should have been advised to beginning weaning from the breast or bottle at 6 to 12 months of age.
C	Educating a parent about preschool readiness is important and can occur later in the parents’ educational process. The priority teaching intervention for the parents of a 15-month-old child is the importance of a safe environment.
D	Accidents are the major cause of death in children, including deaths caused by ingestion of poisonous materials. Home and environmental safety assessments are priorities in this age group because of toddlers’ increased mobility, which puts them at greater risk in an unsafe environment.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pgs 135-136, 139

OBJ:    Nursing Process Step: Planning

MSC:   NCLEX: Health Promotion and Maintenance

 

4. What is the primary purpose of a transitional object?

a.	It helps the parents deal with the guilt they feel when they leave the child.
b.	It keeps the child quiet at bedtime.
c.	It is effective in decreasing anxiety in the toddler.
d.	It decreases negativism and tantrums in the toddler.

 

 

ANS:   C

 

	Feedback
A	A decrease in parental guilt (distress) is an indirect benefit of a transitional object.
B	A transitional object may be part of a bedtime ritual, but it may not keep the child quiet at bedtime.
C	Decreasing anxiety, particularly separation anxiety, is the function of a transitional object; it provides comfort to the toddler in stressful situations and helps make the transition from dependence to autonomy.
D	A transitional object does not significantly affect negativity and tantrums, but it can comfort a child after tantrums.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 144

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance