Chapter 04: Health Promotion for the Developing Child

Chapter 04: Health Promotion for the Developing Child

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. Which of the following statements best describes development in infants and children?

a.	Development, a predictable and orderly process, occurs at varying rates within normal limits.
b.	Development is primarily related to the growth in the number and size of cells.
c.	Development occurs in a proximodistal direction with fine muscle development occurring first.
d.	Development is more easily and accurately measured than growth.

 

 

ANS:   A

 

	Feedback
A	Development, a continuous orderly process, provides the basis for increases in the child’s function and complexity of behavior. The increases in rate of function and complexity can vary normally within limits for each child.
B	An increase in the number and size of cells is a definition for growth.
C	Development proceeds in a proximodistal direction with fine muscle organization occurring as a result of large muscle organization.
D	Development is a more complex process that is affected by many factors; therefore, it is less easily and accurately measured. Growth is a predictable process with standard measurement methods.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pgs 64-65

OBJ:    Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

2. Frequent developmental assessments are important for which of the following reasons?

a.	Stable developmental periods during infancy provide an opportunity to identify any delays or deficits.
b.	Infants need stimulation specific to the stage of development.
c.	Critical periods of development occur during childhood.
d.	Child development is unpredictable and needs monitoring.

 

 

ANS:   C

 

	Feedback
A	Infancy is a dynamic time of development that requires frequent evaluations to assess appropriate developmental progress.
B	Infants in a nurturing environment will develop appropriately and will not necessarily need stimulation specific to their developmental stage.
C	Critical periods are blocks of time during which children are ready to master specific developmental tasks. Children can master these tasks more easily during particular periods of time in their growth and developmental process.
D	Normal growth and development is orderly and proceeds in a predictable pattern on the basis of each individual’s abilities and potentials.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 66

OBJ:    Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

3. Which of the following factors has the greatest influence on child growth and development?

a.	Culture
b.	Environment
c.	Genetics
d.	Nutrition

 

 

ANS:   C

 

	Feedback
A	Culture is a significant factor that influences how children grow toward adulthood. Culture influences both growth and development but does not eliminate inborn genetic influences.
B	Environment has a significant role in determining growth and development both before and after birth. The environment can influence how and to which extent genetic traits are manifested, but environmental factors cannot eliminate the effect of genetics.
C	Genetic factors (heredity) determine each individual’s growth and developmental rate. Although factors such as environment, culture, nutrition, and family can influence genetic traits, they do not eliminate the effect of the genetic endowment, which is permanent.
D	Nutrition is critical for growth and plays a significant role throughout childhood.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pgs 65, 66, 72

OBJ:    Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

4. According to Piagetian theory, the period of cognitive development in which the child is able to distinguish fact from fantasy is which of the following?

a.	The sensorimotor period of cognitive development
b.	The formal operations period of cognitive development
c.	The concrete operations period of cognitive development
d.	The preoperational period of cognitive development

 

 

ANS:   C

 

	Feedback
A	The sensorimotor stage occurs in infancy and is a period of reflexive behavior. During this period the infant’s world becomes more permanent and organized. The stage ends with the infant demonstrating some evidence of reasoning.
B	Formal operations is a period in development in which new ideas are created through previous thoughts. Analytic reason and abstract thought emerge in this period.
C	Concrete operations is the period of cognitive development in which children’s thinking is shifted from egocentric to being able to see another’s point of view. They develop the ability to distinguish fact from fantasy.
D	The preoperational stage is a period of egocentrism in which the child’s judgments are illogical and dominated by magical thinking and animism.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pgs 67-70

OBJ:    Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance