Chapter 18: The Preschool Child

Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer

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Chapter 18: The Preschool Child

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Which statement best describes the 3-year-old child?
a. Boisterous, tattles on others
b. Aggressive, shows off
c. Helpful, wants to assist with chores
d. Talkative, inquisitive about the environment

 

 

ANS:  C

Three-year-old children are helpful and can assist in simple household chores.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 424        OBJ:   3

TOP:   Development                                  KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

 

  1. The parents of a 4-year-old boy are concerned because they have noticed him frequently touching his penis. What knowledge would act as the basis for the nurse’s response?
a. This behavior indicates a normal curiosity about sexuality.
b. Masturbation suggests the boy has an excessive fear of castration.
c. It is usually a result of discomfort from a penile rash or irritation.
d. The behavior is abnormal and the child should be referred for counseling.

 

 

ANS:  A

Masturbation at this age is common and indicates that the preschooler has a normal curiosity about sexuality.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 424        OBJ:   9

TOP:   Masturbation                                   KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

 

  1. A preschool-age child is asked, “Why do trees have leaves?” Which response would be an example of animism?
a. “So I can have shade over my sandbox.”
b. “Because God made them that way.”
c. “To hide behind when they are scared.”
d. “For the squirrels to play in.”

 

 

ANS:  C

Animism describes the tendency of preschool children to attribute human characteristics to nonhuman objects.

 

DIF:    Cognitive Level: Application           REF:   Page 421        OBJ:   1

TOP:   Cognitive Development                   KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

 

  1. What tasks would be appropriate to expect of a 5-year-old?
a. Setting the table with paper plates
b. Washing the dirty knives
c. Carrying glasses from the table to the sink
d. Scrubbing out the sink with cleanser

 

 

ANS:  A

Parents must consider developmental level and safety when asking the 5-year-old child to help with chores.

 

DIF:    Cognitive Level: Application           REF:   Page 430        OBJ:   3

TOP:   Development—Safety                     KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

 

  1. A 3-year-old child, while playing with his favorite toy in the playroom of the pediatric unit, is approached by another child who also wants to play with the same toy. What behavior will the nurse anticipate from this child?
a. Will play well with the other child
b. Will give the toy up and then not play anymore
c. Will become angry and a physical response might ensue
d. Will ignore the toy and go on to something else

 

 

ANS:  C

The 3-year-old child is egocentric and likely will become angry when others attempt to take his or her possessions.

 

DIF:    Cognitive Level: Application           REF:   Page 425        OBJ:   3

TOP:   Display of Aggression                     KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

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