GROWTH AND DEVELOPMENT PEDIATRICS 1
EXAM WITH REAL QU ESTIONS AND WELL
VERIFIED ANSWERS ||ALREADY GRADED A+
||BRAND NEW 2024-2025
A nurse is assessing a toddler in the well-child clinic. At what point in the physical examination should the nurse examine the tympanic membrane?
- At the end
- At the beginning
- Before the head and neck are examined
- Before the chest and the abdomen are auscultated - ANSWER-A. At the end
Rationale: When examining the toddler, the nurse should follow a modified head-
to-toe approach, starting at the head but deferring anything that the toddler is likely to view as invasive and traumatic to the very end. The toddler is likely to resist not only having the ears examined, but also anything that follows.
A nurse in a well-child clinic is assessing a 6-month-old infant. Which of the ESTfollowing assessments should the nurse expect to make?
- Posterior fontanel is closed.
- Infant's birth weight is tripled.
- Upper and lower central incisors are present.
- Infant sits well without support. - ANSWER-A. Posterior fontanel is closed.
Rationale: The posterior fontanel should be closed by about 8 weeks (2-3 mo.) of age. 1 / 3
At what month of age are most infants just beginning to get their first lower central incisors? - ANSWER-6 months
Normal motor development in an infant is best described by which of the following? (Select all that apply).
- Cephalocaudal (head to toes)
- Caudalcephalo (toes to head)
- Attaining gross motor skills in chronological order
- Attaining fine motor skills in chronological order - ANSWER-a. Cephalocaudal
(head to toes)
- attaining gross motor skills in chronological order
- attaining fine motor skills in chronological order
A nurse is assessing a 4-month-old infant in the well-child clinic. She is providing anticipatory guidance for the mother. Which health promotion points should the nurse include for this mother? (Select all that apply).
- Immunization schedule needs to be kept up-to-date
- Breast milk or iron-fortified formula for her infant during the first year of life
- Cow's milk is an acceptable substitute for breast milk or formula during the first
- Iron-fortified rice cereal should be offered first between 4 and 6 months of age 2 / 3
year of life
- Weaning from the bottle can be accomplished when her infant is able to drink
from a cup with handles (sometime after 6 months) - ANSWER-A. Immunization schedule needs to be kept up-to-date
- Breast milk or iron-fortified formula for her infant during the first year of life
- Iron-fortified rice cereal should be offered first between 4 and 6 months of age
- Weaning from the bottle can be accomplished when her infant is able to drink
from a cup with handles (sometime after 6 months)
A nurse is caring for a 9-month-old infant admitted with failure to thrive (FTT).Which of the following assessments should the nurse expect to make? (Select all that apply).
- Less than the fifth percentile on the growth chart for weight
- Malnourished appearance
- Signs of dehydration
- No developmental delays
- Positive interaction between child and parent
- Difficulty being soothed - ANSWER-A. Less than the fifth percentile on the
growth chart for weight
- Malnourished appearance
- Signs of dehydration
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