Growth, Development, and Nutrition
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Questions and Answers

What type of development is exemplified when an infant can lift his or her head before sitting?

  • General to specific
  • Cephalocaudal (correct)
  • Proximodistal
  • Specific to general
  • Which term describes a unique organization of characteristics that influences an individual's behavior?

  • Environment
  • Experience
  • Personality (correct)
  • Heredity
  • If an infant's birth weight is 7 pounds, 8 ounces, what can the nurse expect the weight to be at 6 months?

  • 15 pounds (correct)
  • 12 pounds
  • 22 pounds
  • 18 pounds
  • What scenario would prompt a nurse to further investigate patterns of growth in a child?

    <p>Previous weight was in the 75th percentile, present weight is in the 25th percentile</p> Signup and view all the answers

    What type of family structure is indicated by a situation where a couple with one child has children from previous marriages living in their home?

    <p>Blended</p> Signup and view all the answers

    By the time an infant reaches their first birthday, how many teeth are they expected to have?

    <p>6</p> Signup and view all the answers

    What developmental milestone indicates readiness for further growth evaluation in an infant?

    <p>Significant drop in weight percentile from the previous measurement</p> Signup and view all the answers

    How should the nurse interpret the silence of a 10-year-old Native American when asked about going to therapy?

    <p>Considering the answer in silence</p> Signup and view all the answers

    Which factor is most likely influencing the language development of an 11-month-old child who receives a lot of attention from older siblings?

    <p>Ordinal position</p> Signup and view all the answers

    What motivates a 4-year-old child to obey the rule of playing with balls outside?

    <p>The child does not want to be punished</p> Signup and view all the answers

    What should the nurse avoid while demonstrating a bath procedure to parents of Vietnamese origin?

    <p>Touching the child’s head</p> Signup and view all the answers

    What is the correct basal metabolic index (BMI) for an 8-year-old child who is 48 inches tall and weighs 100 pounds?

    <p>32.4</p> Signup and view all the answers

    Which toy is developmentally appropriate for a 5-year-old child?

    <p>Model airport with toy planes</p> Signup and view all the answers

    What nursing intervention is effectively implemented by instructing a postoperative 4-year-old to blow bubbles?

    <p>Encouraging deep breathing</p> Signup and view all the answers

    What is the recommended sleep requirement for a 7-year-old child?

    <p>11 to 13 hours a night</p> Signup and view all the answers

    What strategies should the nurse propose for introducing a toddler to new foods?

    <p>Serve one food at a time</p> Signup and view all the answers

    At what age does the American Academy of Pediatric Dentistry recommend a child's first dental visit?

    <p>By 1 year of age</p> Signup and view all the answers

    What age marks the beginning of permanent teeth eruption in children?

    <p>6 years old</p> Signup and view all the answers

    What serves as a good rule of thumb for serving sizes (in tablespoons) for a 2-year-old child?

    <p>1 tablespoon per food group per year of age</p> Signup and view all the answers

    How can the nutritional status of a child be described if they are alert with shiny hair, firm gums, and regular elimination?

    <p>Well nourished</p> Signup and view all the answers

    What type of food is commonly preferred by children from Puerto Rican families?

    <p>Dried beans mixed with rice</p> Signup and view all the answers

    What key developmental skill does self-feeding promote in a toddler?

    <p>A sense of independence</p> Signup and view all the answers

    Which activity reflects Erikson’s developmental task of industry for a 7-year-old child?

    <p>Complete a 50-piece jigsaw puzzle</p> Signup and view all the answers

    What is an example of concrete operational thinking according to Piaget's theory?

    <p>A 7-year-old states, 'I am sick because I have germs in my chest'</p> Signup and view all the answers

    What should the nurse advise when a mother asks if she can give regular milk to her 7-month-old infant?

    <p>Continue with breast milk or iron-fortified formula until 1 year</p> Signup and view all the answers

    Study Notes

    Physical Development

    • Infant development progresses from head to toe, referred to as cephalocaudal development.
    • Infants typically double their birth weight by 5 to 6 months of age.
    • A difference of two or more percentile levels from an established growth pattern in a child requires further evaluation.
    • The first dental visit for an infant is recommended by the American Academy of Pediatric Dentistry by 1 year of age.
    • Permanent teeth begin erupting at 6 years of age.
    • The rule of thumb for serving sizes for toddlers is 1 tablespoon of each food group per year of age.
    • Well-nourished children show steady gains in height and weight, have shiny hair, firm gums and mucous membranes, and regular elimination.
    • By the end of their second year, toddlers can feed themselves, which contributes to their sense of independence.

    Cognitive Development

    • Piaget's concrete operational thinking is demonstrated when a 7-year-old child understands the cause and effect of germs and illness.
    • Solid foods are usually introduced at about 6 months of age, starting with the least allergenic option, rice cereal.
    • The best action to preserve a knocked-out tooth for possible reimplantation is to wash it off and place it in a container of milk.
    • Children should continue breast milk or iron-fortified formula until 1 year of age.

    Social & Emotional Development

    • In cooperative play, children play with each other, each taking a specific role.
    • Native Americans value silence and may need time to think before responding to questions.
    • According to Kohlberg, children in the preconventional stage (4 to 7 years) are obedient to their parents out of fear of punishment.
    • Therapeutic play for a 4-year-old postoperative patient, such as blowing bubbles, can encourage deep breathing.

    Cultural Considerations

    • A common food choice for Americans of Puerto Rican descent is dried beans mixed with rice.
    • The Vietnamese are sensitive about anyone touching a child's head, as it is seen as the location of consciousness.

    Health & Nutrition

    • The basal metabolic index (BMI) for an 8-year-old child is calculated by dividing weight in kg by height in meters (squared).
    • A BMI of over 30 is classified as obese.
    • Healthy snacks for adolescents include raw vegetables and cheese.
    • The Portion Plate for Kids can be used to help with portion sizes for obese children, utilizing familiar objects like a deck of cards to measure servings.

    Play & Development

    • Play is crucial for childhood development and provides opportunities for self-expression, a sense of accomplishment, and understanding of child-parent relationships.
    • Computer games can provide opportunities for problem-solving skills, manipulative skills, and learning opportunities.

    Nursing Practice

    • When caring for a 7-year-old child, a nurse can encourage industry by engaging them in activities like completing a jigsaw puzzle.
    • Observing children at play can aid in assessing their growth and development and understanding their relationship with family members.
    • The nurse should avoid touching a Vietnamese child's head when demonstrating a bath procedure.
    • Nursing practice should incorporate play activities that encourage growth, development, and expression of thoughts and feelings, especially for hospitalized children.

    Key Differences Between Children and Adults

    • Children have a higher metabolic rate compared to adults.
    • Children have a greater surface area in relation to their weight than adults.
    • Children have less mature organ systems than adults.
    • Children are in a continuous growth and development pattern, unlike adults.

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    Description

    Test your knowledge on the physical and cognitive development of infants and toddlers. This quiz covers key aspects such as growth patterns, dental visits, and Piaget's theory. Ideal for caregivers, educators, and anyone interested in child development.

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