Description
Growth and Development Across the Lifespan 2nd Edition Leifer Fleck Test Bank
ISBN-13: 978-1455745456
ISBN-10: 1455745456
How can a nursing test bank help me in school?
Think about it like this. You have one text book in your class. So does your teacher. Each text book has one test bank that teachers use to test students with. This is the nursing test bank for the book you have. All authentic chapters and questions and answers are included.
Do I get to download this nursing test bank today?
Since we know that students want their files fast, we listened and made it exactly the way you want. So you can download your entire test bank today without waiting for it.
Is this site anonymous and discreet?
We try our best to give nursing students exactly what they want. So your order is 100 percent anonymous and discreet. We do not keep any logs of any kind on our website and use a 256 bit SSL encryption on our site which you can verify.
What if I order the wrong test bank?
As long as the file is not downloaded, we can give you the correct file. Please send us an email and we will send you the correct file right away.
Can I request a sample before I purchase to make sure its authentic?
If this is the nursing test bank that you want. You can use it right now without having to wait for it. Add this exact test bank to your shopping basket on this website. Thereafter, checkout. Your download link will be provided to you automatically.
What format are the nursing test banks in when I download them?
Most of the formats are going to be in a PDF format. We also have files in Microsoft Word. They can be viewed on your computer or phone.
Amazon has this text book if you would like that as well: Growth and Development Across the Lifespan 2nd Edition Leifer Fleck Test Bank, Email us if you have any questions.
Can I write a review and leave a testimonial on this site?
You certainly can. Please email us sending an email to us. Many students send us emails thanking us for helping them.
Below you will find some free nursing test bank questions from this test bank:
Chapter 7: The Infant
Test Bank
MULTIPLE CHOICE
- The 5-month-old should demonstrate:
| a. | hand-to-mouth coordination. |
| b. | neat pincer grasp. |
| c. | building a tower of two cubes. |
| d. | ability to grasp an object voluntarily. |
ANS: D
By 5 months, newborn reflexes have disappeared and the infant is able to shape the hand to voluntarily grasp an object.
DIF: Cognitive Level: Knowledge REF: p. 102, Table 7-2
OBJ: 4 TOP: Motor development
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- According to Erikson, infancy is concerned with acquiring a sense of:
| a. | trust. |
| b. | industry. |
| c. | initiative. |
| d. | autonomy. |
ANS: A
Trust develops when infants learn their basic needs will be met, providing the foundation for all succeeding phases of development. Trust assists infants in experiencing unknown or unfamiliar situations with minimal fear.
DIF: Cognitive Level: Knowledge REF: p. 96 OBJ: 7
TOP: Trust versus mistrust KEY: Nursing Process Step: NA
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- Object permanence is:
| a. | recognizing a familiar face, such as mother. |
| b. | recognizing a familiar object, such as bottle. |
| c. | actively searching for a hidden object. |
| d. | securing objects pulling on a string. |
ANS: C
By 9-10 months, infants have achieved the concept of object permanence, or the realization that objects that leave the visual field can still exist.
DIF: Cognitive Level: Comprehension REF: p. 96 OBJ: 2
TOP: Object performance KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- A parent of an 8-month-old infant says that the bacries and screams whenever she is left with her grandparents. The reply should be based on the fact that the:
| a. | infant is most likely spoiled. |
| b. | infant is experiencing separation anxiety. |
| c. | infant should be left with another caretaker. |
| d. | grandparents’ home may be a frightening environment. |
ANS: B
At around 6 months of age, the infant begins to have an awareness of self and parent as separate beings. This, coupled with the development of object permanence, causes the infant to become distressed at the absence of the parent.
DIF: Cognitive Level: Application REF: p. 98 OBJ: 7
TOP: Separation anxiety KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- The parents of a 2-month-old boy are concerned about spoiling their son picking him up when he cries. The most informative response would be:
| a. | “Allow him to cry for no longer than 15 minutes, then pick him up.” |
| b. | “Babies need comforting and cuddling. Meeting these needs will not spoil him.” |
| c. | “Babies this young cry when they are hungry. Try feeding him when he cries.” |
| d. | “If he isn’t soiled or wet, leave him and he’ll cry himself to sleep.” |
ANS: B
Prompt attention to an infant’s crying promotes attachment and development of trust.
DIF: Cognitive Level: Application REF: p. 97 OBJ: 9
TOP: Attachment KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- The parents of a 6-month-old infant say that they are worried about their baby’s thumb-sucking. The reply that is most informative would be:
| a. | “A pacifier should be substituted for the thumb.” |
| b. | “Nonnutritive sucking may indicate unsatisfied hunger.” |
| c. | “Sucking should be interrupted diverting the baby’s attention.” |
| d. | “Nonnutritive sucking during infancy is normal.” |
ANS: D
Nonnutritive sucking in infancy is of benefit providing a self-regulating source of comfort.
DIF: Cognitive Level: Application REF: p. 106 OBJ: 3
TOP: Sucking KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- The health-care worker instructs the parents of an infant that they can expect the first tooth eruption at the age of:
| a. | 2 months. |
| b. | 6 months. |
| c. | 8 months. |
| d. | 10 months. |
ANS: B
Normal tooth eruption occurs between 5 to 7 months with the appearance of the central incisors.
DIF: Cognitive Level: Comprehension REF: p. 108 OBJ: 2
TOP: Tooth eruption KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- The parent of a 12-month-old says, “He pushes the spoon right out of my hand and screams when I feed him. I can’t let him feed himself, he makes too much of a mess.” The best response is:
| a. | “It’s important not to give in to this kind of temper tantrum at this age.” |
| b. | “Maybe you need to try a different type of spoon, one designed for children.” |
| c. | “He is old enough to try to feed himself. Let’s think of ways to limit the mess.” |
| d. | “You should continue to feed him. Self-feeding may interfere with adequate nutrition.” |
ANS: C
Self-feeding is a developmental task that is part of the first year of life and the infant’s growing need for independence.
DIF: Cognitive Level: Application REF: p. 96 OBJ: 2
TOP: Nutrition KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- A 4-month-old infant is brought to the clinic her parents for a well-bacheckup.
Because 4-month-old infants are developing very fast, the health-care worker reminds parents that they can help prevent an accident by:
| a. | using a tray on highchair as restraint rather than the restraining strap. |
| b. | placing adjustable gates at the head of the stairs. |
| c. | placing the child on the stomach to sleep at night or at nap time. |
| d. | supporting child firmly during bath time. |
ANS: D
Good support and never leaving child unattended at the bath time can prevent an accident. Straps should be used as restraints in highchairs. Gates are not yet needed for a 4-month-old.
DIF: Cognitive Level: Application REF: p. 109 OBJ: 12
TOP: Accident prevention KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- Regarding the introduction of solid foods during infancy, the nurse would advise:
| a. | solid foods should not be introduced until 8 to 10 months of age when the extrusion reflex begins to disappear. |
| b. | foods should be introduced one at a time, at intervals of 4 to 7 days. |
| c. | solid foods should be mixed in a bottle to make the transition easier for the infant. |
| d. | fruits and vegetables should be introduced into the diet first. |
ANS: B
Solid foods are introduced one at a time to help parents identify a food allergy response.
DIF: Cognitive Level: Application REF: p. 107 OBJ: 9
TOP: Nutrition KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- The health-care worker ensures doting parents that they will hear the first meaningful words from their infant when the bais about ______ months old.
| a. | 6 |
| b. | 8 |
| c. | 10 |
| d. | 12 |
ANS: C
Although infants vocalize as early as 5 to 6 weeks, it is not until they are about 10 months old that cognitive and motor development enables them to use meaningful words.
DIF: Cognitive Level: Comprehension REF: p. 100 OBJ: 6
TOP: Language development KEY: Nursing Process Step: NA
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- The parents of a 6-month-old infant say, “She cries sometimes after we have put her down after we have played with her. We know she is dry and has recently been fed.” The most appropriate intervention is to suggest that the baby:
| a. | is learning elementary language skills. |
| b. | may still be hungry. |
| c. | is uncomfortable. |
| d. | still wants parental stimulation. |
ANS: D
If the adult turns away before the infant is ready, the infant will lean forward and attempt to get the adult’s attention with sound and movement and will eventually cry with frustration.
DIF: Cognitive Level: Application REF: p. 97 OBJ: 5
TOP: Language development KEY: Nursing Process Step: Implementation
MSC: NCLEX: NA
- Even infants can develop coping skills, which allow the infant to:
| a. | enhance speech development. |
| b. | manage a stressful situation. |
| c. | manipulate his environment. |
| d. | increase parental bonding. |
ANS: B
Infants are capable of dealing with a stressful situation developing a coping skill. They may climb out of an infant seat to reach a toy or move self around in the crib to see into another room.
DIF: Cognitive Level: Application REF: p. 95 OBJ: 2
TOP: Development of coping skills KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: coping and adaptation
- The parents of a 3-month-old complain that they are exhausted because she still wakes up as often as every 1 to 2 hours during the night. When she awakens, they change her diaper, and her mother nurses her back to sleep. The best suggestion would be to:
| a. | put her in parents’ bed to cuddle. |
| b. | give the baa pacifier while the child is in a semi-awake state. |
| c. | let her cry herself back to sleep. |
| d. | give her a bottle of formula instead of breastfeeding her so often at night. |
ANS: B
Giving a pacifier in the semi-awake state often will help the bareturn to sleep and begin to develop self-regulatory habits.
DIF: Cognitive Level: Application REF: p. 105 OBJ: 2
TOP: Sleep patterns KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- A mother is concerned that her 12-month-old is “getting fat.” She plans to switch the infant from formula to 2% low-fat milk. Based on knowledge of infant nutrition, the best response should be:
| a. | “That’s an excellent idea. Preventing childhood obesity is a goal of Healthy People 2020.” |
| b. | “You should give your child low-calorie juices instead of milk to prevent excessive weight gain.” |
| c. | “Formula is necessary for 2 full years to ensure proper growth.” |
| d. | “Your child needs whole milk instead of low-fat milk to promote proper growth and development.” |
ANS: D
Fats are necessary in children under age 2 to promote development of the nervous system.
DIF: Cognitive Level: Comprehension REF: p. 107 OBJ: 10
TOP: Nutrition KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- When the parents of a 6-month-old say that they see no reason to spend money for a car seat because the bais happier sitting in someone’s lap. The best response is:
| a. | “As long as the bais being held securely an adult there is no need for a car seat.” |
| b. | “The air bag will protect both adult and bain the event of an accident.” |
| c. | “A rear-facing car seat placed in the back seat is the safest place for your baby.” |
| d. | “A front-facing car seat placed next to the driver should keep your basafe and happy.” |
ANS: C
A rear-facing car seat provides the best protection for the infant’s head and neck. The back seat is preferable to help protect the infant from being ejected from the car and from injury from a front seat air bag.
DIF: Cognitive Level: Comprehension REF: p. 109 OBJ: 12
TOP: Car seats KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- The usual initial age at which infants begin to demonstrate meaningful social smiles in response to parental interaction is at:
| a. | 2 months. |
| b. | 3 months. |
| c. | 5 months. |
| d. | 6 months. |
ANS: A
Positive infant responses to parents’ interaction efforts strengthen parent–infant attachment and usually are seen at the age of 2 months.
DIF: Cognitive Level: Comprehension REF: p. 96 OBJ: 8
TOP: Attachment KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- An appropriate play activity to encourage sensorimotor stimulation in a 7-month-old would be:
| a. | reading a story. |
| b. | playing peek-a-boo. |
| c. | showing how to clap hands. |
| d. | imitating animal sounds. |
ANS: B
By 6 months to 1 year, play involves sensorimotor skills as described Piaget. Infants need to be played with. A game of peek-a-boo provides visual stimulation and interaction with the parent.
DIF: Cognitive Level: Comprehension REF: p. 96 OBJ: 6
TOP: Sensorimotor stimulating play KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- To support the development of language skills in their child, the parents should:
| a. | talk to the infant in their native language. |
| b. | introduce common slang words. |
| c. | employ “batalk” to get the infant’s attention. |
| d. | speak loudly. |
ANS: A
Parents should talk to the infant in the native language. Use of slang or batalk may confuse or delay language development. Loud speech is not necessary to the development of language.
DIF: Cognitive Level: Application REF: p. 106 OBJ: 6
TOP: Language development KEY: Nursing Process Step: NA
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- If parents are concerned about the fact that their 14-month-old infant is not walking, the health-care worker should particularly evaluate whether the infant:
| a. | pulls up on the furniture. |
| b. | uses a pincer grasp. |
| c. | transfers objects. |
| d. | has developed object permanence. |
ANS: A
Infants generally start to walk about 4 to 5 months after they are able to pull themselves up to a standing position.
DIF: Cognitive Level: Application REF: p. 109, Table 7-2
OBJ: 4 TOP: Motor development
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- According to Freud’s theory of development, the best toy for an infant would be a:
| a. | colorful mobile. |
| b. | rattle. |
| c. | teething ring. |
| d. | baswing. |
ANS: C
A teething ring satisfies the need to examine the world through the mouth, which is a characteristic of Freud’s oral stage.
DIF: Cognitive Level: Comprehension REF: p. 106 OBJ: 7
TOP: Oral stage KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- The information that should be given to the parents of a 12-month-old regarding appropriate play activities would include which of the following?
| a. | Provide a stick horse to develop gross motor coordination. |
| b. | Give large push-pull toys for kinetic stimulation. |
| c. | Place cradle gym across the crib to facilitate fine motor skills. |
| d. | Provide finger paints to enhance fine motor skills. |
ANS: B
Push-pull toys foster newly mastered walking skills.
DIF: Cognitive Level: Application REF: p. 106 OBJ: 4
TOP: Role of play KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- A child who weighed 6 pounds at birth will weigh approximately ____ pounds at the age of 12 months.
| a. | 15 |
| b. | 18 |
| c. | 21 |
| d. | 24 |
ANS: B
Growth is an increase in size, measured pounds and inches. By 1 year, birth weight is generally tripled.
DIF: Cognitive Level: Knowledge REF: p. 95 OBJ: 3
TOP: Growth KEY: Nursing Process Step: NA
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- A 2-month-old uses the preverbal speech technique of:
| a. | nonnutritive sucking. |
| b. | grunting. |
| c. | pointing. |
| d. | smiling. |
ANS: D
Crying and smiling are the preverbal options for a 2-month-old.
DIF: Cognitive Level: Application REF: p. 100 OBJ: 6
TOP: Preverbal speech KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- A hospitalized 11-month-old is crying and clinging to the parents as they attempt to leave the room at the termination of visiting hours. An appropriate intervention would be to:
| a. | encourage the parents to leave right away to minimize the child’s distress. |
| b. | provide privacy until the infant has calmed down. |
| c. | arrange for a parent to room in with the infant. |
| d. | distract the infant with toys so the parents can leave unnoticed. |
ANS: C
Because hospitalization is a unique experience of separation filled with strangers, pain, and fear of the unknown, it is strongly recommended that a parent room in with the child.
DIF: Cognitive Level: Application REF: p. 98 OBJ: 7
TOP: Attachment KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- At what age would the health-care worker expect an infant to be able to say “mama” and “dada” with meaning?
| a. | 4-5 months |
| b. | 5-6 months |
| c. | 9-10 months |
| d. | 12-14 months |
ANS: C
By 7 or 8 months, syllables using the M and D sounds appear, and 9 to 10 months, specific meaningful sounds are used to refer to objects or events.
DIF: Cognitive Level: Comprehension REF: p. 100 OBJ: 6
TOP: Language development KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- Interactive physical activity between parents and their bashould be focused on:
| a. | exploring developmental movement and the environment. |
| b. | ensuring that activity times do not interfere with sleep or nutrition. |
| c. | exposure to outdoors. |
| d. | interaction with other infants. |
ANS: A
Interactive physical activity with an infant should be focused on exploring movement and the environment.
DIF: Cognitive Level: Application REF: p. 106, Box 7-1
OBJ: 5 TOP: Physical activity
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- What is a possible indication of child abuse on an 11-month-old?
| a. | Excessive drooling |
| b. | Cooing and reaching for the parent |
| c. | Hyperactivity during physical assessment |
| d. | Bruises in various stages of healing |
ANS: D
The appearance of bruises in various stages of healing should alert a caregiver to possible child abuse.
DIF: Cognitive Level: Application REF: p. 100, Figure 7-1
OBJ: 12 TOP: Child abuse KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: growth and development
MULTIPLE RESPONSE
- Which age-appropriate toy(s) for a 3-month-old infant should be recommended? (Select all that apply.)
| a. | Crib mobile |
| b. | Squeeze toys |
| c. | Teething toys |
| d. | Soft or furry quilt |
| e. | Stuffed animals |
| f. | Strings of big beads |
ANS: A, D, E
These toys assist the 3-month-old in the development of visual and tactile senses, as well as in the beginning of fine motor development.
DIF: Cognitive Level: Application REF: p. 106 OBJ: 2
TOP: Role of play in growth and development
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
- The parents of a 2-month-old bring their infant to the well-child clinic for a checkup and immunizations. Based on knowledge of immunization schedules, the health-care worker instructs the parents that the infant should receive which vaccine(s)? (Select all that apply.)
| a. | Polio |
| b. | HepB |
| c. | MMR |
| d. | Varicella |
| e. | DTaP |
| f. | Tetanus |
ANS: A, B, E
At 2 months, the recommended immunizations for infants are HepB, DTaP, and IPV. Although many of the immunizations can be given at any age, the recommended primary schedule begins in infancy and is completed during early childhood. This practice has contributed to the decline of preventable infectious diseases.
DIF: Cognitive Level: Application REF: Appendix A OBJ: 10
TOP: Immunizations KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: prevention and early detection of disease
- To assist parents in understanding normal growth and development during various stages of infancy, the health-care worker must understand age-appropriate motor development. Which gross and fine motor skill(s) would be appropriate for a 9-month-old? (Select all that apply.)
| a. | Walks with one hand held |
| b. | Uses thumb and forefinger in crude pincer grasp |
| c. | Can turn pages in a book |
| d. | Can sit down from standing position without help |
| e. | Creeps on hands and knees |
| f. | Sits steadily on floor for prolonged time |
ANS: B, E, F
A 9-month-old has a crude pincer grasp, creeps, and can sit alone.
DIF: Cognitive Level: Comprehension REF: p. 103, Table 7-2
OBJ: 4 TOP: Motor development
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
COMPLETION
- Although the child protests when the parent leaves the room, the child will develop_________ when the parent consistently returns.
ANS:
trust
Children learn that their parents return after a separation. This learning builds the developmental task of trust.
DIF: Cognitive Level: Comprehension REF: p. 98 OBJ: 2
TOP: Trust KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
