60 Items pediatric Nursing questions with Rationale by: Jeddah
PACE University
NURSING 112
Situation 1: Raphael, a 6 year’s old prep pupil is seen at
... [Show More] the school clinic for growth and
development monitoring (Questions 1-5)
1. Which of the following is characterized the rate of growth during this period?
a. most rapid period of growth
b. a decline in growth rate
c. growth spurt
d. slow uniform growth rate
Correct answer is letter B. During the Preschooler stage growth is very minimal. Weight
gain is only 4.5lbs (2kgs) per year and Height is 3.5in (6-8cm) per year.
Review:
Most rapid growth and development- Infancy
Slow growth- Toddler hood and Preschooler
Slower growth- School age
Rapid growth- Adolescence
2. In assessing Raphael’s growth and development, the nurse is guided by principles of
growth and development. Which is not included?
a. All individuals follow cephalo-caudal and proximo-distal
b. Different parts of the body grows at different rate
c. All individual follow standard growth rate
d. Rate and pattern of growth can be modified
Growth and development occurs in cephalo-caudal meaning development occurs through
out the body’s axis. Example: the child must be able to lift the head before he is able to
lift his chest. Proximo-distal is development that progresses from center of the body to
the extremities. Example: a child first develops arm movement before fine-finger
movement. Different parts of the body grows at different range because some body tissue
mature faster than the other such as the neurologic tissues peaks its growth during the
first years of life while the genital tissue doesn’t till puberty. Also G&D is predictable in
the sequence which a child normally precedes such as motor skills and behavior. Lastly
G&D can never be modified “Haller? (Pwede mo bang turuan mag basa ang Infant? Or
patayuin sya bago pa nakakagapang?)
3. What type of play will be ideal for Raphael at this period?
a. Make believe
b. Hide and seek
c. Peek-a-boo
d. Building blocks
Correct answer is Letter A, make believe is most appropriate because it enhances the
imitative play and imagination of the preschooler. C and D are for infants while letter A
is B is recommended for schoolers because it enhances competitive play. [Show Less]