Situation 1: Raphael, a 6 year’s old prep pupil is seen at 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. m
...
Situation 1: Raphael, a 6 year’s old prep pupil is seen at 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.
4. Which of the following information indicate that Raphael is normal for his age?
a. Determine own sense self
b. Develop sense of whether he can trust the world
c. Has the ability to try new things
d. Learn basic skills within his culture
The correct answer is letter C; because Erickson defines the developmental task of a
preschool period is learning Initiative vs. Guilt. Children can initiate motor activities of
various sorts on their own and no longer responds to or imitate the actions of other
children or of their parents. Letter A and B is.. for you!!
5. Based on Kohlberg’s theory, what is the stage of moral development of Raphael?
a. Punishment-obedience
b. “good boy-Nice girl”
c. naïve instrumental orientation
d. social contact
Correct answer is letter C: According to Kohlber, a preschooler is under Pre-conventional
where a child learns about instrumental purpose and exchange, that is they will
something do for another if that that person does something with the child in return.
Letter A is applicable for Toddlers and letter B is for a School age child.
Situation 2 Baby boy Lacson delivered at 36 weeks gestation weighs 3,400 gm and height
of 59 cm (6-10)
6. Baby boy Lacson’s height is
a. Long
b. Short
c. Average
d. Too short
Correct answer is Letter A because the normal length of a newborn is 47.5-53.75 cm
(19.5-21in) with an average of 50cm (Filipino standards po ito, pag kay Pilliteri nyo
tinignan, 53cm for female and 54cm for male)
7. Growth and development in a child progresses in the following ways EXCEPT
a. From cognitive to psychosexual
b. From trunk to the tip of the extremities
c. From head to toe
d. From general to specific
Growth and development occurs in cephalo-caudal (head to toe), proximo-distal (trunk to
tips of the extremities and general to specific, but it doesn’t occurs in cognitive to
psychosexual because they can develop at the same time.
8. As described by Erikson, the major psychosexual conflict of the above situation is
a. Autonomy vs. Shame and doubt
b. Industry vs. Inferiority
c. Trust vs. mistrust
d. Initiation vs. guilt
According to Erikson, children 0-18 months are under the developmental task of Trust vs.
Mistrust.
9. Which of the following is true about Mongolian Spots?
a. Disappears in about a year
b. Are linked to pathologic conditions
c. Are managed by tropical steroids
d. Are indicative of parental abuse
Mongolian spots are stale grey or bluish patches of discoloration commonly seen across
the sacrum or buttocks due to accumulation of melanocytes and they disappears in 1 year.
They are not linked to steroid use and pathologic conditions.
10. Signs of cold stress that the nurse must be alert when caring for a Newborn is:
a. Hypothermia
b. Decreased activity level
c. Shaking
d. Increased RR
Correct answer is letter D. Hypothermia is inaccurate cause normally, temperature of a
newborn drop, Also a child under cold stress will kick and cry to increase the metabolic
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