Chapter 6: Growth and Development of the School-age Child

The parents of a 10-year-old child tell the nurse that they don't understand how their child falls into the obesity category. They state that they are consistent with good nutrition and their child is very active in sports and clubs. What would be appropriate questions for the nurse to ask? Select all that apply.

"Can you give me an idea of a typical day for you and your child?" "Given your busy schedules does your family eat a lot of meals late in the evening?" "Could you keep a food diary over a 2 to 3 days time for us to review?" "Does your child consume soda and other fluids high in sugars?"

An 11-year-old boy continually is late for the bus, resulting in asking if it's okay to stay home that day from school. The parents ask the school nurse for advice on what they should do. What is the best response by the nurse?

"Could both of you and your son come in for a conference so we can discuss this situation?"

The parents of a 12-year-old boy voice concern to the nurse that their child wants to dress like peers and not the way they prefer. Which responses by the nurse are appropriate? Select all that apply.

"Have you spoken with your son about his concerns and about your concerns? Open dialogue often helps in resolving these issues." "Peer acceptance is an important part of development for children, especially at this age. Maybe talking about it with your son can lead to an agreement."

The parents of a 10-year-old boy report they are having problems with their son. The child's mother reports her son is not a talented athlete but her husband continues to encourage him to play and try to excel. The child's father reports sports will help his son build character. What response by the nurse is most appropriate?

"Perhaps another pursuit would be better suited for your son."

The nurse is providing education to the parents of a 10-year-old child who are seeking to improve the nutritional status of their son. Which statements by the parents indicate an understanding of the information provided? Select all that apply.

"The caloric needs of my child are based upon his level of activity." "Age is one of the determinants of the caloric needs for my son." "The largest components of my son's diet should be carbohydrates."

The nurse is preparing to catheterize an 11-year-old child. The nurse correctly recognizes the child's approximate bladder capacity is what amount?

13 ounces

The nurse is addressing a caregiver's concerns regarding adequate sleep for an 11-year-old child who gets up at 6:30 a.m. each morning. The nurse should point out which time as the most appropriate bedtime for this child?

9:30 p.m.

The nurse is admittng a 10-year-old for surgery. What action should the nurse prioritize when caring for this child?

Answer questions regarding pain.

The parents of a school-aged child with school phobia have received professional guidance by the school psychologist, pediatrician and three different psychiatrists. Based on this, which nursing diagnosis would be most appropriate?

Compromised parental coping related to inability to assist with school fears

When considering the psychosocial development of a school-aged child, which is the primary developmental task?

Establishing a social network

The nurse is preparing a care plan for a school-age child to address her hospitalization. Which factor should the nurse incorporate into this plan?

Increased attention span and interested in an activity for a long length of time

The 12-year-old child speaks with the school nurse about the stomachaches he has been having lately. He tells the nurse that he is upset because his best friend stole something and he knows this isn't acceptable behavior. The nurse identifies that this child is demonstrating which stage of moral development?

Kohlberg's Conventional Stage 4

The nursing instructor is leading a discussion on school-aged children. The instructor determines the session is successful when the students correctly choose which factor as being a priority for the school-aged child?

Needs 10 to 12 hours of sleep per night

The nurse is working with a group of 8-year-olds who are learning about the concept of conservation of numbers. Which activity will help teach this concept to these school-aged children?

Rearranging a group of coins first into a circle, then a triangle and then a square

The mother of a 13-year-old girl reports she is concerned her daughter is being bullied. What behaviors support the parent's suspicion? Select all that apply.

Reports of frequent headaches Complaints of stomachaches Reports feeling "sad or down"

The father of an 11-year-old boy is worried that the child spends too much time watching TV. What information should the nurse share with this father? Select all that apply.

The American Academy of Pediatrics recommends 2 hours or less of TV daily. Establish guidelines on when a child can watch TV. Watch programs together and discuss subject matter with the child.

An 11-year-old child is preparing to see the dentist to have his teeth cleaned. Which finding would considered most appropriate for this age?

The child has 28 permanent teeth.

A nurse is assisting with a seat belt clinic at a local community center. Which parents should the nurse speak with after inspecting their seat belt use? Select all that apply.

The parents of a 10-year-old whose child is sitting in the front seat with the seat belt properly fastened The parents of a 6-year-old who has the shoulder belt behind the back due to the strap lying across the face

The school nurse is preparing to conduct routine health screenings of the elementary school students. Which screening will the nurse prioritize for students ages 6 to 8?

Vision and hearing

The nurse is preparing an in-service training session on Erikson's theories for the pediatric nurses. Which task should the nurse prioritize as an example for the school-aged child?

Will work on a picture until it is finished