8-10

35. Ovulation occurs about ___ days before menstruation starts

ANS: 14

34. Regular tooth brushing twice daily with a soft toothbrush and age-appropriate toothpaste should be routine by age ______.

ANS: 2

35. The health care worker designing a class on maintenance of good nutrition for middle childhood children would ensure each class lasted no more than ___ minutes.

ANS: 45 Mins

33. Preschool children need a minimum of ____ minutes a day of age-appropriate active play.

ANS: 60 minutes

34. According to Piaget, school-age children are concrete thinkers, and _______-____ learning is retained best.

ANS: Hands on

34. The birth control option that requires a subdermal insertion and lasts up to 3 years is___________.

ANS: Implanon

36. ______ applies gaming elements to real world activity

ANS: gamification

33. The term__________ refers to the functional ability to reproduce.

ANS: puberty

30. A parent asks how to prevent her 10-year-old son from becoming involved in gang violence. The best response should be:

a. "Become aware of any gang related activity in your neighborhood"

25. The parents of a 30 month old say that their daughter is not talking in short sentences. The most appropriate response is:

a. "Let's make an appointment with your pediatrician for an evaluation"

15. A "time-out" for unacceptable behavior may be effective discipline for children between 1 and 6 years of age if the time-out period is no more than ____ minute(s) per year of child's age.

a. 1

18. Dental evaluations should start at the age of _____ months.

a. 12

26. Complete myelination of the brain does not occur until age:

a. 5 years

19. The high school nurse is intending to present a class on potential health problems associated with body piercing and tattooing. What piece of information is critical to planning the class?

a. Culture affects health-care practices and forms of communication.

29. The parents of an adolescent are concerned about the amount of time their adolescent spends daydreaming and "doing nothing." The health-care worker recognizes that:

a. Daydreams help the adolescent think through responses to various situations and can be a safe outlet for strong emotions.

16. The leading cause of teenage deaths is related to:

a. MVA's

32. The peer group serves as: (Select all that apply.)

a. a major step in separation from family dependence. b. a practice area for forming relationships. c. a source of social interaction. e. a major step in separation from family dependence.

8. A 12-year-old girl is frequently teased about being taller than anyone else in the class. This teasing:

a. can damage the girls self concept

10. Eight year olds enjoy play that employs:

a. competitive team play

19. Toilet training is dependent on:

a. developing sphincter control

14. Interventions to promote health during middle childhood should include:

a. education parents on the need for good dental hygiene for the erupting teeth

6. A 14-year-old girl tells the school nurse that she has not started to menstruate and that all of her friends have. The nurse's best response to the girl would be to:

a. explain that this is not unusual as sexual maturing can occur as late as 15 years of age.

24. The factor that has the greatest impact on the likelihood that an adolescent will begin drinking alcohol is:

a. friends drink alcohol

32. When giving parents guidelines about supporting their children to learn in school, the health-care worker includes that parents should: (Select all that apply.)

a. give praise for the child's application to the learning process. c. encourage the child to accept responsibility for learning. d. reinforce teaching frequently. e. give occasional rewards.

31. The major health teaching need(s) of middle childhood include: (Select all that apply.)

a. injury prevention c. scoliosis screening e. need for immunizations

3. A parent of a 24-month-old boy say that the child has frequent tantrums and that "no" is becoming his favorite word. This behavior:

a. is a response to frustration in gaining autonomy.

30. The activity that is most appropriate for a hospitalized 5 year old who is allowed to go the playroom is:

a. joining a group of boys and girls who are playing house

32. The health-care worker guiding parents in selecting a daycare facility for their child would emphasize the importance of: (Select all that apply.)

a. licensure c. student-to-staff ratio d. discipline techniques e. staff education

4. The school nurse would inform parents who are seeking information regarding adolescent masturbation that:

a. masturbation at an early age is associated with sexual intercourse at an earlier age.

25. A school nurse is conducting a sex-education class for early adolescent girls. One girl asks how to tell when she could become pregnant. The nurse explains that:

a. ovulation, and the most fertile period, occurs immediately after menstruation stops.

31. The home health-care worker would assess the indication of sexual abuse in a preschool child if assessments were made of the child's: (Select all that apply.)

a. positioning dolls in sexual positions b. excessive sexual curiosity e. drawing genitals on dolls

1. During puberty, girls experience an increase in weight and redistribution of fat. Health-care considerations related to this include:

a. providing reassurance that these changes are normal.

18. Early adolescence is considered to begin at the age of:

b. 10 years

1. A 2-year-old should be able to:b. Climb stairs reciprocally

b. Climb stairs reciprocally

12. A 7-year-old is caught taking a playmate's toy. Which of the following reflects the development of this 7-year-old?

b. a child's sense of property rights is limited until that concept is modeled for him

6. Parents planning a birthday party for their 6-year-old son would best plan to invite:

b. a group of boys from his class to play active games.

12. In planning sex education and contraceptive teaching for adolescents, the health-care worker should recognize that:

b. adolescents frequently do not have a basic understanding of fertility.

11. The behavior that alerts the school nurse to a possible cognitive deficit in a 7-year-old child would be:

b. confusing letters "b" "d" and "g"

30. A group of parents are concerned about their adolescent children and dating. The health-care worker points out that:

b. dating can have a positive impact on developing problem-solving and social skills.

25. Anticipatory guidance for the family of an 11-year-old girl should include that they should expect their daughter to exhibit:

b. desire for privacy

14. When providing health teaching for middle adolescents, the health-care worker should recognize that middle adolescents:

b. develop the ability to demonstrate deductive reasoning.

29. The health-care worker giving parents guidelines about discipline for their school-age children would include which of the following guidelines?

b. discipline should combine reward and punishment, based on age- appropriate behavior expectation

6. When preparing parents to teach their children about sexuality, the health-care worker should emphasize that they should:

b. expect some mastuerbatory behavior

28. Children learn to cope by:

b. experiencing new situations

29. To prepare preschooler for better human interaction, the parents should help the child to learn:

b. express feelings verbally rather than acting out

8. According to Piaget, the cognitive development of the adolescent progresses to the ___________ stage by middle adolescence.

b. formal

10. The initiation of puberty is controlled by the secretions from the:

b. hypothalamus

2. According to Erikson, the psychosocial task of adolescence is developing a sense of _____________.

b. identity

22. The preschool child learns socially acceptable behavior through the use of:

b. positive reinforcement

31. According to the definition of vigorous exercise published by the Centers for Disease Control and Prevention (CDC) in 2006, the exercise should: (Select all that apply.)

b. produce sweat. d. increase respiration

10. Which nutritional recommendation will ensure the caloric and nutritional needs of young children are met?

b. provide nutrient dense foods

23. An adolescent tells the school nurse that she is about 4 months pregnant. She has had no medical care and states that although she smokes, she doesn't use any drugs. The priority nursing action is to:

b. refer her prenatal care

27. Adolescents are more likely to participate in health-care services when they:

b. see the health-care provider as caring and respectful.

11. According to Kohlberg, the moral task of childhood is learning to:

b. share with others

16. When teaching injury prevention during the school-age years, the health-care worker should:

b. teach basic rules of water safety

8. When a toddler snatches a toy from another toddler, this behavior is:

b. typical behavior because toddlers are egocentric

12. When a toddler acquires receptive language skills, the child is able to:

b. understand simple messages

33. Parents of latchkey children can help ensure their safety by instructing the child to: (Select all that apply.)

b. walk to and from school with friends. c. call a work number if necessary. e. practice route of escape in case of fire.

27. The description of behaviors of the school-age child that is most closely linked to Erikson's theory is that during this time, school-age children:

b. with greater independence can carry tasks through to completion

4. Middle childhood age children will grow on the average of ____ per year

c. 2 inches

2. Erik Erikson describes the major developmental task of the toddler to be:

c. Autonomy

22. The school nurse is discussing testicular self-examination with adolescent boys. This is important because:

c. adolescence is the best time to teach preventative health measures.

13. In the clinic waiting room, a parent is showing an 18-month-old how to build a tower out of blocks. Toddlers:

c. are capable of building a tower of blocks.

23. Age- appropriate literacy skills for a 24 month old include the child taking a book and:

c. carrying it around the house

7. A group of boys ages 9 and 10 forming a "boys-only" club that is open to neighborhood and school friends who have bicycles is:

c. characteristic of social development at this age.

5. The parents of 9-year-old twins say, "They have filled up their bedroom with collections of rocks, shells, dolls, and baseball cards." This is indicative of:

c. concrete cognitive behavior

18. The child experiencing middle childhood forms a positive self-esteem from:

c. developing internal sources.

20. During the preschool period, the emphasis of injury prevention should be placed on:

c. education for safety and potential hazards

19. When a 9-year-old boy feels bad about having cheated on a test, the child is exhibiting the moral behavior phase of:

c. emotion

2:The concerned parent of a 9-year-old confides in the health-care worker that her child will only wear the athletic jersey with the number of his favorite professional quarterback and insists on being called by the quarterback's name rather than his own. The health-care worker bases her response on Erikson's theory that 9-year-olds:

c. fashion their behavior after role models

17. An important consideration for the school nurse to stress in a class on bicycle safety would be that:

c. head injuries are the major causes of bicycle-related fatalities

5. The school nurse tells adolescents that privacy and confidentiality will be maintained unless a life-threatening situation arises. This practice is:

c. important in establishing trusting relationships.

7. Although a 14-month-old girl received a shock from an electrical outlet recently, her mother finds her about to place a paper clip in another outlet. The repeated behavior is due to:

c. inability to understand cause and effect

13. The appropriate term for the initial menstrual period is:

c. menarche

20. The school nurse plans to include information about oral sex in a sex-education class for 15-year-olds. The most significant reason to include this information is that:

c. middle adolescents may not consider oral sex a sexual act or a risk for sexually transmitted diseases (STDs).

22. A parent says, "I am worried about my 13-year-old son. He hasn't started puberty, and my daughter did when she was 11 years old." The health-care worker should explain to this parent that this is:

c. normal because the onset of puberty is usually earlier in girls than boys.

15. The health-care worker is sensitive to the fact that health concerns consistent with middle adolescence are focused on:

c. physical appearance

26. The health-care worker assesses a decrease in egocentrism in a 7-year-old when the child demonstrates:

c. recognition of opinions of others

7. A 15-year-old athlete is concerned that the darkening pigment on his scrotum is related to his frequent masturbation. The best response would be based on the knowledge that the color change is:

c. result of increase in androgens

17. An example of parallel play is a toddler:

c. sitting with another toddler playing with toys without interaction.

13. The parents of an 8-year-old girl say that their daughter wants to join a softball team. Instructions regarding participation in sports at this age should include which of the following?

c. sports participation is encouraged if the type of sport is appropriate to the child's abilities

16. A 5-year-old boy has been having increasingly more frequent angry outbursts in preschool. For the past 8 to 10 weeks, he had seven episodes of aggressiveness toward the other children and the teachers. The best advice would be to:

c. take child for a professional psychosocial assessment

20. The school nurse discussing dental health with some first-grade children would emphasize:

c. the importance of brushing before bedtime

27. The child is involved in fantasy play when the child:

c. uses sandbox as sailboat

3. The question or statement made by a parent of an 11-year-old that indicates a need for better understanding of middle childhood development is:

d. "Let me help you to repaint the little birdhouse white so birds will come to it"

24. The Wechsler Intelligence Scale (WISC-V) for school-age children e has been administered to a group of 7-year-olds. The parents of one of the children ask why this test is being administered to these children. The best response is:

d. "This test can be used to predict school ability and future performance"

11. When a 16-year-old student tells her mother that she is going to go to work for 30 hours a week to earn money to buy a car, the most therapeutic response would be:

d. "Will working 30 hrs a week interfere with school?"

24. A parent has a 2 year old in the clinic for a well child checkup. Which statement by the parent would indicate the need for more instruction regarding child safety?

d. "we are using the car seat belt instead of a car seat now that the baby is older."

14. In the instruction about considerations relative to the use of car seats, the health-care worker lists that before a child should be allowed to sit in the front seat of a car, the child should be at least ____ years of age.

d. 13

5. Most children use sentences of five words by the age of:

d. 5 years

28. When considering the effect of culture on an adolescent, the health-care worker recognizes that culture:

d. affects the development of health beliefs and health-care practices.

9. When a 3-year-old spills his milk at the dinner table, he can be expected to:

d. blame his sibling for the accident

21. The school nurse presenting a sex-education class to a group of 14-year-olds would stress that the birth control method that can prevent STDs, if used correctly, is the:

d. condom

3. The health-care worker advising parents of an adolescent as to how to avoid conflict and rebellion as they instruct their child in healthy behaviors would suggest the approach of:

d. discussing expected guidelines in respectful manner with the adolescent

4. According to Piaget, magical thinking is the belief that:

d. dolls are real people

1. In middle childhood, the child's developing cognition is more focused on:

d. fact

21. According to Freud, the child is in a period of latency during middle childhood, which is characterized by:

d. identification with the parent of same sex

9. The health-care worker reminds a group of parents of adolescents that as they find their own identity, adolescents will demonstrate:

d. less emotional dependence on parents

23. According to Kohlberg, the development of _________ _____________ occurs as cognitive function matures and the school-age child learns to understand rules and to determine if an action is right or wrong.

d. moral reasoning

9. The school nurse is to begin teaching sex education to children in the fifth grade. The nurse should plan to:

d. preset sex as normal part of growth and development

17. When an adolescent boy tells the health-care worker that he has recently had a homosexual encounter with his best friend, the response should be based on knowledge that this event suggests that the adolescent:

d. should be encouraged to discuss this event.

15. Frequent spankings as a discipline technique can:

d. teach violent behavior

28. School-age children are at risk for disturbances in nutrition related to:

d. tendency to neglect breakfast in a rush to get to school.

26. According to Kohlberg's moral development, the 15-year-old adolescent is motivated by:

d. the need to confirm and please others

21. The toddler is vulnerable to ear infections because:

d. there is a short, straight internal ear canal leading to the oropharynx.