Maternal/Child Exam 4

The nurse points out that prior to a big exam, what is the best breakfast to provide high levels of alertness and increase memory? Select all that apply.

-Whole grain cereal and yogurt -Oatmeal and sliced apples

The school nurse is planning a program for girls about the physical changes of puberty; this program should be directed to girls of the age of ____ years.

10

Which age category is characterized by disorganization and children who are intense, observant, all-knowing, energetic, meddlesome, and argumentative?

11-12 years

At what age do children begin to have refined motor skills, such as success in cutting with scissors?

4 years

At what age do the child's arms and hands seem to grow faster than the rest of their body?

8 years old

A parent comments that her adolescent daughter seems to be daydreaming a lot. The nurse understands that this behavior indicates she is:

Mentally preparing for real situations.

A 13-year-old girl tells the school nurse that she is getting fat, especially in her hips and legs. The understanding by the nurse that would best guide the response is:

Puberty is often preceded by fat deposits in these areas.

One psychosocial task of adolescence on which the nurse must focus when planning care is the development of a sense of:

identity

The nurse planning a safety program for high school students should understand that most accidental deaths in adolescence are related to:

automobiles

Which of the following activities demonstrates that a school-age child is working toward a healthy achievement of Erikson's developmental task of industry? The child:

brings home completed school work to show parents

When planning to answer a 16-year-old girl's questions about menstruation, the nurse must consider cognitive development. According to Piaget, the cognitive aspect that is developed during adolescence is the ability to:

consider hypothetical situations

A girl tells the nurse that she and her best friend belong to the popular clique. She states, "I love lady Gaga, and I want to be a singer." The nurse recognizes the girl's statement as characteristic of peer relationships in:

early adolescence

One of the best ways to promote the mastery of language in the preschool child is to

engage in interactive reading

When assessing a 13-year-old boy, the nurse would keep in mind physical changes in the pubertal male begin with:

enlargement of testicles

Estrogens

female hormones

Growth spurt

final 20% of mature height is achieved

The nurse is assessing a school-age child. What will the nurse expect in regard to physical development of this child?

gain 5 to 7 pounds per year

The nurse understands that the adolescent's avid sexual orientation to be based on Freud's theory, which describes adolescence as the ______ stage.

genital

The nurse is planning care of an adolescent. What psychosocial task does the nurse understand is important for the adolescent to develop? A sense of:

identity

An adolescent's parent comments, "My son seems so preoccupied with his appearance these days. Is this normal?" The nurse's best response would be:

"His preoccupation with his looks is quite normal."

A 16-year-old excitedly tells his parents that he was offered a part-time job. Which response represents an effective problem-solving approach for his parents?

"How do you think you will manage your school-work and a job?"

The nurse suggests the use of "I" messages to communicate a parent's feeling to an adolescent. The most appropriate example of "I" message is:

"I am your mother, and I insist that you observe your curfew."

The statement made by a parent indicating understanding about helping a 13-year-old manage his allowance is:

"I set amounts he can earn for particular chores."

A 13-year-old boy states, "The girls in my class tower over me." The nurse's most informative response would be:

"It may seem that way because girls have a growth spurt 2 years earlier than boys."

The nurse considers what "rites of passage" valued by the adolescent in American society? Select all that apply.

-Attaining legal drinking age -Obtaining a driver's license -High school graduation

The nurse explains that the restlessness seen in the adolescent is, in part, attributable to what? Select all that apply.

-Drive to be accepted by society as an individual -Urge for independence -Establishment of a personal identity -Intense libido -Rapid body changes

What does including play in the plan of care for a 5-year-old allow the child to do? Select all that apply.

-Exercise his/her imagination -Assume a role and act it out -offer an emotional outlet -Interact with other children

A mother confides in the school nurse that she witnessed her son kissing another boy. On which of these concepts should the nurse base his reply? Select all that apply.

-Homosexual behavior in adolescents is not uncommon. -Adolescents often desire to explore alternative lifestyles.

The school nurse is preparing an educational program for new teachers regarding school-age children. What information is accurate for the nurse to include? Select 3 that apply.

-Participation in group activity increases -Thinking is logical -Understand cause and effect

Restlessness in adolescence is most likely attributed to which changes? Select all that apply.

-Urge for independence -Establishment of personal identity -Intense libido -Drive to be accepted by society as an individual

The nurse using the PACE interview guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent client. How would the nurse interpret this score?

Indication for a professional referral

The nurse using the PACE interview for guide for persons at risk for substance abuse arrives at a score of 2 for an adolescent patient. The nurse should assess this score as:

Indication for referral for counseling.

The nurse is planning to reinforce education about nutrition to fourth-grade students. Which of the following is true about school-aged children?

They can think logically and concretely

Foods that would be a healthy choice for an adolescent who just finished playing in a strenuous game would be:

a bagel and skim milk

The nurse is leading a discussion group with parents of adolescents. One parent comments, "My son can't do anything without checking with his friends first. My opinion doesn't count anymore." The nurse would formulate a response on the knowledge that this behavior is:

a normal phenomenon during adolescence

The nurse points out to a group of parents that the most positive developmental significance of a peer group to the adolescent is that the group serves as a(n):

initial separation from family

With regard to a preschooler's elementary school success, what would be the signal that a problem is occurring due to the perceptual process?

letter confusion

Androgens

male hormones

The nurse suggests a good dietary source of zinc for an adolescent who is a vegetarian would be:

nuts

What can the nurse suggests as a good dietary source of zinc for an adolescent who is a vegetarian?

nuts

The nurse explains that adolescent acne is the result of:

oily skin

The nurse is assessing a child between 3 and 5 years of age. Which of the following findings would indicate a need for follow-up?

pulse rate of 50 beats per minute

sexual maturity rating: 1

represents the prepubertal child

Luteinizing hormone (LH)

this hormone maintains testosterone levels in boys

A nurse compares a preschooler's height and weight with standard growth charts and finds the child to be in the 50th percentile for height and in the 25th percentile for weight. The nurse interprets these findings as indicating that the child is:

typical height and weight