NUR 236 PrepU Chapter 28: Growth and Development of the School-Age Child
An 8-year-old boy's foster mother is concerned about three recent cavities found in his permanent teeth and reports the child eats a nutritional diet, doesn't eat junk food, and the town water supply is fluoridated. Which suggestion should the nurse prioritize to this mother in regard to the child's dental health?
Ensure that the child brushes his teeth after each meal and snacks.
The mother of a 7-year-old girl is asking the nurse's advice about getting her daughter a 2-wheel bike. Which response by the nurse is most important?
"Be sure to get the proper size bike."
A parent brings a 6-year-old to the clinic and informs the nurse that the child is tired all the time, even though the child sleeps 7 to 8 hours each night. What is the best response by the nurse?
"Your child should be getting 11 to 12 hours of sleep per night with some quiet time after school."
A nurse is discussing a 9-year-old girl's obesity with her parents. Which nursing instructions are helpful? Select all that apply.
Decrease intake of approximately 1,200 calories a day Limit time spent on sedentary activity Participate in a formal weight-control program Encourage fun exercise classes
While observing a group of 9-year-old children at school, the nurse is concerned that one of the children is not cognitively developing according to Piaget's stage of concrete-operational thought processes. With which activity is the nurse concerned?
does not understand the phrase "slow as molasses" when used by the teacher
The developmental task of the school-aged period, according to Erikson, is gaining a sense of:
industry versus inferiority.
The nurse is reviewing the medical record for a child who is being seen for concerns about school attendance. The health care provider has noted the child has "school phobia." What behavior(s) may be noted in a child experiencing this phenomenon? Select all that apply.
reports of fear during the time school is attended demonstrates negative behaviors before school chronically late for school or school activities
The school nurse is monitoring children as they arrive at school riding their bicycles. Which child(ren) should the nurse speak with about their riding habits? Select all that apply.
the child who is wearing flip flops when riding the bicycle to school the child who is wearing a book bag hanging off one shoulder the child who is wearing a stocking cap under the helmet during cold weather
An 8-year-old male child is being seen for a well-child visit. His weight at his visit last year was 50 lb (22.7 kg) and his height was 47 in (119 cm). If he is developing normally, which finding will the nurse expect to note this year?
Height 49.5 in (124 cm)
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 nurse is talking with the parents of an 8-year-old child who has been cheating at school. Which comment by the nurse would be appropriate as a first step?
"Be sure the adults in the child's life, including you, as parents, demonstrate positive behavior."
The parents of a 7-year-old girl report concerns about her seemingly low self-esteem. The parents question how self-esteem is developed in a young girl. Which response by the nurse is best?
"Your daughter's self-esteem is influenced by feedback from people they view as authorities at this age."
The nurse is caring for a 7-year-old child who will be in the hospital for several weeks. Which action by the nurse will facilitate the child's psychosocial development?
Encourage the child to complete school work and provide guidance.
The parent of a 12-year-old child reports the child does not have high self-esteem. The parent asks for suggestions to increase feelings of self-worth. What activity(ies) would be appropriate for the nurse to suggest? Select all that apply.
Encourage the child to develop new skills. Recommend the child begin to participate in after-school activities. Recommend the child investigate opportunities for volunteering at local charities.
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 teaching a group of school-aged children about physical development. Which statement made by one of the children indicates the correct understanding of the teaching?
"Girls typically experience a rapid growth spurt before boys."
The nurse is educating a group of parents about childhood nutrition, specifically caloric needs. Which statement, when made by a parent, indicates teaching was successful?
"My 12-year-old child, who plays soccer, needs to consume no more than 2,000 calories a day to maintain good health."
A hospitalized 7-year-old is recovering from a head injury. Occupational therapy has been ordered to assist the child in regaining eye/hand coordination. If the child cannot master this skill, what feelings may arise?
A feeling of inferiority
The nurse at an elementary school is explaining the concept of industry versus inferiority to a group of nursing students. What is part of this stage of Erikson's theory?
A sense of competence, mastery, and worth
The nurse is taking a health history for a 12-year-old boy who is seriously overweight. Which general question would the nurse direct to the child's parents?
"Is there a family history of hypertension, heart disease, or diabetes?"
A parent calls the health care provider about the 7-year-old child's dental hygiene. The child has had three cavities. The parent does not know what to do and asks the nurse for guidance. How should the nurse respond?
"Are you able to supervise your child's brushing?"
During a routine wellness examination, the nurse is trying to determine how well a 5-year-old boy communicates and comprehends instructions. What is the best specific trigger question to determine the preschooler's linguistic and cognitive progress?
"How well does your son communicate or follow instructions?"
The nurse is teaching a group of school-age children about physical development. Which statement made by one of the children indicates the correct understanding of the teaching?
"I will grow an average of 2.5 in (6.5 cm) per year."
The nurse is caring for a 6-year-old child. During the course of a routine wellness examination, the parent proudly reports that the child eats whatever the parent puts on the plate. The nurse wants to emphasize the importance of allowing the child to make some choices regarding the types of foods eaten. How should the nurse communicate this to the parent?
"Now is the time to let your child choose some of the meals."
A nurse is caring for a hospitalized 7-year-old child whose family members have been unable to visit for 2 days. The nurse is preparing a diversional activity for the child. Which activity would best be suited for a child in this age group?
A paint-by-numbers activity creating a picture
The nurse has taken a health history and performed a physical exam for a 12-year-old boy. Which finding is the most likely?
The child has a leaner body mass than a girl at this age.
The school-age child develops the ability to recognize that if a block of clay is in a round ball and then is flattened, the shape changes but not the amount of clay. What understanding has this child developed?
conservation
A 9-year-old child is feeling conflict from seeing other children in her class engaging in behaviors she senses are not appropriate. When making decisions about what actions are most appropriate, a child of this age will rely most heavily on which party of influence?
parents
During a well-child check at the ambulatory clinic, the mother of a 10-year-old boy reports concerns about her son's frequent discussions about death and dying. Based upon knowledge of this age group, the nurse understands that:
preoccupation with death and dying is common in the school-aged child.
