CP+ : Ch. 19 - Care of the School-Age Child

the nurse is providing anticipatory guidance to a parent of an 8-year-old girl whose weight is 65 lb (29.5 kg) and height is 50.5 in (128.3 cm) - which statement by the parent demonstrates the need for further teaching?

"Based on my child's weight and height, I should be concerned my child is overweight."

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 an 8-year-old boy report their son is being bullied and teased by a group of boys in the neighborhood - which response by the nurse is best?

"Bullying can have lifelong effects on the self-esteem of a child."

an 11-year-old child continually is late for the bus, resulting in asking if it is 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 child come in for a conference so we can discuss this situation?"

the nurse is taking a health history for a 12-year-old child whose BMI is greater than 30 - which general question should the nurse ask the child's parents?

"Is there a family history of hypertension, heart disease, or diabetes?"

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."

the parents of a 10-year-old tell the clinic nurse that they are concerned because they noticed that their child has gained about 10 pounds over the past 2 years - what is the best response by the nurse?

"Normal growth and development for this age results in an average weight gain of 7 pounds 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."

during a visit to the nurse practitioner for a sports physical, the father of a 9-year-old boy tells you that there is no need for his son to engage in physical activity because he plays soccer in the local soccer league - which response by the nurse would be most appropriate?

"Organized sports should serve as complementary activities and not replace activity."

after teaching the parents of a 9-year-old child about safety, which statement indicates the need for additional teaching?

"Our child can ride in the front seat of the car once reaching 10 years of age."

a 7-year-old child has taken money from a sibling's dresser on two occasions - when counseling the parent about this behavior, what would the nurse advise?

"You may need to remind your child about property rights."

the nurse is caring for a 10-year-old girl and is trying to obtain clues about the child's state of physical, emotional, and moral development - which question is most likely to elicit the desired information?

"Tell me about your favorite activity at school?"

the nurse is performing a health history on a 6-year-old child who is having trouble adjusting to a new school - which question will elicit valuable information?

"What are your new classmates like?"

a female child has been diagnosed with precocious puberty at the age of 8 - which of the following would be an important teaching priority to tell the parents?

"Your daughter is physically able to become pregnant."

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?

- 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

the nurse at a hospice care facility is caring for a 13-year-old adolescent - which intervention best meets the needs of this adolescent?

urging the client to invite friends to visit

the school nurse is planning a class on menstruation for school-age girls - in order for the teaching to be most effective, which grade level would be best for the nurse to plan this class?

5th grade

the school nurse is teaching a class on sports injuries - what information is most important for the nurse to teach?

vary the sports to prevent use injuries.

the nurse providing anticipatory guidance to a group of parents with children in primary school understands the need for further education when which statement is made by one of the parents?

I should encourage my child to participate in 60 minutes of exercise at least 3 times per week (should be daily)

the nurse is conducting a support group for parents of 9- and 10-year-olds; the parents express concern about the amount of time their children want to spend with friends outside the home - what should the nurse teach the parents that peer groups provide?

a sense of security as children gain independence

while treating a minor playground injury for an 8-year-old girl, the school nurse discovers that the injury was the result of bullying - what should be the nurse's first action?

assess the situation with the help of the school staff and parents.

brad is 8 years old and comes to the doctor with a cough- the diagnosis of pertussis is suspected because of what symptom?

brad has a high-pitched inspiratory cough

the nurse is performing an annual check-up for an 8-year-old child; compared to the previous assessment of this child, which characteristic would likely be observed?

breathing is diaphragmatic - replaces abdominal breathing

what foods could a parent provide that would be the most beneficial to support healthy dentition for a school-aged child?

fish, spinach salad and a glass of milk

the nurse wishes to use a distraction technique when administering an injection to an anxious school-aged child - which technique should the nurse implement?

have the child blow bubbles

a 9-year-old boy has arrived for a health maintenance visit - which milestone of physical growth should the nurse expect to observe?

lymphatic tissue growth is complete, providing greater resistance to infections.

the nurse is monitoring a playgroup of children on the pediatric unit - the nurse predicts the school-age child will most likely be participating in which activity?

painting pictures in the art corner of the room

a mother tells the nurse she is having difficulty getting her 6-year-old to do chores - based on the child's developmental level, what activity would be best for the nurse to recommend to the mother?

putting books on a shelf

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 nurse is providing anticipatory guidance for parents of a school-age child on teaching the dangers of drugs and alcohol - what advice might be helpful for these parents?

school-age children can think critically to interpret messages seen in advertising, media, and sports.

the nurse is assessing a 9-year-old girl during her well-child checkup and notes the child weighs 86 lb (39 kg) - after noting she weighed 9.5 lb (4.30 kg) at birth and her growth has been within normal patterns, the nurse determines this girl is within which category?

slightly overweight

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 (they do not have their 3rd molars yet)

which action by a 7-year-old child best demonstrates development of decentration?

the child is able to recognize other people's point of view.

the nurse is conducting family teaching with the caregivers of school-age children on various topics - which of the following statements is most accurate?

the child should have fluoride applied to his or her teeth at least twice a year.

the nurse is providing anticipatory guidance for a 7-year-old and the parent - which change in attitude may the parents identify throughout this school year?

the child wants to perform well

the nurse is performing a physical assessment of an 11-year-old male child - the nurse notes that during last year's checkup the child weighed 80 lb (36.3 kg) - which assessment finding at this year's check-up is concerns the nurse?

weight in the 5th percentile

a 7-year-old seen in the clinic for a routine well-child visit is noted on assessment to have gained 5 lb (2.26 kg) and grown 5 in (12.70 cm) over the past year - the nurse determines this child is within which parameters?

weight is within expected range and height is above expected range.