PEDS QUIZ 1 CHAPTER 28
The parents of an 11-year-old child ask the nurse for suggestions to promote good nutrition for their child. Which response by the nurse would be most appropriate?
"Use whole-grain or enriched breads and cereals."
The nurse is using the formula for bladder capacity to measure the bladder capacity of a 9-year-old girl. What number would the nurse document for this measurement?
11 ounces
The nurse is performing a physical assessment of a 10-year-old boy. The nurse notes that during last year's check-up the child weighed 80 pounds. According to average growth for this age group, what would be his expected current weight?
85 pounds
The pediatric nurse is aware of the maturation of organ systems in the school-age child. Which of the following accurately describe these changes? Select all answers that apply.
B) Respiratory rates decrease, abdominal breathing disappears, and respirations become diaphragmatic in nature. C) The school-age child's blood pressure increases and the pulse rate decreases, and the heart grows more slowly during the middle years. E) Bladder capacity increases, but varies among individual children, and girls generally have a greater bladder capacity than boys. F) Prepubescence typically occurs in the 2 years before the beginning of puberty and is characterized by the development of secondary sexual characteristics.
The school nurse is teaching parents about the effects of bullying on school children. Which of the following accurately describes this developmental concern?
Both boys and girls are bullied; boys usually bully boys and use force more often.
The nurse is teaching the parents of a 9-year-old girl about the socialization that is occurring in their child through school contacts. Which of the following information would the nurse include in her teaching plan?
Continuous peer relationships provide the most important social interaction for school-age children.
The nurse has determined that an 8-year-old girl is at risk for being overweight. Which of the following interventions would be a priority prior to developing the care plan?
Interviewing the parents about their eating habits
The parents of an 8-year-old boy are interested in promoting learning through reading to their son. Which of the following suggestions by the nurse would best promote this goal?
Take the child to the library to check out some books.
The school nurse providing school health screenings knows that the 7- to 11-year-old is in Piaget's stage of concrete operational thoughts. Which of the following should this age group accomplish when developing operations? Select all answers that apply.
A) Ability to assimilate and coordinate information about the world from different dimensions B) Ability to see things from another person's point of view and think through an action C) Ability to use stored memories of past experiences to evaluate and interpret present situations F) Ability to understand the principle of conservation—that matter does not change when its form changes
Which of the following would the nurse most likely find in a 10-year-old child in the period of concrete operational thought?
Ability to classify similar objects
During a well-child check-up, the parents of a 9-year-old boy tell the nurse that their son's friends told him that soccer is a stupid game, and now he wants to play baseball. Which comment by the nurse best explains the effects of peer groups?
"Acceptance by friends, especially of the same sex, is very important at this age."
The school nurse is conducting vision screening for a 7-year-old girl and documents the condition "amblyopia." What would the nurse tell the parents about this condition?
"Amblyopia is reduced vision in an eye that has not been adequately used during early development."
After teaching the parents of a 9-year-old girl about safety, which statement indicates the need for additional teaching?
"She can ride in the front seat of the car once she is 10 years old."
The nurse is providing anticipatory guidance for parents of a school-age child on teaching the dangers of drugs and alcohol. Which of the following advice might be helpful for these parents?
School-age children can think critically to interpret messages seen in advertising, media, and sports.
The nurse knows that the school-age child is in Erikson's stage of industry versus inferiority. Which of the following is the best example of a school-ager working toward accomplishing this developmental task?
The child signs up for after-school activities.
The nurse is teaching parents to plan nutritional meals for their son who is overweight. Which of the following guidelines might the nurse include in the teaching plan?
The school-age child needs 28 g of protein and 800 mg of calcium for maintenance of growth and good nutrition.
The nurse is assessing the gross motor skills of an 8-year-old boy. Which of the following interview questions would facilitate this assessment?
"Do you participate in any sports?"
The nurse is performing an annual check-up for an 8-year-old child. Compared to the previous assessment of this child, which of the following characteristics would most likely be observed?
Breathing is diaphragmatic.
The nurse is talking with a chatty 7-year-old girl during her regular check-up. Which of the following behaviors would the child also be expected to exhibit?
Explaining what is right and what is wrong
The nurse is caring for a 7-year-old girl who is scheduled for a hernia repair and is very scared. Which of the following fears would she also most likely have at this age?
Fear of being kidnapped
The nurse is counseling the parents of a 10-year-old child who was caught stealing at school. Which of the following topics should the nurse cover?
Finding out what is currently going on at home
The school nurse is preparing a talk on the influence of the media on school-age children to present at the next PTO meeting. Which of the following facts might the nurse include in the introduction?
Parents should limit television watching and video-game playing to 2 hours per day.
When providing anticipatory guidance to a group of parents with school-aged children, which of the following would the nurse describe as the most important aspect of social interaction?
Peer relationships
Two working parents are discussing with the school nurse the possibility of their 12- year-old girl going home alone after school. Which of the following suggestions should the nurse make?
Purchase caller ID for the phone.
The mother of a 7-year-old girl tells the school nurse that her child is deathly afraid of going to school. What would be the best intervention the nurse could suggest in this situation?
Return the child to school and investigate the cause of the fear.
The nurse is preparing a presentation for a local parent-teacher organization about the growth and development of school-age children. Which of the following would the nurse include?
Secondary sex characteristics are often embarrassing for both sexes.
A mother brings her 6-year-old son in for a check-up because the child is complaining of stomachaches. It is the beginning of the school year. Which of the following might the mother also mention?
The child cries before going to school.
The school nurse knows that school-age children are developing metalinguistic awareness. Which of the following is an example of this skill?
The child enjoys telling jokes.
The nurse is performing a physical examination of an 11-year-old girl. Which of the following observations would be expected?
The child has grown 3 inches since last year.
The nurse explains to parents of school-age children that according to Kohlberg's theory of moral development, their child is at the conventional stage of moral development. What is the motivation for school-age children to follow rules?
They follow rules out of a sense of being a "good person."
