Perry/Hockenberry chapter 34. The School-Age Child and Family
6. A 3-month-old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her hands; however, she will not voluntarily grasp it. How should the nurse interpret this behavior?a. Normal developmentb. Significant developmental lagc. Slightly delayed development caused by prematurityd. Suggestive of a neurologic disorder such as cerebral palsy
A
8. A group of boys ages 9 and 10 years have formed a "boys-only" club that is open to neighborhood and school friends who have skateboards. How should this behavior be interpreted?a. Behavior that encourages bullying and sexism.b. Behavior that reinforces poor peer relationships.c. Characteristic of social development of this age.d. Characteristic of children who later are at risk for membership in gangs.
C
9. At which age can most infants sit steadily unsupported?a. 4 monthsb. 6 monthsc. 8 monthsd. 10 months
C
A group of boys ages 9 and 10 years have formed a "boys-only" club that is open to neighborhood and school friends who have skateboards. This should be interpreted as:a. Behavior that encourages bullying and sexism.b. Behavior that reinforces poor peer relationships.c. Characteristic of social development of this age.d. Characteristic of children who later are at risk for membership in gangs.
C
6. An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." She shares her concern that, if she dies, she will go to hell. How should the nurse interpret this belief?a. It is a belief common at this age.b. It is a belief that forms the basis for most religions.c. The belief is suggestive of excessive family pressure.d. The statement suggests a failed attempt to develop a conscience.
A
7. The nurse determines an infant of 7 months is demonstrating appropriate fine motor development when performing which action?a. Transferring a rattler from one hand to the other.b. Using thumb and index finger to grasp a piece of food.c. Holding a crayon and make a mark on paper.d. Releasing cubes into a cup.
A
8. In terms of gross motor development, what hallmark action should the nurse identify for the parents of a 5-month-old infant to anticipate?a. Roll from abdomen to back.b. Roll from back to abdomen.c. Sit erect without support.d. Move from prone to sitting position.
A
A 9-year-old girl often comes to the school nurse complaining of stomach pains. Her teacher says that she is completing her schoolwork satisfactorily, but lately she has been somewhat aggressive and stubborn in the classroom. The school nurse should recognize this as:a. Signs of stress.b. Developmental delay.c. A physical problem causing emotional stress.d. Lack of adjustment to the school environment.
A
A child has an evulsed (knocked-out) tooth. In which medium should the nurse instruct the parents to place the tooth for transport to the dentist?a. Cold milk c. Warm salt waterb. Cold water d. A dry, clean jar
A
An 8-year-old girl tells the nurse that she has cancer because God is punishing her for "being bad." She shares her concern that, if she dies, she will go to hell. The nurse should interpret this as being:a. A belief common at this age.b. A belief that forms the basis for most religions.c. Suggestive of excessive family pressure.d. Suggestive of a failure to develop a conscience.
A
Teasing can be common during the school-age years. Which of the following does the nurse recognize as applying most to teasing?a. Can have a lasting effect on childrenb. Is not a significant threat to self-conceptc. Is rarely based on anything that is concreted. Is usually ignored by the child who is being teased
A
The ability to mentally understand that 1 + 3 = 4 and 4 - 3 = 1 occurs in which stage of cognitive development?a. Concrete operations stage c. Intuitive thought stageb. Formal operations stage d. Preoperations stage
A
Which activity is most appropriate for developing fine motor skills in the school-age child?a. Drawing c. Soccerb. Singing d. Swimming
A
Which statement characterizes moral development in older school-age children?a. They are able to judge an act by the intentions that prompted it rather than just by the consequences.b. Rules and judgments become more absolute and authoritarian.c. They view rule violations in an isolated context.d. They know the rules but cannot understand the reasons behind them.
A
Which behavior by parents or teachers will best assist the child in negotiating the developmental task of industry?a. Identifying failures immediately and asking the child's peers for feedbackb. Structuring the environment so the child can master tasksc. Completing homework for children who are having difficulty in completing assignmentsd. Decreasing expectations to eliminate potential failures
B
Which statement accurately describes physical development during the school-age years?a. The child's weight almost triples.b. A child grows an average of 2 inches per year.c. Few physical differences are apparent among children at the end of middle childhood.d. Fat gradually increases, which contributes to the child's heavier appearance.
B
Which statement best describes fear in school-age children?a. They are increasingly fearful for body safety.b. Most of the new fears that trouble them are related to school and family.c. They should be encouraged to hide their fears to prevent ridicule by peers.d. Those who have numerous fears need continuous protective behavior by parents to eliminate these fears.
B
4. A nurse teaches parents that team play is important for school-age children. Which abilities can children develop by experiencing team play? (Select all that apply.)a. Achieve personal goals over group goals.b. Learn complex rules.c. Experience competition.d. Learn about division of labor.
BCD
A nurse teaches parents that team play is important for school-age children. Which can children develop by experiencing team play (select all that apply)?a. Achieve personal goals over group goals.b. Learn complex rules.c. Experience competition.d. Learn about division of labor.
BCD
3. A nurse is conducting education classes for parents of infants. The nurse plans to discuss sudden infant death syndrome (SIDS). Which risk factors should the nurse include as increasing an infant's risk of a SIDS incident? (Select all that apply.)a. Breastfeedingb. Low Apgar scoresc. Male sexd. Birth weight in the 50th or higher percentilee. Recent viral illness
BCE
4. What describes moral development in younger school-age children?a. The standards of behavior now come from within themselves.b. They do not yet experience a sense of guilt when they misbehave.c. They know the rules and behaviors expected of them but do not understand the reasons behind them.d. They no longer interpret accidents and misfortunes as punishment for misdeeds.
C
A nurse is teaching parents of first-grade children general guidelines to assist their children in adapting to school. Which statement by the parents indicates they understand the teaching?a. "We will only meet with the teacher if problems occur."b. "We will discourage hobbies so our child focuses on schoolwork."c. "We will plan a trip to the library as often as possible."d. "We will expect our child to make all As in school."
C
A nurse planning care for a school-age child should take into account that which thought process is seen at this age?a. Animism c. Ability to conserveb. Magical thinking d. Thoughts are all-powerful
C
Generally the earliest age at which puberty begins is:a. 13 years in girls, 13 years in boys.b. 11 years in girls, 11 years in boys. c. 10 years in girls, 12 years in boys.d. 12 years in girls, 10 years in boys.
C
Identify the statement that is the most accurate about moral development in the 9-year-old school-age child.a. Right and wrong are based on physical consequences of behavior.b. The child obeys parents because of fear of punishment.c. The school-age child conforms to rules to please others.d. Parents are the determiners of right and wrong for the school-age child.
C
What describes moral development in younger school-age children?a. The standards of behavior now come from within themselves.b. They do not yet experience a sense of guilt when they misbehave.c. They know the rules and behaviors expected of them but do not understand the reasons behind them.d. They no longer interpret accidents and misfortunes as punishment for misdeeds.
C
10. What is the characteristic of dishonest behavior in children ages 8 to 10 years?a. Cheating during games is now more common.b. Lying results from the inability to distinguish between fact and fantasy.c. They may steal because their sense of property rights is limited.d. They may lie to meet expectations set by others that they have been unable to attain.
D
What is characteristic of dishonest behavior in children ages 8 to 10 years?a. Cheating during games is now more common.b. Lying results from the inability to distinguish between fact and fantasy.c. They may steal because their sense of property rights is limited.d. They may lie to meet expectations set by others that they have been unable to attain.
D
Which behavior is not normally demonstrated in the 8-year-old child?a. Understands that his or her point of view is not the only oneb. Enjoys telling riddles and silly jokesc. Understands that pouring liquid from a small to a large container does not change the amountd. Engages in fantasy and magical thinking
D
Which comment is most developmentally typical of a 7-year-old boy?a. "I am a Power Ranger, so don't make me angry."b. "I don't know whether I like Mary or Joan better."c. "My mom is my favorite person in the world."d. "Jimmy is my best friend."
D
Parents of a 12-year-old child ask the clinic nurse, "How many hours of sleep should our child get?' The nurse should respond that 12-year-old children need how many hours of sleep at night?a. 8 c. 10b. 9 d. 11
B
Which of the following interview questions asked by the nurse is best directed at assessing a common symptom of chlamydia?1. "Do you have any sores on your genitals (privates)?"2. "Remember that a fever can be a sign of this sexually transmitted disease (STD)."3. "Have you been experiencing any problems with urinating (making your water)?"4. "If you notice a red rash on your perineal area (between your legs) notify your doctor."
3
Parents report to the school nurse that their child is hesitant to play with other kids in school. During the assessment, the nurse instructs the parents to avoid giving high-calorie foods to their child. What condition is the nurse helping the parents control? The child:1. Has gained too much weight.2. Spends a lot of time sleeping.3. Received low grades in school.4. Watches too much television.
1
The nurse is aware that sexuality is part of growth and development. The preschooler's interest in gender sexuality is characterized by an interest in:1. Exploring his or her own genitalia2. Learning how and why his or her anatomy differs from other children3. Playing and developing friendships with children of the opposite sex4. Spending most of his or her time with the parent of the opposite sex
1
The nurse is counseling a woman who has multiple sexual partners and has recently been diagnosed with the human papillomavirus (HPV). The importance of regularly scheduled Pap smears is discussed primarily because:1. This woman has a high risk for cervical cancer2. Her sexual practices also put her at risk for HIV3. This woman's age puts her at risk for uterine cancer4. Regular screening results in improved client outcomes
1
Which of the following statements made by a client concerning birth control requires immediate correction by the nurse?1. "My partner is responsible for our birth control; he uses a condom."2. "I've gained some weight so I should have my diaphragm refitted."3. "My husband is reluctant to have a vasectomy since it is permanent."4. "I prefer the cervical cap since I can leave it in for a longer period of time."
1
A school nurse is responsible for teaching adolescents about sexually transmitted diseases (STDs). When discussing chlamydia, the nurse instructs the students that it is:1. A viral infection that cannot be cured2. Treated with a full course of antibiotics3. Contracted via blood-borne exchange4. Prevented with the use of spermicidals
2
When teaching injury prevention during the school-age years, the nurse should include:a. Teaching the need to fear strangers.b. Teaching basic rules of water safety.c. Avoiding letting children cook in microwave ovens.d. Cautioning children against engaging in competitive sports.
B
Which of the following sexually transmitted diseases (STDs) are considered curable with antibiotic treatment? (Select all that apply.)1. Syphilis2. Gonorrhea3. Chlamydia4. Genital warts 5. Genital herpes6. Pelvic inflammatory disease (PID)
1236
Which of the following conditions should the nurse discuss as possible outcomes of untreated chlamydia with a client newly diagnosed with the disease? (Select all that apply.)1. Infertility2. Uterine cancer3. Ectopic pregnancy4. Neonatal complications5. Pelvic inflammatory disease (PID)6. Human immunodeficiency virus (HIV)
1345
The nurse who is discussing safe sex with a group of teenage students must realize that safe sex practice includes: (Select all that apply.) 1. Having sex with only partners you know well2. Willingness to resist peer pressure to have sex3. Insisting upon the use of barrier protective devices4. An understanding that the goal is to prevent the spread of STDs 5. Openly discussing a history of STDs (sexually transmitted diseases)6. Not making the decision to be sexually active while using drugs or alcohol
13456
When discussing sexually transmitted diseases (STDs) with a group of college students, the nurse identifies which of the following as the more common signs and symptoms? (Select all that apply.)1. Fever2. Joint pain3. Genital rash4. Anal discharge5. Genital lesions6. Painful urination
1456
29. Parent guidelines for relieving colic in an infant include:a. avoiding touching the abdomen.b. avoiding using a pacifier.c. changing the infant's position frequently.d. placing the infant where the family cannot hear the crying.
C
Parents reports to the nurse that their 12-year-old child resists going to bed at night. Which advice does the nurse give to the parents to help the child go to bed on time?1. "Allow the child to go to bed at a later time."2. "Promote daytime naps on a daily basis."3. "Promote reading a book before bedtime."4. "Urge video game playing before bedtime."
2
The nurse advises a working single parent to enroll his or her child in an after-school program. What could be the reason behind the nurse's advice? The child:1. Fails to have snacks available.2. May be lonely and fearful.3. Has a developmental disorder.4. Prefers to spend time outdoors.
2
The nurse has completed an assessment on an adult male client and finds that he is having difficulty having an erection and has less interest in sex. The nurse notes that the client has recently started taking an antihypertensive medication. A nursing diagnosis of sexual dysfunction related to side effects of antihypertensive is identified by the nurse. An appropriate outcome for this client is:1. Client will avoid taking medication before intercourse2. Client will relate renewed interest in sex within 1 month3. Client will be interviewed by a sexual therapist immediately4. Client will seek out other satisfying substitute activities or hobbies
2
The nurse is putting together a presentation on the prevention of sexual abuse. She should incorporate which of the following?1. Abusers fit into easily identified, classic profiles.2. Intensity is generally increased during pregnancies.3. Sexual abuse is found primarily in lower socioeconomic groups.4. Most of the incidents occur with strangers or unknown assailants.
2
The nurse knows that when a society or culture supports sexual abstinence outside of marriage, it avoids providing sex education to its children because it is believed that to do so would:1. Erode traditional family values 2. Promote premarital sexual activity3. Be too emotionally traumatic for both parent and child4. Put the child at an increased risk for disease and pregnancy
2
What is descriptive of the play of school-age children?a. Individuality in play is better tolerated than at earlier ages.b. Knowing the rules of a game gives an important sense of belonging.c. They like to invent games, making up the rules as they go.d. Team play helps children learn the universal importance of competition and winning.
B
5. Which statement characterizes moral development in older school-age children?a. They are able to judge an act by the intentions that prompted it rather than just by the consequences.b. Rules and judgments become more absolute and authoritarian.c. They view rule violations in an isolated context.d. They know the rules but cannot understand the reasons behind them.
A
What information should the nurse include when giving parents guidelines about helping their children in school?1. Help children as much as possible with their homework.2. Punish children who fail to perform adequately.3. Communicate with teachers if there appears to be a problem.4. Accept responsibility for children's successes and failures.
3
A parent tells the nurse, "I am worried about my 13-year-old son. He hasn't started puberty, and my daughter did when she was 11 years of age." The nurse should explain to this parent that this is:1. unusual and requires further evaluation of the son.2. unusual because the onset of pubescence is usually the same in siblings.3. normal because the onset of pubescence is usually earlier in girls than it is in boys.4. abnormal because the onset of pubescence is usually earlier in boys than it is in girls.
3
Nursing interventions to promote health during middle childhood include:1. stressing the need for increased calorie intake to meet increased demands.2. instructing parents to defer questions about sex until the child reaches adolescence.3. educating the child and parents to the need for good dental hygiene because these are the years in which permanent teeth erupt.4. advising parents that the child will need decreasing amounts of rest toward the end of this period.
3
The nurse teaches progressive relaxation of muscle groups to a 12-year-old child. Which sign of stress is the nurse likely to find in the child?1. Calmness2. Enthusiasm3. Facial redness4. Bradycardia
3
The parents of an 8-year-old girl tell the nurse that their daughter wants to join a soccer team. The nurse's suggestions regarding participation in sports at this age should include:1. organized sports such as soccer are not appropriate at this age.2. competition is detrimental to the establishment of a positive self-image.3. sports participation is encouraged if the sport is appropriate to the child's abilities.4. girls should compete only against girls because at this age boys are larger and have more muscle mass.
3
31. Which consideration should be considered when planning care for an infant diagnosed with failure to thrive?a. Establishing a structured routine and follow it consistently.b. Maintaining a nondistracting environment by not speaking to the infant during feeding.c. Placing the infant in an infant seat during feedings to prevent overstimulation.d. Limiting sensory stimulation and play activities to alleviate fatigue.
A
The nurse is assessing a child who has frequent headaches. The nurse teaches breathing exercises to the child to help relieve the headaches. What condition in the child is the nurse trying to treat?1. Meningitis2. Asthma3. Influenza4. Stress
4
The nurse observes that a child is fidgety, restless, and easily distracted. What does the nurse interpret from these symptoms? The child:1. Has many of the signs and symptoms of dysgraphia.2. Demonstrates characteristics of conversion reaction.3. Exhibits signs of posttraumatic stress disorder (PTSD).4. May have attention deficit hyperactivity disorder (ADHD).
4
The nurse, after completion of an assessment in the medical clinic of a client, the nurse documents that the client has dyspareunia based on the client's experience of:1. Delay or absence of an orgasm2. Deficient or absent sexual desire3. Involuntary constriction of the vagina4. Recurrent genital pain during intercourse
4
The parents of a school-age child tell the nurse that to maintain proper nutrition, they give small amounts of food to the child every 2 hours after school. What advice does the nurse offer the child's parents to prevent stomach pain?1. "Let your child go outside and play after coming home from school."2. "Make sure that the child takes a nap after coming home from the school."3. "Do not give snacks to your child after coming home from school."4. "As children get older, they do not need to eat every 2 hours."
4
What is an important consideration related to childhood stress?1. Children should be protected from stress.2. Children do not have coping strategies.3. Parents cannot prepare children for stress.4. Some children are more vulnerable to stress than others.
4
33. With the goal of preventing plagiocephaly, the nurse should teach new parents to consider which intervention?a. Place the infant prone for 30 to 60 minutes per day.b. Buy a soft mattress.c. Allow the infant to nap in the car safety seat.d. Have the infant sleep with the parents.
A
4. By what age does the posterior fontanel usually close?a. 6 to 8 weeksb. 10 to 12 weeksc. 4 to 6 monthsd. 8 to 10 months
A
The most common characteristics shared by individuals most likely to contract a sexually transmitted disease (STD) are that they: (Select all that apply.)1. Use illegal drugs2. Possess poor reading skills3. Are economically deprived4. Have multiple sexual partners5. Have ineffective immune systems6. Frequently engage in unprotected sex
46
35. The nurse should teach parents that at what age it is safe to give infants whole milk instead of commercial infant formula?a. 6 monthsb. 9 monthsc. 12 monthsd. 18 months
C
2. In terms of gross motor development, what would the nurse educate the parents to expect a 5-month-old infant to do? (Select all that apply.)a. Roll from abdomen to back.b. Put feet in mouth when supine.c. Roll from back to abdomen.d. Sit erect without support.e. Move from prone to sitting position.
AB
11. A 9 year old often comes to the school nurse complaining of stomach pains. The teacher says that the child has lately been somewhat aggressive and stubborn in the classroom. What should the school nurse recognize as the possible trigger for these behaviors?a. Signs of stressb. Developmental delayc. A physical problem causing emotional stressd. Lack of adjustment to the school environment
A
14. The nurse is interviewing the father of 10-month-old. When the child, playing on the floor and notices an electrical outlet and reaches up to touch it, the father says "No" firmly and removes the child away from the outlet. The nurse should use this opportunity to teach the father that the child is capable of understanding what association?a. Understand the word "No."b. Father always means "No."c. Electrical outlets are dangerous.d. Spanking as a deterrent.
A
15. Sara, age 4 months, was born at 35 weeks' gestation. She seems to be developing normally, but her parents are concerned because she is a "more difficult" baby than their other child, who was term. The nurse should explain that:a. infants' temperaments are part of their unique characteristics.b. infants become less difficult if they are not kept on scheduled feedings and structured routines.c. Sara's behavior is suggestive of failure to bond completely with her parents.d. Sara's difficult temperament is the result of painful experiences in the neonatal period.
A
16. Which information could be given to the parents of a 12-month-old child regarding appropriate play activities for this age?a. Give large push-pull toys for kinesthetic stimulation.b. Place cradle gym across crib to facilitate fine motor skills.c. Provide child with finger paints to enhance fine motor skills.d. Provide stick horse to develop gross motor coordination.
A
17. The ability to mentally understand that 1 + 3 = 4 and 4 − 3 = 1 occurs in which stage of cognitive development?a. Concrete operations stageb. Formal operations stagec. Intuitive thought staged. Preoperations stage
A
17. Which is an appropriate play activity for a 7-month-old infant to encourage visual stimulation?a. Playing peek-a-boo.b. Playing pat-a-cake.c. Imitating animal sounds.d. Showing how to clap hands.
A
18. Which activity is most appropriate for developing fine motor skills in the school-age child?a. Drawingb. Singingc. Soccerd. Swimming
A
23. A child has an avulsed (knocked-out) tooth. In which medium should the nurse instruct the parents to place the tooth for transport to the dentist?a. Cold milkb. Cold waterc. Warm salt waterd. A dry, clean jar
A
23. The parents of a 4-month-old infant tell the nurse that they are getting a microwave oven and will be able to heat the baby's formula faster. What recommendations should the nurse provide the parents?a. Never heat a bottle in a microwave oven.b. Heat only 10 ounces or more.c. Always leave the bottle top uncovered to allow heat to escape.d. Shake the bottle vigorously for at least 30 seconds after heating.
A
3. The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. This should be interpreted as:a. a normal finding.b. a questionable finding—the infant should be rechecked in 1 month.c. an abnormal finding—indicates the need for immediate referral to a practitioner.d. an abnormal finding—indicates the need for developmental assessment.
A
30. Which clinical manifestations should cause the nurse to suspect that a child, diagnosed with a digestive disorder, may be demonstrating signs of failure to thrive?a. Avoidance of eye contact.b. An associated malabsorption defect.c. Weight that falls below the 15th percentile.d. Normal achievement of developmental landmarks.
A
1. Which demonstrates the school-age child's developing logic in the stage of concrete operations? (Select all that apply.)a. The school-age child is able to recognize that he can be a son, brother, or nephew at the same time.b. The school-age child understands the principles of adding, subtracting, and reversibility.c. The school-age child understands the principles of adding, subtracting, and reversibility.d. The school-age child has thinking that is characterized by egocentrism and animism
ABC
2. Peer victimization is becoming a significant problem for school-age children and adolescents in the United States. Parents should be educated regarding signs that a child is being bullied. These might include: (Select all that apply.)a. The child spends an inordinate amount of time in the nurse's office.b. Belongings frequently go missing or are damaged.c. The child wants to be driven to school.d. School performance improves.e. The child freely talks about his or her day.
ABC
Peer victimization is becoming a significant problem for school-age children and adolescents in the United States. Parents should be educated regarding signs that a child is being bullied. These might include (select all that apply):a. The child spends an inordinate amount of time in the nurse's office.b. Belongings frequently go missing or are damaged.c. The child wants to be driven to school.d. School performance improves.e. The child freely talks about his or her day.
ABC
Which demonstrates the school-age child's developing logic in the stage of concrete operations (select all that apply)?a. The school-age child is able to recognize that he can be a son, brother, or nephew at the same time.b. The school-age child understands the principles of adding, subtracting, and reversibility.c. The school-age child understands the principles of adding, subtracting, and reversibility.d. The school-age child has thinking that is characterized by egocentrism and animism.
ABC
1. In teaching parents about appropriate pacifier selection, the nurse should explain that a pacifier should have which characteristics? (Select all that apply.)a. Easily grasped handleb. One-piece constructionc. Ribbon or string to secure to clothingd. Soft, pliable materiale. Sturdy, flexible material
ABE
3. A nurse is planning care for a 7-year-old child hospitalized with osteomyelitis. Which activities should the nurse plan to bring from the playroom for the child? (Select all that apply.)a. Paper and some paintsb. Board gamesc. Jack-in-the-boxd. Stuffed animalse. Computer games
ABE
A nurse is planning care for a 7-year-old child hospitalized with osteomyelitis. Which activities should the nurse plan to bring from the playroom for the child (select all that apply)?a. Paper and some paintsb. Board gamesc. Jack-in-the-boxd. Stuffed animalse. Computer games
ABE
4. Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS) infant? (Select all that apply.)a. Allow parents to say goodbye to their infant.b. Once parents leave the hospital, no further follow-up is required.c. Arrange for someone to take the parents home from the hospital.d. Avoid requesting an autopsy of the deceased infant.e. Conduct a debriefing session with the parents before they leave the hospital.
ACE
A nurse is recommending strategies to a group of school-age children for prevention of obesity. Which should the nurse include (select all that apply)?a. Eat breakfast daily.b. Limit fruits and vegetables.c. Have frequent family meals with parents present.d. Eat frequently at restaurants.e. Limit television viewing to 2 hours a day.
ACE
1. Which statement accurately describes physical development of a child during the school-age years?a. The child's weight almost triples.b. A child grows an average of 2 inches/year.c. Few physical differences are apparent among children at the end of middle childhood.d. Fat gradually increases, which contributes to the child's heavier appearance.
B
12. Which statement best describes fear in school-age children?a. They are increasingly fearful for body safety.b. Most of the new fears that trouble them are related to school and family.c. They should be encouraged to hide their fears to prevent ridicule by peers.d. Those who have numerous fears need continuous protective behavior by parents to eliminate these fears.
B
15. What is an important consideration for the school nurse who is planning a class on bicycle safety to consider?a. Most bicycle injuries involve collision with an automobile.b. Head injuries are the major causes of bicycle-related fatalities.c. Children should wear bicycle helmets if they ride on paved streets.d. Children should not ride double unless the bicycle has an extra-large seat.
B
16. When teaching injury prevention during the school-age years, the nurse should include what topic?a. Teaching the need to fear strangers.b. Teaching basic rules of water safety.c. Avoiding letting children cook in microwave ovens.d. Cautioning children against engaging in competitive sports.
B
18. At what age should the nurse expect an infant to begin smiling in response to pleasurable stimuli?a. 1 monthb. 2 monthsc. 3 monthsd. 4 months
B
2. The nurse assessing a 6-month-old healthy infant who weighed 7 lbs at birth, shares with the parents that the infant should weigh approximately how many pounds?a. 10 lbs.b. 15 lbs.c. 20 lbs.d. 25 lbs.
B
21. Which behavior by parents or teachers will best assist the child in negotiating the developmental task of industry?a. Identifying failures immediately and asking the child's peers for feedbackb. Structuring the environment so the child can master tasksc. Completing homework for children who are having difficulty in completing assignmentsd. Decreasing expectations to eliminate potential failures
B
22. A nurse is assessing an older school-age child recently admitted to the hospital. Which assessment indicates that the child is in an appropriate stage of cognitive development?a. The child's addition and subtraction abilityb. The child's ability to classifyc. The child's vocabularyd. The child's play activity
B
22. When is the best age for solid food to be introduced into the infant's diet?a. 2 to 3 monthsb. 4 to 6 monthsc. When birth weight has tripledd. When tooth eruption has started
B
25. Parents of a 12-year-old child ask the clinic nurse, "How many hours of sleep should our child get each night?" The nurse should respond that 12-year-old children need ____ hours of sleep at night.a. 8b. 9c. 10d. 11
B
27. The clinic is lending a federally approved car seat to an infant's family. Where in the car should the nurse explain is the safest place to put the car seat?a. Front facing in back seat.b. Rear facing in back seat.c. Front facing in front seat if an air bag is on the passenger side.d. Rear facing in front seat if an air bag is on the passenger side.
B
28. A nurse is teaching parents about prevention and treatment of colic. Which should the nurse include in the teaching plan?a. Avoid use of pacifiers.b. Eliminate all secondhand smoke contact.c. Lay infant flat after feeding.d. Avoid swaddling the infant.
B
9. Which statement is descriptive of the play of school-age children?a. Individuality in play is better tolerated than at earlier ages.b. Knowing the rules of a game gives an important sense of belonging.c. They like to invent games, making up the rules as they go.d. Team play helps children learn the universal importance of competition and winning.
B
A nurse is assessing an older school-age child recently admitted to the hospital. Which assessment indicates that the child is in an appropriate stage of cognitive development?a. The child's addition and subtraction abilityb. The child's ability to classifyc. The child's vocabularyd. The child's play activity
B
An important consideration for the school nurse who is planning a class on bicycle safety is:a. Most bicycle injuries involve collision with an automobile.b. Head injuries are the major causes of bicycle-related fatalities.c. Children should wear bicycle helmets if they ride on paved streets.d. Children should not ride double unless the bicycle has an extra-large seat.
B
1. A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. What should the nurse recommend to be used as substitute for the breastmilk?a. Skim milkb. Whole cow's milkc. Commercial iron-fortified formulad. Commercial formula without iron
C
1. Which statement accurately describes an event associated with an infant's physical development?a. Anterior fontanel closes by age 6 to 10 months.b. Binocularity is well established by age 8 months.c. Birth weight doubles by age 5 months and triples by age 1 year.d. Maternal iron stores persist during the first 12 months of life.
C
10. By what age should the nurse expect that an infant will be able to pull to a standing position?a. 6 monthsb. 8 monthsc. 9 monthsd. 11 to 12 months
C
11. According to Piaget, the 6-month-old infant would be in what stage of the sensorimotor phase?a. Use of reflexesb. Primary circular reactionsc. Secondary circular reactionsd. Coordination of secondary schemata
C
12. Which behavior indicates that an infant has developed object permanence?a. Recognizes familiar face such as the motherb. Recognizes familiar object such as a bottlec. Actively searches for a hidden objectd. Secures objects by pulling on a string
C
13. A parent asks the nurse "At what age do most babies begin to fear strangers?" The nurse responds that most infants begin to fear strangers at what age?a. 2 monthsb. 4 monthsc. 6 monthsd. 12 months
C
19. The mother of a breastfed infant being seen in the clinic for the sixth month checkup is concerned that the infant has begun thumb sucking. How should the nurse respond to the mother's concern?a. Recommend that the mother substitute a pacifier for the infant's thumb.b. Assess the infant for other signs of sensory deprivation.c. Reassure the mother that this behavior is very normal at this age.d. Suggest that the mother breastfeed more often to satisfy sucking needs.
C
2. Generally what is the earliest age at which puberty begins?a. 13 years in girls, 13 years in boysb. 11 years in girls, 11 years in boysc. 10 years in girls, 12 years in boysd. 12 years in girls, 10 years in boys
C
20. Identify the statement that is the most accurate about moral development in the 9-year-old school-age child.a. Right and wrong are based on physical consequences of behavior.b. The child obeys parents because of fear of punishment.c. The school-age child conforms to rules to please others.d. Parents are the determiners of right and wrong for the school-age child.
C
24. A nurse is teaching parents of first-grade children general guidelines to assist their children in adapting to school. Which statement by the parents indicates they understand the teaching?a. "We will only meet with the teacher if problems occur."b. "We will discourage hobbies so our child focuses on schoolwork."c. "We will plan a trip to the library as often as possible."d. "We will expect our child to make all As in school."
C
24. The parent of a 2 week old asks the nurse if the infant needs fluoride supplements because they plan to exclusively breastfed. What is the nurse's best response?a. "Your infant needs to begin taking them now."b. "They are not needed if you drink fluoridated water."c. "Your infant may need to begin taking them at age 6 months."d. "Your infant can have infant cereal mixed with fluoridated water instead of supplements."
C
26. A nurse planning care for a school-age child should take into account that which thought process is seen at this age?a. Animismb. Magical thinkingc. Ability to conserved. Thoughts are all-powerful
C
13. The father of 12 year old tells the nurse that he is concerned about his child getting "fat." The child's body mass index for age is at the 60th percentile. What is the most appropriate nursing action to address the father's concern?a. Reassure the father that his child is not "fat."b. Reassure the father that the weight is just a growing child.c. Suggest a low-calorie, low-fat diet, and provide food suggestions.d. Explain that this is typical of the growth pattern of children at this age.
D
14. The school nurse has been asked to begin teaching sex education in the 5th grade. Which statement should be the foundation for the information the nurse should present?a. Children in 5th grade are too young for sex education.b. Children should be discouraged from asking too many questions.c. Correct terminology should be reserved for children who are older.d. Sex can be presented as a normal part of growth and development.
D
19. Which comment is most developmentally typical of a 7-year-old boy?a. "I am a Power Ranger, so don't make me angry."b. "I don't know whether I like Mary or Joan better."c. "My mom is my favorite person in the world."d. "Jimmy is my best friend."
D
20. How should the nurse describe the fact that a 6 month old has 6 teeth?a. Normal tooth eruption.b. Delayed tooth eruption.c. Unusual and dangerous.d. Earlier-than-normal tooth eruption.
D
25. A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. The nurse should explain that:a. this cannot be prevented.b. infants do not feel pain as adults do.c. this is not a good reason for refusing immunizations.d. a topical anesthetic, eutectic mixture of local anesthetic (EMLA), will minimize the discomfort.
D
26. The parents of a 12-month-old child ask the nurse if the child can eat hot dogs. The nurse's reply should be based on what understanding?a. The child is too young to digest hot dogs.b. The child is too young to eat hot dogs safely.c. Hot dogs must be sliced into sections to prevent aspiration.d. Hot dogs must be cut into small, irregular pieces to prevent aspiration.
D
3. Which statement describes the cognitive abilities of school-age children?a. Have developed the ability to reason abstractlyb. Become capable of scientific reasoning and formal logicc. Progress from making judgments based on what they reason to making judgments based on what they seed. Have the ability to classify, group and sort, and hold a concept in their minds while making decisions based on that concept
D
32. What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?a. Explain how SIDS could have been predicted and prevented.b. Interview parents in depth concerning the circumstances surrounding the infant's death.c. Discourage parents from making a last visit with the infant.d. Make a follow-up home visit to parents as soon as possible after the infant's death.
D
34. The parents of a 3-month-old infant report that their infant sleeps supine (face up) but is often prone (face down) while awake. The nurse's response should be based on what knowledge?a. Unacceptable because of the risk of sudden infant death syndrome (SIDS).b. Unacceptable because it does not encourage achievement of developmental milestones.c. Unacceptable to encourage fine motor development.d. Acceptable to encourage head control and turning over.
D
36. A parent asks the nurse whether her infant is susceptible to pertussis. The nurse's response should be based on which statement concerning susceptibility to pertussis?a. Neonates will be immune the first few months.b. If the mother has had the disease, the infant will receive passive immunity.c. Children younger than 1 year seldom contract this disease.d. Most children are highly susceptible from birth.
D
5. The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant's stool. The nurse bases her explanation on what fact?a. Children should not be given fibrous foods until the digestive tract matures at age 4 years.b. The infant should not be given any solid foods until this digestive problem is resolved.c. This is abnormal and requires further investigation.d. This is normal because of the immaturity of digestive processes at this age.
D
7. What is the role of the peer group in the life of school-age children?a. Gives them an opportunity to learn dominance and hostility.b. Allows them to remain dependent on their parents for a longer time.c. Decreases their need to learn appropriate sex roles.d. Provides them with security as they gain independence from their parents.
D
A school nurse is teaching dental health practices to a group of sixth-grade children. How often should the nurse recommend the children brush their teeth?a. Twice a dayb. Three times a dayc. After mealsd. After meals and snacks, and at bedtime
D
The father of 12-year-old Ryan tells the nurse that he is concerned about his son getting "fat." Ryan's body mass index for age is at the 60th percentile. The most appropriate nursing action is to:a. Reassure the father that Ryan is not "fat."b. Reassure the father that Ryan is just a growing child.c. Suggest a low-calorie, low-fat diet.d. Explain that this is typical of the growth pattern of boys at this age.
D
The role of the peer group in the life of school-age children is that it:a. Gives them an opportunity to learn dominance and hostility.b. Allows them to remain dependent on their parents for a longer time.c. Decreases their need to learn appropriate sex roles.d. Provides them with security as they gain independence from their parents.
D
The school nurse has been asked to begin teaching sex education in the 5th grade. The nurse should recognize that:a. Children in 5th grade are too young for sex education.b. Children should be discouraged from asking too many questions.c. Correct terminology should be reserved for children who are older.d. Sex can be presented as a normal part of growth and development.
D
What describes the cognitive abilities of school-age children?a. Have developed the ability to reason abstractlyb. Become capable of scientific reasoning and formal logicc. Progress from making judgments based on what they reason to making judgments based on what they seed. Have the ability to classify, group and sort, and hold a concept in their minds while making decisions based on that concept
D
