chapter 26 peds
A nurse is assigned to care for a 7-year-old child. The child wants to show the nurse a collection of baseball cards. The nurse understands that the collection of objects is common in this age group and is known as what type of thinking?
classification
A nurse is discussing ways parents can foster the development of self-confidence in their school-aged child. Which action if stated by the parents would lead the nurse to continue the discussion?
comparing the child to an older sibling regarding academic achievements
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
The school-aged child understands that a change in an object's shape does not necessitate a change in size. The nurse knows that this is an example of which type of cognitive development of the school-aged child?
conservation
An anxious 12-year-old girl receives an injection from the nurse and sighs with relief when it is done. After a moment of reflection, the girl asks the nurse, "Is it hard to give someone an injection?" This girl's question is evidence that she has developed which cognitive skill?
decentering
A nurse is working with a family that has two children who were identified as overweight based on screening. Which of the following strategies would be important for the nurse to include in assisting the family? Select all that apply.
encouraging moderate exercise for 60 minutes/day emphasizing that the family not skip meals involving the entire family in the program
When preparing a care plan for an overweight child, the nurse should include what goal? Select all that apply.
exercise plan support groups family counseling
Which nurse best fosters a school-aged child's adaptation to hospitalization? The nurse who:
explains procedures and shows the child equipment that will be used on them.
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?
fifth grade
A 9-year-old girl tells the nurse about belonging to a girls' social media club. How does belonging to this group support the child's development?
fulfills peer group needs
The nurse is planning a community-based childhood obesity prevention program for school-aged children and their families. What element(s) will the nurse include to promote the best outcomes? Select all that apply.
healthy cooking class with parents and children play-based exercise activities at each session counseling and discussions for children about body self-image monitoring children's screen time and other periods of inactivity
An 8-year-old boy who says he wants to be a doctor when he grows up pleads with the nurse to let him put on his own band-aid after receiving an injection. The nurse agrees and watches as the boy very carefully lines the band-aid up with the mark left by the injection and applies it to his skin. Then he asks, "Did I do it right?" and waits eagerly for the nurse's feedback. The nurse recognizes in this situation the boy's attempt to master the primary developmental step of school age. What is that step?
industry
The family who are vegetarian voice concern that their child is not growing well. The nurse should suggest which food to increase the calcium intake for adequate bone growth?
kale
The Boy Scouts is an organization that continues to be a favorite with school-aged boys because:
merit badges require completing small tasks for rewards.
When describing play by the school-aged child to a group of nursing students, the instructor would emphasize the need for which factor?
rules
A nurse is providing anticipatory guidance to the parents of an 8-year-old child, explaining that when the child returns next year for a well check-up, the child will likely undergo which screening?
scoliosis
An 11-year-old female child is at the pediatrician's office for a well-child check-up. Which health screening would the nurse anticipate that the child would undergo today?
scoliosis screening
The nurse is caring for a 9-year-old who belongs to a spite club. The chief characteristics of a 9-year-old spite club are:
they have a secret word; they exclude someone.
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 checkup concerns the nurse?
weight in the 5th percentile
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 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 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 nurse is assisting in a parent education class on accident prevention. Which statement by a parent indicates that further education is needed?
"My son can let his friend ride as a passenger on his bicycle as long as they both wear helmets."
During a health history assessment, the mother of a 10-year-old girl tells you that her daughter does not have time to "play" because she is busy going to gymnastics, cheerleading, art class, flute lessons, reading club, and soccer. What should the nurse's response be?
"Play helps children to develop cognitively, socially, physically, and emotionally."
An overly tired school-aged child enters the school clinic. The nurse asks the child to state the times he/she usually goes to bed at night and wakes up in the morning. The child answers 11:00 PM and 6:00 AM. Which is the best response made by the nurse?
"That is not enough sleep. You should get at least 9 to 12 hours of sleep each night
The nurse is caring for a school-aged child in the primary care setting. The parent of the child asks how often the child should see the dentist. Which is the best response made by the nurse?
"The child should see a dentist twice a year."
During an annual visit of a 6-year-old boy, the nurse observes dental caries on two of the child's primary teeth. Which response by the parents suggests more education is needed regarding the importance of primary teeth?
"These are only his baby teeth so we are not worried."
The mother of a 6-year-old girl tells the nurse that she is very concerned that her daughter develops good self-esteem. Which nursing instruction is best?
"You need to provide guidance and celebrate successes."
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."
The mother and her 8-year-old daughter come to the clinic for a well-child visit. The mother asks the nurse, "About how much sleep should my daughter be getting?" The nurse responds by saying:
10-12 hours
The nurse is collecting data on a 7-year-old child who weighed 7 lb 2 oz (3.2 kg) at birth. If the child is following a normal pattern of weight gain, the nurse would anticipate the child would weigh approximately:
50 lbs
A nurse is obtaining a weight on a 7-year-old who weighed 8 pounds (3632 g) at birth. How much does the nurse anticipate that he should weigh now?
56 pounds (25.5 kg)
Once children are able to tell time, they can be much more independent. The age at which school-aged children learn to tell time is usually:
7 years
A nurse is preparing a class for a group of parents of school-age children about language development and problems with speech articulation, specifically difficulty pronouncing specific letters. The nurse would inform the parents that a referral for initiating speech therapy may be necessary for these problems after which which age?
8 years
The nurse is performing a physical assessment of a 10-year-old child. The nurse notes that 1 year ago the child weighed 80 lb (36.3 kg). Which weight, if noted during this assessment, would alert the nurse to further assess the child for appropriate growth and development?
82 lb (37.2 kg)
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
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 bestbe suited for a child in this age group?
A paint-by-numbers activity creating a picture
Parents of an 8-year-old client report the child struggles with the chore of cleaning their bedroom. What advice will the nurse give to assist with this challenge for a child at this stage of development?
Break the chore into smaller tasks that the child can accomplish more easily.
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
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.
A nurse in the clinic observes a school-age child pushing another child. The parent is watching without disciplining the child and tells the nurse, "They just do what they want to and do not listen to anything I say." What can the nurse inform that parent about the development of self-confidence in the child? Select all that apply.
Ensure the child can master the tasks they are assigned. Involve the child in activities that match their abilities. The child needs consistent rules to develop self-confidence.
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
What teaching points would a nurse provide for families of school-aged children to help prevent their child from suffering from a substance use disorder? Select all that apply.
Give the child "what if" examples to situations they may face. Set firm rules regarding alcohol and other drug usage and discuss consequences associated with breaking the rules. Encourage decision-making and discuss family values.
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 teaching the parent of a 6-year-old with decay in several deciduous teeth about tooth care and the importance of seeing a dentist. What instruction is best for the nurse to inform the parent about the new 6-year molars?
If the 6-year molars become decayed and have to be pulled, the child could have dental problems later.
A nurse is caring for a hospitalized 6-year-old with pneumonia. The child frequently requests peanut butter crackers during the day and evening hours. What does the nurse understand about food intake for children of this age group?
Increased appetite and a tendency to go on "food jags" are typical.
The nurse finds 48 packets of sugar on the bedside table of a hospitalized 10-year-old child. Based on this child's growth and development, what action is best for the nurse to take?
Leave the sugar packets in the drawer and not discuss them with the child.
A nurse is caring for a hospitalized 10-year-old child. What would be an appropriate activity for this child to meet the developmental tasks of this age group?
Participating in a craft project
What activities would a nurse recommend to the families of school-aged children to promote attainment of Erikson's developmental stage of industry vs. inferiority? Select all that apply.
Participating on the school soccer team Praising the child for their academic efforts Allowing the child to assist her teacher in straightening up the classroom
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 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.
The parent of a school-age child is distraught because the child has been diagnosed with obesity. What action(s) should the nurse suggest to the parent to help the child with this issue? Select all that apply.
Seek out a weight loss group for the child to join. Encourage increased activity such as walking the dog after school. Maintain a balanced eating approach in the home.
The nurse is caring for an 8-year-old girl who is hospitalized. To promote achievement of the child's developmental task, which activity would the nurse encourage?
Sewing a pillow that can be completed in one afternoon.
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.
A 9-year-old boy is admitted into the hospital with a broken femur. What is important for the nurse to consider when caring for this child?
The child should be prepared for procedures and should be allowed to view and handle equipment that is going to be used when appropriate.
The nurse caring for a hospitalized 8-year-old child recognizes that the child has developed an understanding of reversibility. Which of the following relates to the development of this understanding?
The child understands that their illness is probably only temporary.
While planning care for a 7-year-old client, the nurse reminds the parents that children at this age are experiencing the "eraser" year. What does this mean?
The child wants to perform well.
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
A group of 10-year-old girls have formed a "girls only" club. It is only open to girls who still like to play with dolls. Which factor does this best represent?
appropriate social development
