Clinical quiz 2
The mother of a 12-year-old boy is talking with the school nurse about her son's clumsiness. She reports that he seems to fall a lot, his writing is horrible, and as much as he practices he can't play his guitar very well. How should the nurse respond to the mother?
"Have you spoken with your pediatrician about your observations?"
The mother of a 6-year-old Hispanic boy tells the pediatric nurse practitioner at the public health clinic that she is unable to read English. She wants to help her son so he does not have to struggle when he starts school. She wants to know how she can promote literacy even though she cannot read herself. How should the nurse respond?
"Look at books together and make up stories to go with the pictures."
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 8 to 10 hours of sleep each night."
A nurse is teaching parents of a 2-year-old child about discipline and limit setting. When describing the use of time out, the nurse would inform the parents that the maximum duration of time out should be how many minutes per each year of age?
1 minute
When planning activities for school-age children, the nurse organizes games that include competition. At which age are these kinds of games preferred by children?
10 year olds
If the child is gaining weight at an expected rate, a child who weighs 36 pounds (16.3 kg) at 3 years of age would weigh what amount at age 5?
44 lb (20 kg) The preschool age child gains about 4 to 5 lb each year (1.8 to 2.3 kg) and grows about 2.5 to 3 inches (6.3 cm).
A nurse is working with the local community on promoting physical fitness for children. The nurse encourages the community to develop programs that meet the needs of the school-aged child for physical activity, based on the understanding that this age group requires how much physical activity daily?
60 minutes
A nurse is caring for a hospitalized 7-year-old 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
What finding would the nurse most likely discover in a 10-year-old child in the period of concrete operational thought?
Ability to classify similar objects
The school nurse is teaching parents about the effects of bullying on school children. What accurately describes this developmental concern?
Both boys and girls are bullied; boys usually bully boys and use force more often.
When teaching the parents of a school-aged child about promoting adequate sleep, which instructions would the nurse emphasize? Select all that apply.
Consistent bedtime Bedtime routine
A school-age child has demonstrated the ability to recognize several aspects of a problem at the same time and to understand cause and effect. The nurse should document the presence of which concept?
Decentration
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 nurse is preparing a variety of projects for the pediatric clients on the unit to work on in the playroom. In deciding on projects, the nurse determines the 8-year-old will be best suited to work on which activity?
Form vases from blocks of clay
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.
While straightening the top drawer of a 10-year-old patient the nurse finds 48 packets of sugar. What should the nurse do at this time?
Place the sugar packets in the drawer as they were found.
The nurse is concerned that a 9-month-old baby is gaining too much weight. What should the nurse instruct the parents to help control the baby's weight gain?
Provide whole-grain cereal for one feeding.
When describing play by the school-aged child to a group of nursing students, the instructor would emphasize the need for which of the following?
Rules
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 nurse is assessing a 12-week-old infant in the clinic at a well-baby visit. Which assessment finding does the nurse predict to assess in this healthy infant?
Smiles at significant others
At what age would it be okay to introduce carrots to an infant's diet?
Solid food can be introduced at 4 to 6 months of age.
The nurse is providing guidance after observing a mother interact with her negative 2-year-old boy. For which interaction will the nurse advise the mother that she is handling the negativism properly?
Telling the child firmly that we don't scream in the office
Which behavior best demonstrates an example of Erikson's developmental task for the school age child?
The child spends a rainy day putting together a puzzle of a large jungle animal.
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 his or her illness is probably only temporary.
The nursing instructor is conducting a class discussion exploring the normal dentition progression of the school-aged child. The instructor determines the session is successful when the students correctly choose which factor as most likely occurring in 10-year-olds?
Two of the cuspid teeth have erupted.
When collecting data on a preschool-aged child during a well-child visit, the nurse discovers the child has gained 12 lb (5.4 kg) and grown 2.5 inches (6.3 cm) in the last year. The nurse interprets these findings to indicate which situation?
Weight is above an expected range and height is within an expected range. The preschool period is one of slow growth. The child gains about 3 to 5 lb each year (1.4 to 2.3 kg) and grows about 2.5 inches (6.3 cm). The child's weight is above the expected gain and the height is what would be expected.
When teaching an infant's mother about bathing her, it would be important to instruct her that:
bath time provides an opportunity for play.
The nurse is conducting a routine well-child evaluation for a family with five children. The mother seems frazzled, and the two oldest boys are engrossed in their hand-held video games. The other three children—all preschoolers—are gathered around a portable DVD player watching a movie while they wait for their appointment. The nurse suspects that the children spend a great deal of time in front of electronic screens and that her values greatly differ from this family's. How should the nurse approach the issue of television exposure during this evaluation?
"Would you like a pamphlet telling how TV watching affects children's health?"
