Growth and Development: School-Age Children DAQ 7

A six-year-old client is being seen by the school nurse. The nurse knows that the child's moral development is pre-conventional according to Kohlberg. What behavior does the nurse expect? 1. Adjusts behavior based on loyalty 2. Adjusts behavior based on social order 3. Adjusts behavior based on right and wrong thinking 4. Adjusts behavior based on personal values

3

A six-year-old child comes to the emergency room accompanied by her mother. The client reports an ear ache. The mother states that the child was febrile overnight. When taking the client's temperature the nurse notices a healing round burn mark on the client's arm and a newer one on the forearm. What should the nurse do next? Select all that apply. 1. Objectively document the findings on the medical record and describe them as best as possible. 2. Report the findings to the authorities. 3. Notify the physician on duty that day. 4. Notify the social worker on duty that day. 5. Ask the child about them in front of the mother.

1, 2, 3, 4

What is the required daily fluid intake for a school-age child who weighs 36.8 kg? Record your answer in mL/day using a whole number. Enter the number only.

1836

A nurse performs an admission assessment on a school-age child and suspects physical abuse. On the basis of this suspicion, what is the priority legal nursing responsibility? 1. Document the child's physical assessment findings accurately. 2. Report the suspected abuse according to hospital policy. 3. Ask the parents to explain the injuries. 4. Assist the family to identify resources and support systems.

2

According to Piaget, a school-age child (age 7-11) is in a phase of concrete operation. Which information does the nurse understand to be describing this stage? 1. Can think of one idea at a time 2. Thought process more coherent and logical 3. Is egocentric 4. Thinks abstractly and rationally

2

The nurse is determining the Pediatric Early Warning Score system (PEWS) score for a six-year-old child. The client is recently more irritable, the capillary refill is three seconds and the respiratory rate is 21 bpm. Using the PEWS score, how would the nurse categorize this child's risk with appropriate interventions? 1. Client is low risk, reassess as needed. 2. Client is high risk, initiate rapid response. 3. Client is high risk, ask another nurse to watch the client while you look for the doctor. 4. Client is intermediate risk, initiate a rapid response.

2

The nurse is preparing a school-aged child for an intramuscular injection. What statement by the child lets the nurse know that the child has understood the procedure? 1. "I won't feel the pinch at all." 2. "The special numbing cream will help the injection hurt less." 3. "The needle will go just under my skin." 4. "I'm going to need stitches after the injection."

2

Which nursing intervention should be included in the plan of care to decrease the stress for a hospitalized, chronically ill school-age child? 1. Allow 24-hour visitation from peers. 2. Offer the child some choices around daily activities. 3. Have tutoring postponed until discharge. 4. Maintain a strict daily routine.

2

A parent expresses concern to the nurse regarding their 12-year-old's sexual activity after seeing a 'sext' on their cell phone. How should the nurse respond? Select all that apply. 1. "Sexting is very common in this age group, and it is only growing more common." 2. "Have you ever discussed sex with your child?" 3. "Let me show you some resources you can use to talk to your child about safe sex." 4. "You need to tell your child to stop sexting because it can lead to emotional and legal consequences." 5. "I know this may be hard for you to talk about. Tell me how it makes you feel."

2, 3, 5

Place the following stages of Piaget's developmental theory in the correct order. 1 2 3 4 Formal Operational Sensorimotor Preoperational Concrete Operational

2341

The nurse is caring for an 11-year-old client who had surgery the day before. The nurse notices that there is urine in the Foley bag; it was emptied 24 hours ago. The client weighs 32 kg and the expected daily urine output for this age is 0.5 to 1 ml/kg/hr. In the last 24 hours, how much urine should the client have produced? Select the best answer. 1. 300 ml 2. 350 ml 3. 700 ml 4. 800 ml

3

The nurse is preparing to teach a 10-year-old client about their Type I Diabetes. What is the best format to teach the child? 1. Show a video and ask them if they have any questions. 2. Lead the discussion through a picture book. 3. Demonstrate correct use of supplies and equipment. Allow for questions. 4. Sign them up for a web tutorial.

3

Which statement best describes the expected social interactions of a school-age child that the nurse will need to remember when planning an interactive health fair at the local elementary school? 1. School-age peer groups usually consist of both boys and girls. 2. The school-age child does not like to be separated from his parents. 3. The school-age child enjoys forming clubs with set rules. 4. The school-age child becomes very upset when their daily routine is disrupted.

3

The nurse understands that childhood is divided into five stages. What is the age range considered to apply to school-age children? 1. Ages 5-13 2. Ages 3-6 3. Ages 12-18 4. Ages 6-12

4

The parents of a school-age child tell the nurse that according to the measurements taken today their child has gained 2 ½ pounds and grown 1 inch in the last year. What is the nurse's best response? 1. "Don't worry, your child just hasn't had a growth spurt yet." 2. "Okay, let's take a look at his growth chart and see how your child has been growing over the last year." 3. "This is the expected pattern of growth in a school-age child." 4. "Why don't we weigh and measure him one more time to be sure we have the correct measurements."

4

The school nurse is requesting written permission from the parents of older school-age students to provide information regarding risky behaviors. The mother of one student calls the nurse stating she is upset that this topic is being addressed and does not want to sign the consent form. What is the nurse's best initial response? 1. "Well, you know that risky behavior starts in middle school, so it would be best if you just gave us permission to teach your child about them." 2. "I understand that you are worried. We feel it is important to teach our students about risky behaviors. We know that sexting, for instance, has been linked to an increased likelihood of risky sexual behaviors in middle school students." 3. "Okay, that's fine. We will make sure your child goes to the library for study time when her classmates are receiving the information on risky behaviors." 4. "You absolutely have a right to be concerned. Do you have some specific questions I can answer for you to help you understand why we are addressing these issues in class?"

4

During the health history interview, the parents state that they are concerned that their seven-year-old is developing breasts. Which additional questions(s) will the nurse need to ask during the health history interview? Select all that apply. 1. "When did you first notice that your daughter was developing breasts?" 2. "Have you noticed increased body hair, especially under the arms and in the pubic area?" 3. "Has she started her period?" 4. "Has she experienced acne?" 5. "When you first noticed her breast development, did you notice a time of rapid growth in height and weight?"

1, 2, 3, 4, 5

Which data will the nurse collect when completing a Pediatric Early Warning System (PEWS) assessment on a post-operative school-age child? Select all that apply. 1. Behavior 2. Cardiovascular 3. Sleep habits 4. Respiratory 5. Pain scale

1, 2, 4

The nurse is preparing to assess an eight-year-old boy as part of his well-child check. What would the nurse expect to find? Select all that apply. 1. Weight gain of 3 kg 2. Height increase of 2 cm 3. Height increase of 5 cm 4. Weight gain of 8 kg 5. No change in weight from previous year

1, 3

The nurse is reviewing developmental stages when caring of a nine-year-old hospitalized client. Using Erikson's developmental stages, what are the best interventions? Select all that apply. 1. Encourage continuation of schoolwork. 2. Provide information on sexuality. 3. Help the child adjust to limitations. 4. Name objects and provide simple explanations. 5. Give clear instructions about treatments and interventions.

1, 3, 5

The nurse is applying EMLA cream to a patient before a painful procedure. Which action is not safe an effective nursing care for EMLA cream application? 1. Assess for allergic reaction 2. Apply 5 hours before procedure 3. Apply large "glob" 4. Apply dressing over medication

2

The nurse is assessing 10-year-old twins for their annual check-up. The female twin has grown by 6 cm and has gained 2.5 kg in one year. The male twin has only grown 3 cm and gained 2 kg. The mother is concerned that the male twin's growth is delayed. What is the best response by the nurse? 1. "Don't worry, you are tall, I'm sure both kids will be at least as tall as you are." 2. "Girls tend to have their growth spurts earlier than boys, sometimes as early as 9 years of age." 3. "Let me check his head circumference and make sure his head grew." 4. "Looks like the boy will be shorter than the girl as an adult."

2

The nurse is caring for a 7-year-old client and obtains these vital signs: temperature 98.2°F, pulse 90, respirations 22, and blood pressure 93/60. What will the nurse do next? 1. Cover the client with a warm blanket. 2. Document these normal vital signs. 3. Contact the healthcare provider regarding the low blood pressure. 4. Repeat the vital signs for accuracy.

2