Growth CH: 26,29

The school nurse is the guest speaker in a classroom of fourth-grade children. They are discussing eating habits and the number of servings from each of the food groups that is appropriate for the school-age child. Which statement made by the children best indicates an appropriate intake of one of the food groups for this age child?

"I drink three big glasses of milk each day."

When a child is hospitalized and must be away from the caregiver, the child goes through stages of response to the separation. The child who cries and refuses to let the nurse or anyone else provide comfort and is continually looking out the door to see if the caregiver is returning is in which stage of separation?

protest Rationale: Children often go through three characteristic stages of response to the separation: protest, despair, and detachment.

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 Rationale: Initial screening for scoliosis begins at age 10 to 11 years; the child is monitored into adolescence for development of scoliosis (or progression if scoliosis is already noted).

The nurse is caring for a 10-year-old child admitted for a surgical procedure to be done the next day. The nurse takes the child to a special area in the playroom and lets the child "start" an IV on a stuffed bear. This is an example of:

therapeutic play Rationale: Therapeutic play is a play technique used to help the child have a better understanding of what will be happening to him or her in a specific situation.

Age 7 weight

weighs 7 times as much as birth

Which developmental findings would be considered normal for a 7-year-old child?

engages in same-sex play activities weighs 7 times his birth weight

Caregivers of a hospitalized toddler are being given safety instructions upon admission to the pediatric floor. Which action by the caregiver would be most important to the toddler's safety?

Keep the crib side rails up at all times. Rationale: Many toddlers are climbers and are always curious. So side rails must be kept fully up at all times, except when direct care is being provided. If side rails are down, the nurse or caregiver must keep a hand firmly on the child. Providing a call button to a toddler is not a good idea since the child will be pushing it all the time. Beds and cribs are kept at the lowest setting to minimize the possibility of injury if the child does fall out.

What age does the preschooler aged child lose baby teeth in the lower. incisors?

5-6 years of age

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 pounds

First permanent teeth

6 years molars appear behind deciduous molars; hello to shape the jaw and alignment of permanent teeth

What age does the preschooler age child tie their shoes, can use scissors, runs, jumps, rides a bicycle, draws with some. detail?

6 years old

What age can a preschooler age child develop classification skills?

Ages 7 to 10 years old

At a routine health checkup, a nurse assesses a child who has just turned 8 years of age. The nurse determines that the child is meeting developmental milestones for this age based on which finding(s)?

demonstrates symmetrical balance able to move gracefully

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.

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.

Health care providers follow transmission-based precautions when caring for children with documented pathogens or children suspected of having highly transmissible pathogens. Which of the following are included in transmission-based precautions?

droplet precautions airborne precautions contact precautions Rationale: Transmission-based precautions include three types: airborne precautions, droplet precautions, and contact precautions.

Growth pattern for preschooler age children 6-10 years

average annual weight 5-6 pounds; annual height increase is about 2.5

Erikson developement task for preschooler age children 6-10 years

industry vs. inferiority

The nurse approaches a client room and notes a sign stating the client is on droplet precautions. Which personal protective equipment (PPE) will the nurse use for this client?

mask with face shield Rationale: A client on droplet precautions has a disease that is spread by coughing and sneezing; anyone entering the room needs protection from the infected droplets. Droplet precautions require a mask and eye protection (face shield or goggles) for all people who enter the client's room. An N95 respiratory is used for airborne precaution.