Peds 420 Exam 1 School-age child CARO

School-age child is the ages...

6-12 years old

Mrs. Sally brings 6 year-old James into the hospital. She tells you that she thinks James currently has a sinus infection. As a nurse, what do you know about this situation and what should you tell Mrs. Sally?

A child's frontal sinuses are not fully developed until they are 7-years-old, so Jame's frontal sinuses are not developed, therefore he most likely does not have a sinus infection.

A fully developed respiratory system occurs at _____ years old.

A fully developed respiratory system occurs at _10____ years old.

What can follow a strep infection (think strep throat)?

A rheumatic fever (heart valve disease)

When does a female girl typically get her period?

About 2 years after breast bud development

__________________is the ability to adapt thought processes to fit what is perceived such as understanding there can be more than one reason for other people's actions

Accommodations is the ability to adapt thought processes to fit what is perceived such as understanding there can be more than one reason for other people's actions

_____________________ is the ability to project one's self into other people's situations and see the world from their viewpoint rather than focusing only on their own, which is what the child in this scenario demonstrates in the ability to consider the injection from the nurse's point of view instead of just one's own.

Decentering is the ability to project one's self into other people's situations and see the world from their viewpoint rather than focusing only on their own, which is what the child in this scenario demonstrates in the ability to consider the injection from the nurse's point of view instead of just one's own.

T/F: breast development in girls is always symmetrical

FALSE!! It s very usual to have asymmetrical breast development and size After the condition has been checked during a physical examination to assure that no tumors are present to make one breast larger or that the other is diseased in some way to make it smaller, the child can be reassured this development is normal

Frontal sinuses are fully developed at _____ years old.

Frontal sinuses are fully developed at ___7__ years old.

Kids over ______th percentile are considered OVERWEIGHT. Kids over _______th percentile are considered OBESE.

Kids over ___90___th percentile are considered OVERWEIGHT. Kids over _____95__th percentile are considered OBESE.

is the Oucher scale for pain is objective or subjective?

OUCHER=Objective

What is the difference between the Oucher scale for pain vs. the wong baker faces scale for pain in school-age kids

Oucher= YOU the nurse! make the call on what level of pain you think the kid is experiencing/looking like. it is objective OUCHER=Objective Wong-face scale: you let the kid point and choose the face they are feeling Subjective

T/F: *** ANY SECRETIONS THAT CAUSE VULVAR IRRITATION NEED TO BE EVALUATED BY HCP

TRUE!!

How should parents encourage independence and avoid a power struggle in their school-age child?

The best way= let the child choose from 2 or 3 options (coordinated outfits, meal items, available drink options)

Timmy an 8 year old comes into the school nurses office with a raised erythematous boarder with central clearing. It is scaling and itching really bad. What does the nurse suspect is happening and what treament should she educate the patient on?

Tinea Infection!! treat with antifungals (topical or oral) give oral antifungals with fatty meals

_________________ Fungal infections classified by location

Tinea Infections

The nurse is about to see a 9-year-old girl for a well-child checkup. Knowing that the child is in Piaget's period of concrete operational thought, which characteristic should the child display? a. Consider an action and its consequences. b. View the world in terms of her own experience. c. Make generalized assumptions about groups of things. d. Know lying is bad because she gets sent to her room for it.

a. Consider an action and its consequences.

treat streptococcal pharyngitis and tonsillitis with __________

antibiotics

You are coming into take a 7 year olds vital signs and assess them at clinical. what is the proper way you are going to explain what you are doing to the patient? a. "Hey, I'm gonna take your vitals" b. "Hey, I would like to feel your wrist to count your pulse. Have you ever done that? Want to feel it with me? c. "Give me your arm, I need to take your vital signs" d. dont say anything just start taking vitals and assessing

b. "Hey, I would like to feel your wrist to count your pulse. Have you ever done that? Want to feel it with me? Explain in terms that they understand on what you are doing to them

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? a. School-age children are not ready to absorb information that deals with drugs and alcohol. b. School-age children can think critically to interpret messages seen in advertising, media, and sports. c. Parents must prevent their children from being exposed to messages that are in conflict with their values. d. Discussions with children should focus on past events and future consequences.

b. School-age children can think critically to interpret messages seen in advertising, media, and sports.

The nurse is assessing the psychosocial development of a 10-year-old child. What observations would lead the nurse to determine that the child is not achieving the developmental task of Erikson's industry versus inferiority? Select all that apply. a. The child joins three different clubs at school. b. The child tries out for various teams at school but does not make any of them. c. The child is an average soccer player and the parents enforce 1 to 2 hours of practice per day. d. The child enjoys music so the parents offer the child music lessons. e. The child is interested in science and attends a science camp every year.

b. The child tries out for various teams at school but does not make any of them. c. The child is an average soccer player and the parents enforce 1 to 2 hours of practice per day.

The school nurse is meeting with a 10-year-boy who is concerned about his weight. He reports he doesn't eat much candy but loves fruit, pasta, potatoes, and bread. Which suggestion should the nurse prioritize to help him maintain a healthy weight? a. Encourage portion control at each meal b. Change to a very low-fat and no-carbohydrate diet. c. Encourage activities that will increase his physical activity. d. Encourage the child to not worry about weight until he is older.

c. Encourage activities that will increase his physical activity.

The first sign of puberty development in males is: a. Pubic hair b. deep voice c. testicular enlargement d. growth spurts

c. testicular enlargement

Which action by a 7-year-old child best demonstrates development of decentration? a. The child recognizes that an illness is not permanent. b. The child understands that a volume of water is the same whether in a tall glass or a short glass. c. The child recognizes that a group of Legos are the same number even when rearranged. d. The child is able to recognize other people's point of view.

d. The child is able to recognize other people's point of view.

The first sign of puberty in a female is: a. pubic hair b. menarche c. acne d. breast bud development (thelarche)

d. breast bud development (thelarche)

Primiarily in middle school what is the funny thing about growth spurts in boys vs. girls?

girls are normally taller than boys until the age of 12 because their growth spurts start earlier in age and boys dont start till later (think about keely ma in 5th grade taller than all the boys)

What are secondary sex characteristics for both males and females? At what ages do these secondary sex characteristics develop?

secondary sex characteristics are physical traits that are related to sex but are not directly involved in reproduction ex: females starts betewen 8 and 13 years old. pubic hair, breast buds, gwoth spurts, acne, wide hips males starts between 9 and 14 years old. body and pubic hair, deep voice

electronic devices should stop being used _____ hours before bed and why?

stop using elctronic 2 hours before bed. Screens give off bluelight wavelengths which inhibit your natural melatonin release that helps you go to bed.,

Is the wong-baker face scale objective or subjective?

subjective

____________________________ is the ability to understand that objects can belong to more than one classification.

•Class inclusion is the ability to understand that objects can belong to more than one classification.

______________________ is the ability to appreciate that a change in shape does not necessarily mean a change in size.

•Conservation is the ability to appreciate that a change in shape does not necessarily mean a change in size.