Peds: G&D and Health Promotion for School-Aged Child

Match the safety recommendation with the activity for which it is most important. A) Ride on the right side of the road with traffic B) Walk across intersections C) Limit to areas with no traffic D) Do not ride on gravel roads 1) Skateboard 2) Bicycle 3) Scooter 4) Inline skates

2) Bicycle 3) Scooter 1) Skateboard 4) Inline skates

A child is being seen with dental malocclusion. The child's caregiver asks the nurse how the child's oral health routine will have to change with braces. What is the nurse's best response? "No change is necessary with braces." "Your child will not be able to eat most snacks." "Sticky snacks should be limited to the morning and not consumed at bedtime." "Your child should clean the teeth and use a water flosser several times per day."

"Your child should clean the teeth and use a water flosser several times per day."

Which water safety guideline is a priority for children playing in a neighborhood pool? Jump head first Use a flotation device Do not dive into water Only run while wearing shoes

Do not dive into water

Which pedestrian safety recommendations are common to enforce in children who ride bikes, inline skates, and skateboards? Select all that apply. Do not listen to music Do not ride when sunlight is dim Wear appropriate head protection When in the street, stop at stop signs Ensure the equipment is the appropriate size and for the appropriate age

Do not listen to music Do not ride when sunlight is dim Wear appropriate head protection

Match the student's behavioral problem with the relevant manifestation. A) Complaint of feeling sick while at school B) Pushing another child to assert authority C) Drinking alcohol while home alone after school 1) School refusal 2) Problems associated with self-care 3) Peer victimization

1. school refusal 3. peer victimization 2. problems associated with self-care

A 7-year-old child who is 48 inches is expected to be approximately ___ inches at age 9.

52

Which problem behaviors can occur when leaving a child home alone after school? Select all that apply. Alcohol use Binge eating Creating messy art Drug experimentation Preparing snacks and meals

Alcohol use Binge eating Drug experimentation

Which developmental milestones are normal for a 10-year-old child? Select all that apply. Back-talking to parents Interest in the opposite sex Interest in getting a cell phone Unwillingness to venture too far from the home Being upset when artwork does not look like others

Back-talking to parents Interest in the opposite sex Interest in getting a cell phone Being upset when artwork does not look like others

The parent of an eight-year-old child is frustrated because the child constantly makes up reasons not to attend school. The child's health care provider ruled out any serious health issues. The nurse should suggest that the parent take which actions to address this behavioral problem? Select all that apply. Be firm in enforcing school attendance Encourage group activities with peers Discipline the child for wanting to leave school Rationally discuss the reasons the child wants to stay home Remove child from school any time they feel stressed or frightened

Be firm in enforcing school attendance Encourage group activities with peers Rationally discuss the reasons the child wants to stay home

What is the process of physical growth in boys and girls from early school-age to age 12? By age 10 boys are heavier and taller than girls. By age 12 girls are taller and heavier than boys. Boys are shorter than girls during early school-age but are the same weight. Girls are heavier than boys during early school-age but are the same height.

By age 12 girls are taller and heavier than boys.

Which fire safety recommendation is a priority for school-aged children, as it takes advantage of their developing cognitive abilities? Not to panic How to stop, drop, and roll How to use appliances safely Be familiar with fire alarm sound

How to use appliances safely

The parent of an eight-year-old reports that the child has trouble getting to sleep at night. Which practices should the nurse recommend to promote sleep? Select all that apply. Delaying bedtime Reading before bed Watching a movie in the bed Keeping the room dark and quiet Limiting media exposure prior to bedtime

Reading before bed Keeping the room dark and quiet Limiting media exposure prior to bedtime

A child who insists on staying home from school because they fear that something will happen to make him/her look bad in front of the other children is exhibiting which common school-age behavioral problem? Bullying Family stress School refusal Social isolation

School refusal

Which activity shows the school-age child has normal gross motor skill development? Tying shoelaces Drawing a picture Walking backwards Skipping on sidewalk

Skipping on sidewalk

The nurse is discussing appropriate safety for school-aged children with the parents of a six-year-old and a 10-year-old. Which safety recommendations can the nurse make that are appropriate for both children? Select all that apply. "Always use sunscreen while outdoors." "Discuss not allowing unfamiliar adults into the home." "Ensure guns are in a locked vault, in a separate location from the ammunition." "Both children can be restrained with only the three-point harness while in the motor vehicle." "Children should protect their eardrums by listening to only moderate-volume music and television."

"Always use sunscreen while outdoors." "Discuss not allowing unfamiliar adults into the home." "Ensure guns are in a locked vault, in a separate location from the ammunition." "Children should protect their eardrums by listening to only moderate-volume music and television."

Which statement made by a child suggests that bullying may be occurring? Select all that apply. "He told me he has a crush on me." "I think they just want to be my friends." "He made fun of me at school because of my weight." "He told people that I failed my test when really I didn't." "He sent me unwanted email messages that made me feel nervous."

"He made fun of me at school because of my weight." "He told people that I failed my test when really I didn't." "He sent me unwanted email messages that made me feel nervous."

Which instructions by the nurse would be appropriate for the school-age child who is active in sports? "As long as it isn't hot, you can play." "Rest often and drink plenty of water." "If you are sweating, then take a break." "Stop playing sports when you feel tired."

"Rest often and drink plenty of water."

Which is the best response to a parent's concern that his 6-year-old frequently lies to get out of trouble? "Children this age are aware of rules and should not lie." "This is normal and you can set an example for what is right." "Lying is expected for children this age and should be ignored." "A school-age child may tell lies to avoid embarrassment. Strict punishment should be enforced."

"This is normal and you can set an example for what is right."

The parents of an overweight nine-year-old are concerned about their child's eating habits. Which recommendations can the nurse make for family-wide changes that may impact their child's food choices? Select all that apply. Eat meals quickly Avoid giving food for reward Increase the number of home-cooked meals Eat at least 10% of total daily calories as saturated fat Ensure the majority of the food eaten is grains over protein

Avoid giving food for reward Increase the number of home-cooked meals

The caregivers of an 11-year-old child report that the child is worried about upcoming tests and is not sleeping well. The nurse tells the parents to watch for which signs of stress? Bed-wetting Malocclusion Watching three hours of TV Screaming during the night

Screaming during the night

Which body system changes are expected in the school-age child? Select all that apply. Skeletal muscles fully develop. Enlarged tonsils and adenoids. Lungs and alveoli fully develop. Development of frontal sinuses. Eustachian tubes angle upward.

Enlarged tonsils and adenoids. Lungs and alveoli fully develop. Development of frontal sinuses.

Which is an example of a negative influence affecting a school-aged child's food choices? Eating snacks after school Involvement in food preparation Exposure to fast food commercials Eating a wide variety of food choices at home

Exposure to fast food commercials

Which parental practice encourages motor vehicle safety for a school-aged child? Checking brake lights Speak quietly while conversing with the driver Fastening seat belt for every ride Leaving extra time to reach destination

Fastening seat belt for every ride

Which activity could help foster a sense of industry in the school-age child? Discourage the child from competing on a team. Give the child an allowance for completing chores. Allow the child to watch a favorite television show. Tell the child he must make an A on the test tomorrow.

Give the child an allowance for completing chores.

Which cognitive developmental changes are expected in the school-age child? Select all that apply. Organizing toys by size Starting a new leaf collection Telling jokes to make others laugh Understanding the idea of volume and mass Believing their magic wand makes the sun set

Organizing toys by size Starting a new leaf collection Telling jokes to make others laugh Understanding the idea of volume and mass

Decreased eating at mealtime, poor test scores, and refusal to talk about school may be signs that a child is experiencing which school-age problem? Peer influence School refusal Impulse control Peer victimization

Peer victimization

The parent of a 10-year-old child is distressed by the child's recent tendency to post embarrassing photos of other children on social media sites. Which common behavioral problem do these actions exemplify? Stress Anxiety School refusal Peer victimization

Peer victimization

Which task demonstrates the school-age child has progressed from intuitive thought to concrete operational stage? Retracing steps without getting lost Guessing the answer after a few tries Stating the sidewalk caused the accident Chooses favorite toy as a gift for another child

Retracing steps without getting lost

A 10-year-old with braces recently joined the soccer team. The nurse recommends use of a mouth guard for which reasons? Select all that apply. Comfort Safeguards the braces Provides barrier for teeth Enhanced functionality of braces Protection from soft tissue damage

Safeguards the braces Provides barrier for teeth Protection from soft tissue damage

Which instructions could the nurse provide to parents to encourage self-esteem of the school-age child? Select all that apply. Complete her homework so she can get good grades. Tell her "I love you" and give her a hug before leaving. Give her a chore chart with things she can do each day. Encourage her to do better by pointing out all mistakes. Allow her to solve problems and make responsible choices.

Tell her "I love you" and give her a hug before leaving. Give her a chore chart with things she can do each day. Allow her to solve problems and make responsible choices.

A mother questions the nurse about motor skills she should expect to see in her 9-year-old child. Which response by the nurse is appropriate? There are no new motor skills you should expect. It is normal for your child to need help zipping a jacket. Your child has fine motor control similar to an adult. School-age children have trouble with hand-eye coordination.

Your child has fine motor control similar to an adult.