PED CH21
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Questions and Answers

The nurse is teaching the parents of a 6-year-old child what to expect in terms of normal growth and development. Which parental statement indicates the need for further education?

  • “I should expect my child to be constantly active.”
  • “Finger feeding is abnormal and indicates the need for intervention.” (correct)
  • “A coloring book is a developmentally appropriate activity for my child.”
  • “My child’s vision has reached maturity.”

Which physical change noted by the nurse during a growth and developmental assessment for a 7-year-old patient necessitates further action?

  • Pubescent changes (correct)
  • Weight gain of 4 lb (2 kg) per year
  • Eruption of central incisors
  • Height increase of 1 to 2 feet (30 to 60 cm) during the entire period

A mother indicates a concern regarding her 6-year-old daughter’s breast development. What is the term for this condition?

  • Puberty
  • Precocious puberty (correct)
  • Prepubescence
  • Sexual latency

The nurse is conducting a growth and development assessment and must calculate the body mass index (BMI) of a pediatric client. The child’s weight is 33 lb 4 oz. The child’s height is 37 5/8 in. tall. What is the child’s BMI?

<p>16.5 (C)</p> Signup and view all the answers

A nurse is educating parents on the developmental life spans. Which developmental stage is characterized by a slower, steadier pattern of growth and development?

<p>School-age (C)</p> Signup and view all the answers

A nurse is providing nutrition education to parents of a school-aged child. What is the appropriate response regarding the amount of calories that a school-aged child will need?

<p>“ School-aged children need fewer calories than preschoolers.” (B)</p> Signup and view all the answers

A nurse is providing activities to a school-aged child that may be easier and comfortable due to the changes in proportions from the preschool stage of development. What activities should the nurse offer?

<p>Bike riding (A)</p> Signup and view all the answers

A mother of a hospitalized child informs the nurse about her child’s growing sense of worth. The nurse gives the hospitalized child a task of drawing a design for the playroom. What is the term for this stage of development in the school-aged child?

<p>Industry (D)</p> Signup and view all the answers

A mother asks the nurse when physical growth and development begins for the school-aged child. What is the nurse's best response?

<p>“It begins with the shedding of deciduous teeth.” (C)</p> Signup and view all the answers

Which type of relationship is most important to the school-aged child?

<p>Same-sex peer relationship (A)</p> Signup and view all the answers

Which behavior noted by the school-aged child indicates the development of concrete operations?

<p>Logical thinking (A)</p> Signup and view all the answers

At which stage of development should the nurse anticipate that pediatric patients will begin toshow differences in play activities that are related to gender?

<p>Late school-age (C)</p> Signup and view all the answers

Which teaching point regarding safety should the nurse include in instructions for the parents of a school-aged patient?

<p>“Teach your children not to let others know that they are home alone after school.” (C)</p> Signup and view all the answers

The nurse is providing care to a school-aged patient who is overweight. Which nursing action is appropriate to enhance the child’s intake of a healthy diet?

<p>Making fruits and vegetables available for daily snacks (D)</p> Signup and view all the answers

A nurse is discussing social development with parents of school-aged children. Which relationship is most important at this stage of development?

<p>Relationship with peers (B)</p> Signup and view all the answers

A mother asks the nurse how many hours a school-aged child needs to sleep per night. What is the nurse's best response?

<p>10 to 12 (C)</p> Signup and view all the answers

A mother informs the nurse that her child is slow to warm up and exhibits social discomfort. What is the nurse’s best response?

<p>“It is fine to allow time to adjust to new circumstances.” (B)</p> Signup and view all the answers

A mother informs the nurse that her child is being bullied at school. What is the nurse's best response?

<p>“Bullying is a very real and devastating experience.” (C)</p> Signup and view all the answers

A nurse is providing education to school-aged children about stranger safety. What statement by the child should the nurse correct?

<p>“I told someone I walk home alone.” (D)</p> Signup and view all the answers

According to Piaget, which data does the nurse expect for a school-aged child during the nursing assessment process? (Select all that apply.)

<p>Classifying objects (A), Understanding reversibility (B), Describing a process without actually doing it (D)</p> Signup and view all the answers

According to Erikson, which should the nurse anticipate when assessing a school-aged child? (Select all that apply.)

<p>Being engaged in tasks (A), Wanting to participate in organized activities (D)</p> Signup and view all the answers

A nurse is providing injury prevention education for the school-aged child. What should the nurse include in the presentation? (Select all that apply.)

<p>Use protective gear for all contact sports and activities. (B), Skateboards should be used at skateparks. (C), Avoid trampolines. (D), Seek a health-care provider if you experience a head injury or loss of consciousness during sports activities. (A), Always wear a seatbelt (@)</p> Signup and view all the answers

Which information related to school-aged play should the nurse include in a teaching session for the parents of children in this stage of development? (Select all that apply.)

<p>Team play (A), Card games (B), Board games (D), Club membership (@)</p> Signup and view all the answers

Which required immunization booster information should the nurse include in a health screening for the school-aged child? (Select all that apply.)

<p>TDaP (A), MMR (B), Meningococcal Group B (C)</p> Signup and view all the answers

A nurse is providing education on sleep needs for the school-aged child. What interventions should the nurse include in the teaching? (Select all that apply.)

<p>Get 10 to 12 hours of sleep per night. (A), Sleep involves a predictable routine. (B), Set a reasonable bedtime each night. (C), Lack of sleep can cause poor academic performance. (D)</p> Signup and view all the answers

Flashcards

Capital of France (example flashcard)

Paris

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