ch 28 g/d school age Flashcards
the nurse is performing a physical assessment of a 10 year old boy. the nurse notes that during last years check up, the child weighed 80 pounds. according to average growth for this age group, what would be his expected current weight?
87 lb
the nurse is performing an annual check up for an 8 year old child. compared to the previous assessment of this child, which characteristic would most likely be observed?
breathing is diaphragmatic
the pediatric nurse is aware of the maturation of organ systems in the school age child. what accurately describes these changes? select all that apply.
-respiratory rates decrease, abdominal breathing disappears, and respirations become diaphragmatic in nature
-the school age child’s blood pressure increases and pulse rate decreases, and the heart grows more slowly during the middle years
-bladder capacity increases, but varies among individual children, and girls generally have a greater bladder capacity than boys
-prepubescence typically occurs in the 2 years before the beginning of puberty and is characterized by the development of secondary sexual characteristics
the nurse is using the formula for bladder capacity to measure the bladder capacity of a 9 year old girl. what number would the nurse document for this measurement?
11 ounces
the nurse knows that the school age child is in eriksons stage of industry vs inferiority. which best exemplifies a school age working toward accomplishing this developmental task?
the child signs up for after school activities
the school nurse providing school health screenings knows that the 7-11 year old is in piaget stage of concrete operational thoughts. what would this age group accomplish when developing operations? select all that apply.
-ability to assimilate and coordinate information about the world from different dimensions
-ability to see things from another persons point of view and think through an action
-ability to use stored memories of past experiences to evaluate and interpret present situations
-ability to understand the principle of conservation; that matter does not change when its form changes
the nurse explains to parents of school age children that according to kohlberg’s theory of moral development, their child is at the conventional stage of mortal development. which is the nurse’s best explanation for the motivation for school age children to follow rules?
they follow rules out of a sense of being a “good person”
the nurse is talking with a chatty 7-year old girl during her regular check up. which behaviors would the child also be expected to exhibit?
explaining what is right and what is wrong
the nurse is assessing the gross motor skills for an 8 year old boy. which interview question would facilitate this assessment?
do you participate in any sports?
the school nurse is conducting a vision screening for a 7 year old girl and documents the condition “amblyopia”. what would the nurse tell the parents about this condition?
amblyopia is reduced vision in an eye that has not been adequately used during early development
the school nurse knows that school-age children are developing metalinguistic awareness. which is an example of this skill?
the child enjoys telling jokes
a mother brings her 6 year old son in for a check up because the child is reporting stomachaches. it is the beginning of the school year. what might the mother also mention?
the child cries before going to school
the nurse is teaching the parents of a 9 year old girl about the socialization that is occurring in their child through school contacts. which information would the nurse include in her teaching plan?
continuous peer relationships provide the most important social interaction for school age children
during a well child check up, the parents of a 9 year old boy tell the nurse that their son’s friends told him that soccer is a stupid game, and now he wants to play baseball. which comment by the nurse best explains the effects of peer groups?
acceptance by friends, especially of the same sex, is very important at this age
the nurse is performing a physical examination of an 11 year old girl. what observations would be expected?
the child has grown 2.5 in since last year
what finding would the nurse most likely discover in a 10 year old child in the period of concrete operational thought?
ability to classify smaller objects
after teaching the parents of a 9 year old girl about safety, which statement indicates the need for additional teaching?
she can ride in the front seat of the car once she is 10 years old
the nurse is teaching parents to plan nutritional meals for their 7 year old son who is overweight. which guideline might the nurse include in this teaching plan?
the school age child needs 28 g of protein and 800 mg of calcium for maintenance of growth and good nutrition
the nurse has determined that an 8 year old girl is at risk for being overweight. which intervention would be a priority prior to developing the care plan?
interviewing the parents about their eating habits
the school nurse is preparing a talk on the influence of the media on school age children to present at the next pto meeting. which fact might the nurse include in the introduction?
parens should limit their children’s television watching and video gam playing to 2 hours per day
the mother of a 7 year old girl tells the school nurse that her child is deathly afraid of going to school. what would be the best intervention the nurse could suggest in this situation?
return the child to school and investigate the cause of the fear
two working parents are discussing with the school nurse the possibility of their 12 year old girl going home alone after school. what suggestion should the nurse make?
purchase caller id for the phone
the parents of an 8 year old boy are interested in promoting learning through reading to their son. which suggestion by the nurse would best promote this goal?
take the child to the library to check out some books
the nurse is caring for a 7 year old girl who is schedule for a hernia repair and is very scared. which fear would she also most likely have at this age?
fear of being kidnapped
the nurse is counseling the parents of a 10 year old child who was caught stealing at school. which topic should the nurse cover?
finding out what is currently going on at home
when providing anticipatory guidance to a group of parents with school age children, what would the nurse describe as the most important aspect of social interaction
peer relationships
the school nurse is teaching parents about the effects of bullying on school children. what accurately describes this developmental concern?
both boys and girls are bullied; boys usually bully boys and use force more often
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?
school age children can think critically to interpret messages seen in advertising, media, and sports
a 12 year old girl is experiencing prepubescence and tells the school nurse that she feels very out of place at school. what would be acceptable responses by the nurse? select all that apply.
-it must be difficult for you. why don’t you sit down, and we can talk about it
-tell me how this makes you feel. talking about your feelings may help you feel better about school
the mother of a 12 year old boy is talking with the school nurse about her son’s clumsiness. she reports that he seems to fall a lot, his writing is horrible, and as much as he practices, he can’t play his guitar very well. how should the nurse respond to the mother?
have you spoken with your pediatrician about your observations?
