Test 2 Peds Flashcards

1
Q

How are we defining school-aged?
How much does a school aged child grow in a year?

A

Ages 6-12

about 2.5 inches
~ 7 lbs
boys and girls don’t differ much in size at the beginning

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2
Q

Puberty begins at what age in AFABs and AMABs?

What is the first sign in each?

A

12 and 14

AFABs get breast buds, AMABs testicles get larger

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3
Q

School age children prefer the company of who?

A

Same sex peers

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4
Q

The Erikson Stage for school-aged children is what?

A

Industry vs Inferiority

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5
Q

The Erikson Stage for adolescents is what?

A

Identity vs Role confusion

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6
Q

Based on Erikson’s developmental theory, what is the major developmental task of
the adolescent?
A) Gaining independence
B) Finding an identity
C) Coordinating information
D) Mastering motor skills

A

B) Finding an identity

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7
Q

The successful resolution of developmental tasks for the school-age child, according to Erikson, would be identified by
a) learning from repeating tasks.
b) developing a sense of worth and competence.
c) using fantasy and magical thinking to cope with problems.
d) developing a sense of trust.

A

b) developing a sense of worth and competence.

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8
Q

Which of the following are reasons that stealing occurs in school-age children? (Choose all that apply.)
a) To escape punishment
b) High self-esteem
c) Low expectations of family/peers
d) Lack of sense of property
e) Strong desire to own something

A

a) To escape punishment
d) Lack of sense of property
e) Strong desire to own something

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9
Q

Which activities will promote weight loss in an obese school-age child? (Choose all that apply.)
a) Unlimited computer and TV time
b) Role modeling by family
c) Becoming active in sports
d) Eating unstructured meals
e) Involving child in meal planning and grocery shopping
f) Drinking three glasses of water per day

A

b) Role modeling by family
c) Becoming active in sports
e) Involving child in meal planning and grocery shopping

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10
Q

Samantha, a 10-year-old girl, is brought into your clinic for a well-child examination. Her mother states “Samantha’s friend group seems to be so much more important to her these days.” As the nurse caring for her, how would you explain the role of peers in the school-age child?
a) This allows her the opportunity to learn conflict management.
b) This helps her to shape her concept of self and provides security as she gains independence from her parents.
c) This will encourage her to remain dependent on her teachers and family.
d) This will help her to work through her fears of body safety.

A

b) This helps her to shape her concept of self and provides security as she gains independence from her parents.

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11
Q

The mother of two sons, ages 6 and 9, states they want to play on the same baseball team. As the school nurse, what advice would you give their mother?
a) Having the boys on the same team will make it more convenient for the mother.
b) Levels of coordination and concentration differ, so the boys need to be on different teams.
c) Put the boys on the same team because they are both school-age children.
d) It is best to avoid putting the boys on the same team to prevent sibling rivalry.

A

b) Levels of coordination and concentration differ, so the boys need to be on different teams.

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12
Q

Schoolaged children may view their illness, or the illness of those they love, as what?

A

Punishment for a real or imagined misdeed

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13
Q

What are the three stages of separation anxiety?

A

Stages of Separation Anxiety

Protest: Child is agitated, resists caregivers, cries, and is inconsolable.

Despair: Child feels hopeless and becomes quiet, withdrawn, and apathetic.

Detachment: Child becomes interested in environment; may ignore parents’ return.

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14
Q

What is the most important way to discern dehydration in children?

A

Body weight

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15
Q

The infant/toddler child fears ______________
The preschooler fears ______________
The schoolaged child fears ______________
The teenager fears _______________

A

The infant/toddler child fears pain/injury
The preschooler fears injury/pain, but specifically mutilation ( getting cut or poked)
The school-aged child fears disability and death, as well as pain/injury
The teenager fears injury/pain, and how illness will affect their appearance

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16
Q

The nurse is caring for an 8-year-old boy hospitalized for a bone marrow transplant.
His parents are in and out of his room throughout the day. Which behaviors of the child would alert the nurse that he is in the second stage of separation anxiety?
A) He ignores his parents when they return to his room.
B) He cries uncontrollably whenever they leave.
C) He forms superficial relationships with his caregivers.
D) He sits quietly and is uninterested in playing and eating.

A

D) He sits quietly and is uninterested in playing and eating.

17
Q

The nurse caring for a child on a pediatric intensive care unit notices that when the
parents go to work the child is very angry and cries easily. What does the nurse
suspect is occurring with this client?
A) Protest phase of separation anxiety
B) Regressive behavior
C) Detachment from the parents
D) Despair

A

A) Protest phase of separation anxiety

18
Q

A child is in the emergency department with an asthma exacerbationUpon asucultation the
nurse is unable to hear air movement in the lungs. What action should the nurse take first?
A. Administer a beta-2 adrenergic agonist
B. Administer oxygen
C. Start a peripheral IV
D. Administer corticosteroids

A

A. Administer a beta-2 adrenergic agonist

Airway, breathing, circulation- asthma obstructs the airway, open it first

19
Q

What are teaching considerations for each age group? How do you teach and when?

A

Infants/Toddlers - Teach the parents
Preschool - Use concrete terms, pictures/play a day or two before

School Aged - Use factual terms, 3-5 days before

Teenagers - Use detailed explanations, 7-10 days before