Ch. 20 Schoolage Child Flashcards
(36 cards)
The school nurse conducting an in-service program for teachers is asked about general growth and development of school-age children. Which of the following statements would be the best response by the nurse?
A. “By age 11, blood pressure readings are the same as for an adult.”
B. “Because of the rapid growth pattern in this age group, snacks are important to ensure sufficient caloric intake.”
C. “Children in this age group have some difficulty with coordination and balance, so playground supervision is important.”
D. “Overall growth in school-age children is slower than during infancy and adolescence.”
D. “Overall growth in school-age children is slower than during infancy and adolescence.”
According to the American Academy of Pediatrics, at what age should blood pressure screening begin?
A. 3
B. 6
C. 9
D. 12
A. 3
The school nurse has seen several students in the health office. For which of the following students should the nurse suggest a follow-up exam?
A. A 14-year old girl who has not experienced menarche
B. A 7-year old boy who has grown 2 inches in a year
C. A 10-year old girl who has gained 11 pounds in a year
D. An 8-year old boy who has lost four deciduous teeth in the past year
C. A 10-year old girl who has gained 11 pounds in a year
The president of the Parent-Teacher Association asks the school nurse about the appropriateness of sponsoring a health fair that focuses on oral health for school-age children. Which of the following statements indicates the nurse’s correct understanding of this issue?
A. “Dental problems aren’t as prevalent a problem as asthma, so you might want to consider a health fair about respiratory problems instead.”
B. “Over 40% of children age 2 to 11 have dental caries, so a health fair that focuses on oral care is very appropriate.”
C. “Children aren’t usually receptive to learning about dental care, so the topic is not the best choice for a health fair.”
D. “This is not an appropriate focus for a health fair because the incidence of dental caries has dropped dramatically due to the use of sealants.”
B. “Over 40% of children age 2 to 11 have dental caries, so a health fair that focuses on oral care is very appropriate.”
Which of the following statements is correct?
A. Tonsils in a school-age child are smaller than in an adult
B. The nervous system generally matures between ages 11 to 13
C. Fractures heal more slowly in a 10-year old child than in an adult
D. Overweight children have muscle pain more often than average-weight children
D. Overweight children have muscle pain more often than average-weight children
Which of the following elements is most likely deficient in a school-age child’s diet?
A. Protein
B. Sodium
C. Iron
D. Vitamin B12
C. Iron
Which of the following initiatives related to childhood nutrition outlined in Healthy People 2010 was not successful?
A. Reduction of fat consumption
B. Increase in consumption of fruit
C. Adequate food supplies at home
D. Reducing obesity rates
C. Adequate food supplies at home
A school nurse is planning a series on nutrition. Which of the following factors should the nurse take into account?
A. Television commercials frequently advertise food-related products
B. Children watch approximately 2 h or television a day
C. Each day, approximately 60% of children eat fast food
D. A child is three times more likely to eat in a restaurant than at home
A. Television commercials frequently advertise food-related products
A nurse is planning activities to help children learn about good nutritional practices. Which of the following strategies should the nurse implement?
A. Coordinate a “Try This” food day offering a variety of nutritious snacks
B. Find a book about nutrition to read the students
C. Plan a video using the concept of MyPlate
D. Search online for a video about nutrition to the students
A. Coordinate a “Try This” food day offering a variety of nutritious snacks
A child who has a BMI of 34 visits the school nurse. Which of the following factors does the nurse recognize that the child may be experiencing?
A. Increased bullying by peers
B. Increased self-esteem
C. Increased resiliency
D. Increased motivation to lose weight
A. Increased bullying by peers
During a well-child visit, parents report to the nurse that they are concerned that their 8-year old son has started wetting the bed at night. Which of the following statements should the nurse make to the parents?
A. “I’ll be sure to mention this to the doctor; we rarely see a child who wets the bed at this age.”
B. “There is not much you can do to stop this problem until he gets older.”
C. “This is a common disease in children his age but there are treatment options.”
D. “I’m going to collect a urine sample from him and then we will talk about bed wetting.”
D. “I’m going to collect a urine sample from him and then we will talk about bed wetting.”
Which of the following children is at risk for developing encopresis?
A. A 6-year old child who has occasional bed wetting
B. A 3-year old child who is not fully toilet-trained
C. A 5-year old child who has been in four foster care homes since age 3
D. A 4-year old who passes stool every morning after breakfast
C. A 5-year old child who has been in four foster care homes since age 3
A nurse is discussing sleep patterns in school-age children. Which of the following should be stressed by the nurse?
A. Sharing a bed with siblings/parents has a long-lasting psychological impact
B. School-age children need between 6 and 9 h or sleep a night
C. Daytime naps are important in children until they reach the age of 9 or 10
D. School-age children generally agree with and adhere to a regular bedtime
D. School-age children generally agree with and adhere to a regular bedtime
Parents of an 8-year old boy tell the nurse that they are concerned about their son because he occasionally sleepwalks. Which of the following is the best response from the nurse?
A. “Sleepwalking is much more common in girls than boys.”
B. “I am glad you mentioned this. Sleepwalking is sometimes a sign of a neurological deficit.”
C. “Nightmares are the cause of most cases of sleepwalking.”
D. “This is not abnormal for a child of this age. He will most likely outgrow this tendency as his nervous system matures.”
D. “This is not abnormal for a child of this age. He will most likely outgrow this tendency as his nervous system matures.”
During a school gift fair, a parent asks the school nurse what gift would be most appropriate for her 6-year old child. Which of the following should the nurse encourage the parent to purchase?
A. A box of wooden blocks of various sizes for sorting
B. A jar of sea shells in various shapes, colors, and textures
C. A world map
D. A beginning encyclopedia of animals
B. A jar of sea shells in various shapes, colors, and textures
The school nurse has written a grant to obtain funding for a vision screening program and glasses for children in his pre-K to 6th grade elementary school. Which of the following statements should be included with the rationale for the need for funding?
A. Many preschool children are hyperopic and need glasses to prevent headaches
B. Most states require vision screening on entering school
C. Vision screening can diagnose vision/eye problems before they become severe
D. Approximately one in four children has a vision problem
D. Approximately one in four children has a vision problem
Which of the following statements concerning hearing in school-age children in correct?
A. The rate of otitis media infections met Healthy People 2010 targets
B. Hearing and visual problems occur with the same frequency
C. All 50 states require routine hearing evaluations
D. The use of tympanograms has improved the accuracy of hearing screenings
A. The rate of otitis media infection met Healthy People 2010 targets
A third grade teacher asks the school nurse what she can reasonably expect from children in her classroom related to language ability. Which of the following statements would be the best response from the nurse?
A. “Children in the second grade should have about a 4000-word vocabulary.”
B. “Research has shown that children will learn to read more quickly if you use the whole word approach.”
C. “You can expect that the children will write ‘b’ and ‘d’ without reversing them, and all of the letters in a word will be about the same size.”
D. “You can evaluate the cognitive ability of the children in your classroom by noting how legible their writing is.”
C. “You can expect that the children will write ‘b’ and ‘d’ without reversing them, and all of the letters in a word will be about the same size.”
Each of the following children visits the school nurse on a regular basis. Which of these children would the nurse identify as being at risk for a learning disability and suggest follow-up care?
A. 9-year old whose parents recently divorced
B. 10-year old who is inattentive and fidgets constantly
C. 12-year old with a 4000-word vocabulary
D. 11-year old who scored 102 on an IQ test
B. 10-year old who is inattentive and fidgets constantly
A parent asks the nurse working in a pediatric clinic how she can help her 6-year old child feel good about himself. Which of the following statements should be made by the nurse?
A. “Doing most things for your child will give the child a sense of security, and the child will have a positive self-image.”
B. “Having your child help around the house with tasks such as setting the table will increase self-esteem.”
C. “Make sure to highly praise even the smallest effort your child makes at completing a task.”
D. “There is little you can do to increase your child’s self-esteem. The child’s peers have much more of an influence than parents at this age.”
B. “Having your child help around the house with tasks such as setting the table will increase self-esteem.”
Which of the following statements made by a parent is most helpful when discussing rules of the household?
A. “You did not feed the dog like you promised, so you cannot have ice cream for dessert.”
B. “I was upset when you didn’t feed the dog like you promised. We all need to help take care of him because he depends on us. Let’s talk about what happened.”
C. “Why did you forget to feed the dog? Would you like me to forget to feed you?”
D. “What you did was bad. We all need to care for the dog.”
B. “I was upset when you didn’t feed the dog like you promised. We all need to help take care of him because he depends on us. Let’s talk about what happened.”
A nurse has recently accepted a position as a school nurse at a middle school and plans to offer sex education to the students and parents. Which of the following statements is NOT correct concerning how the nurse should implement this program?
A. Offer gender-segregated sex education classes
B. Education on sexually transmitted disease is not advised until high school
C. Determine how this education has been provided in the past, as a first step
D. Survey parents to determine their desire for this education to be provided
B. Education on sexually transmitted diseases is not advised until high school
The school nurse has been asked to conduct a community awareness program about accidents that impact the school-age child. Which of the following facts should be included in the program?
A. Poisonings and falls are the leading causes of death
B. Drowning and motor vehicle accidents are the leading causes of fatality
C. The majority of accident happen inside the home
D. Burn accidents are more common in the summer months
B. Drowning and motor vehicle accidents are the leading causes of fatality
Which of the following statements is correct regarding firearms?
A. As with video games, toy guns has been shown to increase violence later in life
B. For safety, guns should be stored apart from ammunition
C. The second amendment exempts hand guns
D. All of the above statements are correct
B. For safety, guns should be stored apart from ammunition
