Nokea
The nurse is assessing a school-age child. What will the nurse expect in regard to physical development of this child?
- A. Growth of 3 to 6 inches per year
- B. Gain of 5 to 7 pounds per year
- C. Increase of head circumference by 1 inch per year
- D. A visual acuity of 20/20 by 9 years of age
Correct Answer: B
Rationale: During the school-age period, the average weight gain per year is generally 5.5 to 7 pounds.
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The parents of an 8-year-old child tell the nurse the child wakes the household crying out during his frequent nightmares. What is the nurse's most helpful response to explain nightmares?
- A. They are a normal extension of the child's fear of mutilation.
- B. They are an abnormal response to repressed feelings.
- C. They are a common result of latent sexuality.
- D. They are a side effect of overactivity and stimulation.
Correct Answer: A
Rationale: The nightmares experienced by an 8-year-old child are an extension of their characteristic fear of mutilation.
A parent states, 'My 7-year-old really wants a dog. His 10-year-old brother has allergies to animal dander. I don't know what to do.' What type of pet should the nurse suggest as the best choice?
- A. A small breed of dog because the large dogs produce more allergens.
- B. An older unneutered dog that produces fewer allergens than a younger one.
- C. A cat because it requires less care and is less allergenic.
- D. A poodle, which does not shed, making it a good choice for people with allergies.
Correct Answer: D
Rationale: The poodle does not have a shed cycle and so it may be the least offensive pet for the allergic child.
The pediatric nurse is presenting school-age children with information on safety issues to follow when going home alone. What guidelines should they be educated to follow? (Select all that apply.)
- A. Ask for identification before letting someone in the house.
- B. Never accept rides with strangers.
- C. Keep doors locked.
- D. Do not enter house if door is ajar.
- E. Walk to and from school with friends.
Correct Answer: B,C,D,E
Rationale: Strangers should never be allowed in the house. Children should be instructed never to accept rides with strangers, to keep doors locked, not to enter the house if the door is ajar, and to walk to and from school with friends.
What basic 'feeling' words should the nurse use in attempting to help a 7-year-old girl express her feelings about being in a new school? (Select all that apply.)
- A. Mad
- B. Glad
- C. Sad
- D. Scared
- E. Jealous
Correct Answer: A,B,C,D
Rationale: The words 'mad,' 'glad,' 'sad,' and 'scared' are basic feeling words that can prompt a young child to better express his or her feelings.
Which stage of cognitive development is a 9-year-old child in according to Piaget?
- A. Formal operations
- B. Preoperational
- C. Concrete operations
- D. Sensorimotor
Correct Answer: C
Rationale: School-age children are in the concrete operations stage of cognitive development.