Deck 37: Health Promotion and Maintenance for the Toddler, the Preschooler, and the School-Age Child

Question 1

A nurse who is the manager of an ambulatory pediatric health care center is planning protocols for the routine health care visits of the children.Children at this care center have a high incidence of obesity.The nurse should ask all nurses to calculate the body mass index (BMI)for all pediatric clients at which age?

A)12 months
B)24 months
C)36 months
D)4 years

Answer 1

24 months

Question 2

The nurse in a hospital unit must develop a comprehensive plan of care for a school-age child.The question the nurse will ask the child that will be most helpful in data collection related to nutrition is:

A)"What did you have to eat so far today?"
B)"What is your favorite grocery store?"
C)"Do you eat school lunches or pack a lunch from home each day?"
D)"How do you feel about your weight and the way you look?"

Answer 2

"How do you feel about your weight and the way you look?"

Question 3

A nurse observes the parent-child interaction during a 6-year-old's well child checkup and notes that the parent speaks harshly to the child and uses negative remarks when speaking with the nurse.Which statement by the nurse would be most beneficial?

A)"Perhaps you should leave the room so that I can speak with your child privately."
B)"I am going to refer you for counseling,since your interactions with your child seem so negative."
C)"Let's talk privately.Let's discuss the way you speak with your child and possible ways to be more positive."
D)Addressing the child,the nurse says,"Are you unhappy when Mommy talks to you like this?"

Answer 3

"Let's talk privately.Let's discuss the way you speak with your child and possible ways to be more positive."

Question 4

The school health nurse is working with a parent-child group discussing sex education.Which statement by a parent or child requires further teaching by the nurse?

A)"I know girls can develop early.I was only 8 years old when I developed breasts."
B)"I plan to speak with my daughter about her sexuality only after she reads the books I purchased for her."
C)"My school nurse talked with us about getting a period," the child giggles.
D)"My friends like to talk about sex.Lots of us have older sisters who dress sexy."

Question 5

The school health nurse recognizes that children who display certain characteristics are at risk for poor school performance.The nurse will therefore observe each school-age child for which of the following characteristics? Select all that apply.

A)Decreased ability to perform visual tracking
B)Decreased auditory stimulation
C)Decreased muscle tone
D)Multiple dental caries
E)Chronic tonsillitis

Question 6

The school nurse is planning an education program for fourth-grade children regarding prepubescent changes.What is an action the nurse should include to make the educational program successful?

A)Prior to the program,discuss program content with the parents.
B)Have the parents present during the program.
C)Talk to all of the fourth-grade classes at one time.
D)Plan the program for after school.

Question 7

A nurse is preparing to perform a physical assessment on a toddler.Which of these actions should the nurse take?

A)Perform the assessment from head to toe.
B)Leave intrusive procedures such as eye and ear examinations until the end.
C)Explain each part of the examination to the child before performing it.
D)Ask the mother to tell the child not to be afraid.

Question 8

An overweight 11-year-old girl tells the school nurse that she would like to be more active,but her parents do not have time to take her places.What would be one suggestion that the nurse could make for this child to promote health?

A)Refer the child to the school psychologist to discuss the weight issue.
B)Encourage the parents to investigate the option of ride sharing with a classmate's family.
C)Suggest that the family plan an activity night and play board games together.
D)Tell the girl to talk to the school nurse each day about the foods she eats.

Question 9

The mother of a 12-year-old child informs the nurse that the child's father died from sudden cardiac death at 44 years old.Which of these laboratory tests should the nurse anticipate the physician to order?

A)CBC with differential
B)Lipid profile
C)Chest x-ray
D)EEG

Question 10

A nurse obtains a nutritional health history from a 10-year-old child.Which of these food selections,if consumed on a regular basis,should lead the nurse to become concerned about the need for improving oral hygiene?

A)Peanuts and crackers
B)Sorbet and yogurt
C)Gummy bears and licorice
D)Fluoridated water

Question 11

The school health nurse is evaluating the home environments of several children as they relate to child safety.The nurse visits the home of each child and gathers the following data.Which of these activities places a child at the greatest risk for bodily harm?

A)The parents are in a methadone program.
B)The parents consume alcohol on a daily basis.
C)The child is permitted to take target practice with a revolver unsupervised.
D)The child is a latchkey child.

Question 12

A 2-year-old has trouble going to bed at night.The parents ask what can be done to help with the transition to bed each evening.Which of the following would be the nurse's best response?

A)Let the child cry herself to sleep a few nights to adjust to the transition.
B)Let the child fall asleep while playing and then put the child to bed in her room.
C)Read a book to the child just before bedtime each night.
D)Play a favorite video at bedtime on a television in the child's room to help the child relax.

Question 13

The school nurse is teaching a class about safety.The nurse will teach the children that they should wear protective athletic gear when participating in selected activities.Which of these activities require protective athletic gear? Select all that apply.

A)Skateboarding
B)Football
C)Swimming
D)Lacrosse
E)Acrobatic tricks

Question 14

Parents of a preschool-age child report that they find it necessary to spank the child at least once a day.Which response should the nurse make to the parents?

A)"Spanking is one form of discipline;however,you want to be sure that you don't leave any marks on the child."
B)"Let's talk about other forms of discipline that have a more positive effect on the child."
C)"Can you try spanking the child only every other day for one week and see how that affects your child's behavior?"
D)"I think you are not parenting properly,so let's talk about ways to improve your parenting skills."

Question 15

A report from the school psychologist indicates that a 10-year-old child often is teased by his classmates.The child said to the psychologist,"I know I am not as good as them,so I just play by myself at recess every day." The nurse knows that the child most likely has:

A)A poor body image.
B)A self-determined concept.
C)A good sense of self-worth.
D)Decreased self-esteem.