Deck 5: Preschool Child, School-Aged Child, and Adolescent

Question 1

A mother tells the community health nurse that her 3-year-old will only eat hot dogs. She asks the nurse how can she get her child to eat a variety of foods. Which of the following recommendations should the nurse give the mother?

A) Preschool children can have strong food preferences.
B) Parents can support preschoolers to eat nutritious food by encouraging the child to try new foods.
C) Picky eating is a phase that preschoolers go through; you can allow the child to develop their independence by choosing their own foods.
D) Preschool children frequently refuse to try new foods.

Answer 1

Parents can support preschoolers to eat nutritious food by encouraging the child to try new foods.

Question 2

The prevalance of food allergies in children in Canada continues to increase. At what age do most allergies develop?

A) In the first 3 months of life
B) By 6 months of age
C) By the age of 2 years
D) By the age of 4 years

Answer 2

By the age of 2 years

Question 3

A preschooler and her school-aged brother both have received identical inflatable swim rings as a gift. The brother accidentally took his sister's swim ring. The sister protested that she needed her swim ring to go swimming. Which of the following is being demonstrated by this behaviour by the sister?

A) Abstract thinking
B) Concrete thinking
C) Jealousy
D) A temper tantrum

Answer 3

Concrete thinking

Question 4

A mother thinks her 2-year-old child drank drain cleaner. What should the nurse tell the mother to do next?

A) Call the pediatrician on call.
B) Give ipecac syrup.
C) Call the nearest poison control centre.
D) Wait to see if the child will vomit.

Question 5

Which of the following statements are correct concerning testing of developmental level? (Select all that apply.)

A) The various approved screening tools serve as valid diagnostic tools.
B) The Looksee Checklist is a parent self-report tool to monitor child development from 1 month to 6 years.
C) Positive findings on screening tests warrant referral to developmental and medical specialists.
D) The Rourke Baby Record (RBR) is commonly used in the primary care setting.

Question 6

According to the Canadian Paediatric Society, at what age should blood pressure screening begin?

A) 3
B) 6
C) 9
D) 12

Question 7

Which of the following initiatives related to childhood nutrition outlined in Canada's Dietary Guidelines was most successful?

A) Reduction of fat consumption
B) Increase in consumption of fruit
C) Adequate food supplies at home
D) Reducing obesity rates

Question 8

Which of the following statements concerning hearing in school-aged children is correct?

A) Chronic otitis media infections are a common cause of hearing deficit.
B) Hearing and visual problems occur with the same frequency.
C) All provinces and territories require routine hearing evaluations.
D) The use of tympanograms has improved the accuracy of hearing screenings.

Question 9

A child's parents ask the school nurse if there is any help available to help their child develop coping skills. Which of the following recommendations should the nurse provide?

A) "Parents should not discipline their child if the child is stressed."
B) "The school district has a health program that you can access to teach self-care to children."
C) "Encourage your child to make decisions, and accept the child's need to set the direction."
D) "You will need to find resources in your community."

Question 10

Which of the following statements is NOT correct concerning adolescent sexual issues?

A) Sexting is becoming an increasingly common practice among adolescents.
B) Experimenting with same-sex intimacy may put adolescents at risk for suicide.
C) Fantasizing about sexual activities has been shown to lead to promiscuity.
D) Anticipatory guidance appropriately includes information about contraception and sexually transmitted infections (STIs).

Question 11

Which of the following statements is correct concerning adolescent pregnancies?

A) Low birth weight is associated with adolescent pregnancies.
B) Adolescent pregnancies have increased in Canada over the last two decades.
C) Adolescents from the Prairie provinces have the highest rate of adolescent pregnancy.
D) Adolescents who are from immigrant families have the highest rate of adolescent pregnancy.

Question 12

Which of the following is the SECOND leading cause of death for adolescents and young adults in Canada, aged 10 to 24 years?

A) Accidents
B) Suicide
C) Bone cancer
D) Sport injuries, especially head trauma