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Chapter 19: The School-Age Child

Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer

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Chapter 19: The School-Age Child

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. 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

 

 

ANS:  B

During the school-age period, the average weight gain per year is generally 5.5 to 7 pounds.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 435        OBJ:   3

TOP:   Physical Growth                              KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

 

  1. What should the nurse keep in mind when planning to teach a class on nutrition to fourth-grade students?
a. School-age children can concentrate on only one aspect of a situation.
b. School-age children can think abstractly.
c. School-age children are egocentric in their thinking.
d. School-age children think logically and concretely.

 

 

ANS:  D

Piaget refers to the thought process of this period as concrete operations, which involves logical thinking and an understanding of cause and effect.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 434, Box 19-1

OBJ:   3                    TOP:   Cognitive Development

KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

 

  1. What type of relationships are the preferred social interactions for the school-age child?
a. Heterosexual interest groups
b. Association with one “best friend”
c. Rigidly organized groups with complex rules
d. Same-sex peer groups

 

 

ANS:  D

The preferred social interaction of the school-age child is in same-sex peer groups or cliques.

 

DIF:    Cognitive Level: Analysis                REF:   Page 435        OBJ:   3

TOP:   Social Development—Play              KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

 

  1. The nurse is advising parents of a 10-year-old boy about the most developmentally supportive experiences for their son. What is the best experience for this child according to Erikson’s theory?
a. Constant variety of activities
b. Successful performance in Little League
c. Feeling healthy and strong
d. Having a girlfriend

 

 

ANS:  B

The child who is successful in activities will feel positively about himself or herself.

 

DIF:    Cognitive Level: Analysis                REF:   Page 435        OBJ:   3

TOP:   Psychosocial Development              KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

 

  1. The parents of an 8-year-old 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.

 

 

ANS:  A

The nightmares experienced by an 8-year-old are an extension of their characteristic fear of mutilation.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 444, Table 19-3

OBJ:   3                    TOP:   Eight-Year-Old

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

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