Chapter 19 The School-Age Child - Leifer Maternity and Pediatric Nursing

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Chapter 19 The School-Age Child - Leifer Maternity and Pediatric Nursing

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 443 TOP: Physical Growth KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 2. 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 442 OBJ: 3 TOP: Cognitive Development KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 3. 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 443 TOP: Social DevelopmentPlay KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 4. 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 Eriksons 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 443 TOP: Psychosocial Development KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

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