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?

Accepted Answer

The American Academy of Pediatrics recommends that BMI should be calculated and plotted at least annually for all children aged 2 years and older as part of routine health care visits. Therefore, starting at 24 months (option B) is the correct protocol for monitoring and addressing obesity in pediatric clients.

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:

Accepted Answer

D

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?

Accepted Answer

Option C is the best choice because it addresses the parent's behavior in a non-judgmental manner and offers a solution in a private, supportive setting. Referring the parent for counseling may be premature at this early stage and could come across as judgmental or critical. Asking the child directly about their experience could make the child uncomfortable and may not be the most effective way to address the situation. Asking the parent to leave the room may also be perceived as confrontational or judgmental.

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?

Accepted Answer

The answer of The school health nurse is working with...

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.

Accepted Answer

The answer of The school health nurse recognizes that children...

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?

Accepted Answer

Prior to the program, discussing the content with parents can help the nurse ensure that the information being presented aligns with the parents' values and beliefs, and can also help the parents reinforce the information at home.

Question 7

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

Accepted Answer

Intrusive procedures can be distressing for toddlers, so they should be left until the end to minimize anxiety and ensure cooperation during the rest of the assessment.

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?

Accepted Answer

Encouraging the parents to investigate the option of ride sharing with a classmate's family can help the child to participate in extracurricular activities or sports. This will promote physical activity, which can help to improve overall health and reduce obesity.

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?

Accepted Answer

A lipid profile is likely to be ordered because the child's father died of sudden cardiac death at a relatively young age, which could indicate a genetic predisposition to heart disease or high cholesterol. This test can help assess the child's risk for similar conditions.

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?

Accepted Answer

Gummy bears and licorice are sticky and sugary foods that can adhere to teeth and promote the growth of bacteria, leading to tooth decay. Peanuts and crackers are not sticky or sugary and are less likely to cause dental problems. Sorbet and yogurt are also less likely to cause dental problems, although yogurt with added sugar should be consumed in moderation. Fluoridated water can actually help to prevent tooth decay.

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?

Accepted Answer

All of the options listed present potential risks to a child's safety, but allowing a child to take target practice with a revolver unsupervised presents the greatest risk for bodily harm. This activity involves the handling of a potentially lethal weapon and should only be done under close adult supervision to ensure the child's safety. The other options - parents in a methadone program, daily alcohol consumption, and being a latchkey child - also have their own risks, but they are not as immediately dangerous as allowing a child access to a firearm without supervision.

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?

Accepted Answer

Reading a book to the child just before bedtime each night can help establish a routine and create a calming environment before bed. This can help the child transition to bedtime more easily. Letting the child cry themselves to sleep or allowing them to fall asleep while playing can create negative associations with bedtime and may make it more difficult for the child to fall asleep in the future. Similarly, playing a video at bedtime can overstimulate the child and make it more difficult for them to relax and fall asleep.

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.

Accepted Answer

Skateboarding, football, and lacrosse are all high-impact activities where falls, collisions, and other accidents are common. Proper protective gear such as helmets, pads, and mouthguards can help prevent serious injuries. Swimming and acrobatic tricks do not typically require protective athletic gear.

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?

Accepted Answer

The nurse should educate the parents on positive forms of discipline rather than just addressing the physical aspect of spanking. It is important for the nurse to provide guidance and support to the parents in finding alternative, effective methods of discipline for their child. Option A only addresses physical harm rather than the effectiveness of the discipline. Option C may not be effective or appropriate for every child, and option D is judgmental and unhelpful in addressing the parents' concerns.

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:

Accepted Answer

The child's statement that he is not as good as his classmates and chooses to play alone suggests a lack of confidence in his abilities and a decreased sense of self-esteem.

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