PEDIATRICS SECOND MODULE REVIEW
SCRIPT 2026 FULL ANSWERS GRADED A+
⩥ Generally the earliest age at which puberty begins is:
a. 13 years in girls, 13 years in boys
b. 11 years in girls, 11 years in boys
c. 10 years in girls; 12 years in boys
d. 12 years in girls, 10 years in boys.
Answer: ANS: C
Puberty signals the beginning of the development of secondary sex
characteristics. This begins in girls earlier than in boys. Usually a 2-year
difference occurs in the age at onset. Girls and boys do not usually begin
puberty at the same age; girls usually begin earlier than boys do.
⩥ The role of the peer group in the life of school-age children is that it:
a. Gives them an opportunity to learn
dominance and hostility.
b. Allows them to remain dependent on their
parents for a longer time.
c. Decreases their need to learn appropriate
sex roles.
d. Provides them with security as they gain
,independence from their parents..
Answer: ANS: D
Peer-group identification is an important factor in gaining independence
from parents. Through peer relationships children learn ways to deal
with dominance and hostility. They also learn how to relate to people in
positions of leadership and authority and explore ideas and the physical
environment. Peer-group identification helps in gaining independence
rather than remaining dependent. A child's concept of appropriate sex
roles is influenced by relationships with peers.
⩥ A group of boys ages 9 and 10 years have formed a "boys-only" club
that is open to neighborhood and school friends who have skateboards.
This should be interpreted:
a. Behavior that encourages bullying and
sexism.
b. Behavior that reinforces poor peer
relationships.
c. Characteristic of social development of this
age.
d. Characteristic of children who later are at
risk for membership in gangs..
Answer: ANS: C
One of the outstanding characteristics of middle childhood is the
creation of formalized groups or clubs. Peer-group identification and
association are essential to a child's socialization. Poor relationships with
,peers and a lack of group identification can contribute to bullying. A
boys-only club does not have a direct correlation with later gang activity.
⩥ What is descriptive of the play of school-age children?
a. Individuality in play is better tolerated than
at earlier ages.
b. Knowing the rules of a game gives an
important sense of belonging.
c. They like to invent games, making up the
rules as they go.
d. Team play helps children learn the
universal importance of competition and
winning..
Answer: ANS: B
Play involves increased physical skill, intellectual ability, and fantasy.
Children form groups and cliques and develop a sense of belonging to a
team or club. At this age children begin to see the need for rules.
Conformity and ritual permeate their play. Their games have fixed and
unvarying rules, which may be bizarre and extraordinarily rigid. With
team play children learn about competition and the importance of
winning, an attribute highly valued in the United States.
⩥ Which statement best describes fear in school-age children?
a. They are increasingly fearful for body
, safety.
b. Most of the new fears that trouble them are
related to school and family.
c. They should be encouraged to hide their
fears to prevent ridicule by peers.
d. Those who have numerous fears need
continuous protective behavior by parents
to eliminate these fears..
Answer: ANS: B
During the school-age years children experience a wide variety of fears,
but new fears related predominantly to school and family bother children
during this time. During the middle-school years children become less
fearful of body safety than they were as preschoolers. Parents and other
persons involved with children should discuss their fear with them
individually or as a group activity. Sometimes school-age children hide
their fears to avoid being teased. Hiding the fears does not end them and
may lead to phobias.
⩥ The school nurse has been asked to begin teaching sex education in
the 5th grade. The nurse should recognize that:
a. Children in 5th grade are too young for sex
education.
b. Children should be discouraged from
asking too many questions.
SCRIPT 2026 FULL ANSWERS GRADED A+
⩥ Generally the earliest age at which puberty begins is:
a. 13 years in girls, 13 years in boys
b. 11 years in girls, 11 years in boys
c. 10 years in girls; 12 years in boys
d. 12 years in girls, 10 years in boys.
Answer: ANS: C
Puberty signals the beginning of the development of secondary sex
characteristics. This begins in girls earlier than in boys. Usually a 2-year
difference occurs in the age at onset. Girls and boys do not usually begin
puberty at the same age; girls usually begin earlier than boys do.
⩥ The role of the peer group in the life of school-age children is that it:
a. Gives them an opportunity to learn
dominance and hostility.
b. Allows them to remain dependent on their
parents for a longer time.
c. Decreases their need to learn appropriate
sex roles.
d. Provides them with security as they gain
,independence from their parents..
Answer: ANS: D
Peer-group identification is an important factor in gaining independence
from parents. Through peer relationships children learn ways to deal
with dominance and hostility. They also learn how to relate to people in
positions of leadership and authority and explore ideas and the physical
environment. Peer-group identification helps in gaining independence
rather than remaining dependent. A child's concept of appropriate sex
roles is influenced by relationships with peers.
⩥ A group of boys ages 9 and 10 years have formed a "boys-only" club
that is open to neighborhood and school friends who have skateboards.
This should be interpreted:
a. Behavior that encourages bullying and
sexism.
b. Behavior that reinforces poor peer
relationships.
c. Characteristic of social development of this
age.
d. Characteristic of children who later are at
risk for membership in gangs..
Answer: ANS: C
One of the outstanding characteristics of middle childhood is the
creation of formalized groups or clubs. Peer-group identification and
association are essential to a child's socialization. Poor relationships with
,peers and a lack of group identification can contribute to bullying. A
boys-only club does not have a direct correlation with later gang activity.
⩥ What is descriptive of the play of school-age children?
a. Individuality in play is better tolerated than
at earlier ages.
b. Knowing the rules of a game gives an
important sense of belonging.
c. They like to invent games, making up the
rules as they go.
d. Team play helps children learn the
universal importance of competition and
winning..
Answer: ANS: B
Play involves increased physical skill, intellectual ability, and fantasy.
Children form groups and cliques and develop a sense of belonging to a
team or club. At this age children begin to see the need for rules.
Conformity and ritual permeate their play. Their games have fixed and
unvarying rules, which may be bizarre and extraordinarily rigid. With
team play children learn about competition and the importance of
winning, an attribute highly valued in the United States.
⩥ Which statement best describes fear in school-age children?
a. They are increasingly fearful for body
, safety.
b. Most of the new fears that trouble them are
related to school and family.
c. They should be encouraged to hide their
fears to prevent ridicule by peers.
d. Those who have numerous fears need
continuous protective behavior by parents
to eliminate these fears..
Answer: ANS: B
During the school-age years children experience a wide variety of fears,
but new fears related predominantly to school and family bother children
during this time. During the middle-school years children become less
fearful of body safety than they were as preschoolers. Parents and other
persons involved with children should discuss their fear with them
individually or as a group activity. Sometimes school-age children hide
their fears to avoid being teased. Hiding the fears does not end them and
may lead to phobias.
⩥ The school nurse has been asked to begin teaching sex education in
the 5th grade. The nurse should recognize that:
a. Children in 5th grade are too young for sex
education.
b. Children should be discouraged from
asking too many questions.
