Carman essentials of pediatric nursing 3rd Ed Ch 6 growth and development of the school aged child Questions & Answers Already Passed!!

A 9-year-old boy has arrived for a health maintenance visit. Which milestone of physical growth should the nurse expect to observe? a. Brain growth is complete and the shape of the head is longer. b. Lymphatic tissue growth is complete providing greater resistance to infections. c. Frontal sinuses are developed while tonsils have decreased in size. d. All deciduous teeth are replaced by 32 permanent teeth. - Answer: b Lymphatic tissue growth is complete by age 9 better helping to localize infections and produce antibodyantigen responses. Brain growth will be complete by age 10. Frontal sinuses are developed at age 7. Third molars do not erupt until the teen years. During a well-child check at the ambulatory clinic, the mother of a 10-year-old boy reports concerns about her son's frequent discussions about death and dying. Based upon knowledge of this age group the nurse understands that: a. at this age, children are not afraid of death. b. discussing death and dying may hint at a psychological disorder. c. consistent thoughts of death and dying at this age leads to the later development of depression. d. preoccupation with death and dying is common in the school-aged child. - Answer: d School-aged children are often preoccupied with thoughts of death and dying. There is no indication these thoughts will lead to mental health issues or the development of depression. School-aged children fear death but are fascinated by death and dying. The mother of a 7-year-old girl is asking the nurse's advice about getting her daughter a two-wheel bike. Which response by the nurse is most important? a. "Teach her where she'll land on the grass if she falls." b. "Be sure to get the proper size bike." c. "She won't need a helmet if she has training wheels." d. "Learning to ride the bike will improve her coordination." - Answer: bIt is very important to get a bike of the proper size for the child. Getting a bike that the child can "grow into" is dangerous. Training wheels and grass to fall on are not acceptable substitutes for the proper protective gear. The child should already demonstrate good coordination in other playing skills before attempting to ride a bike. The nurse has taken a health history and performed a physical examination for a 12-year-old boy. Which finding is the most likely? a. The child's body fat has decreased since last year. b. The child has different diet preferences than his parents. c. The child has a leaner body mass than a girl at this age. d. The child described a somewhat reduced appetite. - Answer: c