Chapter 20 School-Age Child

Chapter 20  School-Age Child

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE
1. The school nurse conducting an in-service program for teachers is asked about general growth and development of school-age children. The nurse should reply:
a.
“By age 11, blood pressure readings are the same as for an adult.”
b.
“Because of the rapid growth pattern in this age group, snacks are important to ensure sufficient caloric intake.”
c.
“Children in this age group have some difficulty with coordination and balance, so playground supervision is important.”
d.
“Overall growth in school-age children is slower than during infancy and adolescence.”

ANS: D
Blood pressure readings for children in this age group are lower than for adults. Growth slows until adolescence. Children in this age group generally have good coordination and balance.

DIF: Cognitive Level: Comprehension REF: 508

2. According to the American Heart Association, at what age should blood pressure screening begin?
a.
3
b.
6
c.
9
d.
12

ANS: A
Blood pressure screening should begin at 3 years of age and should be measured annually.

DIF: Cognitive Level: Knowledge REF: 509

3. The school nurse should suggest a follow-up exam for which of the following children?
a.
14-year-old girl who has not experienced menarche
b.
7-year-old boy who has grown 2 inches in a year
c.
10-year-old girl who has gained 11 lb in a year
d.
An 8-year-old boy who has lost four deciduous teeth in the past year

ANS: C
The average age of menarche is between 11 and 15 years of age. School-age children grow approximately 2 inches a year, gain between approximately 4.4 to 6.6 lb a year, and lose four deciduous teeth a year between ages 6 and 13. A weight gain of 11 lb in 1 year requires a follow-up because of the rising rate of obesity in children.

DIF: Cognitive Level: Application REF: 509-510

4. The president of the Parent-Teacher Association asks the school nurse about the appropriateness of sponsoring a health fair that focuses on oral health for school-age children. Which of the following statements indicates the nurse’s correct understanding of this issue?
a.
“Dental problems are not as prevalent a problem as asthma, so you might want to consider a health fair about respiratory problems instead.”
b.
“Almost 50% of children age 6 to 17 have dental caries, so a health fair that focuses on oral care is very appropriate.”
c.
“Children are not usually receptive to learning about dental care, so the topic is not the best choice for a health fair.”
d.
“This is not an appropriate focus for a health fair because the incidence of dental caries has dropped dramatically due to the use of sealants.”

ANS: B
Dental caries and other oral health issues remain a problem in the school-age population. Small gains have been made in number of children receiving sealants to prevent caries. Dental problems are five times more prevalent than asthma.

DIF: Cognitive Level: Application REF: 510

5. Which of the following statements is correct?
a.
Tonsils in a school-age child are smaller than in an adult.
b.
The nervous system generally matures between ages 11 to 13.
c.
Fractures heal more slowly in a 10-year-old child than in an adult.
d.
Overweight children have joint and muscle pain more often than average-weight children.

ANS: D
Tonsils, which are lymphoid tissue, are larger in a child than in an adult. The nervous system matures by ages 7 to 8. Fractures heal more quickly in children than in adults.

DIF: Cognitive Level: Knowledge REF: 510