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91 Cards in this Set
- Front
- Back
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following is characteristic of the psychosocial development of school-age children?
a) Peer approval is not yet a motivating power b) A developing sense of initiative is very important c) Motivation comes from extrinsic rather than intrinsic sources d) Feelings of inferiority or lack of worth can be derived from children themselves or from the environment |
Feelings of inferiority or lack of worth can be derived from children themselves or from the environment
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Which of the following describes the cognitive abilities of school-age children?
a) Have developed the ability to reason abstractly b) Become capable of scientific reasoning and formal logic c) Progress from making judgments based on what they reason to making judgments based on what they see d) Have the ability to place things in a logical order, to group and sort, and to hold a concept in their minds while making decisions based on that concept |
Have the ability to place things in a logical order, to group and sort, and to hold a concept in their minds while making decisions based on that concept
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Which of the following describes more development in the younger school-age child?
a) The standards of behavior now come from within themselves b) They do not yet experience a sense of guilt when they misbehave c) They know the rules and behaviors expected of them but do not understand the reasons behind them d) They no longer interpret accidents and misfortunes as punishment for misdeeds |
They know the rules and behavior expected of them but do not understand the reasons behind them
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A group of boys ages 9 and 10 forms a "boys only" club that is open to neighborhood and school friends who have skateboards. This should be interpreted as which of the following?
a) Behavior that encourages bullying and sexism b) Behavior that reinforces poor pee relationships c) Characteristic of social development of this age d) Characteristic of children who are later at risk for membership in gangs |
Characteristic of social development of this age
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Bullying can be common during the school-age years. The nurse should recognize that bullying:
a) Can have a lasting effect on children b) Is not a significant threat to self-concept c) Is rarely based on anything that is concrete d) Is usually ignored by the child who is being teased |
Can have a lasting effect on children
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Which of the following should the nurse include when giving parents guidelines about helping her children in school?
a) Punish children who fail to perform adequately b) Help children as much as possible with their homework c) Communicate with teachers if there appears to be a problem d) Accept responsibility for children's successes and failures |
Communicate with teachers if there appears to be a problem
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Sleep problems in the school-age child are often demonstrated by:
a) Night terrors that awaken the child b) Delaying tactics because they do not wish to go to bed c) Somatic illness that awakens the child d) Increasing need for sleep time compared with adolescents |
Delaying tactics because they do not wish to go to bed
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The parents of an 8 year old girl tell the nurse that their daughter wants to join a soccer team. The nurse's suggestions regarding participation in sports at this age should include which of the following?
a) Organized sports such as soccer are not appropriate at this age b) Competition is detrimental to the establishment of a positive self-image c) Sports participation is encouraged if the type of sport is appropriate to the childs abilities d) Girls should compete only against girls because at this age boys are larger and have more muscle mass |
Sports participation is encouraged if the type of sport is appropriate to the childs abilities
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The school nurse is discussing dental health with some childen in first grade. Which of the following should be included?
a) Teach how to floss teeth properly b) Recommend toothbrush with hard nylon bristles c) Emphasize importance of brushing before bedtime d) Recommend nonfluoridated toothpaste approved by the American Dental Association |
Emphasize importance of brushing before bedtime
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Which of the following is descriptive of attention deficit hyperactivity disorder (ADHD)?
a) Manifestations exhibited are so bizarre that the diagnosis is fairly easy b) Manifestations affect every aspect of the child's life but are most obvious in the classroom c) Learning disabilities associated with ADHD eventually disappear when adulthood is reached d) Diagnosis of ADHD requires that all manifestations of the disorder are present |
Manifestations affect every aspect of the child's life but are most obvious in the classroom
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A mother calls the school nurse saying that her daughter has developed school phobia. She has been out of school 3 days. The nurse's recommendations should include which of the following?
a) Immediately return child to school b) Determine cause of phobia before returning to school c) Explain to child that this is the last day she can stay home d) Seek professional counseling before forcing child to return to school |
Immediately return child to school
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Which of the following is a characteristic of children with depression?
a) Increased range of affective response b) Preopccupation with need to perform well in school c) Change in appetite, resulting in weight loss or gain d) Tendency to prefer play to schoolwork |
Change in appetite, resulting in weight loss or gain
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The parent of a 10 year old with diabetes asks the nurse why home blood glucose monitoring is being recommended. The nurse should base the explanation on which of the following?
a) It is an easier method of testing b) Parents are better able to manage the diabetes c) Children have a greater sense of control over the diabetes d) Fewer visits to the primary care provider will be necessary |
Children have a greater sense of control over the diabetes
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A school-age child recently diagnosed with type 1 diabetes mellitus asks the nurse is he can still play soccer, play baseball, and swim. The nurse's response should be based on knowledge that:
a) Exercise is contraindicated b) The level of activity depends on the type of insulin required c) Exercise is not restricted unless indicated by other health conditions d) Soccer and baseball are too strenuous, but swimming is acceptable |
Exercise is not restricted unless indicated by other health conditions
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The nurse should recognize that when a child develops diabetic ketoacidosis, this is which of the following?
a) Expected outcome b) Best treated at home c) Life-threatening situation d) Best treated at practitiner's office or clinic |
Life threatening situation
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Middle childhood is also referred to as the middle years, the school years, or the school-age years. What ages does this period represent?
a) Ages 5-13 years b) Ages 4-14 years c) Ages 6 to 12 years d) Ages 6 to 16 years |
Ages 6 to 12 years
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Which finding should the nurse expect when assessing physical growth in the school-age child?
a) Weight increase of 2 to 3 kg per year b) Height increase of 3cm per year c) Little change in refined coordination d) Decrease in body fat and muscle tissue |
Weight increase of 2 to 3 kg per year
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True/False
In middle childhood there are fewer stomach upsets, better maintenance of blood glucose levels, and an increased stomach capacity. |
True
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True/False
Caloric needs are higher in relation to stomach size when compared with the needs of preschool years. |
False
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True/False
The heart is smaller in relation to the rest of the body during the middle years |
True
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True/False
During the middle years, the immune system develops little immunity to pathogenic microorganisms |
False
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True/False
Backbacks, when worn correctly, are preferred to other book totes during middle years |
True
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True/False
Physical maturity correlates well with emotional and social maturity during the middle years. |
False
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True/False
School-age children's muscles are still functionally immature compared with those of the adoelscent and are more easily damaged by muscular injury and overuse |
True
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True/False
Wider physical differences between children are seen at the beginning of middle childhood than at the end |
False
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True/False
There is no universal age at which the child assumes the characteristics of preadolescence |
True
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True/False
Early appearance of physical sexual characteristics in girls and late appearance in boys have been linked to participation in risk-taking behaviors. |
True
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What period begins toward the end of middle childhood and ends at age 13?
a) Puberty b) Preadolescence c) Early maturation d) All of the above |
Preadolescence
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According to Erikson, what is the development goal of middle childhood?
a) Autonomy b) Trust c) Initiative d) Industry |
Industry
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Which of the following descriptions of school-age children is most closely linked to Erikson's theory?
a) During this time, children experience relationships with same-sex peers b) During this time, there is an overlapping of developmental characteristics between childhood and adolescence c) During this time, temperamental traits form infancy through continue to influence behavior d) During this time, interests expand and children, with a growing sense of independence, engage in tasks that can be carried through to completion |
During this time, interests expand and children, with a growing sense of independence, engage in tasks that can be carried through to completion
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According to a Piaget, what is the stage of development for middle childhood?
a) Concrete operational b) Preoperational c) Formal operation d) Sensorimotor |
Concrete operational
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Early appearance of secondary sex characteristics of girls during preadolescence may be associated with:
a) Satisfaction with physical appearance and a higher self-esteem b) Increase in self-confidence and a more outgoing personality c) Dissatisfaction with physical appearance and lower self-esteem d) Increased substance use and reckless vehicle use |
Dissatisfaction with physical appearance and lower self-esteem
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Dillon is a 6 year old starting in a new neighborhood school. On the first day of school, he complains of a headache and tearfully tells his mother he does not want to go to school. Dillon's mother takes him to school, and the nurse is consulted. The nurse recognizes that Dillon is slow to warm up to others and suggests:
a) Putting Dillon in the classroom with the other children and leaving him along b) Insisting that Dillon join and lead the class song c) Including Dillon in activities without assigning him tasks until he willingly participates in activities d) Sending Dillon home with his mom because he has a headache |
Including Dillon in activities without assigning him tasks until he willingly participates in activities
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Which of the following accurately describes the expected cognitive development during the concrete-operational period of middle childhood?
a) Children are able to follow directions but unable to verbalize the actions involved in the process b) Children are able to use their thought processes to experience events and actions to make judgments based on what they reason c) Children are able to see things from an egocentric outlook that is rigidly developed around the action to be completed d) Children progress form conceptual thinking to perceptual thinking when making judgments |
Children are able to use their thought processes to experience events and actions to make judgments based on what they reason
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Children who are identified as having an easily distracted temperament:
a) Rarely pose a problem b) Usually exhibit discomfort when introduced to new situations c) Benefit from practice sessions before an event d) Should not be told when to stop activities, because this can trigger a reaction event |
Benefit from practice sessions before an event
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Which best describes major differences in moral development between young school-age children and older school-age children?
a) Younger children believe that standards of behavior come from within themselves b) Children 6 to 7 years of age know the rules and understand the reasons behind the rules c) Older school-age children are able to judge an act by the intentions that prompted it and not only by the consequences d) Rewards and punishments guide older school-age children's behavior |
Older school-age children are able to judge an act by the intentions that prompted it and not only by the consequences
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Which of the following best identifies the spiritual development of school-age children?
a) They have little fear of "going to hell" for misbehavior b) They begin to learn the difference between the natural and the supernatural c) They petition God for less tangible rewards d) They view God as a deity with few human traits |
They begin to learn the difference between the natural and the supernatural
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Which of the following would the nurse not expect to observe as characteristic of peer group relationships of 8 year old Mark?
a) Mark demonstrates loyalty to the group by adhering to the secret code rules b) Mark demonstrates a greater individual egocentric outlook when compared with other peer group members c) Mark is willing to conform to the group's rule of "not talking to girls." d) Mark has a best friend within the peer group with whom he shares his secrets |
Mark demonstrates a greater individual egocentric outlook when compared with other peer group members
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During the school-age years, children learn valuable lessons from age-mates. How is this accomplished?
a) The child learns to appreciate the varied points of view within the peer group b) The child becomes sensitive to the social norms and pressures of the group c) The child's interactions among peers lead to the formation of intimate friendships between same-sex peers d) All of the above |
All of the above
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Which of the following is most characteristic of the relationship between school-age children and their family?
a) Children desire to spend equal time with family peers b) Children are prepared to reject parental controls c) The group replaces the family as the primary influence in setting standards of behavior and rules d) Children need and want restrictions placed on their behavior by the family |
Children need and want restrictions placed on their behavior by the family
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The nurse plans to conduct a sex education class for 10 year olds. Which of the following does the nurse recognize as most appropriate for this age-group?
a) Present sex information as a normal part of growth and development b) Discourage question-and-answer sessions c) Because sexual information supplied by parents usually produce feelings of guilt and anxiety in children, avoid parental assistance in conducting the program d) Segregate boys from girls and include information related only to the same sex in the discussion |
Present sex information as a normal part of growth and development
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In relation to body image, school-age children:
a) Are not aware of physical disabilities in others b) Pay little attention to their own body capabilities c) Seldom express concerns about their bodies to their families d) Do not model themselves after their parents or compare themselves with images observed in the media |
Seldom express concerns about their bodies to their families
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School-age children:
a) Have little interest in complex board, card, or computer games b) Rarely collect items c) Tire of having stories read aloud d) Participate in hero warship |
Participate in hero warship
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True/False
Successful adjustment to school entrance has little relationship to the child's physical and emotional maturity. |
False
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True/False
Children's attitudes toward school are influenced by the attitudes of their parents |
True
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True/False
Television can increase the child's vocabulary, extend the child's horizon, and enrich the school experience |
True
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True/False
Television can encourage children to believe that violence is an effective solution to conflict |
True
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True/False
Children respond poorly to teachers who have attributes of caring parents |
False
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True/False
The teacher's primary goal is guiding the child's intellectual development |
True
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True/False
The reward annd punishment administered by the teacher has little effect on the child's self-concept. |
False
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True/False
Interaction between teacher and individual pupil affects the pupil's acceptance by the other children |
True
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True/False
Being responsible for school work helps children learn to keep promises, meet deadlines, and succeed at jobs as adults |
True
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True/False
Punitive interactions and corporal punishment are associated with decreasing disruptive behaviors in children |
False
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True/False
Exposure to violence affects children's ability to concentrate and function |
True
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A factor that most influences the amount and manner of discipline and limit-setting imposed on school-age children is:
a) The parent's age b) The parent's education c) The child's response to rewards and punishments d) The parent's ability to communicate with the school system |
The child's response to rewards and punishments
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Seven year old Andy was caught taking a playmate's toy. Which of the following is an important understanding of this behavior?
a) At this age, Andy's sense of property rights is limited, and he took the item simply because he was attracted to it b) If Andy is caught and punished and promises "not to do it again," he will keep his promise c) This stealing act is an indication that something is seriously lacking in Andy's life d) Andy will learn the importance of respecting other's property if the parents unexpectedly give away an item that belongs to Andy |
At this age, Andy's sense of property rights is limited, and he took the item simply because he was attracted to it
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Identify which of the following statements describing fears in the school-age child is true.
a) School-age children are increasingly fearful of body safety b) Most of the new fears that trouble school-age children are related to school and family c) School-age children should be encouraged to hide their fears to prevent ridicule by their peers d) School-age children with numerous fears need continuous protective behavior by parents to eliminate these fears |
Most of the new fears that trouble school-age children are related to school and family
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Which of the following best describes sleepwalking in childhood?
a) During sleepwalking, the movements are clumsy and repetitive b) Sleepwalking occurs in the first 1 to 2 hours of sleep c) During sleepwalking, speech is comprehensible d) The child remembers the episode in the morning |
During sleepwalking, the movements are clumsy and repetitive
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The nurse is planning to advise a school-age childs parents about appropriate physical activity for their child. Which fact does the nurse include?
a) School-age children have the same stamina and control as 15 year old teens b) School-age children are prepared for participation in strenuous competitive athletics c) Activities that promote coordination in the school-age child include running and skipping rope d) Most children need continued encouragement to engage in physical activity |
Activities that promote corrdination in the school-age child include running and skipping rope
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year
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Which of the following statements accurately describes physical development during the school-age years
a) Child's weight almost triples b) Child grows an average of 5cm (2 inches) per year c) Few physical differences are apparent among children of different genders at the end of middle childhood d) Fat gradually increases, which contributes to child's heavier appearance |
Child grows an average of 5cm (2 inches) per year`
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Characterized by the desctruction of the pancreatic beta cells that produce insulin; usually leads to absolute insulin deficiency.
a) type 1 diabetes b) Immune mediated diabetes mellitus c) Idiopathic type 1 diabetes d) Type 2 diabetes e) Maturity onset diabetes of the young |
Type 1 diabetes
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Glucose in the urine
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Glycosuria
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Increased food intake
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Polyphagia
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Hyperventilation characteristic of metabolic acidosis
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Kussmaul respirations
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Most children with diabetes mellitus tend to exhibit characteristics of:
a) Maturity onset diabetes of youth b) Gestational diabetes c) Type 2 diabetes d) Type 1 diabetes |
Type 1 diabetes
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The currently accepted etiology of type 1 diabetes mellitus takes into account:
a) Genetic factors b) Autoimmune mechanisms c) Environmental factors d) All of the above |
All of the above
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An early sign of type 2 diabetes mellitus in the adolescent would be:
a) A vaginal candidal infection b) Obesity c) Kussmaul respirations d) All of the above |
A vaginal candidal infection
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Glycosolated hemoglobin is an acceptable method to use to:
a) Assess for ketoacidosis b) Assess the control of diabetes c) Assess oxygen saturation of the hemoglobin d) Determine blood glucose levels most accurately |
Assess for control of diabetes
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Even with good glucose control, a child with type 1 diabetes melittus may frequently encounter the acute complication of:
a) Retinopathy b) Ketoacidosis c) Hypoglycemia d) Hyperosmolar nonketotic coma |
Hypoglycemia
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Which of the following is not one of the principles of managing diabetes during illness?
a) Blood glucose should be monitored every 3 hours b) Dosage requirements may increase, decrease, or remain the same c) Insulin should always be omitted when excessive vomiting occurs d) Fluids should be encourage to avoid dehydration |
Insulin should always be omitted when excessive vomiting occurs
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The best approach to effectively teach a child and his or her family the complex concepts of the home management of diabetes mellitus is to:
a) Provide intensive training a day or so after diagnosis b) Provide intensive training the first 3 or 4 days after diagnosis c) Teach nothing until 2 weeks after diagnosis d) Teach essentials at diagnosis, followed by intense information later |
Teach essentials at diagnosis, followed by intense information later
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The child with diabetes mellitus is taught to weigh and measure food to:
a) Receive the nutrients prescribed b) Prevent hypoglycemia c) Learn to estimate food portions d) Prevent hyperglycemia |
Learn to estimate food portions
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Exercise for the child with diabetes mellitus may:
a) Be restricted to noncontact sports b) Require a decreased intake of food c) Necessitate an increased insulin dose d) Require an increased intake of food |
Require an increased intake of food
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Problems with the child adjusting to the self-management of diabetes are most likely to occur when diabetes is diagnosed in:
a) Infancy b) Adolescence c) The toddler years d) The school-age years |
Adolescence
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