The nurse is performing an annual check-up for an 8-year-old child. Compared to the previous assessment of this child, which characteristic would most likely be observed?

Pulse rate is increased.

Breathing is diaphragmatic.

Secondary sex characteristics are present.

Blood pressure has reached adult level.

Answer and Explanation

The Correct Answer is B

A. Pulse rate is increased.

While there may be variations in pulse rate due to factors such as activity level and emotional state, a significant increase in pulse rate would not be a typical finding during an annual check- up for an 8-year-old child.

B. Breathing is diaphragmatic.

As children grow older, their respiratory patterns mature, and they develop diaphragmatic breathing, which is deeper and more efficient than the shallow breathing observed in infants. This change would be expected as the child gets older.

C. Secondary sex characteristics are present.

The development of secondary sex characteristics typically occurs during puberty, which begins around the ages of 9 to 13 in girls and 10 to 14 in boys. At 8 years old, it would be unlikely for significant secondary sex characteristics to be present.

D. Blood pressure has reached adult level.

Blood pressure in children gradually increases with age, but it does not reach adult levels until adolescence. At 8 years old, the child's blood pressure would still be within the pediatric range and would not resemble adult levels.

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Correct Answer is ["A","B","C"]

Explanation

A. Acts out roles of other peoplE. Preschoolers often engage in imaginative play and enjoy pretending to be other people or characters. This type of play allows them to explore different roles and scenarios, fostering creativity and social development.

B. Plans activities and makes up games: Preschoolers are becoming more independent and enjoy planning and organizing their activities. They may invent their own games, stories, or

imaginative scenarios, demonstrating their growing cognitive abilities and creativity.

C. Initiates activities with others: Preschoolers are becoming more social and enjoy interacting with peers and adults. They may take the initiative to start games, activities, or conversations with others, demonstrating their growing confidence and social skills.

D. Engages in parallel play with peers: Parallel play, where children play alongside but not directly with each other, is more typical of toddlers than preschoolers. Preschoolers are more

likely to engage in cooperative play, where they interact and play together with peers toward a common goal.

A. Obtain a detailed history. B. Report the suspected abuse to the authorities. C. Ask a psychiatrist to talk with the parents. D. Separate the child from the parents.

Correct Answer is A

Explanation

A. Obtain a detailed history.

Obtaining a detailed history is essential to understand the circumstances surrounding the bruises, including how they occurred, where they are located, and whether there is a plausible

explanation for them. This information helps determine whether the bruises are due to accidental injury or potential abuse.

B. Report the suspected abuse to the authorities.

While reporting suspected abuse may ultimately be necessary if there are concerns about the origin of the bruises, obtaining a detailed history is the initial step to gather information and assess the situation before making a report.

C. Ask a psychiatrist to talk with the parents.

Involving a psychiatrist may be appropriate in cases where there are concerns about the child's mental health or the family dynamics, but it may not address the immediate concern of the bruises without first obtaining a detailed history.

D. Separate the child from the parents.

Separating the child from the parents should not be the first action taken without sufficient evidence or reason to believe that the child is in imminent danger. Gathering information through a detailed history is essential before considering such a drastic measure.

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The nurse is performing an annual check-up for an 8-year-old child. Compared to the previous assessment of this child, which characteristic would most likely be observed?

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