The nurse is teaching the student nurse how to perform a physical assessment based on the child's developmental stage. Which statement accurately describes a recommended guideline for setting the tone of the examination for a school-age child?
Speak to the child using mature language and appeal to his or her desire for self-care.
Include the child in all parts of the examination: speak to the caregiver before and after the examination.
Keep up a running dialogue with the caregiver, explaining each step as you do it.
Address the child by name; speak to the caregiver and do the most invasive parts last.
The Correct Answer is A
A. Speak to the child using mature language and appeal to his or her desire for self-care. - School-age children are typically more independent and responsive to mature communication. Acknowledging their desire for self-care fosters cooperation during the examination process.
B. Include the child in all parts of the examination: speak to the caregiver before and after the examination. - While involving the child in the examination process is important, school-age children may prefer direct communication rather than primarily interacting with caregivers.
C. Keep up a running dialogue with the caregiver, explaining each step as you do it. - While
involving caregivers in the examination process is important, maintaining a dialogue primarily with them may not fully engage the child during the assessment.
D. Address the child by name; speak to the caregiver and do the most invasive parts last. - While considering the child's comfort and addressing them directly is essential, school-age children
may respond better to direct communication rather than deferring to caregivers for discussion
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A premature newborn: Premature infants are at higher risk for iron deficiency anemia because they have lower iron stores at birth compared to full-term infants. Additionally, premature infants may not have had sufficient time in utero to accumulate adequate iron stores from maternal
transfusions.
B. A postterm newborn: Postterm infants, born after 42 weeks of gestation, are not typically at increased risk for iron deficiency anemia solely based on gestational age.
C. A newborn born to a diabetic mother: While infants born to diabetic mothers may have other health risks, they are not inherently at higher risk for iron deficiency anemia unless there are other complicating factors such as prematurity or inadequate iron intake.
D. A term newborn with jaundicE. Jaundice in a term newborn is typically caused by elevated
levels of bilirubin and is not directly associated with an increased risk of iron deficiency anemia.
Correct Answer is C
Explanation
A. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines." - This
statement is incorrect. There is no direct correlation between vaccines and SIDS. In fact, research has shown that vaccines are not a cause of SIDS.
B. "SIDS rates have been rising over the last 10 years." - This statement is misleading. SIDS rates have actually been decreasing over the past few decades due to increased awareness and preventive measures.
C. "Placing your child on her back when sleeping will decrease the risk of SIDS." - This statement is accurate. Placing infants on their backs to sleep is one of the most effective
strategies for reducing the risk of SIDS, according to recommendations from pediatric health organizations.
D. "Sleep apnea is the main cause of SIDS." - This statement is incorrect. While sleep apnea is a sleep-related breathing disorder, it is not the main cause of SIDS. SIDS is a complex phenomenon with multiple contributing factors, but sleep position plays a significant role in reducing its risk.
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