Question 1

The primary care pediatric nurse practitioner is examining a school­age child who
complains of frequent stomach pain and headaches. The parent reports that the child misses several days of school each month. The child has a normal exam. Before proceeding with further diagnostic tests, what will the nurse practitioner initially ask the parent?

Accepted Answer

Asking about the timing of the child's symptoms can help identify possible triggers for the pain and headaches, such as certain foods or activities. This information can guide further diagnostic tests and treatment options.

Question 2

During a well child exam of a school­age child, the primary care pediatric nurse
practitioner learns that the child has been having angry episodes at school. The nurse practitioner observes the child to appear withdrawn and sad. Which action is appropriate?

Accepted Answer

A

Question 3

The primary care pediatric nurse practitioner is preparing to conduct a well child assessment of an 8­year­old child. How will the nurse practitioner begin the exam?

Accepted Answer

C

Question 4

The parent of a 5­year­old child who has just begun kindergarten expresses concern
that the child will have difficulty adjusting to the birth of a sibling. What will the primary care pediatric nurse practitioner recommend?

Accepted Answer

The answer of The parent of a 5­year­old child who...

Question 5

A school­age child has begun refusing all cooked vegetables. What will the primary care pediatric nurse practitioner recommend to the parent?

Accepted Answer

Ensuring that the child has three nutritious meals and two nutritious snacks each day is a balanced approach that focuses on overall nutrition rather than fixating on the child's refusal of cooked vegetables. This strategy promotes a healthy eating pattern without creating a power struggle over specific foods.

Question 6

The primary care pediatric nurse practitioner is examining a 6­year­old child who
attends first grade. The child reports "hating" school. The parent states that the child pretends to be sick frequently in order to stay home from school. To further assess this situation, the nurse practitioner will first ask the child

Accepted Answer

The answer of The primary care pediatric nurse practitioner is...

Question 7

During a well child exam on a 5­year­old child, the primary care pediatric nurse
practitioner assesses the child for school readiness. Which finding may be a factor in limiting school readiness for this child?

Accepted Answer

Parental concerns about bullying in the school may limit school readiness because it may cause anxiety and fear in the child, making them hesitant or unwilling to attend school. Adherence to routines, having siblings who attend the same school, and the ability to recognize colors may not directly impact school readiness.

Question 8

The parents of a 12­year­old child are concerned that some of the child's older
classmates may be a bad influence on their child, who, they say, has been raised to believe in right and wrong. What will the primary care pediatric nurse practitioner tell the parent?

Accepted Answer

The primary care pediatric nurse practitioner will tell the parents that the pressures from outside influences may supersede parental teachings and should be confronted. It is important for parents to have open communication with their child and be involved in their social circle to monitor their behavior and associations. It is also important to teach the child to handle peer pressure and make informed decisions. Allowing the child to make poor choices and accept consequences is not the best approach, and moral values may change and develop throughout childhood. While children at this age have a high regard for authority and social norms, it does not guarantee immunity from negative influences.

Question 9

The parent of a 6­year­old child expresses concern that the child may have ADHD.
Which screening tool will the primary care pediatric nurse practitioner use to evaluate this possibility?

Accepted Answer

The answer of The parent of a 6­year­old child expresses...

Question 10

The primary care pediatric nurse practitioner performs a physical examination on a
12­year­old child and notes poor hygiene and inappropriate clothes for the weather. The child's mother appears clean and well dressed. The child reports getting 6 to 7 hours of sleep each night because of texting with friends late each evening. What action by the nurse practitioner will help promote healthy practices?

Accepted Answer

The best action in this situation is to discuss setting clear expectations about self-care with the mother. The child's poor hygiene and inappropriate clothing suggest a lack of parental guidance and the mother may not be aware of the child's behavior. By discussing expectations, the nurse practitioner can provide guidance for the mother and help the child learn healthy self-care practices. Giving the child information or reassuring the mother that this behavior is normal does not address the underlying issue of poor self-care practices.

Question 11

The primary care pediatric nurse practitioner is evaluating recurrent stomach pain in
a school­age child. The child's exam is normal. The nurse practitioner learns that the child reports pain most evenings after school and refuses to participate in sports but does not have nausea or vomiting. The child's grandmother recently had gallbladder surgery. Which action is correct?

Accepted Answer

The child's symptoms suggest a possible functional gastrointestinal disorder such as irritable bowel syndrome. Keeping a log of pain, stool patterns, and dietary intake can help identify triggers and patterns to inform management. Radiologic and laboratory tests would not be indicated based on the presentation. Reassuring the child and encouraging participation in sports could be appropriate, but addressing the pain is important first. Referring to a counselor may be appropriate if anxiety or stress is suspected as a contributing factor.

Question 12

The parent of a 10­year­old boy tells the primary care pediatric nurse practitioner
that the child doesn't appear to have any interest in girls and spends most of his time with a couple of other boys. The parent is worried about the child's sexual identity. The nurse practitioner will tell the parent

Accepted Answer

Attachment to same-gender peers is a common developmental stage in early childhood and helps children learn social skills by practicing interactions with peers who are similar to them. It is not indicative of sexual orientation or experimentation at this age. Encouraging mixed-gender interactions may be helpful for teaching children about gender norms and expectations, but it is not necessary for sexual orientation development.

Quiz 7: Developmental Management of School-Age Children

During a well child exam of a schoolage child, the primary care pediatric nurse practitioner learns that the child has been having angry episodes at school. The nurse practitioner observes the child to appear withdrawn and sad. Which action is appropriate?

The primary care pediatric nurse practitioner is preparing to conduct a well child assessment of an 8yearold child. How will the nurse practitioner begin the exam?

The parent of a 5yearold child who has just begun kindergarten expresses concern that the child will have difficulty adjusting to the birth of a sibling. What will the primary care pediatric nurse practitioner recommend?

A schoolage child has begun refusing all cooked vegetables. What will the primary care pediatric nurse practitioner recommend to the parent?

During a well child exam on a 5yearold child, the primary care pediatric nurse practitioner assesses the child for school readiness. Which finding may be a factor in limiting school readiness for this child?

The parents of a 12yearold child are concerned that some of the child's older classmates may be a bad influence on their child, who, they say, has been raised to believe in right and wrong. What will the primary care pediatric nurse practitioner tell the parent?

The parent of a 6yearold child expresses concern that the child may have ADHD. Which screening tool will the primary care pediatric nurse practitioner use to evaluate this possibility?

The parent of a 10yearold boy tells the primary care pediatric nurse practitioner that the child doesn't appear to have any interest in girls and spends most of his time with a couple of other boys. The parent is worried about the child's sexual identity. The nurse practitioner will tell the parent

Quiz 7: Developmental Management of School-Age Children

During a well child exam of a school­age child, the primary care pediatric nurse practitioner learns that the child has been having angry episodes at school. The nurse practitioner observes the child to appear withdrawn and sad. Which action is appropriate?

The primary care pediatric nurse practitioner is preparing to conduct a well child assessment of an 8­year­old child. How will the nurse practitioner begin the exam?

The parent of a 5­year­old child who has just begun kindergarten expresses concern that the child will have difficulty adjusting to the birth of a sibling. What will the primary care pediatric nurse practitioner recommend?