1.The parent of a 5 year old 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 recommend?
a. Allowing the child opportunities to discuss feelings about the baby
b. Giving the child specific baby care tasks to promote sibling bonding
c. Having snack time with the child each day to discuss the school day
d. Provide reassurance that the sibling will not replace the child
2.A schoolbag child has begun refusing all cooked vegetables. What will the nurse recommend to the parent?
a. Allow the child to make food choices since this is usually a phase
b. Ensure that the child has three nutritious meals and two nutritious snacks each day
c. Prepare vegetable separately for the child to encourage adequate intake
d. Teach the child how important it is to eat healthy fruits and vegetables
3.During a well child exam on a 5 year old child, the nurse assesses the child for school readiness. Which finding may be a factor in limiting school readiness for this child?
a. Adherence to daily family routines and regular activities
b. Having two older siblings who attend the same school
c. Parental concerns about bullying in the school
d. The child's ability to recognize four different colors
4.Nurse is examine a schoolbag 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 diagnostics tests, what will the nurse initially ask the parent?
a. About the timing of the symptoms each day and during the week
b. How well the child performs in school and in extracurricular activities
c. If the parent feels a strong need to protect the child from problems
d. Whether there are any unusual stressors or circumstances at home
5.Nurse is evaluating recurrent stomach pain in a schoolbag child. The child's exam is normal. The nurse learns that the child reports pain more 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?
a. Encourage the child to keep a log of pain, stool patterns, and dietary intake
b. Order radiologic studies and laboratory tests to rule out systemic causes
c. Reassure the child and encourage resuming sports when symptoms subside
d. Refer the child to a counselor to discuss anxiety about health problems
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