Ch. 12. Developmental Management of
Middle Childhood
A school age child has begun refusing all cooked vegetables. What will the primary care
pediatric nurse practitioner 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 vegetables separately for the child to encourage adequate intake
d. Teach the child how important it is to eat h ealthy fruits and vegetables - correct
answerANS: B
Ensure that the child has three nutritious meals and two nutritious snacks each day
During a well child exam of a school age 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practitioner observes the child to appear withdrawn and sad.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?
a. Ask the child and the parent about stressors at home
b. Make a referral to a child behavioral specialist
c. Provide information about anger management
d. Suggest consideration of a different classroom - correct answerANS: A
Ask the child and the parent about stressors at home
During a well child exam on a 5 year old 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?
a. Adherence to daily family routines and regular activities
b. Having two older siblings who attend the same school
d. Parental concerns about bullying in the school
d. The child's ability to recognize four different colors - correct answerANS: C
Parental concerns about bullying in the school
The parent of a 10 year old 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
a. children at this age who prefer interactions with same gender peers usually have a
homosexual orientation
b. children experiment with sexuality at this age as a means of deciding later sexual
orientation.
Middle Childhood
A school age child has begun refusing all cooked vegetables. What will the primary care
pediatric nurse practitioner 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 vegetables separately for the child to encourage adequate intake
d. Teach the child how important it is to eat h ealthy fruits and vegetables - correct
answerANS: B
Ensure that the child has three nutritious meals and two nutritious snacks each day
During a well child exam of a school age 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?
a. Ask the child and the parent about stressors at home
b. Make a referral to a child behavioral specialist
c. Provide information about anger management
d. Suggest consideration of a different classroom - correct answerANS: A
Ask the child and the parent about stressors at home
During a well child exam on a 5 year old 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?
a. Adherence to daily family routines and regular activities
b. Having two older siblings who attend the same school
d. Parental concerns about bullying in the school
d. The child's ability to recognize four different colors - correct answerANS: C
Parental concerns about bullying in the school
The parent of a 10 year old 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
a. children at this age who prefer interactions with same gender peers usually have a
homosexual orientation
b. children experiment with sexuality at this age as a means of deciding later sexual
orientation.
