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 C

Explanation

A. Describing the tongue extrusion reflex: The tongue extrusion reflex is typically present in

infants up to around 4 to 6 months of age and diminishes as they begin to eat solid foods. At 7 months, this reflex is likely no longer prominent.

B. Explaining how to prepare table meats: While introducing solid foods is important around 6 months of age, meats are often introduced later in infancy due to their texture and potential

allergenicity. At 7 months, infants may still be primarily consuming pureed or mashed foods.

C. Advising about increased caloric needs: At 7 months, infants are transitioning to a more varied diet that includes solid foods alongside breast milk or formula. Guidance on meeting their

increasing nutritional needs is crucial at this stage.

D. Discussing the type of sippy cup to usE. Sippy cups are typically introduced closer to the end of the first year or during the transition to weaning from the bottle. While it's important to

discuss appropriate feeding utensils, addressing increased caloric needs is a more immediate concern for a 7-month-old infant.

A. Eruption of the last four molars B. Increased shoulder, chest, and hip widths C. Decreased respiratory rates of 15 to 20 breaths per minute D. Fully functioning sweat and sebaceous glands

Correct Answer is B

Explanation

A. Eruption of the last four molars: This characteristic typically occurs during adolescence but may vary individually. However, it is not universal among all teenagers and does not apply to both genders equally.

B. Increased shoulder, chest, and hip widths: During adolescence, both boys and girls experience growth spurts, leading to increased shoulder, chest, and hip widths as part of their overall physical development.

C. Decreased respiratory rates of 15 to 20 breaths per minutE. Respiratory rates in teenagers generally remain within the normal adult range, typically between 12 and 20 breaths per minute. There is no consistent decrease in respiratory rates during adolescence.

D. Fully functioning sweat and sebaceous glands: Sweat and sebaceous glands are typically fully developed and functional by adolescence. This characteristic is not specific to teenagers but applies to individuals of all ages once these glands have matured.

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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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