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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Poisoning: While poisoning can be a significant concern among adolescents, it is not the
leading cause of death in this age group. Poisoning deaths may occur due to accidental ingestion of toxic substances or intentional overdose, but it is not as common as other causes of death
among adolescents.
B. Drowning: Drowning is a concern, especially during recreational activities such as swimming, but it is not the leading cause of death among adolescents. Proper water safety practices and supervision can help prevent drowning incidents.
C. Unintentional injuries: Unintentional injuries, including motor vehicle accidents, falls, and other accidents, are the leading cause of death among adolescents. Risk-taking behaviors, lack of experience, and peer influence contribute to the high rate of unintentional injuries in this age group.
D. Diseases: While diseases such as cancer, heart disease, and respiratory disorders can affect adolescents, they are not the leading cause of death in this age group. Unintentional injuries,
including those resulting from accidents and trauma, are more common causes of death among adolescents.
Correct Answer is A
Explanation
A. Puberty might be delayed if scrotal changes have not occurred by the age of 11 years: This statement is accurate because the lack of scrotal changes by the age of 11 years may indicate delayed puberty, prompting further evaluation by a healthcare provider.
B. Growth spurts in height occur toward the end of midpuberty: Growth spurts in height typically occur during midpuberty, rather than toward the end, as adolescents experience a rapid increase
in skeletal growth.
C. Changes in the voice signal the beginning of puberty: While changes in the voice, such as voice cracking and deepening, are indeed part of puberty, they usually occur later in puberty, not necessarily at the beginning.
D. Gynecomastia commonly occurs during late puberty: Gynecomastia, the development of breast tissue in males, typically occurs during mid-puberty and may persist into late puberty but is not exclusive to that period.
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