During an assessment of a school-age child, the nurse should: ...

[mrsjacobs44]

During an assessment of a school-age child, the nurse should:
 
  1. Not speak to the child, as this might frighten them.
   2. Speak only to the parents, since they are the only ones who will understand what you are doing.
   3. Sing lullabies to soothe the child.
   4. Speak directly to the child, giving rationale for all actions.

Question 2

A common response for a child with Fetal Alcohol Syndrome in an environment with a lot of activity is:
 
  1. Screaming or crying because the child is overstimulated.
   2. Walking away to a quiet place to regroup.
   3. Refusing to follow the rules.
   4. Becoming aggressive because the child wants to get away from the activity.

[cpetit11]

Answer to Question 1

4
Feedback
1. Not explaining your actions could actually frighten the child, as they will not understand what you are doing and what to expect during the exam.
2. Informing the parents of what is occurring during the exam is appropriate, but the nurse should not ignore the child, who also needs to know and understand.
3. This intervention may be more appropriate for a baby, not a school-age child.
4. It is best to speak directly to the child and explain your actions, as the child will better understand what is happening during the exam, which will decrease fear.

Answer to Question 2

1
Feedback
1. Because of the brain damage from alcohol in utero, the child is unable to handle environments with high activity.
2. The child needs to be taught how to remove himself/herself from a situation in order to regroup.
3. A child with Fetal Alcohol Syndrome will follow consistent rules.
4. A child with Fetal Alcohol Syndrome will need breaks from high activity levels, but usually does not become aggressive.