A nurse in a clinic is teaching a group of parents about scoliosis screening.
Which of the following statements by a parent indicates an understanding of the teaching?
"Boys should be screened for scoliosis at a younger age than girls.”.
"Scoliosis is associated with some form of childhood trauma.”.
"Children who have scoliosis will often report back pain.”.
"During the screening, the child is asked to stand and bend forward at the waist with his arms hanging.”.
The Correct Answer is D
Choice A rationale
Boys are generally screened for scoliosis at a later age than girls due to different growth patterns and timelines in puberty. Girls typically go through growth spurts earlier, which can reveal scoliosis sooner.
Choice B rationale
Scoliosis is not associated with childhood trauma. It's primarily idiopathic, meaning its cause is unknown, though genetics and growth factors are considered.
Choice C rationale
Children with scoliosis often do not report back pain. The condition is usually detected through physical exams or screenings rather than symptoms like pain.
Choice D rationale
The Adam's forward bend test is a common method for screening scoliosis, which involves the child bending forward at the waist with arms hanging down. This position highlights any abnormal curvature of the spine.
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Correct Answer is D
Explanation
Choice A rationale
Hearing tests are important for children, but they are typically conducted earlier in childhood to detect any hearing impairments that may affect speech and language development.
Choice B rationale
Reading screenings are not typically part of routine health checks at this age and are more related to educational assessments.
Choice C rationale
Eye screenings are also important but are generally performed earlier in childhood to identify and correct vision issues that could impact learning.
Choice D rationale
Scoliosis screening is appropriate for a 10-year-old as it is a crucial period for identifying spinal curvature abnormalities that can develop during rapid growth spurts.
Correct Answer is B
Explanation
Choice A rationale
Learning to use creative energies is associated with the initiative vs. guilt stage, typically seen in preschool-aged children. During this stage, children assert control and power over their environment through directing play and other social interactions.
Choice B rationale
Defining a sense of self pertains to the identity vs. role confusion stage, which occurs in adolescence. This stage focuses on developing a personal identity and a sense of self. Adolescents explore different roles, beliefs, and values to form a unique identity.
Choice C rationale
Building a sense of trust is linked with the trust vs. mistrust stage, experienced in infancy. In this stage, infants learn to trust their caregivers and environment if their needs are consistently met, establishing a foundation for future relationships.
Choice D rationale
Learning to perform tasks independently corresponds to the autonomy vs. shame and doubt stage, typical of toddlers. In this stage, children develop a sense of personal control over physical skills and a sense of independence.