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 A
Explanation
Choice A rationale
Asking whether the imaginary person had a name can help determine if the child's imaginative play is typical for their age group. Preschool-aged children often engage in imaginative play, including conversations with imaginary friends, which is a normal part of cognitive and social development.
Choice B rationale
Temper tantrums are more related to behavioral issues rather than imaginative play. While relevant to the child's overall behavior, this question diverts attention from the specific concern about imaginary play.
Choice C rationale
This question could help identify if there are broader behavioral concerns, but it doesn't directly address the mother's specific worry about the imaginary friend. It is less targeted.
Choice D rationale
Understanding how well the child plays with others can provide insights into their social development, but it doesn't directly address the issue of imaginary play. It could be more pertinent as a follow-up question.
Correct Answer is C
Explanation
Choice A rationale
Placing the infant safety seat in the middle of the back seat away from the windows is the safest position, protecting the child from potential impact during accidents and from direct
sunlight or objects coming through windows.
Choice B rationale
Following the child's weight and height is crucial for safely transitioning from an infant car seat to a booster seat. This ensures proper restraint and protection as the child grows.
Choice C rationale
Allowing a baby to watch the driver while in the back seat indicates a forward-facing position, which is unsafe for infants. Rear-facing positions provide the best protection for an
infant's head, neck, and spine.
Choice D rationale
Using a previously owned car seat with intact instructions can ensure proper installation and use. However, checking the seat's history and condition is crucial to ensure it meets
current safety standards.