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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?

A.

"Boys should be screened for scoliosis at a younger age than girls.”.

B.

"Scoliosis is associated with some form of childhood trauma.”.

C.

"Children who have scoliosis will often report back pain.”.

D.

"During the screening, the child is asked to stand and bend forward at the waist with his arms hanging.”.

Answer and Explanation

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

Punishing a toddler after a tantrum may reinforce negative behavior as the child may seek attention through tantrums.

Choice B rationale

Telling a toddler that tantrums are unacceptable can be difficult for them to understand and may not prevent the behavior.

Choice C rationale

Offering rewards for stopping tantrums can lead to dependency on rewards and doesn't teach appropriate emotional regulation.

Choice D rationale

Ignoring tantrums helps to avoid reinforcing the behavior, teaching the child that tantrums will not gain attention.

Correct Answer is B

Explanation

Choice A rationale

Distracting the child by buying a toy can reinforce the tantrum behavior by teaching the child that tantrums result in rewards. This can lead to an increase in tantrum frequency as the child learns to manipulate situations to get new toys or other desired items.

Choice B rationale

Appearing to ignore the child during a tantrum helps to extinguish the behavior over time. By not giving attention to the tantrum, the child learns that this behavior does not achieve their desired outcome. Consistency is key in this approach to ensure the child understands that tantrums are ineffective.

Choice C rationale

Placing the child in time-out for 3 minutes can be effective in some cases, but it may not be the first recommendation. Time-out removes the child from a stimulating environment and gives them time to calm down. However, it may not address the underlying reasons for the tantrum.

Choice D rationale

Calmly telling the child to stop might not be effective during the peak of a tantrum. Toddlers in the midst of a tantrum often cannot process verbal instructions or reasoning, so this approach may not achieve the desired result.

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