Pediatrics Question #46


How should the nurse advise the parents of a 9-year-old child with osteomyelitis who has missed several weeks of school to ensure proper growth and development?


  1. Have friends come over to visit frequently.
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  2. Play pretend-type games with the child.
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  3. Encourage the child to watch their favorite television shows.
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  4. Make sure that all missed homework is completed.
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The correct answer is D. Children in this age group face more academic challenges. Missing several weeks of school can delay intellectual development. Parents should encourage completion of assignments so the child does not fall behind academically when able to return to the classroom. Social interaction plays an important role during this time of a child’s life; however, frequent visits will not help a child who has missed several weeks of scholarly instruction to properly develop. Playing pretend games at 9 years old would not help ensure proper growth and development. Erikson’s stage of growth and development for play is in children aged 3 to 5 years old. The 9-year-old child should be given some unstructured time for hobbies, games, or TV but this will not ensure proper development at this stage.

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