Download Exam 1: NUR203/ NUR 203 (2024/ 2025 Update) Pediatric Nursing Review| Q&A and more Exams Pediatrics in PDF only on Docsity!
Exam 1: NUR20 3 / NUR 20 3 (2024/ 2025
Update) Pediatric Nursing Review| Questions
and Verified Answers| 100% Correct| A
Grade – Fortis
QUESTION
where can you learn how to properly restrain our child in the car? Answer:
- National Highway Traffic and Safety Administration
- Department of Transportation
- Local Fire and Rescue
- Parenting classes
QUESTION
in what order do we do the abdominal assessment? Answer:
- Inspect
- Auscultate
- Percussion
- Palpitation
QUESTION
which STI's have a vaccine? Answer: HPV and Hep B
QUESTION
when is Hep B given? Answer: 12 hours after birth and then 1-2 months, and 9 months
QUESTION
when is HPV given? Answer: at age 9
- if not vaccinated by age 13, recommended 2 injections 6 months apart
QUESTION
when is HPV effective for males? Answer:
QUESTION
what guidance would you anticipate for a 5 month old infant Answer:
- support the head
- able to sit up longer with back supported
- can roll from front to back
- will put feet in mouth
- grasps objects
- puts everything in mouth
- beginning of tooth eruption
QUESTION
what is a colic baby?
what is the developmental pace? Answer: Periods of accelerated and decelerated growth Does not occur in all areas at the same pace Once a skill has been achieved, the focus will shift to another area
QUESTION
when does the anterior fontanelle close? Answer: 9 - 18 months of age
QUESTION
when does the posterior fontanelle close? Answer: 6 - 8 weeks (1-2 months)
QUESTION
at what age does the child exhibit binocularity? Answer: by 4 months
- by 12 months the Childs eyes reach adult vision
QUESTION
what is the sensitive period? Answer: time when a particular development occurs most easily
- the child makes more important developmental gains like language and movement
QUESTION
what is the best way to approach a toddler for an exam? Answer:
- at their height level
- start at hands and feet if less threatening
- let the parent hold them if they want
- be slow and nonthreatening
- use play to minimize the Childs anxiety
QUESTION
what are the signs of pain for a 2 year old? Answer:
- crying that cannot be comforted
- crying, grunting, breath-holding
- changes in unusual behavior
- refuse to play
- eating less
QUESTION
what is onlooker behavior? Answer: if something attracts their interest, they stare
QUESTION
what is solitary play? Answer: a child is playing with blocks alone in the corner
Answer:
- vital signs
- growth findings (height and weight, chest and head circumference)
- review of all body systems
QUESTION
what is the single most important influence on growth at any age? Answer: nutrition
QUESTION
how fast do infants grow in 6 months and 1 year? Answer: double their weight in 6 months and triple their weight in 1 year
QUESTION
why are developmental assessments important? Answer: good to tell how the child is growing and diagnose any abnormalities
- they can also help parents get funding from the government for schooling if child is underdeveloped
QUESTION
Where do we auscultate the aortic valve? Answer: 2nd R intercostal space at R sternal border
QUESTION
where do we auscultate the pulmonic valve? Answer: 2nd ICS, left sternal border
QUESTION
where do we auscultate the mitral valve? Answer: 5th L intercostal space, L midclavicular line
QUESTION
Where do we auscultate the tricuspid valve? Answer: lower left sternal border, 4th intercostal space
QUESTION
when do carseats expire? Answer: 6 - 10 years from the date of manufacture
QUESTION
Where do you hear bronchial breath sounds Answer: over the trachea
QUESTION
what gross motor skills should the child have at 6-7 months? Answer: rolls from back to tummy
QUESTION
what gross motor skills should the child have at 9 months? Answer: crawls
QUESTION
what gross motor skills should the child have at 12-13 months? Answer: walks without support
QUESTION
what is the best pain scale to use for a 2 year old? Answer: the FLACC pain scale
QUESTION
what kind of milk is recommended for a 1 year old? Answer:
whole milk and sometimes 2%
QUESTION
what is the preschoolers morality? Answer: they do good because they do not want to get punished
QUESTION
at what age is a child scared that if they get hurt all their blood or insides will come out? Answer: age 3- 5 (keep band-aid's handy)
QUESTION
best pain scale for a preschooler? Answer: self reporting 0-10 or faces
QUESTION
what are the fine motor skills of a preschooler? Answer:
- holding a writing utensil
- buttons up their shirt
- holding things with 2 hands (non-dominant one to stabilize object)
QUESTION
QUESTION
how to talk to adolescents about sex? Answer:
- start with broad statements and use open-ended questions
- ease into it as you build rapport
QUESTION
what interferes with teens biological clock? Answer: school
- teenagers need more sleep due to rapid growth and activity
QUESTION
what are Erik Erikson's first five stages of development? Answer:
- Trust vs. Mistrust
- Autonomy vs Shame and Doubt
- Initiative vs Guilt
- Industry vs Inferiority
- Identity vs Confusion
QUESTION
What is the name of Erik Erikson's theory? Answer: psychosocial theory
QUESTION
what is trust vs mistrust? Answer: birth to 12-18 months
- sense of trust and security (child is trying to decide if the environment is safe)
- trying to accomplish faith, hope, and optimism
QUESTION
what is Autonomy vs Shame and Doubt? Answer: 18 months to 3 years
- they start to believe in themselves more
- trying to exercise their willpower and self control
QUESTION
what is Initiative vs Guilt? Answer: preschool (3-5 years)
- initiate more activities
- we should support them
QUESTION
what is Industry vs Inferiority? Answer: school age (5-12 years)
- want to do competitive things and do well (being involved in sport, clubs, etc)
- they want to start learning new things
what is the preconventional level? Answer: ages 3-7 years
- try to be good so they do not get punished
QUESTION
what is the conventional level? Answer: ages 8- 13
- they become concerned with following the rules (good girl/good boy)
QUESTION
what is the postconventional level? Answer: adults
- correct behavior leads to being accepted by society
QUESTION
what is the phallic stage? Answer: 3 - 6 years
- boys are more attached to their mothers
- girls are more attached to their father
QUESTION
what is the latency stage?
Answer: 6 - puberty
- children spend most time with their same sex peers
QUESTION
what is the genital stage? Answer: beyond puberty
- individuals are attracted to the opposite sex
