NURS 371 Midterm Questions With Correct Answers
How to reduce uncertainty Correct Answer-give information
respond to parents questions and concerns, if cant answer find someone
who can
be sensitive to disruption and inconvenice
address emotional, cultural and spiritual needs
why do we monitor growth and development Correct Answer-- to have
earlier diagnoses and better outcomes
-to meet growth curve
physical growth of a child is Correct Answer-1. quantitative
measurement of change in size, length, or mass
2. continuous but uneven process
physical growth is an indicator of Correct Answer--general health and
nutrition
-shows deviation from growth curve that need further investigation
development is Correct Answer-qualitative
-increase in capacity to function
-includes development of new skills the child increasingly respond to
environment
,types of growth measurements Correct Answer--length (infancy) or
height (older children)
-weight (Kg n Lbs)
-head circumference (cm or inches)
when do infants re-attain birth weight Correct Answer-14 days
head circumference (HC) reflects Correct Answer-growth and
differentiation of nervous system
how much does an infanta head growth per month Correct Answer-2
cms till around age 3 months
from ages 4-6 m, how much does the HC grow per month Correct
Answer-1 cm
from ages 6-12 m, how much does the HC grow per month Correct
Answer-0.5 cm
when does the posterior fontanel close Correct Answer-2 m
when is the anterior fontanel not palpable Correct Answer-after 18 m
with premies what is different about their head Correct Answer-their
heads can be different shapes and sizes
,physical differences in children Correct Answer--smaller body
-sutures not fused
-immature motor development = no control over voluntary movement
(infancy reflexes)
-eustachian tubes are shorter and straighter=more sensitive to sound
-heart grows slowly
-larynx/trachea very soft
-urethra is short=UTIs
-kidney cannot concentrate urine
-skin is half as thick as adults
-blood values are different
-The digestive tract is immature at birth n grows through adolescence
-mental and emotional differences
physical development occurs in what fashion Correct Answer-head to
toe, center to periphery
-movement moves from reflexes to gross motor to fine motor
physical development 1 m Correct Answer--turn head when prone; lifts
head momentarily, cant hold head, head lag
-Hands predominantly closed w grasp reflex strong
-Hand clenches on contact with the rattle
• Able to fixate on moving objects 8-10 inches away
, -Quiets when hears a voice
-Cries to express displeasure, some noise
-Primitive reflexes present and strong
-Doll's eye reflex and dance reflex fading
-Obligatory nose breathing (most infants)
—sensorimotor =stage I, use of reflexes
physical development 2 m Correct Answer--Can maintain head in same
plane as rest of body
-Posterior fontanel closed
-Crawling reflex disappears
- follows dangling toy from side to point beyond midline
-Visually searches to locate sounds
-Turns head to side when sound is made at level of ear
• Vocalizes, coos, recognizes voice, cried differeniated
-Demonstrates social smile in response to various stimuli
physical development 3m Correct Answer--Primitive reflexes fading
-Able to hold head more erect when sitting
- Actively holds rattle but will not reach for it
-no Grasp reflex , Hands kept loosely open
• Follows objects to the periphery
• Locates sound
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