NURS 341 Exam 1 questions with correct answers
Stages of Development Correct Answer-infant: 0-12 months
toddler: 12-36 months
preschooler: 3-5 years
school age: 6-12 years
adolescent: 13-18 years
Health History for Peds Correct Answer--prenatal and birth hx.
-dietary/nutritional hx.
-sleep
-elimination
-meds/immunization
-allergies
-developmental hx.
-social/family hx.
-sexual hx. (teens)
-environmental risks
-illness, injuries, hospitalizations, surgeries
-significant past health/medical hx.
-review of systems
Birth History - Prenatal Correct Answer-Prenatal Care
Complications?
Birth History - Postnatal Correct Answer-Where delivered - home or
hospital?
Type of delivery
Length of labor
Gestational age
APGAR score (1&5 min)
Complications (LBW, fetal distres, meconium staining, placenta previa)
Feeding: bottle or breast
Discharge with mom?
Problems since discharge?
Approaches to Peds Assessment Correct Answer--consider
developmental level
-get to know parent and child first
-use calming techniques
-observation is key
-use play
-start at periphery and move in
-examine invasive areas last
-consider positioning
-use simple words
,VS Order for Peds Correct Answer-RR
HR
BP
Temperature
RR Correct Answer-count first when quiet, count for full minute
HR Correct Answer-apical pulse, count for full minute
BP Correct Answer-choose right sized cuff, hold limb still
How to estimate lowest systolic BP expected: Correct Answer-Older
infants and children:
-systolic not <70
-estimate: 70 + (2 x age in years)
Example: 2 year old
70 + (2x2) = 74
normal neonate temperature Correct Answer-97.7-99.7F OR 36.5-37.6C
, when are the two most rapid periods of growth Correct Answer-infancy
and adolescence
FTT Correct Answer-failure to thrive
Weight Facts Correct Answer--weight should DOUBLE by 6 months
-weight should TRIPLE by 12 months
-weight gain in a a 0-6 month infant of >100 grams in 24 hours is of
concern
-infants gain 1 oz/day or 5-7 oz/week
Length of children Correct Answer-Birth-6 months: 1.5-2.5 per month
6 months-12 months: 1-1.25 cm per month
occurs in spurts and reflects trunk growth
0-24 months use recumbent length for WHO grid
Respiratory Assessment Correct Answer--note retractions, nasal flaring,
work of breathing, position
-listen for stridor, wheezing, crackles,
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