Study Guide PEDS Ch. 31 Growth and Development Questions and Correct Answers the Latest Updat
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Module
PEDS
Institution
PEDS
What attributes of a child would be important to evaluate using the developmental
approach?
The growth parameters include weight, height, and head circumference and sometimes
skin fold thickness and arm circumference
How do you measure head circumference?
It is measured above the eyebrows ...
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Study Guide PEDS Ch. 31 Growth and
Development Questions and Correct
Answers the Latest Update
What attributes of a child would be important to evaluate using the developmental
approach?
✓ The growth parameters include weight, height, and head circumference and sometimes
skin fold thickness and arm circumference
How do you measure head circumference?
✓ It is measured above the eyebrows and pinna of the ears and around the occipital
prominence of the back of the skull
How does the nurse establish a trusting relationship?
✓ By being honest
What are the categories of children with special needs?
✓ Congenital abnormalities, malignancies, GI disease, or CNS anomalies. (Know our
community resources so we can advise pt and they can get help)
What are the appropriate measures to discuss health care with family and maintain
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✓ Gain trust of the parents by (1): reviewing and interpreting info from the dr as need; (2)
asking the parents whether they have any questions; (3) conveying concern for the pt's
wellbeing; (4) listening & being available; (5) respecting them as experts on their child
and soliciting their input. ; When obtaining a nursing hx or giving information, select a
quiet place on the unit to listen to the parents' responses and to provide them with
opportunities to ask questions
What is the correct way to assess vitals in infants and why?
✓ RR before the infant is disturbed➝P➝Temp. ; (BP is usually not taken until the child is 3
yrs) ; The things that cause the least amount of anxiety, we do first.
How do you explain BP to a child so he/she will not be fearful?
✓ For preschool and early school-age children, explain how the cuff will feel, such as "tight
feeling" , "arm hug" , "I want to feel your muscle" , or "I want to see how strong your
muscle is"
What is the importance of nutrition r/t growth and development?
✓ It is the single most important influence on growth. During infancy and childhood, the
demand for calories is great because of the rapid increase in height and weight. Growth is
uneven during these stages, and a child's appetite fluctuates in response to growth spurts.
How does the nurse teach parents about the use of opioids for pain management in children?
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✓ Infants are not able to verbalize their pain, assess for physiological and behavioral
variables. Use the Wong-Baker Faces pain rating scale. Advise parent opioids cause no
greater respiratory depression than in adults and nothing indicates that children are at
any increased risk of physiologic or psychological dependence from the use of it for pain
management
How soon should a child be prepared for admission to hospital? consider all age groups:
✓ Toddlers should be told 2-3 days before, because they don't understand time and the
future. School-aged children should be told 2 weeks in advance, and adolescents we need
to tell asap, allowing time for them to tell their peers and solicit them for support
What are the aspects of feeding of infants?
✓ Feeding: breastmilk exclusively for first 6 months then breastmilk in addition to solids for
at least a year. It is important to wait till the baby is ready to start solid foods, usually
about 6 months.
Gavage feeding:
✓ Feeding with a tube into the stomach. The tube is passed through the mouth for infants
because they are nose breathers, and often through the nose for older infants and
children.
A G tube (tube feeding):
✓ Used for children whom a nasogastric tube is contraindicated. TPN is given when feeding
by way of the GIU tract is inadequate or hazardous
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