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NUR 221 NEWEST 2024 FINAL EXAM COMPLETE QUESTIONS WITH CORRECT ANSWERS,,,Alpha
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NUR 221 NEWEST 2024 FINAL EXAM COMPLETE QUESTIONS WITH CORRECT ANSWERS,,,Alpha
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NUR 221 NEWEST 2024 FINAL EXAM COMPLETEQUESTIONS WITH CORRECT ANSWERS
What are the 3 primary stressors related to illness and hospitalization among
pediatric clients?
Pain, Control, and Separation
What might a preschooler do in response to pain?
run and hide out of fear of punishment
What pain scale is used for infants? What are some pain interventions?
NIPS; Hold, swaddle, pacifier (sucking), rocking, sugar water
What pain scale is used for older infants and toddlers? What are some pain
interventions?
FLACC; lower stimuli, sit next them, hold them, distraction
What pain scale is used for preschoolers? What are some pain interventions?
Faces or OUCHER!; Distraction (age appropriate), involve, parent, magical thinking
What pain scale is used for school-aged children? What are some pain
interventions?
Faces or Numeric (sometimes); Distraction (age appropriate)
What is the major stressor for infants? How do you best care for an infant?
Lack of development of trust & separation anxiety; Allow caregiver to participate in
care/promote bonding, decrease amount of separation from caregiver as much as
possible
What is the major stressor for toddlers? How do you best care for them?
Lack of independence or autonomy, separation anxiety, and fear of strangers;
CHOICES!, let them do small things on their own when possible, decrease amount of
separation from caregiver, introduce yourself to the caregiver 1st, get down on child's
level, show interest in doll/toy
What is the major stressor for preschoolers? How do you best care for them?
Lack of opportunity for initiative, loss of control, bodily harm/mutilation; CHOICES!, let
them "help" you or "make the plan", give them bandaids to make it better, everything is
"magical", reassure them that you won't hurt them
What is the major stressor for school-aged children? How do you best care for
them?
Lack of opportunity for industry, and loss of control; Keep up with school work, teach
them!, give them a "job", give them choices!
What is the major stressor in adolescents? How do you best care for them?
Identity, body image, and separation from friends; Find out interests, let them talk about
themselves, provide privacy, ground them in terms of what is affecting their "body
image", encourage calls and visits with friends
T/F You should never talk directly to an infant since they can't understand you
anyway
FALSE! Use a calm/soothing voice and talk directly to the infant
T/F Adolescents should be prepared in advance about upcoming procedures and
real medical terms can be used
, TRUE! You can use diagrams and illustrations and should always allow time for
questions
When does separation anxiety typically occur?
6-18 months old
What are the 2 most common places for IM injections?
Vastus Lateralis & Deltoid (age 3 years & older)
What is the common place for a SubQ injection?
Outer aspect of upper arm
When do the expected local reactions occur after a vaccine?
24-48 hours
What is the name of the vaccine to protect against rotavirus? How is it
administered?
Rotateq given PO
How long can symptoms from the MMR vaccine occur?
Up to 3 weeks after
How much loss in birth weight is normal for a newborn 3-4 days after birth?
Up to 10%
What would be a normal weight for a 6 month old who weighed 8 lbs. at birth?
What about when the child turns a year old?
16 lbs. (weight doubles in the first 6 months); 24 lbs. (weight triples by 1 year)
Which fontanels close first?
Posterior closes at 2-3 months; Anterior closes at 12-18 months
When should a normal developing infant lose their reflexes except for Babinski?
4 months old
What does an infant no longer have once they turn 2 months old?
Strong grasp reflex
At what age should an infant no longer have head lag?
4 months
What are the rolling milestones in an infant?
Back to side by 4 months; Belly to back by 5 months; Back to belly by 6 months
What language development occurs at 2 months?
Single sounds
At what age do infants start turning to sound?
3 months
What language development occurs at 4 months?
Baby will laugh
At what age can you start to teach a baby sign language due to baby
understanding "no" and gestures?
9-10 months
How many words should a 10-11 month old be able to say?
3-5 words
What type of toy would be given to a 2 month old?
A rattle
What age would a stuffed animal be given to?
6 months
What would a child be able to stack objects & place objects into others?
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