EXAM STUDY MATERIALS July 25, 2024 1:06 PM ATI RN nursing care of children Exam Questions And Answers. Verified And Updated. Toddlers vaccines and nutrition - answer✔✔shots: IPV, MMR, PCV, Varicella, Hep A, DTAP, flu nutrition: low fat milk, 4 -6 oz juice/day. 24 gauge needle for shots Preschooler skills - answer✔✔rides trike (3), throws ball, scissors to cut shapes (4), jump rope/stick figure with 7 body parts (5 yo), right from left hand (6yo), dress up, associative play Preschool beliefs - answer✔✔magical thinking, animism (inanimate objects are alive), time in relation to event ("after you eat lunch") preschooler shots/food/ac tivity - answer✔✔shot: DTAP, IPV, MMR, Flu nutrition: 5 servings of fruits and veggies activity: less than 2 hrs of screen time, >1hr PE sleep: 12 hours w consistent bedtime routine 6-12 yo activity/sleep/shots - answer✔✔interact with peer group, cooperati ve play, sports sleep: 9 hrs shots: TDAP, HPV, meningicoccal, flu children injury preventuon - answer✔✔helmets, locks on firearms, water heaters < 120 degrees, bike safety adolescents growth, sexual maturation, activity - answer✔✔stop growing after menarch e, boys at 18 yo sexual maturation: breasts, pubic hair, ax. hair, menstruation boys: testicular growth, pubic hair, penile enlargement, ax. hair, facial hair, voice changes activity: video games, music, sports, reading adolescent shots, injury - answer✔✔MCV4 booster, flu EXAM STUDY MATERIALS July 25, 2024 1:06 PM auto safety, monitor for mental health, risk for substance abuse med admin - answer✔✔use smallest measuring device available do not measure with teaspoon optic/otic meds - answer✔✔drops: pull eyelid down and put med in conjunctival sac ointment: apply from inner to outer. drops, then ointment otic: under three, pinna down and back over 3, pinna up and back meds: SQ, intraderm , IM - answer✔✔ID: 26 -30 gauge, bevel up, 15 degree angle SQ: into fat, 90 degree angle IM: vastus lateralis for infants and small kids IV meds - answer✔✔EMLA 60 min before procedure play therapy swaddle infant before and offer sucrose before, during and after Pain assessment - answer✔✔CRIES: under 6 months FLACC: 2 months - 7yrs FACES: 3+ Oucher: 3 -13 (pics) numeric: 5+ hospitalization response - answer✔✔infant: be consistent toddler: seperation anxiety, regression preschool: magical thinking school age: be factual teen: body image issues and isolation from peers death and dying - answer✔✔preschool: sees death as temporary school age: fear of unknown teen: adult -like concept of death EXAM STUDY MATERIALS July 25, 2024 1:06 PM death/dying signs of death - answer✔✔sensation of heat with cool skin, decreased movement, Decreased LOC, Cheyne -Stokes nurse: remove tubes, allow family to stay with body/hold child complicated grief: extends for >1 yr after loss, affects ADLs parenting styles - answer✔✔-authoritarian: parents control behavior thru unquestioned rules/expectations -permissive: parent has little control, child makes decisions -authoritative: parents set rules, but explains reasoning. Enforce consequences for breaking rules -passive: parent uninvolved and indifferent Piaget - answer✔✔Sensorimotor: birth -2 reflexes,object permanence Preoperational: 2 -7yrs symbolic thought Concrete operations 7 -10yrs cause and effect, concrete term/explanations, understands concepts of human body Formal operations 11 -adult logical relationships, analyze, concern for moral and social issues -
abstract concepts Erikson - answer✔✔Infancy (birth t o 18 months) Trust vs. Mistrust Early Childhood (2 to 3 years) Autonomy vs. Shame and Doubt Preschool (3 to 5 years) Initiative vs. Guilt School Age (6 to 11 years) Industry vs. Inferiority Adolescence (12 to 18 years) Identity vs. Role Confusion Youn g Adulthood (19 to 40 years) Intimacy vs. Isolation Relationships Middle Adulthood (40 to 65 years) Generativity vs. Stagnation Maturity(65 to death) Ego Integrity vs. Despair physical exam of kid - answer✔✔-keep medical equipment out of sight -age appro priate lang allow child to hold equipemtn role play kid can sit on parents lap Peds vital signs - answer✔✔temp: 37.0 -37.7 EXAM STUDY MATERIALS July 25, 2024 1:06 PM pulse: faster when younger, 80 -180 for baby and 2 -10: 60 -110 RR: faster when younger: baby 30 -35, kid: 19 -21 BP: lower when younger. B aby: 65/41, kid 97/58 fontanels - answer✔✔posterior close 6 -8 weeks anterior close 12 -18 months infants weight - answer✔✔doubles by 6 months, triples by 1 teeth - answer✔✔first tooth at 6 -10 months, 6 -8 teeth by 1yo clean with cool washcloth infant reflexe s - answer✔✔sucking/rooting: nb -4mo palmar: nb -3 mo plantar: nb -8mo moro: nb -4 mo -response to falling tonic neck: nb -4 mo babinski: nb -1yo stepping: nb -4 wks major milestones - answer✔✔1 month: head lag present 7 motnhs: object hand to hand 8 months: sits unsupported 9: crude pincer 11: neat pincer, objects into container 12: 2 block tower (unsuccessfully) Language, attachement, activity for infants - answer✔✔1 word by 10 months, 3 -5 by 1 yo separation anxiety @ 4 -8 mo stranger fear @ 6 -8 mo age appropriate activity: solitary play, pat -a-cake Meningitis - answer✔✔inflammation of the meninges HIB vaccine
