FinalIExam:INUR2633/INURI2633I(NewI
2024/I2025IUpdate)IMaternalIChildIHealthI
CompleteIReviewIwithIQuestionsIandI
VerifiedIAnswers|I100%ICorrectI-
IRasmussen
QUESTION
ConsentsI-
IforIinvasiveIproceduresI[*NeedIsignatureIconsentIforIinvasiveIprocedures;IfromIparent,Iguardi
anIorIemancipated;Ipregnant,Imilitary,IcourtIorder]
Answer:
-IfIaIchildIisIofIage,ItheyIdon'tIneedItheirIparent'sIsignature.I-
IfIemancipatedItheyIcanIsignIasIwell.IIfInotItheIparentImustIsign.I
-InIemergenciesIphysicianIcanIapproveIifIparentsIareInotIavailable.I
-ReligiousIbeliefsIcanIbeIoverturnedIbyIcourtsIinIsomeIcases.I
*ConsentsIareIVoluntary,IunderstandingIofIprocedureI[cognitive/languageIbarriers;IinterpreterIi
fIneeded],IattemptItoIcontactsI[document]ItelephoneIattempt;IlifeIorIlimb.
QUESTION
DisciplineIisIfor:
Answer:
-
SafetyIandIeducationIwithIpositiveIreinforcement;ItoImakeIgoodIchoices,IaggressivenessIwithIt
oddlersIbecauseItheyIdon'tIremember:I
-Withholding,ItimeIout,Irationalizing,Idistractions
QUESTION
HarmfulIdisciplines
,Answer:
-CorporalIpunishmentI[okayItoIhit,IslapIorIharm]
-IsolationI(inIsomeIcases)
-Demoralizing;Iscreaming/verbalIabuse
-NeglectI-IpassiveIaggression.I
Types:IAuthoritarian-IdictatorI&IAuthoritative/democraticI(isImostIeffective)
*ParentIcanIgoIinIandIoutIofIdifferentIstyleImodesIsometimes
QUESTION
BeneficialIdiscipline
Answer:
TimeIoutI[withoutIisolation],Iredirection,Idistraction,IpositiveIreinforcement,ImodelingIpreferre
dI/desiredIbehavior,IremovalIofIprivileges,InaturalIconsequencesIofIactions.
QUESTION
PainIisIaIfrequentIassessmentIdoneIonIallIpatientsI-IwhatIaboutIpainIassessmentsIinIchildren?
Answer:
*ManageIasIyouIwouldIanIadult.I
-PainIscales-IFacesIandIFLACCIareIpreferred.I*ForIchildrenI10-
12IyearsIoldIcanIuseItheInumericalIpainIscale.I
-BelieveItheIchild'sIreport.
QUESTION
Non-PharmImethodsItoIallievateIpain
Answer:
-musicIandIdistraction
-relaxation
-holdingIhand
,-cuddling
-reassurance
-ForIbabyIuseInon-nutritiveIsuckling,Icuddling,IsugarIwater
-Play,Itoys,IdrawIpictures
QUESTION
WhatIisIdifferent,IandIwhatIareItheImythsIandIfallaciesIregardingI"painImanagementIinIchildre
n"?
Answer:
Myth:IchildrenIdon'tIfeelIpain,IneonatesIdon'tIfeelIpainIdueItoIimmatureInervousIsystem.IThey
IbecomeIaccustomedItoIpain,IpainIdoesn'tIlastIasIlong,IandIchildrenIshouldIlearnItoItolerateIpa
inIforIlaterIinIlife.I
-
PainIinIchildren=*ALWAYSItreatIpainItoIvalidatedIlevelIofIresponse.IChartIpain,IinterventionI
andIresponse.
QUESTION
WhatIdrugIisImostIfrequentlyIusedIforIsevereIorIpostoperativeIpainIinIchildren?
Answer:
**MostIcommonImedicationIusedIpost-opIpainIisI*morphine*I-IBiggestIriskI-
IRespiratoryIdepression.
•ITitrateImedsIveryIcarefully;IuntilI110Ilbs.IorI50IkgIuseIadultIdose,IcannotIcontinueItoIuseIag
eIandIweight=overdose
•IWhenIchildIisI50IkgItheyIcanIgoIupItoItheIadultIdosing
•IAwareIofIRespiratoryIdepression,IliverIandIkidneysIfunctional,IhydratedIwell,IaddictionIpossi
bility
QUESTION
WhatIareItheInon-
pharmacologicalImeasuresIusedItoIenhanceImedicationIorIchangeItheIpainIperception?
, Answer:
Non-
pharm:IguidedIimagery,Idistraction,Iplay,Imusic,Imassage,Iaromatherapy,IpetItherapy,IhandIhol
ding,IdeepIbreathing,IparentalIpresence,Iplay,Inon-nutritiveIsucking,IplayingIwithItoys.
QUESTION
MilestonesIofIinfantsItoItoddlersI-
IBeIawareIofItheseIsoIifIaIchildIhasInotIreachedIaImilestone,IwhatIquestionsIshouldIyouIbeIas
kingIandIwhenIdoIweIalertItheIMD?
Answer:
*Infancy-
IgreatestIrateIforIgrowthIatI6Imo.I(7Ilb.)IDoubleIbirthIweightI@I6ImonthsI(14),IandItripleIwei
ghtIbyI1IyearIoldI(21lbs).
*Children;IgrowIfromIheadItoItail,ImiddleItoIdistal,IsimpleItoIcomplex,IgrowIatItheIsameIsteps
IbutInotItheIsameIrates.I
*IAnteriorIfontanellesIcloseI12-18Imonths,I6-8IweeksIposteriorIfontanellesIclose
QUESTION
InvestigateIifInotIchildIisInotImeetingImilestones
Answer:
•IBabblingIatI4Imonths
•IRollIfrontItoIbackI5ImonthsI
•IBackItoItummyIatI6Imonths
•IPickIthingsIupIlikeIfoodI(handful)I4-6ImonthsI
•ISittingIbyI8Imonths
•IPickIthingsIupIwithIPincherI8-9Imonths
•IObjectIpermanenceIbyI9-10Imonths
•IWalkIatI12Imonths
QUESTION
Erikson'sItheoriesIofIDevelopmentI-Iwhy?
