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HXPX -Peds Exam Questions And Verified Answers
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HXPX -Peds Exam Questions AndVerified Answers
four principles of child development - Answer 1. Child development proceeds along a
predictable pathway
2. The range of normal development is WIDE
3. Various physical/social/environmental factors as well as diseases can affect child
development and health
4. The developmental level affects how the APRN conducts the H&P exam
(Bates, p. 800)
timing of well child visits - Answer Newborn
3-5 days
2-4 weeks
2 months
4 months
6 months
9 months
12 months
15 months
18 months
24 months
30 months
3 years
Annually
neonatal period - Answer first 28 days
postneonatal period - Answer 29 days to 1 year
when is the first pediatric exam performed - Answer immediately after birth by OB or
pediatrician
, get an Apgar score
first step after delivery - Answer decide whether resuscitation is necessary
comprehensive exam is performed when - Answer within 24 hours
Apgar score - Answer - commonly used to assess the newborn condition
- points given for 5 assessments
1. HR
2. RR
3. muscle tone
4. irritability
5. color
when is apgar score assessed - Answer 1 and 5 mins
apgar reassuring score versus a concern - Answer reassuring- 8-10 points
mild/moderate concern- 5-7 points
severe concern- 0-4 points
how are newborns classified - Answer 1. gestational age
2. birth weight
gestational age classification - Answer preterm= less than 34 wks
late preterm= 34-36 wks
term= 37-42 wks
postterm= greater than 42 wks
birth weight classification - Answer extremely low= less than 1,000 g
very low= less than 1500 g
low= less than 2500 g
normal= greater or equal to 2500
ballard scoring system - Answer helps determine gestational age after delivery
- estimates gestational age within 2 wks
gestational age is based on - Answer specific neuromuscular signs
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