Exam (elaborations)
NURS 371 Midterm Questions And Answers Latest Update
- Course
- NURS 371
- Institution
- University Of Michigan
NURS 371 Midterm Questions And Answers Latest Update
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NURS 371 Midterm 2024-2025 QuestionsAnd Answers Latest Update
How to reduce uncertainty
give information
respond to parents questions and concerns, if cant answer find someone who can
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,be sensitive to disruption and inconvenice
address emotional, cultural and spiritual needs
why do we monitor growth and development
- to have earlier diagnoses and better outcomes
-to meet growth curve
physical growth of a child is
1. quantitative measurement of change in size, length, or mass
2. continuous but uneven process
physical growth is an indicator of
-general health and nutrition
-shows deviation from growth curve that need further investigation
development is
qualitative
-increase in capacity to function
-includes development of new skills the child increasingly respond to environment
types of growth measurements
-length (infancy) or height (older children)
-weight (Kg n Lbs)
-head circumference (cm or inches)
when do infants re-attain birth weight
14 days
head circumference (HC) reflects
growth and differentiation of nervous system
how much does an infanta head growth per month
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,2 cms till around age 3 months
from ages 4-6 m, how much does the HC grow per month
1 cm
from ages 6-12 m, how much does the HC grow per month
0.5 cm
when does the posterior fontanel close
2m
when is the anterior fontanel not palpable
after 18 m
with premies what is different about their head
their heads can be different shapes and sizes
physical differences in children
-smaller body
-sutures not fused
-immature motor development = no control over voluntary movement (infancy
reflexes)
-eustachian tubes are shorter and straighter=more sensitive to sound
-heart grows slowly
-larynx/trachea very soft
-urethra is short=UTIs
-kidney cannot concentrate urine
-skin is half as thick as adults
-blood values are different
-The digestive tract is immature at birth n grows through adolescence
-mental and emotional differences
physical development occurs in what fashion
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, head to toe, center to periphery
-movement moves from reflexes to gross motor to fine motor
physical development 1 m
-turn head when prone; lifts head momentarily, cant hold head, head lag
-Hands predominantly closed w grasp reflex strong
-Hand clenches on contact with the rattle
• Able to fixate on moving objects 8-10 inches away
-Quiets when hears a voice
-Cries to express displeasure, some noise
-Primitive reflexes present and strong
-Doll’s eye reflex and dance reflex fading
-Obligatory nose breathing (most infants)
—sensorimotor =stage I, use of reflexes
physical development 2 m
-Can maintain head in same plane as rest of body
-Posterior fontanel closed
-Crawling reflex disappears
- follows dangling toy from side to point beyond midline
-Visually searches to locate sounds
-Turns head to side when sound is made at level of ear
• Vocalizes, coos, recognizes voice, cried differeniated
-Demonstrates social smile in response to various stimuli
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