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NUR230 |Galen |Exam | 3 |(Peds |Exam |1) |
questions |with |answers
Enabling |- |CORRECT |ANSWERS |✔✔Families |are |given |the | opportunity |to |display |their |caring |abilities |and |gain |new |ones Empowerment |- |CORRECT |ANSWERS |✔✔Families |are |given |the | ability |to |maintain |or |acquire |sense |of |control |and |make |positive | changes Principles |of |Atraumatic |Care |- |CORRECT |ANSWERS |✔✔- |Prevent | separation
- |Promote |sense |of |control
- |Minimize |bodily |injury Role |of |the |Pediatric |Nurse |- |CORRECT |ANSWERS |✔✔- |Therapeutic | relationship
- |Family |advocacy |(speak |up |for |and |listen |to |family)
- |Health |promotion |and |teaching |
- |Injury |prevention
- |Family |support |
- |Mediator
Example |of |Atraumatic |Care |- |CORRECT |ANSWERS |✔✔- |Preform | invasive |procedures |only |in |the |treatment |room Social |Roles: Primary |vs. |Secondary |- |CORRECT |ANSWERS |✔✔-Primary: |Patients | peers/family -Secondary: |Sports, |church Self |esteem |& |Culture |- |CORRECT |ANSWERS |✔✔Some |cultures | promote |more |pride |and |independence |than |others Communities |- |CORRECT |ANSWERS |✔✔-The |more |external |and | internal |assets; |the |less |risky |behavior -Increases |secondary |social |groups Peer |groups |- |CORRECT |ANSWERS |✔✔- |Risk |taking |behaviors
- |Peer |pressure Cultural |& |Religious |Health |Beliefs |& |Practices |- |CORRECT |ANSWERS | ✔✔Some |practices |may |be |considered |abusive |in |the |dominate | culture |and |are |reportable |while |others |are |tolerated
Growth |internally |and |externally |- |CORRECT |ANSWERS |✔✔- | Dramatic |growth |from |birth |to | 4 |years |old |and |again |at | 12 |years | old |during |puberty |
- |Severe |illness |and |malnutrition |will |affect |the |rate |of |growth |and | development Neurologic |maturation; |most |occurs |before |birth |- |CORRECT | ANSWERS |✔✔- |Rapid |neurological |growth |between |15-29 |weeks | gestation
- |Rapid |growth |from |birth |to | 1 |year |and |through |early |childhood
- |More |gradual |rate |through |childhood |into |adolescence Erikson |(Psychosocial) |
- |Trust |vs. |Mistrust |- |CORRECT |ANSWERS |✔✔(birth |to | 1 |year): |basic | needs |must |be |met |by |a |loving |person; |outcome |is |faith |and | optimism. Erikson |(Psychosocial) |
- |Initiative |vs |Guilt |- |CORRECT |ANSWERS |✔✔(3-6 |years): |develops |a | conscience |with |an |inner |voice |that |warns |and |threatens; |if | activities |are |in |direct |conflict |with |parents, |can |be |made |to |feel | guilty. |Outcome |is |direction |and |purpose.
Erikson |(Psychosocial) |
- |Autonomy |vs. |Shame |and |Doubtful |- |CORRECT |ANSWERS |✔✔(1-3 | years): |centered |on |toddlers |ability |to |control |body, |self, |and | environment; |outcome |is |self-control |and |willpower. Erikson |(Psychosocial) |
- |Industry |vs. |Inferiority |- |CORRECT |ANSWERS |✔✔(6-12 |years): | children |are |ready |to |be |workers |and |producers, |engage |in |tasks | that |can |carry |throughout |completion, |learn |to |compete |and | cooperate. |Outcome |is |competence. Erikson |(Psychosocial) |
- |Identity |vs. |Role |Confusion |- |CORRECT |ANSWERS |✔✔(12-18 |years): | period |of |rapid |body |changes, |peers |are |important, |need |to | integrate |concepts |and |values |with |those |of |society |and |to |come | to |a |decision |about |an |occupation. |Outcome |is |devotion |and | fidelity |to |others |and |to |values |and |ideologies. |Core |conflict |is |role | confusion. Piaget |(Cognitive) |
- |Sensorimotor |- |CORRECT |ANSWERS |✔✔(Birth |- | 2 |years): | -Simple |learning; |behavior |imitation
- |Problem |solves |through |trial |and |error
- |Intellectual |development |(blocks |and |shapes)
- |Creativity |(drawing |a |picture) |
- |Self-awareness |(sharing; |interacting |with |others) |
- |Therapeutic |value
- |Moral |value Types |of |Play
- |Unoccupied |play |(infant) |- |CORRECT |ANSWERS |✔✔Child |is |not | mobile |and |has |random |movements |with |no |purpose | Ex: |Crib |mobile Types |of |Play |
- |Solitary |play |(infant/toddler) |- |CORRECT |ANSWERS |✔✔Play |alone | with |their |interest |centered |on |their |own |activity | Ex: |Playing |alone Types |of |Play
- |Onlooker |play |(infant/toddler) |- |CORRECT |ANSWERS |✔✔Watch |what |other |children |are |doing |but |do |not |make |any |attempt |to |enter | the |play |activity | Ex: |Observing |others Types |of |Play
- |Parallel |play |(toddler) |- |CORRECT |ANSWERS |✔✔Children |play | independently |but |with |other |children | Ex: |Playing |alone; |same |room |as |other |children Types |of |Play |
- |Associative |play |(preschooler) |- |CORRECT |ANSWERS |✔✔Children | play |together |but |with |no |group |goal Ex: |Sharing |toys, |but |each |child |has |their |own |goal Types |of |Play
- |Cooperative |play |(school |age) |- |CORRECT |ANSWERS |✔✔Play |is | organized |and |children |play |in |a |group |with |other |children |working | to |complete |a |goal | Ex: |Sharing |toys, |has |common |goal; |competition Communicating |with |Infants |- |CORRECT |ANSWERS |✔✔- |Respond |to | non-verbal |ques, |such |as |tone |and |touch |
- |Cannot |understand |verbal |ques
- |Cooing |and |crying |are |main |form |of |communication Communicating |with |Early |Childhood |- |CORRECT |ANSWERS |✔✔- | Egocentric
- |Respond |best |to |when |you |discuss |how |THEY |will |be |effected
Pain |Scales |- |CORRECT |ANSWERS |✔✔- |NIPS: |facial |expression, |cry, | breathing |pattern, |arms, |legs, |state |of |arousal; |neonates |less |than | 2 |months
- |FLACC: |face, |legs, |activity, |cry, |consolablity; |infants |older |than | 2 | months |
- |Faces: |3-4 |years |old; |must |be |able |to |identify |emotions
- |Numeric |Scale |(0-10): | 8 |years |and |older, |may |be |used |early |as | 5 | years |old; |must |know |how |to |count |and |know |the |value |of | numbers Non-pharmacological |Pain |Management |(Infant) |- |CORRECT | ANSWERS |✔✔Containment |(blanket |rolls |to |provide |a |"nest"), | positioning |(swaddling), |sucking |(providing |pacifier), |and |kangaroo | care |(skin |to |skin |contact |with |parent) Non-pharmacological |Pain |Management |(Toddler |and |Child) |- | CORRECT |ANSWERS |✔✔- |Distraction
- |Relaxation
- |Music, |pet/art |therapy Pharmacological |Pain |Management: |Mild |to |Moderate |- |CORRECT | ANSWERS |✔✔- |Acetaminophen
- |NSAIDs |(ex: |ibuprofen)
Pharmacological |Pain |Management: |Moderate |to |Severe |- |CORRECT | ANSWERS |✔✔- |Opioids |(ex: |morphine, |dilaudid, |fentanyl) Pharmacological |Pain |Management: |Adjuvant |- |CORRECT |ANSWERS | ✔✔- |Antianxiety: |Diazepam |(Valium) |& |Midazolam |(Versed)
- |Tricyclic |antidepressants: |Amitriptyline |
- |Antiepileptics: |Gabapentin |and |Clonazepam |
- |Stool |softeners/laxatives
- |Antiemetics |
- |Diphenhydramine |
- |Steroids Developmental |milestones: | 1 |month |- |CORRECT |ANSWERS |✔✔- | Flexed |position
- |Can |turn |head |side |to |side |when |prone Developmental |milestones: | 2 |months |- |CORRECT |ANSWERS |✔✔- | Vocalizes |distinct |from |crying
- |Social |smile Developmental |milestones: | 3 |months |- |CORRECT |ANSWERS |✔✔- | Holds |objects |but |will |not |reach |for |them
- |Increasing |stranger |danger Developmental |milestones: | 8 |months |- |CORRECT |ANSWERS |✔✔- | Sits |steadily |unsupported Developmental |milestones: | 9 |months |- |CORRECT |ANSWERS |✔✔- | Pulls |self |to |standing |position, |creeps |along |furniture
- |Crude |pincer |grasps Developmental |milestones: | 10 |months |- |CORRECT |ANSWERS |✔✔- | Develops |object |permanence Developmental |milestones: | 11 |months |- |CORRECT |ANSWERS |✔✔- | Cruises |or |walks |with |both |hands |held Developmental |milestones: | 12 |months |- |CORRECT |ANSWERS |✔✔- | Birth |weight |tripled
- |Birth |length |increased |by |50%
- |Walks |with |one |hand |held
- |Says |3-5 |words |besides |mama |and |dada Developmental |milestones: | 15 |months |- |CORRECT |ANSWERS |✔✔- | Creeps |up |stairs |
- |Says | 4 |-6 |words Developmental |milestones: | 18 |months |- |CORRECT |ANSWERS |✔✔- | Anterior |fontanel |closed
- |Says | 10 |or |more |words
- |Awareness |of |ownership Developmental |milestones: | 24 |months |- |CORRECT |ANSWERS |✔✔- | Weight |gain |of |4-6 |lbs/yr, |height |4-5 |in
- |Talks |increasingly |- | 300 |words |
- |Parallel |play Developmental |milestones: | 30 |months |- |CORRECT |ANSWERS |✔✔- | Jumps |with |both |feet
- |Knows |first |and |last |name |
- |May |be |potty |trained Developmental |milestones: | 3 |years |- |CORRECT |ANSWERS |✔✔- |May | have |achieved |night |time |bowel/bladder |control
- |Walks |upstairs |with |alternating |feet
- |Vocab | 900 |words, |3-4 |word |sentences |
- |Play |is |parallel |and |associative |
- |Attempts |to |please |parents
- |Decline |in |self |esteem |increase |in |"best |friend" |
- |Wide |mood |swings, |moodiness, |temper, |outbursts Developmental |milestone: |Middle |adolescence |- |CORRECT |ANSWERS | ✔✔(15-17):
- |Growth |decelerating |in |females
- |Modifies |body |image |
- |Self |- |centered |
- |Major |conflicts |over |independence/control
- |Withdraws |when |upset/feelings |are |hurt Developmental |milestones: |Late |adolescence |- |CORRECT |ANSWERS | ✔✔(18-20): |
- |Physically |mature
- |Established |abstract |thought
- |Increase |in |self |esteem
- |Emotional/physical |separation |from |parents |complete |
- |Anger |more |apt |to |be |concealed Reactions |to |Hospitalization: |Infant |- |CORRECT |ANSWERS |✔✔- | Reliant |on |parent
- |Assign |primary |nurse, |stick |to |routine
Reactions |to |Hospitalization: |Toddlers |- |CORRECT |ANSWERS |✔✔- | Hospitalization |disrupts |autonomy, |may |cause |regression
- |Follow |daily |routine Reactions |to |Hospitalization: |Preschoolers |- |CORRECT |ANSWERS |✔✔- Egocentric; |may |view |hospitalization |as |punishment, |fear |body | mutilation
- |Needs |reassurance Reactions |to |Hospitalization: |School |age |- |CORRECT |ANSWERS |✔✔- | Strive |for |independence, |fear |abandonment, |injury, |and |death
- |Needs |reassurance Reactions |to |Hospitalization: |Adolescence |- |CORRECT |ANSWERS |✔✔- | Struggle |for |independence, |hospitalization |may |cause |anger
- |Benefit |from |contact |with |peers Obesity: |- |CORRECT |ANSWERS |✔✔- |Overweight: |BMI |between | 85th |- |95th |percentile |
- |Obesity: |BMI |greater |than |or |equal |to |95th |percentile
- |Provide |family |support Cause |of |Nasopharyngitis |- |CORRECT |ANSWERS |✔✔- |Numerous | viruses |
- |RSV, |rhinovirus, |influenza |and |parainfluenza
- |URI Clinical |Manifestations |of |Nasopharyngitis |- |CORRECT |ANSWERS | ✔✔- |Varies |with |age
- |Fever, |nasal |mucus, |sneezing Therapeutic |Management |of |Nasopharyngitis |- |CORRECT |ANSWERS | ✔✔- |No |cure Nursing |management |of |Nasopharyngitis |- |CORRECT |ANSWERS | ✔✔- |Fluids, |rest, |elevation |of |HOB, |suction, |prevention |is |key
- |Education |on |cough |and |sneeze |etiquette
- |Viral |infection |= |no |antibiotics Cause |of |Pharyngitis |- |CORRECT |ANSWERS |✔✔- |Viral |or |Group |A | Beta |Hemolytic |Streptococcus |(strep |throat)
Clinical |Manifestations |of |Pharyngitis |- |CORRECT |ANSWERS |✔✔- | Sore |throat, |headache, |fever, |possible |rash, |abdominal |pain Diagnostic |Evaluation |of |Pharyngitis |- |CORRECT |ANSWERS |✔✔- | Throat |culture |and |rapid |strep |test Therapeutic |Management |of |Pharyngitis |- |CORRECT |ANSWERS |✔✔- | Penicillin, |if |strep |
- |No |antibiotics |if |viral Nursing |Interventions |of |Pharyngitis |- |CORRECT |ANSWERS |✔✔- |No | school/daycare |for | 24 |hours |(time |begins |when |first |dose |of | antibiotics |is |taken)
- |Acetaminophen/Ibuprofen |for |pain
- |Finish |for |course |of |antibiotics Cause |of |Tonsilitis |- |CORRECT |ANSWERS |✔✔- |Often |occurs |with | pharyngitis |
- |Can |be |viral |or |bacterial Clinical |Manifestations |of |Tonsilitis |- |CORRECT |ANSWERS |✔✔- | Edema/enlargement |of |tonsils
- |Difficulty |swallowing
