Guaranteed Pass Solutions 2026.
Honesty - Answer is the best way to respond when children ask questions
pediatric nurses provide - Answer -reassurance about children's behaviors
-developmentally appropriate care
-information on growth and development
-family centered care
Communication with parents and caregivers - Answer -use open ended questions
-listen/use silence
-empathy
-provide anticipatory guidance
Communication with children - Answer -avoid the use of "why" questions
-say "I" vs "you"
-use play
-speak in third person (allows adolescents to feel like it is ok to share)
Developmental level - Answer Is the most important factor when communicating with
children and adolescents. (A child may be 10 years old, but is developmentally at a 2 year old
level)
Developmental screening - Answer -identifies children in need of further evaluation for
developmental delays
,-is done at well child checks throughout the first few years of life (not just 1 time)
-the earlier the recognition the better to prevent delays from occuring
Only 25% - Answer of children with developmental delays are detected prior to school
entrance
Growth - Answer -is a key element in evaluating health status
-results from interaction of: genetics, health, and nutrition
growth chart - Answer -is a tool to assess growth
- there are specific ones to measure weight, length, stature, had circumference and body mass
index (all charts are based on gender and age)
WHO growth chart - Answer -birth-->24 months
-growth standards, describing the growth of healthy children in optimal conditions
CDC charts - Answer -2-->19 years
-growth reference describing how certain children grew in a particular place and time (5%-95%)
After the age of 2 - Answer there are different factors that influence our growth and
development
Length - Answer -measured while laying supine
-typically until 24 months old
Height - Answer measures while standing after 24 months old (age 2)
head circumference - Answer is measured up to 36 months (age 3)
,BMI - Answer -body mass index
-reflects the child's weight relative to their height. (screening tool, not a diagnostic tool)
-CDC recomends this should be used for all 2-20 year olds in place of weight for stature
Standard normal curve - Answer -there is a hug percentile gap between 5-95% with
developmental stages
-everyone is different yet can still be normal
Adult BMI tools - Answer cannot be used to calculate
Obesity - Answer greater than or equal to the 95%tile
Normal or healthy weight - Answer greater than 5%tile and less than 85%tile
Overweight - Answer greater than or equal to 85%tile and less than 95%tile
underweight/failure to thrive - Answer less than 5%tile
Premature infants - Answer -use corrected age until at least 2 years old or child catches up (if
under 1000gms, 3 years)
Calculating corrected age - Answer -subtract # of weeks child born prematurely from
chronological age
-use for height, weight, and developmental milestones
-example: if a child is 16 weeks old and is born 4 weeks premature the corrected age is 12
weeks
causes of failure to thrive - Answer -typically multifactorial
-inadequate calorie intake
, -inadequate absorption
-increased metabolism
-defective utilization
Parental stature - Answer must be considered before assuming health concerns in children
with abnormal percentiles
Things that can affect growth - Answer -gestational age
-birth weight
-chronic illness
Sudden growth or decrease in growth - Answer should be explored and monitored
Rechecking - Answer is the first action to take when you identify a big change in height or
weight
Caregiver's lap - Answer area in which majority f a child's exam should take place
Hear and lungs - Answer -are the two most critical assessments, especially if the child is
resting and calm
Sensitive areas - Answer should be saved for last during a child's head to toe assessment
Stethoscopes - Answer -should be warmed before placing on the child's skin
-allow the child to play with them
Healthy people 2020 leading health indicators - Answer 1. Physical inactivity
2. Overweight and obesity
3. Tobacco use
4. Substance abuse
5. Responsible sexual behavior