NURS 407 EXAM 1 COMPLETE WITH
CORRECT ANSWERS
Severe - CORRECT ANSWER- § IQ between 20-34
§ Limited understanding of language and academic skills, minimal
acquisition of communicative speech
§ Require parental support in all ADL for safety
§ Can never be independent or function independently
Profound - CORRECT ANSWER- § IQ is less than 20
§ Demonstrate only minimal capacity for sensorimotor functioning and
nonverbal and nonsymbolic in communication
Haloperidol - CORRECT ANSWER- Used in schizophrenia in
children
Causes Extrapyramidal effects- akathisia, acute dystonia, Parkinsonism,
tardive dyskinesia
lead poisoning - CORRECT ANSWER- Treated with chelating agents
Given based on level -- IV or IM (IM injections painful so put on procaine
or anesthetic agent)
Get child on medication schedule
All children screened for lead poisoning at age 1
Acetaminophen - CORRECT ANSWER- Treated with acetylcysteine
(helps protect liver and promote excretion of breakdown products)
Given orally or IV (tastes bad so children aren't interested in drinking it)
Monitor liver function
Head Injury - CORRECT ANSWER- o Initial Assessments: LOC and
bilateral assessment of extremity movement and stabilization of neck
o General Plan of Care:
- Monitoring for changes in vital signs and LOC
,- Signs of intracranial bleeding or increasing ICP
- Use of Glasgow coma scale for children
- Long-Term Follow-up is required
- LOC, Orientation, Blood, Pain
Respiratory - CORRECT ANSWER- o Rate and quality of
respirations
o Any sound of obstruction (wheezing, stridor, retractions, coughing)
o Color (cyanotic)
o Oxygen hunger (restlessness, inability to lie flat)
Cardiovascular - CORRECT ANSWER- o Color (pallor form
hemorrhage or cardiovascular collapse)
o Evident bleeding
o Pulse rate (increase with hemorrhage)
o Blood Pressure (decreases with hemorrhage)
o Feeling of apprehension from altered vascular pressure
Nervous - CORRECT ANSWER- o Level of Consciousness (child
answers questions coherently, infant attunes to parent's voice)
o Pupils (PERRLA)
o Bumps or bruises on head or spinal column
o Loss of motion or sensory function in a body part
Abdominal trauma - CORRECT ANSWER- o Rapid Respirations
o Hypotension (less than 80 mmHg systolic and less than 60 mmHg in
an infant)
o Increasing pallor
o Fresh and occult blood in stomach, stool, urine
Home Safety - CORRECT ANSWER- o Covering outlets and block
with furniture
o Stair Gates, Guard Rails, Window Guards, Cupboard Locks, corner
padding
o Put dangerous objects high
o Lock doors
Water Safety - CORRECT ANSWER- o Supervision at all times
, o Floatation devices
o Temperature of the water
o Secure gates and locks
o Lifeguards on duty
o Amount of water
o Put electrical devices away
o Put in swimming lessons
Poisoning - CORRECT ANSWER- o Lock up cupboards with
dangerous products
o Keep out of reach of children
o Childproof lids
o Be aware of where you put cleaning supplies, laundry, garage, and
vitamins
o Educate other family members
o Have poison control number in phone
o Ask: "How is the Child behaving Right now?
Bike Safety - CORRECT ANSWER- o Helmets, Elbow and Knee
pads
o Parents set example
o Limits on where to go
o Correct footwear (wear tennis shoes and NOT flip flops)
o Teach how to ride bike and use training wheels if needed
Playground - CORRECT ANSWER- o Supervision
o Access to first aid
o Developmentally capable
o Stranger Danger
o Careful for burns
o Watch for the swings (jumping off or running through)
Motorized Vehicles - CORRECT ANSWER- o Seatbelts
o Age Recommendations for sitting up front, booster seats, car seats
o Windows and body in vehicle
o No distracted riving
o Be aware of surroundings
o Holding hands and look both ways when crossing street
CORRECT ANSWERS
Severe - CORRECT ANSWER- § IQ between 20-34
§ Limited understanding of language and academic skills, minimal
acquisition of communicative speech
§ Require parental support in all ADL for safety
§ Can never be independent or function independently
Profound - CORRECT ANSWER- § IQ is less than 20
§ Demonstrate only minimal capacity for sensorimotor functioning and
nonverbal and nonsymbolic in communication
Haloperidol - CORRECT ANSWER- Used in schizophrenia in
children
Causes Extrapyramidal effects- akathisia, acute dystonia, Parkinsonism,
tardive dyskinesia
lead poisoning - CORRECT ANSWER- Treated with chelating agents
Given based on level -- IV or IM (IM injections painful so put on procaine
or anesthetic agent)
Get child on medication schedule
All children screened for lead poisoning at age 1
Acetaminophen - CORRECT ANSWER- Treated with acetylcysteine
(helps protect liver and promote excretion of breakdown products)
Given orally or IV (tastes bad so children aren't interested in drinking it)
Monitor liver function
Head Injury - CORRECT ANSWER- o Initial Assessments: LOC and
bilateral assessment of extremity movement and stabilization of neck
o General Plan of Care:
- Monitoring for changes in vital signs and LOC
,- Signs of intracranial bleeding or increasing ICP
- Use of Glasgow coma scale for children
- Long-Term Follow-up is required
- LOC, Orientation, Blood, Pain
Respiratory - CORRECT ANSWER- o Rate and quality of
respirations
o Any sound of obstruction (wheezing, stridor, retractions, coughing)
o Color (cyanotic)
o Oxygen hunger (restlessness, inability to lie flat)
Cardiovascular - CORRECT ANSWER- o Color (pallor form
hemorrhage or cardiovascular collapse)
o Evident bleeding
o Pulse rate (increase with hemorrhage)
o Blood Pressure (decreases with hemorrhage)
o Feeling of apprehension from altered vascular pressure
Nervous - CORRECT ANSWER- o Level of Consciousness (child
answers questions coherently, infant attunes to parent's voice)
o Pupils (PERRLA)
o Bumps or bruises on head or spinal column
o Loss of motion or sensory function in a body part
Abdominal trauma - CORRECT ANSWER- o Rapid Respirations
o Hypotension (less than 80 mmHg systolic and less than 60 mmHg in
an infant)
o Increasing pallor
o Fresh and occult blood in stomach, stool, urine
Home Safety - CORRECT ANSWER- o Covering outlets and block
with furniture
o Stair Gates, Guard Rails, Window Guards, Cupboard Locks, corner
padding
o Put dangerous objects high
o Lock doors
Water Safety - CORRECT ANSWER- o Supervision at all times
, o Floatation devices
o Temperature of the water
o Secure gates and locks
o Lifeguards on duty
o Amount of water
o Put electrical devices away
o Put in swimming lessons
Poisoning - CORRECT ANSWER- o Lock up cupboards with
dangerous products
o Keep out of reach of children
o Childproof lids
o Be aware of where you put cleaning supplies, laundry, garage, and
vitamins
o Educate other family members
o Have poison control number in phone
o Ask: "How is the Child behaving Right now?
Bike Safety - CORRECT ANSWER- o Helmets, Elbow and Knee
pads
o Parents set example
o Limits on where to go
o Correct footwear (wear tennis shoes and NOT flip flops)
o Teach how to ride bike and use training wheels if needed
Playground - CORRECT ANSWER- o Supervision
o Access to first aid
o Developmentally capable
o Stranger Danger
o Careful for burns
o Watch for the swings (jumping off or running through)
Motorized Vehicles - CORRECT ANSWER- o Seatbelts
o Age Recommendations for sitting up front, booster seats, car seats
o Windows and body in vehicle
o No distracted riving
o Be aware of surroundings
o Holding hands and look both ways when crossing street
