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PEDIATRIC NURSING EXAM QUESTIONS AND ANSWERS 100% CORRECT!!

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Common defense Mechanisms used by children - ANSWER Regression- return to early behavior Repression- involuntary forgetting of uncomfortable situations rationalization- attempt to make unacceptable feelings acceptable fantasy- creation of the mind to help deal with unacceptable fear Erickson Theory (psychosocial) - ANSWER Trust vs Mistrust (birth to 1 year) Autonomy vs Shame (1 to 3 years) Initiative vs guilt (3 to 6 years) Industry vs inferiority (6 to 12 years) Identity vs Role confusion (12 to 18 Years) Trust vs Mistrust - ANSWER birth to 1 yr Task of first year of life is to establish trust, fostered by provision of food, clean clothing, touch , and comfort If needs not met, infant learns to mistrust others Autonomy vs Shame and doubt - ANSWER 1-3 yrs Toddlers sense of autonomy or independence si shown by controlling body excretions, saying NO, and directing motor activity Children who are consistently criticized for expressions of autonomy or for lack of control (ex toilet training) will develop a sense of shame about themselves

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Institution
PEDIATRIC NURSING
Course
PEDIATRIC NURSING

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PEDIATRIC NURSING EXAM
QUESTIONS AND ANSWERS
100% CORRECT!!

,Examples of stress experienced by toddlers - ANSWER 1. separation anxiety from
parents, grief reactions
2. regression
3. refusal to eat
4. difficulty sleeping


Three phases of separation anxiety and behavioral responses exhibited during each
phase - ANSWER 1. protest; clings to parent to force them to stay
2. despair, inactive + withdrawn and regress
3. detachment, denial, after prolonged separation , denies need for parents lvoe,
affection to nurses


Nursing interventions to reduce separation anxiety - ANSWER 1. encourage family
contact
2. familiar belonging brought from home
3. provide therapeutic play
4. accept regression
5. consistent routine with familiar staff
6. extra cuddling and holding


Example of a coping strategy found amongst toddlers when in stress - ANSWER
throwing games


List the major developmental tasks for toddlers - ANSWER 1. development of
autonomy
2.. control environment
3. act of movement with no restraining


Identify examples of collaborative efforts to assist toddlers with control and mobility -
ANSWER 1. assist child with ambulation within their control
2. throwing games, vent frustrations
3. child life specialist, modified toys
4. physical therapist, promote strength and flexibility

, List nursing interventions used to prepare a toddle for a procedure - ANSWER 1.
brief explanations, 5-10 mins, emphasize what the child will see, hear, taste, or feel
2. see age appropriate videos with parents
3. comfort by use of bandages to stop bleeding, avoid deception to gain compliance


List physiological cues demonstrated by a toddler when experiencing pain. -
ANSWER 1. rapid pulse
2. rapid respiration
3. perspiration


Identify nursing interventions used for pain management with a toddler - ANSWER 1.
form of relaxation, deep breaths
2. form of distraction
3. transport to treatment room for treatments
4. medical personnel restrains, not parents
5. the parents presence
6. explain in a a few simple words
7. administration of pain meds


Provide examples of fostering autonomy and independence when planning for
discharge - ANSWER 1. select favoring snacks
2. help with dressing change
3. allow playing if on bed rest ( can play near bed)
4. continue to perform toileting and hygiene skills
5. toys for psychosocial development
6. give independence and allow exploration within safe guidelines


List seven reliable devices for accurately measuring and administering oral meds -
ANSWER *measuring spoon
*plastic syringes
*calibrated nipple
*plastic medicine cup

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