2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
Peds Midterm Study Guide
Section 1 Emily Turner
1. Children are able to sit without extra support at what age?
6-8 month olds should be able to sit briefly without extra support, 7-9
months old sit well independently.
2. Types of car seats (see also #60):
Appropriate ages and weights for forward and rear facing seats. When can
kids ride in the front seat of the car? 13 years old. When should they use
booster seat? 4-8 years old
The AAP recommends:
• Infants and toddlers should ride in a rear-facing car safety seat as long as
possible, until they reach the highest weight or height allowed by their seat.
Most convertible seats have limits that will allow children to ride rear-facing
for 2 years or more.
• Once they are facing forward, children should use a forward-facing car safety
seat with a harness for as long as possible, until they reach the height and
weight limits for their
seats. Many seats can accommodate children up to 65 pounds or more.
• When children exceed these limits, they should use a belt-positioning
booster seat until the vehicle’s lap and shoulder seat belt fits properly. This
is often when they have reached at least 4 feet 9 inches in height and are 8
to 12 years old.
• When children are old enough and large enough to use the vehicle seat belt
alone, they should always use lap and shoulder seat belts for optimal
protection.
• All children younger than 13 years should be restrained in the rear seats of
vehicles for optimal protection.
3. Recommended vaccine schedule (many questions):
2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
,2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
(Items 3, 6, 46, and 85 in this study guide address vaccines)
4. Child abuse questions:
• What age is it appropriate to have certain types of fractures?
Metaphyseal fractures, multiple differently aged posterior rib
fractures, complex or multiple skull fractures, spinous process or
scapular fractures are suspicious in children.
• When should you be concerned about a young infant with tons of
bruises (eg - if they are not walking yet would be unusual)? Long bone
fx are unusual in young infants.
• When is it necessary for you to report? Anytime you suspect any sort of
abuse.
• Who do you report to? CPS.
• Do you face any repercussions? Should not.
• Any fracture in a non-ambulatory infant without clear accidental and
consistent mechanism should raise a red flag.
(items 4, 5 and 29 in this guide address child abuse)
5. Toddler abuse: There will be a list of injuries. Which would be caused by abuse?
2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
,2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
• Bruises TEN4 by AAP
1. T- torso; E- ear; N- neck; 4- in children less than or equal to 4 years and
ANY bruise in children less than 4 months
• Injuries tend to occur away from bony prominences (neck, head,
buttocks, trunk, hands, and upper arms)
6. Contraindications of vaccinating children. Who should not receive a live vaccine?
Immunocompromised, allergic reaction to a previous dose or component of
vaccine, history of intussusception for Rotavirus
See CDC sheet “vaccines by medical indication”
https://www.cdc.gov/vaccines/schedules/hcp/imz/child-indications.html
Immunocompromised should not receive: Rotavirus, MMR, influenza (LAIV)
or varicella HIV infection should not receive: Influenza (LAIV), MMR or
varicella
Kidney disease should only cautiously receive
influenza (LAIV) Asthma: No influenza (LAIV)
CSF leaks: No influenza (LAIV)
(Items 3, 6, 46, and 85 in this study guide address vaccines)
7. Young boy with mental retardation. He was a premie. They give a
scenario. What caused his mental retardation? eg - understand
congenital abnormalities, infections, preemie complications,
chromosomal aberrations, brain tumor, serum blood levels
• Important risk factors for intellectual disability (ID) include
low level of maternal education, advanced maternal age,
and poverty.
• The causes of ID are extensive and include conditions that
interfere with brain development and functioning. Among the
known causes of ID, the majority are genetic abnormalities.
2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
, 2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
Guaranteed Success GRADED A+
Peds Midterm Study Guide
Section 1 Emily Turner
1. Children are able to sit without extra support at what age?
6-8 month olds should be able to sit briefly without extra support, 7-9
months old sit well independently.
2. Types of car seats (see also #60):
Appropriate ages and weights for forward and rear facing seats. When can
kids ride in the front seat of the car? 13 years old. When should they use
booster seat? 4-8 years old
The AAP recommends:
• Infants and toddlers should ride in a rear-facing car safety seat as long as
possible, until they reach the highest weight or height allowed by their seat.
Most convertible seats have limits that will allow children to ride rear-facing
for 2 years or more.
• Once they are facing forward, children should use a forward-facing car safety
seat with a harness for as long as possible, until they reach the height and
weight limits for their
seats. Many seats can accommodate children up to 65 pounds or more.
• When children exceed these limits, they should use a belt-positioning
booster seat until the vehicle’s lap and shoulder seat belt fits properly. This
is often when they have reached at least 4 feet 9 inches in height and are 8
to 12 years old.
• When children are old enough and large enough to use the vehicle seat belt
alone, they should always use lap and shoulder seat belts for optimal
protection.
• All children younger than 13 years should be restrained in the rear seats of
vehicles for optimal protection.
3. Recommended vaccine schedule (many questions):
2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
,2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
(Items 3, 6, 46, and 85 in this study guide address vaccines)
4. Child abuse questions:
• What age is it appropriate to have certain types of fractures?
Metaphyseal fractures, multiple differently aged posterior rib
fractures, complex or multiple skull fractures, spinous process or
scapular fractures are suspicious in children.
• When should you be concerned about a young infant with tons of
bruises (eg - if they are not walking yet would be unusual)? Long bone
fx are unusual in young infants.
• When is it necessary for you to report? Anytime you suspect any sort of
abuse.
• Who do you report to? CPS.
• Do you face any repercussions? Should not.
• Any fracture in a non-ambulatory infant without clear accidental and
consistent mechanism should raise a red flag.
(items 4, 5 and 29 in this guide address child abuse)
5. Toddler abuse: There will be a list of injuries. Which would be caused by abuse?
2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
,2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
• Bruises TEN4 by AAP
1. T- torso; E- ear; N- neck; 4- in children less than or equal to 4 years and
ANY bruise in children less than 4 months
• Injuries tend to occur away from bony prominences (neck, head,
buttocks, trunk, hands, and upper arms)
6. Contraindications of vaccinating children. Who should not receive a live vaccine?
Immunocompromised, allergic reaction to a previous dose or component of
vaccine, history of intussusception for Rotavirus
See CDC sheet “vaccines by medical indication”
https://www.cdc.gov/vaccines/schedules/hcp/imz/child-indications.html
Immunocompromised should not receive: Rotavirus, MMR, influenza (LAIV)
or varicella HIV infection should not receive: Influenza (LAIV), MMR or
varicella
Kidney disease should only cautiously receive
influenza (LAIV) Asthma: No influenza (LAIV)
CSF leaks: No influenza (LAIV)
(Items 3, 6, 46, and 85 in this study guide address vaccines)
7. Young boy with mental retardation. He was a premie. They give a
scenario. What caused his mental retardation? eg - understand
congenital abnormalities, infections, preemie complications,
chromosomal aberrations, brain tumor, serum blood levels
• Important risk factors for intellectual disability (ID) include
low level of maternal education, advanced maternal age,
and poverty.
• The causes of ID are extensive and include conditions that
interfere with brain development and functioning. Among the
known causes of ID, the majority are genetic abnormalities.
2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
, 2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
2022 NURS 6541 Peds Midterm Study Guide (2)
Guaranteed Success GRADED A+
