NUR 621 Week 1 Study Guide Rated A+
1). What is a genogram?
Ans: A graphic family tree of at least three generations
2). Growth and development milestones for neonatesterm-0
Ans: Strong primitive reflexes (Moro, rooting, fencing)
Head lag
Grasps finger tightly if placed on the baby's hand (grasp reflex)
Seedy yellow stool after each feeding (if breastfed)
Eats every 2 to 3 hours;or nurse 8 to 10 times a day
No tears when crying
Sleeps 16 hours per day
Report high-pitched cry, "catlike" cry, hypotonic microcephaly
3). Growth and development milestones 2-3-month-old
Ans: Follows objects past midline
Coos vowels (e.g., "aa") and makes gurgling sounds
Lifts head 45 degrees when prone
Smiles in response to another
4). Growth and development milestones 6-month-old
Ans: Fine Motor
Has palmar grasp of objects
Reaches for toys using palmar grasp
Brings things to mouth
Starts to pass things from one hand to the other
Gross Motor
Begins to sit up independently without support
Rolls over in both directions
Language
Starts to say consonants (e.g., "da-da, ba-ba")
Is very curious and will look around environment
Other
Report failure to follow objects past midline (180 degrees), poor eye contact
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, 5). Growth and development milestones 9-month-old
Ans: Pincer grasp starts between thumb and forefinger
Waves "bye-bye"
May clap hands and play clapping games
Gross Motor
Pulls self up to stand
Crawls and "cruises"
Bears weight well
Language
Plays peek-a-boo
"Stranger anxiety" very obvious
Report absence of babble, inability to sit alone, strong primitive reflexes such as the Moro
(startle reflex) or fencing (tonic neck reflex)
6). Growth and development milestones 1-year-old
Ans: Fine Motor
Can use "sippy" cup
Gross Motor
Stands independently
May walk independently
Starts to cruise (moves from one piece of furniture to the next for support)
Language
Can say 1 to 2 words other than repetitive sounds (e.g., mama, dada)
Can say exclamations, such as "uh-oh!"
Knows first name
Other
Growth rate slows down
Follows simple directions, such as "Pick up toy"
Report absence of weight bearing, inability to transfer objects hand to hand
7). Growth and development milestones 2- year-old
Ans: Walks. Runs. Climbs stairs up and down on own by holding onto handrails.
Speech mostly understood by family. Follows two- or three-step instructions. Copies a
line.
Unable to speak meaningful two-word "sentences." Does not understand simple
commands. Loss of speech, social skills, or previously learned behaviors and/or does not
say words by 16 months (autism).
8). 3-year- old
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, Ans: Speaks three- to five-word sentences; understood by strangers. Copies a circle
with crayon or pencil. Rides tricycle. Builds towers of more than six blocks. Runs and
climbs easily.
Speech hard to understand or unclear speech. Unable to understand simple commands.
Falls down often. Does not speak in sentences. No eye contact. Loses skills they once
had.
9). Primary prevention examples
Ans: Prevention of Disease or Injury/Eliminate or Reduce Risk Factors for an Illness
immunizations, pollution control, nutrition, exercise
10). What is secondary prevention?
Ans: Early Detection of a Disease to Minimize Bodily Damag
Screening tests - Pap smears, mammograms, complete blood count for anemia)
Screening for depression
Screening for (STIs)
Screening for ETOHJ
Testing for hepatitis C virus, long-term HD, received blood/blood component transfusion
(before July 1992), IV drug users, HIV infection, and (ALT) levels
Having a person with a history of myocardial infarction (MI), transient ischemic attack
(TIA), or stroke take an aspirin or statin daily (to prevent a future stroke or MI)
11). Tertiary prevention
Ans: Reduce Impact of Disease or Injury/Rehabilitation/Support Groups/Equipment
Support groups: (AA), breast cancer support groups, HIV support groups
Education for patients with preexisting disease (e.g., diabetes, hypertension):
Avoidance of drug interactions,
proper use of wheelchair or medical equipment
Rehabilitation: Cardiac rehabilitation, physical therapy (PT), occupational therapy (OT)
Vocational rehabilitation programs to retrain workers for new jobs (after they have
recovered as much as possible)
12). What populations/conditions have the right to consent and confidentiality (no parent or
guardian consent needed)?
Ans: Emancipated minors
Minor in military
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1). What is a genogram?
Ans: A graphic family tree of at least three generations
2). Growth and development milestones for neonatesterm-0
Ans: Strong primitive reflexes (Moro, rooting, fencing)
Head lag
Grasps finger tightly if placed on the baby's hand (grasp reflex)
Seedy yellow stool after each feeding (if breastfed)
Eats every 2 to 3 hours;or nurse 8 to 10 times a day
No tears when crying
Sleeps 16 hours per day
Report high-pitched cry, "catlike" cry, hypotonic microcephaly
3). Growth and development milestones 2-3-month-old
Ans: Follows objects past midline
Coos vowels (e.g., "aa") and makes gurgling sounds
Lifts head 45 degrees when prone
Smiles in response to another
4). Growth and development milestones 6-month-old
Ans: Fine Motor
Has palmar grasp of objects
Reaches for toys using palmar grasp
Brings things to mouth
Starts to pass things from one hand to the other
Gross Motor
Begins to sit up independently without support
Rolls over in both directions
Language
Starts to say consonants (e.g., "da-da, ba-ba")
Is very curious and will look around environment
Other
Report failure to follow objects past midline (180 degrees), poor eye contact
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, 5). Growth and development milestones 9-month-old
Ans: Pincer grasp starts between thumb and forefinger
Waves "bye-bye"
May clap hands and play clapping games
Gross Motor
Pulls self up to stand
Crawls and "cruises"
Bears weight well
Language
Plays peek-a-boo
"Stranger anxiety" very obvious
Report absence of babble, inability to sit alone, strong primitive reflexes such as the Moro
(startle reflex) or fencing (tonic neck reflex)
6). Growth and development milestones 1-year-old
Ans: Fine Motor
Can use "sippy" cup
Gross Motor
Stands independently
May walk independently
Starts to cruise (moves from one piece of furniture to the next for support)
Language
Can say 1 to 2 words other than repetitive sounds (e.g., mama, dada)
Can say exclamations, such as "uh-oh!"
Knows first name
Other
Growth rate slows down
Follows simple directions, such as "Pick up toy"
Report absence of weight bearing, inability to transfer objects hand to hand
7). Growth and development milestones 2- year-old
Ans: Walks. Runs. Climbs stairs up and down on own by holding onto handrails.
Speech mostly understood by family. Follows two- or three-step instructions. Copies a
line.
Unable to speak meaningful two-word "sentences." Does not understand simple
commands. Loss of speech, social skills, or previously learned behaviors and/or does not
say words by 16 months (autism).
8). 3-year- old
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, Ans: Speaks three- to five-word sentences; understood by strangers. Copies a circle
with crayon or pencil. Rides tricycle. Builds towers of more than six blocks. Runs and
climbs easily.
Speech hard to understand or unclear speech. Unable to understand simple commands.
Falls down often. Does not speak in sentences. No eye contact. Loses skills they once
had.
9). Primary prevention examples
Ans: Prevention of Disease or Injury/Eliminate or Reduce Risk Factors for an Illness
immunizations, pollution control, nutrition, exercise
10). What is secondary prevention?
Ans: Early Detection of a Disease to Minimize Bodily Damag
Screening tests - Pap smears, mammograms, complete blood count for anemia)
Screening for depression
Screening for (STIs)
Screening for ETOHJ
Testing for hepatitis C virus, long-term HD, received blood/blood component transfusion
(before July 1992), IV drug users, HIV infection, and (ALT) levels
Having a person with a history of myocardial infarction (MI), transient ischemic attack
(TIA), or stroke take an aspirin or statin daily (to prevent a future stroke or MI)
11). Tertiary prevention
Ans: Reduce Impact of Disease or Injury/Rehabilitation/Support Groups/Equipment
Support groups: (AA), breast cancer support groups, HIV support groups
Education for patients with preexisting disease (e.g., diabetes, hypertension):
Avoidance of drug interactions,
proper use of wheelchair or medical equipment
Rehabilitation: Cardiac rehabilitation, physical therapy (PT), occupational therapy (OT)
Vocational rehabilitation programs to retrain workers for new jobs (after they have
recovered as much as possible)
12). What populations/conditions have the right to consent and confidentiality (no parent or
guardian consent needed)?
Ans: Emancipated minors
Minor in military
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