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Skill development in children proceeds in two processes: - ✔✔cephalocaudal
proximodistal
Erikson's stages of development: - ✔✔Trust vs. Mistrust (birth to 1 year)
Autonomy vs. Shame & Doubt (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)
During the toddler years, the child moves from the _______________ to the _________________ stage
of development. - ✔✔sensorimotor
preoperational
Preschoolers grow slowly & steadily, with most growth occurring in: - ✔✔long bones of the arms & legs
Accurate assessment of growth throughout childhood is essential to : - ✔✔ensure health
perform proper medication dosage calculation
identify the impact of disease on the child
A tuft of hair at the base of the spine may indicate: - ✔✔a pilonidal cyst
An unusually low hairline on the neck or forehead may indicate: - ✔✔a congenital disorder
(ex. hypothyroidism)
,Significant facial asymmetry may result from: - ✔✔paralysis of trigeminal or facial nerves
in utero positioning
swelling r/t infection/allergy/trauma
A shift of the trachea from the midline may indicate: - ✔✔tumor
collapsed lung
The primary breathing muscle in infants & children under 6 years: - ✔✔diaphragm
Heart murmurs are classified by: - ✔✔intensity
location
radiation
timing
quality
In infants and young children, the most important pulses to evaluate: - ✔✔femoral
brachial
The group most at-risk for a stressful experience as a result of hospitalization: - ✔✔toddlers
Common stressors for the hospitalized toddler: - ✔✔parental separation
schedule disruption
fear of pain
fear of invasive procedures
fear of mutilation
fear of change
Significant stressors for the hospitalized preschooler: - ✔✔fear of being alone
, fear of the dark
fear of abandonment
fear of loss of self control r/t body & emotions
fear of injury/mutilation
guilt
Hospitalized school-aged children experience stressors including: - ✔✔privacy issues
fear of bodily injury/pain
fear of loss of control r/t bodily functions
concerns related to death
The hospitalized adolescent experiences stressors like: - ✔✔loss of independence
loss of control
loss of privacy
fear of bodily injury or changes in body image
fear of disability/pain/death
separation from peers/school/home
Needs identified by parents of hospitalized children: - ✔✔regular information r/t
condition/prognosis/treatment
help/encouragement/support from nursing staff
a trusting & confidential relationship w/nursing staff
Family-centered nursing care of the hospitalized child focuses on: - ✔✔promoting optimal development
& safety
minimizing disruption of child's usual routine
supporting child & family coping strategies
How a child responds to a surgical experience depends on: - ✔✔psychological preparation