NUR 122 Principals of Pediatric Nursing
Test 1-A COMPLETE QUESTIONS AND
ANSWERS)
Nurse's Role in Health Promotion - ANSWER>>Assessments
Emotional support
Anticipatory guidance
Teaching
Implement prevention strategies
Child & Family advocate
Partner with families
Components of Health Promotion & Maintenance Visits - ANSWER>>General observations
Physical assessments
Assess - Growth measurements, Developmental milestones, Nutrition, Physical Activity, Oral health,
Mental health
Address parental concerns
Disease & Injury prevention strategies
Age Range Categories - ANSWER>>Infancy - Birth to 1 year
Toddler - 1 to 3 years
Preschool - 3 to 5 years
School-age - 6 to 11 years
Adolescence - 12 to 18 years
First Well Exam - ANSWER>>Establish relationship/partnership
Explain importance of regular visits
Summarize what is expected at each visit
Encourage parents to express concerns
Assessment - Physical Assessment Modifications - ANSWER>>Order of assessments may vary
Child may be uncooperative or irritable
Do intrusive or invasive activities last
Incorporate play
Developmental Approach - Infant Assessment - ANSWER>>Let parent hold baby & be involved
Talk with parent calmly
Smile & talk soothingly to the infant
,Move gently through assessment
Developmental Approach - Toddler Assessment - ANSWER>>Allow toddler to remain close to parent
Use simple terms & explanations
Let toddler see and touch equipment
Give choices when possible
Give praise
Attention span of 5-10 minutes
Developmental Approach - Preschooler Assessment - ANSWER>>Have parent nearby
Simple explanations - direct & concrete
Avoid threatening words
Give choices when possible
Give praise
Developmental Approach - School-Age Assessment - ANSWER>>Parents still present
Remain concrete
Give explanations as you assess
Give more responsibility to child
Provide teaching & demonstrations
Encourage & engage in discussion with child
Maintain privacy
Developmental Approach - Adolescents Assessment - ANSWER>>Ask to speak to adolescent alone
Use detailed explanations
Allow control & choices when applicable
Involve adolescent in planning care
Maintain privacy & confidentiality
Growth & Development - Infant Assessment - ANSWER>>Measurements - Weight, Height, HC
Plot measurements on growth chart
Weight doubles by 5-6 mo.
Weight triples by 1 year
Red Flag = drop in percentile range for weight
Assess developmental milestones
Provide anticipatory guidance
Support development
Promote safety
Growth & Development - Young Child Assessment - ANSWER>>Measurements - Weight, Height, HC, BMI
starting at 2 yrs
Consistent growth (5th-85th %)
, Gains 8oz or more monthly 1-2 yrs, 3-5lbs annually from 2-6yrs
Grows annually 3-5in 1-2 yrs, 2-2.5in 2-3yr, 1.5-2.5in 3-6yr
Assess developmental milestones
Developmental testing if necessary
Growth and Development - School Age Assessment - ANSWER>>Measurements - Weight, Height, BP,
BMI
Gains 3-5lbs annually
Grows 1.5-2.5in annually
Screenings - Vision, Hearing
Developmental skills - School performance, Rides 2-wheeler, Jumps rope, can focus on activity for longer
periods
Growth & Development - Adolescent Assessment - ANSWER>>Measurements - Weight, Height, BP, BMI
Puberty growth usually lasts around 2-5yrs
Gains 15-55lbs female, 15-65lbs male
Grows 2-8in female (stop 2yrs post start of menstrual cycle), 4.5-12in male
Same growth percentile as childhood
Assess - Scoliosis, Cholesterol, Tanner staging, Hct for females, Sexual activity
Educate - relationships, STIs, birth control, BSE, TSE
Nursing Considerations - Assessment - ANSWER>>Transition from breast milk/formula at 1 year
Introduce new foods gradually
Avoid choking hazards (hot dogs, nuts, candy, grapes)
Limit fruit juices
Decreased intake normal for young child
Obesity & eating disorders are concerns
Teach healthy choices
Physical Activity - Infant Assessment - ANSWER>>Need stimulating environment
Activity helps develop muscles
Shouldn't have electronics until 2 yrs
Decreased stimulation = decreased development
Encourage parents to play with infant
Opportunities to interact with family
Physical Activity - Young Children Assessment - ANSWER>>This age group is normally active
Toddlers - further motor development
Preschoolers - gain coordination
Discourage inactivity
Limit "screen time"
Need 60 minutes of structured and unstructured activity daily
Test 1-A COMPLETE QUESTIONS AND
ANSWERS)
Nurse's Role in Health Promotion - ANSWER>>Assessments
Emotional support
Anticipatory guidance
Teaching
Implement prevention strategies
Child & Family advocate
Partner with families
Components of Health Promotion & Maintenance Visits - ANSWER>>General observations
Physical assessments
Assess - Growth measurements, Developmental milestones, Nutrition, Physical Activity, Oral health,
Mental health
Address parental concerns
Disease & Injury prevention strategies
Age Range Categories - ANSWER>>Infancy - Birth to 1 year
Toddler - 1 to 3 years
Preschool - 3 to 5 years
School-age - 6 to 11 years
Adolescence - 12 to 18 years
First Well Exam - ANSWER>>Establish relationship/partnership
Explain importance of regular visits
Summarize what is expected at each visit
Encourage parents to express concerns
Assessment - Physical Assessment Modifications - ANSWER>>Order of assessments may vary
Child may be uncooperative or irritable
Do intrusive or invasive activities last
Incorporate play
Developmental Approach - Infant Assessment - ANSWER>>Let parent hold baby & be involved
Talk with parent calmly
Smile & talk soothingly to the infant
,Move gently through assessment
Developmental Approach - Toddler Assessment - ANSWER>>Allow toddler to remain close to parent
Use simple terms & explanations
Let toddler see and touch equipment
Give choices when possible
Give praise
Attention span of 5-10 minutes
Developmental Approach - Preschooler Assessment - ANSWER>>Have parent nearby
Simple explanations - direct & concrete
Avoid threatening words
Give choices when possible
Give praise
Developmental Approach - School-Age Assessment - ANSWER>>Parents still present
Remain concrete
Give explanations as you assess
Give more responsibility to child
Provide teaching & demonstrations
Encourage & engage in discussion with child
Maintain privacy
Developmental Approach - Adolescents Assessment - ANSWER>>Ask to speak to adolescent alone
Use detailed explanations
Allow control & choices when applicable
Involve adolescent in planning care
Maintain privacy & confidentiality
Growth & Development - Infant Assessment - ANSWER>>Measurements - Weight, Height, HC
Plot measurements on growth chart
Weight doubles by 5-6 mo.
Weight triples by 1 year
Red Flag = drop in percentile range for weight
Assess developmental milestones
Provide anticipatory guidance
Support development
Promote safety
Growth & Development - Young Child Assessment - ANSWER>>Measurements - Weight, Height, HC, BMI
starting at 2 yrs
Consistent growth (5th-85th %)
, Gains 8oz or more monthly 1-2 yrs, 3-5lbs annually from 2-6yrs
Grows annually 3-5in 1-2 yrs, 2-2.5in 2-3yr, 1.5-2.5in 3-6yr
Assess developmental milestones
Developmental testing if necessary
Growth and Development - School Age Assessment - ANSWER>>Measurements - Weight, Height, BP,
BMI
Gains 3-5lbs annually
Grows 1.5-2.5in annually
Screenings - Vision, Hearing
Developmental skills - School performance, Rides 2-wheeler, Jumps rope, can focus on activity for longer
periods
Growth & Development - Adolescent Assessment - ANSWER>>Measurements - Weight, Height, BP, BMI
Puberty growth usually lasts around 2-5yrs
Gains 15-55lbs female, 15-65lbs male
Grows 2-8in female (stop 2yrs post start of menstrual cycle), 4.5-12in male
Same growth percentile as childhood
Assess - Scoliosis, Cholesterol, Tanner staging, Hct for females, Sexual activity
Educate - relationships, STIs, birth control, BSE, TSE
Nursing Considerations - Assessment - ANSWER>>Transition from breast milk/formula at 1 year
Introduce new foods gradually
Avoid choking hazards (hot dogs, nuts, candy, grapes)
Limit fruit juices
Decreased intake normal for young child
Obesity & eating disorders are concerns
Teach healthy choices
Physical Activity - Infant Assessment - ANSWER>>Need stimulating environment
Activity helps develop muscles
Shouldn't have electronics until 2 yrs
Decreased stimulation = decreased development
Encourage parents to play with infant
Opportunities to interact with family
Physical Activity - Young Children Assessment - ANSWER>>This age group is normally active
Toddlers - further motor development
Preschoolers - gain coordination
Discourage inactivity
Limit "screen time"
Need 60 minutes of structured and unstructured activity daily
