NR 328 EXAM QUESTIONS AND ANSWERS A+
GRADED .Buy Quality Materials!
Role of the pediatric nurse
Promote health and well-being of the patient and family, family advocacy(family not
having health insurance), disease prevention and health promotion, teaching, and
collaboration.
Dictatorial/Authoritarian Parenting
Control the child's behaviors and attitudes through unquestioned rules and expectations
Ex) child is never allowed to play video games on school nights
permissive parenting
Exert little or no control over the child's behaviors, and consult the child when making
decisions
Ex) child assists with deciding whether they will watch television
democratic/authoritative parenting
Direct the child's behavior by setting rules and explaining the reason for rules
Ex) if you finish your homework early, you can play video games. If you don't finish your
homework then you can't
Passive parenting
uninvolved, indifferent, and emotionally removed
Parents focus on themselves, no set rules for children, not involved
Ex) the child may play video games whenever he/she wants
A child below the 5th percentile weight/height
Child has cancer, chrons, or is being neglected, failure to thrive
Trust vs. Mistrust
infant to 18 months
The infant is uncertain about the world in which they live, and looks towards their
primary caregiver for stability and consistency of care
Autonomy vs shame
Toddler 18 months to 3 years old
Children at this stage are focused on developing a greater sense of self control
They want to do things by themselves, if not they will be ashamed
Initiative vs guilt
Preschooler
Children assert themselves more frequently through play and other social interaction
They are doing more things by themselves and learning more things
Industry vs. Inferiority
School age
Children enter into the greater society beyond the family for the first time
Joining after school programs, busy learning new skills, May feel inferior if not doing
these activities
Identify vs role confusion
Adolescent 12-18 years
Looking for themselves
,Adolescents search for a sense of self and personal identity, through a intense
exploration of personal values, beliefs, and goals
Positive Babinski sign
dorsiflexion of the big toe and fanning of all toes
If shown after 1 year old there is some problem with baby(neurological)
Palmar grasp
An infant reflex that occurs when something is placed in the infant's palm; the infant
grasps the object.
Plantar reflex
elicited touching the soles of the feet. toes curl downward. (birth to 8 months)
Rooting reflex
a baby's tendency, when touched on the cheek, to turn toward the touch, open the
mouth, and search for the nipple
16 months
Child should be walking independently, if not there is a problem
11 months
Child can do pincer grasp, if not something is wrong
8 months
Child should be able to sit and sustain that position independently
Newborn car seat
Federally approved car seat at 45 degree angle
Seat placed rear facing in the rear seat and secured with seat belt or latch system
Shoulder harnesses in the slots at or below the level of shoulders
Harness should be snug and retainer Clip at the level of the infants armpit
First MD appointment made within 72 hours of discharge
Newborn nutrition
Breastfeeding provides complete diet during first 6 months
Give iron fortified formula, not cows milk
Vitamin D supplements to prevent rickets
Iron supplements for breastfed infants after 4 months of age
Give baby foods in 5-6 months , have to ensure baby is able to hold their head/trunk
Introduce one food at a time every 2-3 days and see if they have any allergies
Can give cows milk after 1 year, can only give 1-2 cups per day
Growth and Development infants
Weight gain: 1.5lbs per month
Birth weight doubles by 5 months and triples by 1 year
Anterior fontanel open 12-18 months
Makes cooing noises
Gross-> rolls from front to back
Fine-> uses palmar grasp dominantly
Toddlers
1-3 years
Step like growth
Improved coordination
Rapid expansion of sensory and language development
Importance of play
, Sibling rivalry
Temper tantrums
Regressive behavior(stressed= going back to milestones)
Toilet training (Most children toilet trained at 3 years)
Safety
Growth and development toddlers
Weight: 30 months should weigh 4 times birth weight
Height: grows 3 inches per year, head and chest circumference should be equal by 1 to
2 years of age.
Language-> 1 year= 1 word sentence, 2 year=2 words sentence
Egocentrism(thinking only about themselves)
Health promotion toddlers
Safety-> choking, keep sharp objects out or reach, burns, drowning, falls, motor vehicle
injuries, poisoning, suffocation
Sun protection-> should wear sunscreen when outside
Preschool
3-6 years old
Continued weight gain and growth
Improved gross and fine motor
Self care acts
Socialization
Safety
Communicating with a preschooler
At this age, children love to talk and are inquisitive
Allow them to express their feelings
Preschoolers perceive illness as punishment(magical punishment)
Give simple instructions, avoid medical jargon
Encourage parents to participate win the child's care
Provide explanations and communicate openly
Health promotion preschoolers
Rest and sleep
Preschoolers require 12 hours of sleep
Naps may be inconsistent
Keep a consistent bedtime routine
Provide a night light or favorite toy to help avoid night terrors
Reassure frightened preschooler; avoid allowing co-sleeping with parents
Activity
At least 1 hour of physical activity a day
Less than 2 hours of screen time daily
Injury prevention: wear helmets and protective equipment
Teach pedestrian safety rules
Screening
Lead poisoning
Obesity Rates
Dental health
School age
GRADED .Buy Quality Materials!
Role of the pediatric nurse
Promote health and well-being of the patient and family, family advocacy(family not
having health insurance), disease prevention and health promotion, teaching, and
collaboration.
Dictatorial/Authoritarian Parenting
Control the child's behaviors and attitudes through unquestioned rules and expectations
Ex) child is never allowed to play video games on school nights
permissive parenting
Exert little or no control over the child's behaviors, and consult the child when making
decisions
Ex) child assists with deciding whether they will watch television
democratic/authoritative parenting
Direct the child's behavior by setting rules and explaining the reason for rules
Ex) if you finish your homework early, you can play video games. If you don't finish your
homework then you can't
Passive parenting
uninvolved, indifferent, and emotionally removed
Parents focus on themselves, no set rules for children, not involved
Ex) the child may play video games whenever he/she wants
A child below the 5th percentile weight/height
Child has cancer, chrons, or is being neglected, failure to thrive
Trust vs. Mistrust
infant to 18 months
The infant is uncertain about the world in which they live, and looks towards their
primary caregiver for stability and consistency of care
Autonomy vs shame
Toddler 18 months to 3 years old
Children at this stage are focused on developing a greater sense of self control
They want to do things by themselves, if not they will be ashamed
Initiative vs guilt
Preschooler
Children assert themselves more frequently through play and other social interaction
They are doing more things by themselves and learning more things
Industry vs. Inferiority
School age
Children enter into the greater society beyond the family for the first time
Joining after school programs, busy learning new skills, May feel inferior if not doing
these activities
Identify vs role confusion
Adolescent 12-18 years
Looking for themselves
,Adolescents search for a sense of self and personal identity, through a intense
exploration of personal values, beliefs, and goals
Positive Babinski sign
dorsiflexion of the big toe and fanning of all toes
If shown after 1 year old there is some problem with baby(neurological)
Palmar grasp
An infant reflex that occurs when something is placed in the infant's palm; the infant
grasps the object.
Plantar reflex
elicited touching the soles of the feet. toes curl downward. (birth to 8 months)
Rooting reflex
a baby's tendency, when touched on the cheek, to turn toward the touch, open the
mouth, and search for the nipple
16 months
Child should be walking independently, if not there is a problem
11 months
Child can do pincer grasp, if not something is wrong
8 months
Child should be able to sit and sustain that position independently
Newborn car seat
Federally approved car seat at 45 degree angle
Seat placed rear facing in the rear seat and secured with seat belt or latch system
Shoulder harnesses in the slots at or below the level of shoulders
Harness should be snug and retainer Clip at the level of the infants armpit
First MD appointment made within 72 hours of discharge
Newborn nutrition
Breastfeeding provides complete diet during first 6 months
Give iron fortified formula, not cows milk
Vitamin D supplements to prevent rickets
Iron supplements for breastfed infants after 4 months of age
Give baby foods in 5-6 months , have to ensure baby is able to hold their head/trunk
Introduce one food at a time every 2-3 days and see if they have any allergies
Can give cows milk after 1 year, can only give 1-2 cups per day
Growth and Development infants
Weight gain: 1.5lbs per month
Birth weight doubles by 5 months and triples by 1 year
Anterior fontanel open 12-18 months
Makes cooing noises
Gross-> rolls from front to back
Fine-> uses palmar grasp dominantly
Toddlers
1-3 years
Step like growth
Improved coordination
Rapid expansion of sensory and language development
Importance of play
, Sibling rivalry
Temper tantrums
Regressive behavior(stressed= going back to milestones)
Toilet training (Most children toilet trained at 3 years)
Safety
Growth and development toddlers
Weight: 30 months should weigh 4 times birth weight
Height: grows 3 inches per year, head and chest circumference should be equal by 1 to
2 years of age.
Language-> 1 year= 1 word sentence, 2 year=2 words sentence
Egocentrism(thinking only about themselves)
Health promotion toddlers
Safety-> choking, keep sharp objects out or reach, burns, drowning, falls, motor vehicle
injuries, poisoning, suffocation
Sun protection-> should wear sunscreen when outside
Preschool
3-6 years old
Continued weight gain and growth
Improved gross and fine motor
Self care acts
Socialization
Safety
Communicating with a preschooler
At this age, children love to talk and are inquisitive
Allow them to express their feelings
Preschoolers perceive illness as punishment(magical punishment)
Give simple instructions, avoid medical jargon
Encourage parents to participate win the child's care
Provide explanations and communicate openly
Health promotion preschoolers
Rest and sleep
Preschoolers require 12 hours of sleep
Naps may be inconsistent
Keep a consistent bedtime routine
Provide a night light or favorite toy to help avoid night terrors
Reassure frightened preschooler; avoid allowing co-sleeping with parents
Activity
At least 1 hour of physical activity a day
Less than 2 hours of screen time daily
Injury prevention: wear helmets and protective equipment
Teach pedestrian safety rules
Screening
Lead poisoning
Obesity Rates
Dental health
School age
