CONCORDIA NUR 418 LATEST
PEDS/OB EXAM 1
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
Typical Physical Growth Patterns of Infants (Text, Module Presentation) -
ANSWERS-Height: 1 inch per month, 50% increase @ 12 months Weight:
doubles at 6 months, triples at 12
QUESTION 2
Erikson's Psychosocial Theory of Development (Peds Text pg 83, Module
Presentation) - ANSWERS--infant: trust vs mistrust: child learns to trust as needs
are met by the caregiver -toddler: autonomy vs shame and doubt: child becomes
more independent, starts to have some control over body functions -preschool:
initiative vs guilt: develops a concious, learns right from wrong -school age:
industry vs inferiority: rule following behavior, forming social relationships -
adolescent: identity vs role confusion: body changes/appearance, peers are
important, establishing identity
QUESTION 3
Establishing Rapport and Trust with Small Children (Module Presentation) -
ANSWERS--allow child to stay with parent, assess in their comfort zone, get down
END OF
PAGE
1
, CONCORDIA NUR 418 LATEST
PEDS/OB EXAM 1
to their eye level, use gentle touch, incorperate play, use special toys or games to
assist with assessments/education
QUESTION 4
Effective Communication with Children - ANSWERS-1. Active communication
strategies. 2. Incorporate an understanding of growth and development. 3. Observe
body language, facial expressions, and other nonverbal gestures. 4. Incorporate
play into nursing assessments and interactions where appropriate. 5. Use special
toys or games to assist with assessments/education. 6. Be aware of both verbal and
nonverbal communication 7. Use visual forms of communication, including signs,
photos, and illustrations, as appropriate. 8. Incorporate play, which allows children
to express feelings and concerns nonverbally.
QUESTION 5
Failure to Thrive (Peds Text pg 356) - ANSWERS--height and weight
measurements fall below the third of fifth percentile or downward change in
growth across two major growth percentiles
•growth curve, milestones, evaluate individually Boys CDC percentile chart:
https://www.cdc.gov/growthcharts/data/set1clinical/cj41c017.pdf Girls CDC
percentile chart: https://www.cdc.gov/growthcharts/data/set1clinical/cj41c018.pdf
QUESTION 6
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PAGE
2
, CONCORDIA NUR 418 LATEST
PEDS/OB EXAM 1
Purpose of Vaccinations (Module Presentation, Vaccine links, Text ) -
ANSWERS--to produce same immune protection which usually follows natural
infection but without causing disease -to generate long lasting immunity -to
interrupt spread of infection -to reduce the incidence and burden of disease -
reduces risk of long term disability and death -to promote herd immunity
KNOW: MMR, dTAP NO varicella before age 1 -Generate long lasting immunity -
Herd immunity -Mimics natural way of fighting infection -Give education
QUESTION 7
Vaccine Contraindications (Module Presentation, Vaccine links, Text ) -
ANSWERS--Permanent contraindications: anaphylaxis; encephalopathy not due to
another identifiable cause and occurring within 7 days of pertussis vaccination -
live vaccines contraindications: pregnancy, immunosuppression
QUESTION 8
S/S of Preclampsia and Eclampsia (OB text Chp 7 pg 156 & 165) - ANSWERS--
new onset hypertension after 20 weeks gestation with two blood pressure readings
at least 140/90 taken at least 4 hours apart -impaired liver function -elevated
creatinine level -new onset cerebral/visual symptoms (headache) -pulmonary
END OF
PAGE
3
PEDS/OB EXAM 1
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
Typical Physical Growth Patterns of Infants (Text, Module Presentation) -
ANSWERS-Height: 1 inch per month, 50% increase @ 12 months Weight:
doubles at 6 months, triples at 12
QUESTION 2
Erikson's Psychosocial Theory of Development (Peds Text pg 83, Module
Presentation) - ANSWERS--infant: trust vs mistrust: child learns to trust as needs
are met by the caregiver -toddler: autonomy vs shame and doubt: child becomes
more independent, starts to have some control over body functions -preschool:
initiative vs guilt: develops a concious, learns right from wrong -school age:
industry vs inferiority: rule following behavior, forming social relationships -
adolescent: identity vs role confusion: body changes/appearance, peers are
important, establishing identity
QUESTION 3
Establishing Rapport and Trust with Small Children (Module Presentation) -
ANSWERS--allow child to stay with parent, assess in their comfort zone, get down
END OF
PAGE
1
, CONCORDIA NUR 418 LATEST
PEDS/OB EXAM 1
to their eye level, use gentle touch, incorperate play, use special toys or games to
assist with assessments/education
QUESTION 4
Effective Communication with Children - ANSWERS-1. Active communication
strategies. 2. Incorporate an understanding of growth and development. 3. Observe
body language, facial expressions, and other nonverbal gestures. 4. Incorporate
play into nursing assessments and interactions where appropriate. 5. Use special
toys or games to assist with assessments/education. 6. Be aware of both verbal and
nonverbal communication 7. Use visual forms of communication, including signs,
photos, and illustrations, as appropriate. 8. Incorporate play, which allows children
to express feelings and concerns nonverbally.
QUESTION 5
Failure to Thrive (Peds Text pg 356) - ANSWERS--height and weight
measurements fall below the third of fifth percentile or downward change in
growth across two major growth percentiles
•growth curve, milestones, evaluate individually Boys CDC percentile chart:
https://www.cdc.gov/growthcharts/data/set1clinical/cj41c017.pdf Girls CDC
percentile chart: https://www.cdc.gov/growthcharts/data/set1clinical/cj41c018.pdf
QUESTION 6
END OF
PAGE
2
, CONCORDIA NUR 418 LATEST
PEDS/OB EXAM 1
Purpose of Vaccinations (Module Presentation, Vaccine links, Text ) -
ANSWERS--to produce same immune protection which usually follows natural
infection but without causing disease -to generate long lasting immunity -to
interrupt spread of infection -to reduce the incidence and burden of disease -
reduces risk of long term disability and death -to promote herd immunity
KNOW: MMR, dTAP NO varicella before age 1 -Generate long lasting immunity -
Herd immunity -Mimics natural way of fighting infection -Give education
QUESTION 7
Vaccine Contraindications (Module Presentation, Vaccine links, Text ) -
ANSWERS--Permanent contraindications: anaphylaxis; encephalopathy not due to
another identifiable cause and occurring within 7 days of pertussis vaccination -
live vaccines contraindications: pregnancy, immunosuppression
QUESTION 8
S/S of Preclampsia and Eclampsia (OB text Chp 7 pg 156 & 165) - ANSWERS--
new onset hypertension after 20 weeks gestation with two blood pressure readings
at least 140/90 taken at least 4 hours apart -impaired liver function -elevated
creatinine level -new onset cerebral/visual symptoms (headache) -pulmonary
END OF
PAGE
3
