Peds for FNP Exam 1 with 100%
Complete Solutions
Trust vs. mistrust - ANS-Infancy: Birth - 1 year
Virtue: hope
Events: feeding
Outcomes: building trust with caregiver
Lack of this leads to mistrust
Autonomy vs. shame and doubt - ANS-Toddler: 1-3 years old
Virtue: will
Event: toilet training
Question: can I do things for myself or do I always rely on others? Wants to have control
over physical environment
Success leads to autonomy
Initiative vs guilt - ANS-Preschoolers: 3-6 years old
Events: exploration
Virtue: purpose
Question: am I good or bad?
Need to assert control over environment
Success leads to purpose
Industry vs inferiority - ANS-School age: 6-11
Virtue: competence
Events: school
question: am I successful or worthless?
Need to cope with new social and academic demands
Success leads to feeling of accomplishment
failure leads to feeling inferior
Identity vs identity confusion - ANS-Adolescence: 12-20 years old
Events: social relationships
Virtue: fidelity
Question: who am I and where am I going?
Develop a sense of self and personal identity
Success leads to ability to stay true to self
failure leads to role confusion/ weak self
Intimacy vs isolation - ANS-Young adult: 20- 30 years old
Events: relationships
,Question: am I loved and wanted?
Virtue: love
Need to form intimate loving relationships
Success leads to strong relationships, failure results in loneliness
Generativity (guiding the next generation) vs stagnation - ANS-Middle adult: 40-65
years old
Virtue: care
Question: will I produce something of real value?
Success making contribution to society, family, sense of productivity
Failure unwilling or unable to be productive leads to stagnation
Integrity vs despair - ANS-Older adult: over 65
Virtue: maturity
Question: is it ok to have been me?
Reflect on life
Success: sense of accomplishment
Failure leads to despair
Sensorimotor - ANS-0-2 years
Understand the world through senses and motor actions
Object permanence developed (peekaboo)
At 9 months, can imitate
Stranger danger 6-12 months
Preoperational - ANS-2-7 years
Represent the world symbolically, child thinks about things not present
Fantasy play
Thinking is egocentric, dominated by perception
Concrete operational - ANS-7-11yrs
Can manipulate ideas, understand reversibility, can do conservation and classification
Logical thinking
Beaker test
Formal operational - ANS-11+ years
Abstract and hypothetical reasoning
Think about the future
Can reason contrary to experience
Anticipatory guidance - ANS-Expected events in child's developmental and physical
growth that is age specific, assists caregivers in parenting child
Positive parenting - ANS-Catch your child doing something positive and praise them,
avoid overreacting to negative behavior, avoid over punishing for minor offenses
,Lift head and neck - ANS-2 months
Roll over using arms (front to back) - ANS-4 months
Sit using waist - ANS-6 months
Crawl using knees - ANS-9 months
Walk - ANS-first year of life
Abnormal- Able to roll over before - ANS-3 months (may be from stiff limbs) (should be
4 months)
Abnormal- Poor head control at 5 months - ANS-Abnormal, (should be around 2
months)
Abnormal- Unable to sit in a tripod by - ANS-6 months, unassisted by 9 months (should
be 8 months)
Abnormal- Unable to walk by - ANS-15-18 months
Abnormal- Persistent toe walking - ANS-after the age of 3
Abnormal- Fixed hand preference before - ANS-18 months (may indicate muscle
weakness)
Fine motor pattern- Reach for things - ANS-around 3 months
Fine motor pattern- pick things up and put in mouth - ANS-4 months
Fine motor pattern- 1 year: pincer grasp (goal)
Abnormal fine motor- Doesn't notice hands by - ANS-2 months
Abnormal fine motor- Hands that are always fisted at - ANS-3 months
Abnormal fine motor- Unable to transfer hands by - ANS-1 year (should be 4 months)
Abnormal fine motor- Abnormal pincer grasp by - ANS-15 months (should be 12)
Risk for motor delay - ANS-Issues with tone, power, coordination, joint and ligament
abnormalities, disabilities, issues with balance, visual impairment
Expressive (broca) Delayed with - ANS-mechanical difficulty
Receptive, understanding (Wernicke) - ANS-Receptive more concerning, implies
cognitive problem
, Pattern of language development - ANS-They need to hear
Responds to parents voice
Coo's and babbles
Repeats sounds
Develops words
Word development at 1 year - ANS-1-2 words
Word development at 2 years - ANS-2 word sentences, 50 words
Word development at 3 years - ANS-3 word sentences
Language development at 0-3 months - ANS-cooing
Language development at 4-6 months - ANS-making sounds, rasberries, yelling,
growling, vowel sounds
Language development at 6-11 months - ANS-babbling
Language development at 12-18 months - ANS-first words with string of nonsense
Language development at 18-24 months - ANS-words develop, legible, put 2 words
together
Language development at 24-36 months - ANS-rapid growth of language
Abnormal language development - ANS-Does not respond to loud sounds
Abnormal language development- Does not smile to sound of your voice by - ANS-2
months
Abnormal language development- Absence of babbling at - ANS-6 months
Abnormal language development- Illegible words at - ANS-18-24 months (words should
be legible)
Abnormal language development- Lack of words by - ANS-2 years
Abnormal social Cannot be assessed until - ANS-18-24 months, Does not engage in
social situations, plays alone, fixates on one subject, does not recognize social cues,
language is very concrete
Full term - ANS-40 weeks
Premature - ANS-prior to 37 weeks
Complete Solutions
Trust vs. mistrust - ANS-Infancy: Birth - 1 year
Virtue: hope
Events: feeding
Outcomes: building trust with caregiver
Lack of this leads to mistrust
Autonomy vs. shame and doubt - ANS-Toddler: 1-3 years old
Virtue: will
Event: toilet training
Question: can I do things for myself or do I always rely on others? Wants to have control
over physical environment
Success leads to autonomy
Initiative vs guilt - ANS-Preschoolers: 3-6 years old
Events: exploration
Virtue: purpose
Question: am I good or bad?
Need to assert control over environment
Success leads to purpose
Industry vs inferiority - ANS-School age: 6-11
Virtue: competence
Events: school
question: am I successful or worthless?
Need to cope with new social and academic demands
Success leads to feeling of accomplishment
failure leads to feeling inferior
Identity vs identity confusion - ANS-Adolescence: 12-20 years old
Events: social relationships
Virtue: fidelity
Question: who am I and where am I going?
Develop a sense of self and personal identity
Success leads to ability to stay true to self
failure leads to role confusion/ weak self
Intimacy vs isolation - ANS-Young adult: 20- 30 years old
Events: relationships
,Question: am I loved and wanted?
Virtue: love
Need to form intimate loving relationships
Success leads to strong relationships, failure results in loneliness
Generativity (guiding the next generation) vs stagnation - ANS-Middle adult: 40-65
years old
Virtue: care
Question: will I produce something of real value?
Success making contribution to society, family, sense of productivity
Failure unwilling or unable to be productive leads to stagnation
Integrity vs despair - ANS-Older adult: over 65
Virtue: maturity
Question: is it ok to have been me?
Reflect on life
Success: sense of accomplishment
Failure leads to despair
Sensorimotor - ANS-0-2 years
Understand the world through senses and motor actions
Object permanence developed (peekaboo)
At 9 months, can imitate
Stranger danger 6-12 months
Preoperational - ANS-2-7 years
Represent the world symbolically, child thinks about things not present
Fantasy play
Thinking is egocentric, dominated by perception
Concrete operational - ANS-7-11yrs
Can manipulate ideas, understand reversibility, can do conservation and classification
Logical thinking
Beaker test
Formal operational - ANS-11+ years
Abstract and hypothetical reasoning
Think about the future
Can reason contrary to experience
Anticipatory guidance - ANS-Expected events in child's developmental and physical
growth that is age specific, assists caregivers in parenting child
Positive parenting - ANS-Catch your child doing something positive and praise them,
avoid overreacting to negative behavior, avoid over punishing for minor offenses
,Lift head and neck - ANS-2 months
Roll over using arms (front to back) - ANS-4 months
Sit using waist - ANS-6 months
Crawl using knees - ANS-9 months
Walk - ANS-first year of life
Abnormal- Able to roll over before - ANS-3 months (may be from stiff limbs) (should be
4 months)
Abnormal- Poor head control at 5 months - ANS-Abnormal, (should be around 2
months)
Abnormal- Unable to sit in a tripod by - ANS-6 months, unassisted by 9 months (should
be 8 months)
Abnormal- Unable to walk by - ANS-15-18 months
Abnormal- Persistent toe walking - ANS-after the age of 3
Abnormal- Fixed hand preference before - ANS-18 months (may indicate muscle
weakness)
Fine motor pattern- Reach for things - ANS-around 3 months
Fine motor pattern- pick things up and put in mouth - ANS-4 months
Fine motor pattern- 1 year: pincer grasp (goal)
Abnormal fine motor- Doesn't notice hands by - ANS-2 months
Abnormal fine motor- Hands that are always fisted at - ANS-3 months
Abnormal fine motor- Unable to transfer hands by - ANS-1 year (should be 4 months)
Abnormal fine motor- Abnormal pincer grasp by - ANS-15 months (should be 12)
Risk for motor delay - ANS-Issues with tone, power, coordination, joint and ligament
abnormalities, disabilities, issues with balance, visual impairment
Expressive (broca) Delayed with - ANS-mechanical difficulty
Receptive, understanding (Wernicke) - ANS-Receptive more concerning, implies
cognitive problem
, Pattern of language development - ANS-They need to hear
Responds to parents voice
Coo's and babbles
Repeats sounds
Develops words
Word development at 1 year - ANS-1-2 words
Word development at 2 years - ANS-2 word sentences, 50 words
Word development at 3 years - ANS-3 word sentences
Language development at 0-3 months - ANS-cooing
Language development at 4-6 months - ANS-making sounds, rasberries, yelling,
growling, vowel sounds
Language development at 6-11 months - ANS-babbling
Language development at 12-18 months - ANS-first words with string of nonsense
Language development at 18-24 months - ANS-words develop, legible, put 2 words
together
Language development at 24-36 months - ANS-rapid growth of language
Abnormal language development - ANS-Does not respond to loud sounds
Abnormal language development- Does not smile to sound of your voice by - ANS-2
months
Abnormal language development- Absence of babbling at - ANS-6 months
Abnormal language development- Illegible words at - ANS-18-24 months (words should
be legible)
Abnormal language development- Lack of words by - ANS-2 years
Abnormal social Cannot be assessed until - ANS-18-24 months, Does not engage in
social situations, plays alone, fixates on one subject, does not recognize social cues,
language is very concrete
Full term - ANS-40 weeks
Premature - ANS-prior to 37 weeks
