PAPER 2026 CERTIFICATION EVALUATION
EXAMS COMPLETE Q AND A
⩥ nursing implications (birth to 1 year). Answer: during hospitalization,
the infant's emerging skills may disappear
if the parents are not able to be with the infant, the baby may experience
separation anxiety, usually beginning around 6 months
the PN should encourage and plan to have the parents be part of the
infants care
the infant's usual schedule at home should be respected
preparation and/or reinforcement of teaching should be directed to the
family. however, the PN should always speak to the infant and console
the infant, especially while performing painful or stressful procedures
toys for hospitalized infants include mobiles, rattles, squeaking toys,
picture books, bals, colored blocks, and activity boxes.
,⩥ HESI HINT #!. Answer: the stages of separation anxiety consist of
protest, despair, denial, and detachment.
⩥ HESI HINT #2. Answer: when does birth length double? by 4 years
when does the child sit unsupported? 8 months
when does a child achieve 50% of adult height? 2 years
when does a child throw a ball overhand? 18 months
when does a child speak two-to-three word sentences? 2 years
when does a child use scissors? 4 years
when does a child tie his/her shoes? 5 years
be aware that a girl's growth spurt during adolescence begins earlier than
boys (as early as 10 yaars)
temper tantrums are common in the toddler and are considered "normal"
behavior
be aware that adolescence is a time when the child forms his or her
identity and that rebellion against family values is common for this age
group
⩥ developmental milestones (toddler 1-3 years). Answer: birth weight
quadruples by 30 months
achieves 50% of adult height by 2 years
growth velocity slows
appears to be bowlegged and potbellied
all primary teeth (20) are present by age 3
,anterior fontanel closes by 12 to 18 months
throws a ball overhand at 18 months
kicks a ball at 24 months
feeds self with spoon and cup at 2 years
daytime toilet training can usually be started around 2 years
two-to-three word sentences at 2 years
three-to-four word sentences at 3 years
states first and last name by 2.5 to 3 years
temper tantrums are common.
erikson's theory: developing a sense of autonomy (autonomy vs doubt
and shame)
⩥ Nursing Implications (toddler 1-3 years). Answer: simple brief
explanations should be given immediately before procedures because
toddlers have limited concept of time
during hospitalization, enforced separation from parents is the greatest
threat to the toddler's psychological and emotional integrity
security objects or favorite toys from home should be provided for
toddler
, encourage parents to explain their plans to child
respect child's routine
expect regression
toys for the hospitalized toddler include board and mallet, push/pull
toys, toy telephone, stuffed animals, storybooks with pictures.
toddlers benefit from being taken to the playroom when possible
because mobility is important to their development;.
toddlers engage in parallel pla.
toddlers are learning to name body parts and are concerned about their
bodies
support autonomy by giving choices
⩥ developmental milestones (preschool 3-5 years). Answer: each year
child gains about 5 pounds and grows 2.5 to 3 inches
stands erect with more slender posture
learns to run, jump, skip and hop