NUR 254 EXAM 3 STUDY GUIDE 2026/2027
COMPLETE QUESTIONS WITH VERIFIED
CORRECT ANSWERS || ALREADY GRADED
A+
Family Centered Care - ANSWER✔Aids in planning,delivery, & evaluation
1. Empowerment
2. Enabling
Atraumatic Care - ANSWER✔Do no Harm
1.Prevent or Minimize Separation
2. Promote Sense of Control
3. Prevent or Minimize bodily injury or pain
Role of pediatric Nurse - ANSWER✔Therapeutic relationship
Family advocacy & caring
Disease prevention & health promotion
Health Teaching
Injury Prevention
Support & Counseling
Coordination & Collaboration
Ethical Decision Making
Cephalocaudal - ANSWER✔head to tail; head grows before lower parts of body
,Infant controls head before trunk & extremities
Proximodistal - ANSWER✔Near to far, midline to peripheral
Infants control shoulders before hands
Weight Should be.... - ANSWER✔2x birth weight @ 6 months
3x birth weight @ 12 months
Trust vs. Mistrust - ANSWER✔Birth to 1 year
Cooing & crying, respond to nonverbal cues
If not attended to mistrust develops
Toys- rattle
pain scale= NIPS - ANSWER✔used for 2 months or less
Pain scale= Flacc - ANSWER✔used for more than 2 months old
Pain scale= Wong Baker - ANSWER✔used for 3-4 year olds ( preschooler)
Pain scale =Numeric - ANSWER✔used for 8 year old and up ( as young as 5 if
the understand value of numbers)
School age (6-12) nursing considerations - ANSWER✔Ask why?; let them
contribute; they understand cause and effect; Don't need to be bribed
, Adolescent nursing assessment finding (Erikson) - ANSWER✔expected= they are
finding themselves; friends are very important; Confidentiality and privacy
important
Erikson Adolescent - ANSWER✔Age 12-18
Identity vs role confusion
Nutritional assessment of Adolescent - ANSWER✔Ask Patient what they ate; also
assess weight
(body issues are common)
Erikson Preschooler - ANSWER✔Age 3-6
Initiate vs guilt
Parallel play - ANSWER✔Play side by side NOT with each other. (Toddlers 1-3)
Associative play - ANSWER✔NO group goal ( preschooler 3-6) ; example
kicking ball around
Cooperative play - ANSWER✔Sports; common goal ( School age 6-12)
Preparing School age patient for procedure - ANSWER✔Age 6-12; Answer why
questions, allow them to contribute ; explain cause and effect
Appropriate skill set based on age= 6 months - ANSWER✔should sit up
unsupported; tripod position
, Appropriate skill set based on age = 3 years old - ANSWER✔should walk up
stairs with alternating feet
Appropriate primative reflex should disappear at= 3-4 MONTHS -
ANSWER✔Rooting, sucking; Palmar; Tonic neck reflexes
Appropriate primative reflex should disappear at = 1 month -
ANSWER✔Stepping reflex
Appropiate primative reflex should disappear at= 6 MONTHS - ANSWER✔Moro
reflex
Appropriate primative reflex should disappearat= 8 MONTHS -
ANSWER✔Plantar reflex
Appropriate primative reflex should disappear at= 1 year - ANSWER✔Babinski
Natural immunity - ANSWER✔breast feeding / contact with virus
acquired immunity - ANSWER✔vaccines
Assessment finding = Child with tet spell (Cyanosis) - ANSWER✔1. Knee to
chest
2. administer o2
3. Morphine
COMPLETE QUESTIONS WITH VERIFIED
CORRECT ANSWERS || ALREADY GRADED
A+
Family Centered Care - ANSWER✔Aids in planning,delivery, & evaluation
1. Empowerment
2. Enabling
Atraumatic Care - ANSWER✔Do no Harm
1.Prevent or Minimize Separation
2. Promote Sense of Control
3. Prevent or Minimize bodily injury or pain
Role of pediatric Nurse - ANSWER✔Therapeutic relationship
Family advocacy & caring
Disease prevention & health promotion
Health Teaching
Injury Prevention
Support & Counseling
Coordination & Collaboration
Ethical Decision Making
Cephalocaudal - ANSWER✔head to tail; head grows before lower parts of body
,Infant controls head before trunk & extremities
Proximodistal - ANSWER✔Near to far, midline to peripheral
Infants control shoulders before hands
Weight Should be.... - ANSWER✔2x birth weight @ 6 months
3x birth weight @ 12 months
Trust vs. Mistrust - ANSWER✔Birth to 1 year
Cooing & crying, respond to nonverbal cues
If not attended to mistrust develops
Toys- rattle
pain scale= NIPS - ANSWER✔used for 2 months or less
Pain scale= Flacc - ANSWER✔used for more than 2 months old
Pain scale= Wong Baker - ANSWER✔used for 3-4 year olds ( preschooler)
Pain scale =Numeric - ANSWER✔used for 8 year old and up ( as young as 5 if
the understand value of numbers)
School age (6-12) nursing considerations - ANSWER✔Ask why?; let them
contribute; they understand cause and effect; Don't need to be bribed
, Adolescent nursing assessment finding (Erikson) - ANSWER✔expected= they are
finding themselves; friends are very important; Confidentiality and privacy
important
Erikson Adolescent - ANSWER✔Age 12-18
Identity vs role confusion
Nutritional assessment of Adolescent - ANSWER✔Ask Patient what they ate; also
assess weight
(body issues are common)
Erikson Preschooler - ANSWER✔Age 3-6
Initiate vs guilt
Parallel play - ANSWER✔Play side by side NOT with each other. (Toddlers 1-3)
Associative play - ANSWER✔NO group goal ( preschooler 3-6) ; example
kicking ball around
Cooperative play - ANSWER✔Sports; common goal ( School age 6-12)
Preparing School age patient for procedure - ANSWER✔Age 6-12; Answer why
questions, allow them to contribute ; explain cause and effect
Appropriate skill set based on age= 6 months - ANSWER✔should sit up
unsupported; tripod position
, Appropriate skill set based on age = 3 years old - ANSWER✔should walk up
stairs with alternating feet
Appropriate primative reflex should disappear at= 3-4 MONTHS -
ANSWER✔Rooting, sucking; Palmar; Tonic neck reflexes
Appropriate primative reflex should disappear at = 1 month -
ANSWER✔Stepping reflex
Appropiate primative reflex should disappear at= 6 MONTHS - ANSWER✔Moro
reflex
Appropriate primative reflex should disappearat= 8 MONTHS -
ANSWER✔Plantar reflex
Appropriate primative reflex should disappear at= 1 year - ANSWER✔Babinski
Natural immunity - ANSWER✔breast feeding / contact with virus
acquired immunity - ANSWER✔vaccines
Assessment finding = Child with tet spell (Cyanosis) - ANSWER✔1. Knee to
chest
2. administer o2
3. Morphine
