Developmentally Based Nursing Care

Question 1

Pediatric weights are always in what?

Answer 1

kilograms

Question 2

“Falling off the curve” on the growth curve chart, can also be called what?

Answer 2

failure to thrive

Question 3

How is a pediatric patient labeled with failure to thrive?

Answer 3

must have 2 plots at 2 different times under the curve

Question 4

What are the two types of failure to thrive?

Answer 4

organic and nonorganic

Question 5

What are some examples of organic failure to thrive?

Answer 5

-we have a reason why-

malnourishment, lack of understanding by the care taker, medical condition, and/or genetics

Question 6

What is the reason for nonorganic failure to thrive?

Answer 6

if everything we test comes back normal, we assume some form of abuse has occurred

Question 7

What is the first thing we will see if we suspect poor development?

Answer 7

weight change

Question 8

What is something we have to consider when we are plotting preemies on the growth curve chart?

Answer 8

corrected age

Question 9

What is the range for green of the growth curve chart? What kind of education is needed?

Answer 9

5-85%

-these kiddos and caregivers are doing good, keep it up

Question 10

What is the range for yellow on the growth curve chart? What kind of education is needed?

Answer 10

85-95%

-education is key because these kiddos are considered pre-obese

Question 11

What does orange cover on the growth curve chart? What kind of education is needed?

Answer 11

<5%

• typically education has been miscommunicated or something more serious is going on
• these kiddos will be back in a couple of weeks for a recheck

Question 12

What does red cover on the growth curve chart? What kind of education is needed?

Answer 12

> 95%

-these kiddos are considered obese and are typically overfed

Question 13

In which 2 directions does an infant grow?

Answer 13

• head to toe= cephalocaudal

- from center outward= proximodistal

Question 14

Who are the 3 theorist we talk about?

Answer 14

Erikson, Piaget and Kohlberg

Question 15

What is Erikson’s main focus?

Answer 15

Stages “Steps” of Psychosocial Development

Question 16

What are the steps in Erikson’s Psychosocial Development?

Answer 16

• Infant- Trust vs Mistrust
• Toddler- Autonomy vs Shame and Doubt
• Preschool- Initiative vs Guilt
• School Age- Industry vs Inferiority
• Adolescent- Identity vs Role Confusion

Question 17

What is Piaget’s main focus?

Answer 17

Cognitive Development

Question 18

What are the 4 stages in Piaget’s Cognitive Development?

Answer 18

• Sensorimotor= the (0-2 year old) child begins to interact with the environment
• Preoperational= the (2-6/7 year old) child begins to represent the world symbolically
• Concrete Operational= the (7-11/12 year old) child learns rules such as conservation
• Formal Operational= the adolescent (12-adulthood) can transcend the concrete situation and think about the future

Question 19

What is the main focus of Kohlberg’s theory?

Answer 19

Moral Development

-right vs wrong and values

Question 20

What is cultural competence?

Answer 20

the goal is to improve the ability of health care providers and health care systems to communicate effectively with and provide quality health care to patients from diverse social backgrounds

Question 21

What is cultural humility?

Answer 21

process of self-reflection to promote honest and trustworthy relationships–knowing one’s self better in order to know others