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R/D > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

2 growth charts for hight and weight

A

a. one is 75%
b. one is 50%

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2
Q

A child comes into the ER in an ambulance, the family is not there and you have no medical history. The child does not make eye contact, laughs at inappropriate times, hums repetitively, and does not respond to commands. What is he expressing?

A

autism

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3
Q

A child with autism is admitted to the hospital, what is the best plan of care for them?

A

keep their routine as close to home as possible

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4
Q

A preschooler who is admitted to the hospital is not sleeping well at night. What nursing intervention should you implement?

A

establish a bedtime routine and use nightlights

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5
Q

Teenager says that their friend got pregnant but that it won’t happen to them, what is this an example of?

A

personal fable

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6
Q

A teenager won’t wear clothes that their mom bought for them because they are afraid their peers will make fun of them. What Erikson’s stage does this line up with?

A

Identity vs role confusion

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7
Q

A 5 year old is excited to learn and like to pretend they are a dog. What Erikson stage have they completed?

A

Initiative vs guilt

This is the stage where they like to learn and play pretend

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8
Q

During a group education with teenagers and the importance of nutrition, what comment made causes concern and needs follow up?

A

“I like to keep my calories low because I don’t want to get fat” (under 1800)

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9
Q

A nurse is talking to a new mother about the benefits of breastfeeding. This is related to which interrelated concept?

A

nutrition

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10
Q

During which stage does the most physical growth happen?

A

adolescents

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11
Q

A nurse is educating a group of preteen parents, what should they include about this age group?

A

“puberty can start as early as 10 in girls and 12 in boys”

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12
Q

How many hours of sleep should a preschooler get?

A

12 hours a night

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13
Q

How can you prevent a respiratory infection in a child with Down syndrome?

A

use a cool mist vaporizer in their room

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14
Q

What is an example of cephalocaudal development?

A

lifting their head off the floor first, and then lifting their chest

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15
Q

What skill should a 3 year old be able to do?

A

ride a tricycle

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16
Q

Which is a concern for a 4 year old?

A

only having a vocabulary of 300 words

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17
Q

Which immunizations should a 4 month old get at their check up appointment?

A

-IPV
-PCV
-Rotavirus
-Dtap
-HiB
(all except Hep B)

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18
Q

At what age should infants be able to recognize object permanence?

A

9 months

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19
Q

What age group is the HEADSSS assessment for?

A

adolescents

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20
Q

A child with down syndrome acts like a “rag doll” when the mother tries to hold it, and she is worried they are not bonding. What should the nurse tell the mom?

A

This is a normal, expected finding in babies with DS

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21
Q

A child is prescribed medication for ADHD. When is the best time to administer this medication?

A

In the morning or lunch time because it can cause insomnia

22
Q

What does Erikson’s stages of development focus on?

A

psychosocial development

23
Q

A 9 month old is starting to walk, what is this an example of?

A

that development is unique to each child

24
Q

What should you tell a parent of a toddler to NOT give them as a snack

A

raw celery, cherry tomatoes, and grapes

sliced banana and cheerios is OK

25
Q

What is an expected thing that a toddler can do?

A

complete simple chores

26
Q

During a group session with young adults talking about the importance of sun safety and doing skin checks/moles - what is a response that requires follow ups?

A

“I’ve always had that mole, so what if it changes colors”

27
Q

How would you explain a blood pressure cuff to a 9 year old?

A

explain using simple terms

28
Q

How would you explain a medical procedure to a 5 year old?

A

use a doll or stuffed animal to show body parts and use equipment to show what will be done on them

29
Q

If a toddler comes in for their check up and are in the 10th percentile for height and 25th for weight, what should they do?

A

schedule a follow up in 3 months to see if anything has changed

30
Q

Which is a concern for a 6 year old?

A

the teacher tells the parents that they have to squint to see the board

31
Q

a young adult patient is a dishwasher and expresses they want a new job but doesn’t have enough education for one. What should the nurse do to help?

A

offer him other resources

32
Q

How should you speak to a teenager as a nurse?

A

find meaning behind their words and behaviors

33
Q

What is an expected trait of a child with ADHD?

A

impulsiveness

34
Q

SATA what is the expected functional ability of a 9 month old?

A

-respond to simple commands
-crude pincher
-crawling on hands and legs

35
Q

a 17 year old falls and breaks his arm- SATA with like 15 choices

A

some include:
-peer pressure
-overexerts himself
-egocentrism
-doesn’t think about long term things

36
Q

4 month old fine motor skills

A

plays with hands

37
Q

a 4 year old is in the hospital and asks the nurse when their parents are getting back. What should the nurse tell the kid?

A

“they will be back after dinner” bc toddlers only understand time in the sequence of daily events

38
Q

What is something that concerns a nurse about 28 year old and the stage of development they are in?

A

“I can’t think about the future until I forget my past”

39
Q

My 9 year old twins are collecting rocks, bird nests, coins, etc. Mother is concerned

A

This is normal expected behavior

school aged kids make collections

40
Q

What is the correct toy selection for an 18 month old that is on contact precautions?

A

large building blocks?

41
Q

Safety for school-agers

A

-safety equipment (helmets, etc)
-suicide prevention
-dating violence
-prevention of sports injuries

42
Q

Mother is concerned about a 5 year old having imaginary friends, what should the nurse respond?

A

it is normal for children this age to have imaginary friends

43
Q

What stage is peak physical performance?

A

young adult

44
Q

What is a developmental physical characteristic of a young adult?

A

at peak physical performance

45
Q

What age or stage would people be having problems with their sexuality?

A

adolescents bc of identity vs role confusion

46
Q

Which of the following presents a concern for a young adult?

A

“my life will get better when I can forget about my past”

47
Q

Which of the following applies to the development of a young adult?

A

most of their time is spent on focusing on making a career?

48
Q

Question about safety risks for adolescents (10 choices)

A

some include:
-egocentrism
-peer pressure
-calcium to prevent bone fractures
-no need to assess rational ability to think
-thinking about long term consequences
-rational thinking is dismissed
etc. ?

49
Q

What is expected to see during preschool years?

A

preschoolers will have “best friends”

50
Q

What would help a toddler develop?

A

encourage them to accomplish simple tasks unaided

51
Q

A teenager is exploring their sexuality. What is this an example of?

A

trying to find their identity

R/D (4 decks)

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