[Exam 4] Chapter 34 – Caring for the Special Needs Child

Question 1

What problems may infant run into for development?

Answer 1

Failure to develop sense of trust due to frequent hospitalizations.

Question 2

What problems may the toddler run into for development?

Answer 2

Developing autonomy because of increased dependency on parent or overinvolvement on parent. Will strugle with motor/language skill development.

Question 3

What problems may preschooler run into?

Answer 3

Sense of initiative. Experience limited opportunities for socialization, causing feelings of being withdrawn.

Question 4

What problems may school-age child run into?

Answer 4

Lack of sense of industry, due to inability to participate in activites or competitive events. Can’t form relationships.

Question 5

What problems may adolescents run into?

Answer 5

May feel as though they are different due to appearance. Can’t develop personal identity.

Question 6

What is vulnerable child syndrome?

Answer 6

When parents react to a serious illness or event in child’s past continue to have a psychologically harmful effect on child and parents for many years.

Question 7

Vulnerable Child Syndrome: Risk factors for this?

Answer 7

Preterm birth, anoaly, newborn jaundice, handicapping condiiton, accident or illness.

Question 8

Nurse Mx Of Medically Fragile Child and Fam: What to know if Denver II is used for ongoing developmental surveillance?

Answer 8

Results should be compared from visit to visit, rather than using it as screening tool

Question 9

Nurse Mx Of Medically Fragile Child and Fam: Over long term, former premature infants are at higher risk for what than typically infants?

Answer 9

Developing cognitive delay, cerebral palsy, ADD . learning disabilities, difficulites with socialization and vulnerable child syndrome

Question 10

Providing Routine Well-Child Care to Former Premature Infant: Prior to discharge from NICU, child will be tested for what

Answer 10

oxygen desaturation while seated in the car seat.

Question 11

Providing Routine Well-Child Care to Former Premature Infant: When can preemies start recieivng flu vaccines?

Answer 11

After 6 months of age.

Question 12

Assessing Growth n Development of Former Preemie: What should you do here before exam?

Answer 12

Determine childs adjusted or corrected age. Continue this until 3 years old.

Question 13

Assessing Growth n Development of Former Preemie: Calorie needs?

Answer 13

Will need extr calories. Extra clacium and phosphorus.

Question 14

Assessing Growth n Development of Former Preemie: When are they switched to normal formula?

Answer 14

Once they demonstrate consistent adequate growth. Usually around 6 months.

Question 15

Assessing Growth n Development of Former Preemie: Signs that they may be ready to attempt spoon feeding?

Answer 15

Interest in feeding, decreas ein tongue thrust, and adequte head control

Question 16

Assessing Growth n Development of Former Preemie: What places them at high risk for developmental delay?

Answer 16

Comorbidities that ex-preemies exhibit in form of prior and current medical problems.

Question 17

Assessing Growth n Development of Former Preemie: Assess child’s development based on corrected age until when

Answer 17

child is 3 years old

Question 18

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is failure to thrive?

Answer 18

Term used to describe inadequate growth in infants and children

Question 19

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is the Individuals with Disabilities Education Improve Act do?

Answer 19

Mandates government funded care coordinationa nd special education for children up to 3-years of age. Guarantees services that will enhance their development

Question 20

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is the Individuals with Disabilities Education Act do?

Answer 20

Provides education for children with special needs through the public school system from ages 3-21 years. Entitled to individualzied education program (IEP).

Question 21

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: Preschool special education available when?

Answer 21

FOr ages 3-5. When there is a significant delay present in cognitive, language, adaptive, social-emotional, or motor development domains.

Question 22

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is the Supplemental Security Income program?

Answer 22

Cash assitance program. Also qualifies child for stte Medicaid. Covers medical visits, medications, hospitalization.

Question 23

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is the State Childrens Health Insurance Program?

Answer 23

Provides low-cost health insurance to elgible children

Question 24

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is Respite care?

Answer 24

Provides an opportunity for famileis to take a break from daily intensive caregiving responsibilites.

Question 25

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is Hippotherapy?

Answer 25

Horseback riding for handicapped, therapeutic horseback riding. Unique movement helps achieve increased flexibility, balance, and muscel strength

Question 26

Meeting Dying Childs Needs According to Developmental Stage: What must be done for infant?

Answer 26

Unconditional love and trust. Ensure family is available

Question 27

Meeting Dying Childs Needs According to Developmental Stage: What is done for toddler?

Answer 27

Give familiarity and routine. Maximize time with parents, and give facorite toys.

Question 28

Meeting Dying Childs Needs According to Developmental Stage: What to do for ages 3-5?

Answer 28

May see death as punishment. correct this misunderstanding.

Question 29

Meeting Dying Childs Needs According to Developmental Stage: what to do for ages 5-10?

Answer 29

Give specific, honest details. Encourage child to make decisions.

Question 30

Meeting Dying Childs Needs According to Developmental Stage: what to do for those 10-14 years?

Answer 30

Reinforcement of self esteem, self-respect, and a sense of worth.

Question 31

The parents of a 5-year-old with special health care needs talk to the parents of a 10-year-old with a similar condition for quite a while each day. What is the nurse’s interpretation of this behavior?

The nurse has not provided enough emotional support for the parents.
This relationship between the children’s parents is potentially unhealthy.
Support between parents of special children is extremely valuable.
Confidentiality is a pressing issue in this particular situation.

Answer 31

Support between parents of special children is extremely valuable.

Question 32

The nurse is caring for a child who has received all possible medical care for cancer, yet continues to experience relapse and metastasis. It is time to make the transition from curative care attempts to palliative care. What is the most important nursing consideration at this time?

The health care professionals should make the decision about the child’s care.
The family may lose a sense of hope, so cancer treatments should continue.
Involve the family in the decision-making process about the shift to palliative care.
Palliative care can take place only at home, so the child should be discharged.

Answer 32

Involve the family in the decision-making process about the shift to palliative care.

Question 33

The nurse is caring for a 3-year-old with a gastrostomy tube and tracheostomy who is on supplemental oxygen and multiple medications. The mother is rooming in during this hospitalization. What is the priority nursing action?

Incorporate the mother’s assistance in care when convenient.
Recognize the mother as the expert on her child’s needs and care.
Recommend that the mother go home to get some rest.
Provide family-centered care since the mother is there.

Answer 33

Recognize the mother as the expert on her child’s needs and care.

Question 34

The nurse is caring for a child with a developmental disability who is starting kindergarten this year. The mother is tearful and doesn’t want the child to go to school. What is the best response by the nurse?

“Do you need some time alone to collect yourself?”
“You’ve known for a while this time would come.”
“Can I call your husband or a friend for you?”
“It is normal to feel stressed or sad at this time.”

Answer 34

“It is normal to feel stressed or sad at this time.”

Question 35

The parents of a child with a developmental disability ask the nurse for advice about disciplining their child. What is the best response by the nurse?

“You should choose methods that are most congruent with your values about discipline.”
“Children like this really can’t follow directions, so they may be very hard to discipline.”
“Punish your child only for socially unacceptable or offending behaviors.”
“Spanking works well for this type of child, as they really don’t like pain.”

Answer 35

“You should choose methods that are most congruent with your values about discipline.”