HESI PEDS Flashcards
When does birth leng double?
By four 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 2-3 word sentences
2 years
when does a child use scissors
4 years
when does a child tie his or her shoes
5 years
be aware that a girl’s growth spurt during adolescence begins ? than a boys. what age?
earilier than a boys, 10 years of age
temper tantrums are common in?
toddler, they are normal behaviors
Be aware that adolescene is at ime when the forms?
his or her identity and that rebellion against family values is common for this age group
What behavior would indicate that thyroid hormone therapy for a 4 month-old is effective?
You must know which milestones are accomplished by a 4 month old. One correct answer would be: has steady head control, which is an expected milestone for a 4-month old an indicates that replacement therapy is adequate for growth
what task could a 5-year-old diabetic boy be expected to accomplish by himself?
One correct answer would be to let him choose the injection sites. This is possible for a preschooler to do and gives the child some sense of control
School-age children are in Erikson’s stage of ?
industry: meaning they like to do and accomplish things. Peers are also becoming important for children of this age
After 6 months, cognitive development allows them to remember?
pain
Toddlers will fear _____ proceedures
intrusive
preschoolers fear body___?
body mutilation
school age childrem fear loss of?
loss of control of their bodies
major concern for adolescents is?
change in body image
_____________ are a major cause of death in children and adolescents?
Accidents: teach parents and children developmentally appropriate safety and accident-prevention techniques
What invalidates the Mantoux test?
Subcutaneous injection rather than intradermal injection
Is the common cold a contraindication for immunization?
no
German measles pose a serious threat to a child’s?
unborn siblings. The nurse should counsel all expectant mothers, especially those with young children, to be aware of the serious consequences of exposure to German measles during pregnancy.
Add potassium to IV fluids only with?
adequate urine output
• Urinary output for infants and children should be?
1 to 2 ml/ kg/ hr.
Use of syrup of ipecac is?
no longer recommended by the American Academy of Pediatrics. Teach parents that it is not recommended to induce vomiting in any way because it may cause more damage.
List three classic signs and symptoms of measles.
Photophobia, confluent rash that begins on the face and spreads downward, and Koplik spots on the buccal mucosa
Liver, sweet potatoes, carrots, spinach, peaches, and apricots
food sources of vitamin A.
What measurements reflect present nutritional status?
Weight, skinfold thickness, and arm circumference
List the signs and symptoms of dehydration in an infant.
Poor skin turgor, absence of tears, dry mucous membranes, weight loss, depressed fontanel, and decreased urinary output
List the laboratory findings that can be expected in a dehydrated child.
Loss of bicarbonate/ decreased serum pH, loss of sodium (hyponatremia), loss of potassium (hypokalemia), elevated Hct, and elevated BUN
What interventions should the nurse perform first in caring for a child who has ingested a poison?
Assessment of the child’s respiratory, cardiac, and neurologic status
What early signs should the nurse assess for if lead poisoning is suspected?
Anemia, acute cramping, abdominal pain, vomiting, constipation, anorexia, headache, lethargy, hyperactivity, aggression, impulsiveness, decreased interest in play, irritability, short attention span
