Hospitalized Child

Question 1

Erickson’s stage for the infant?

Answer 1

Trust vs. Mistrust

Question 2

Erickson’s stage for the toddler?

Answer 2

Autonomy vs. Shame and Doubt

Question 3

Erickson’s stage for the Preschooler?

Answer 3

Initiative vs. Guilt

Question 4

Erickson’s stage for the School Age child?

Answer 4

Industry vs. Inferiority

Question 5

Erickson’s stage for an Adolescence?

Answer 5

Identity vs. role confusion

Question 6

Is regression normal?

Answer 6

Yes, can be a coping mechanism

Question 7

Name stressors associated with hospitalization for infants and toddlers?

Answer 7

Parent-child relationship disturbed
Unpredictable routines
Separation anxiety
Fear injury and pain
Loss of control

Question 8

What are the 3 stages of separation anxiety? Describe each stage.

Answer 8

Protest- loud cry, Despair- quite and pouting, Detachment- ignore original person

Question 9

What are the ages for infants?

Answer 9

0-1

Question 10

What are the ages for toddlers?

Answer 10

1-3

Question 11

What are the ages for preschoolers?

Answer 11

3-6

Question 12

What are the ages for school age?

Answer 12

6-12

Question 13

What are the ages for adolescents?

Answer 13

12-18

Question 14

Which age group demonstrates parallel play?

Answer 14

Toddlers

Question 15

Which age group demonstrates associative play?

Answer 15

Preschoolers

Question 16

What is a transitional object?

Answer 16

A security object- blanket, stuffed animal, pacifier

Question 17

Major concern for any age child, but especially younger children?

Answer 17

Safety

Question 18

Name stressors associated with hospitalization for preschoolers?

Answer 18

Some separation anxiety
Concept of body limited
Fear of injury, pain, mutilation, and intrusive procedures
Loss of control*
Believe illness is punishment for some thought or deed

Question 19

Common nursing implications for preschoolers?

Answer 19

Band-aids
Use distractions*
Pseudo-choice*
Explain procedures- avoid words w/ double meaning
Urge parents to comfort*
Accept regression*
Avoid Yes/No questions*

Question 20

What is the #1 fear for adolescents?

Answer 20

Body image disturbance

Question 21

Must access for what coping mechanisms?

Answer 21

Regression
Denial
Repression
Postponement
Bargaining
Lashing Out

Question 22

Who can give informed consent?

Answer 22

Parent
Legal Guardian
Emancipated Minor

Question 23

Assessment knowledge for Height in children?

Answer 23

Measure lying down till 2
50% increase in length by age 1
Doubles by age 4
Triples by 12 (girls), 13 (boys)

Question 24

Assessment knowledge for Weight in children?

Answer 24

Average weight of NB 3.4 kg or 7 1/2 lbs
Lose weight for the first few days, regain by day 10
Weight doubles by 4-6 mos, triples by 1, quadruples by age 3

Question 25

Increase in head circumference can be a sign of?

Answer 25

ICP- Increased inter-cranial pressure

Question 26

Things to know while analyzing growth?

Answer 26

Serial plotting over time, Look for a sharp increase or decrease

Question 27

What is EMLA or LMX4 used for?

Answer 27

cream to numb in preparation of IV

Question 28

Why is only 1 food introduced at a time and at least 3 days until another is introduced?

Answer 28

To assess for allergies

Question 29

Vitals for a new born?

Answer 29

T-97.7-99.1 P-120-160 R-30-60 BP-65-95/30-60

Question 30

Vitals for a 4 yr?

Answer 30

T-97.5-98.6 P-80-125 R-20-30 BP-91-107/50-66

Question 31

Vitals for a 10 yr?

Answer 31

T-97.5-98.6 P-70-110 R-16-22 BP-102-115/60-75

Question 32

Vitals for a 16 yr?

Answer 32

T-97.5-98.6 P-55-90 R-15-20 BP-111-130/65-80

Question 33

How to factor daily fluid needs?

Answer 33

1-10 kg 100mL/kg/day 10-20 kg 100mL/kg for 1st 10kg + 50mL/kg for 2nd 10kg Greater than 20 kg 1500mL for 1st 20kg + 20mL/kg for each kg > than 20

Question 34

Daily fluid needs for a 9kg child?

Answer 34

900 ml/day

Question 35

Daily fluid needs for a 16 kg child?

Answer 35

1300 ml/day

Question 36

Daily fluid needs for a 23 kg child?

Answer 36

1560 ml/day

Question 37

What are minimum Urine Outputs for pediatrics?

Answer 37

Infants & Toddlers: ≥ 2-3mL/kg/hr Preschoolers & young children: ≥1-2 mL/kg/hr School-age & adolescents: 0.5-1 mL/kg/hr