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Dressler 3rd Semester > Module 1 Growth and Development Care of the Hospitalized Child > Flashcards

Module 1 Growth and Development Care of the Hospitalized Child Flashcards

1
Q

Growth and Development are interdependent and occur

A

Simultaneously

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2
Q

Total process in which skills and potential emerge regardless of practice or training

A

Maturation

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3
Q

growth and development beginning at the head and progressing downward toward the feet

A

Cephalocaudal

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4
Q

growth and development progressing from the center of the body toward the extremities

A

Proximodistal

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5
Q

Moro Reflex is the

A

Startle reflex

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6
Q

Rooting reflex is the

A

Touch cheek, baby turns head in that direction

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7
Q

Sucking reflex is the

A

touch lips, baby starts sucking movements

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8
Q

Babinski reflex is the

A

Stroke foot upward, toes hyperextend

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9
Q

Palmar grasp reflex is the

A

Newborn curls fingers around item in hand

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10
Q

Tonic neck reflex is the

A

Fencing positions

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11
Q

Stepping/Plantar reflex is the

A

standing them up and putting them down and they start to march

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12
Q

Swimming reflex is the

A

when you put them on their stomach and they start to make swimming rotations

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13
Q

Anterior Fontanel closes within

A

12-18 months

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14
Q

Posterior Fontanel closes within

A

3-4 months

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15
Q

If fontanel is sunken that is a S&S of

A

Dehydration

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16
Q

If fontanel is bulging that is a S&S of

A

Cerebral Edema

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17
Q

Hydrocephalus is

A

fluid in brain

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18
Q

At birth B/P of the newborn is

A

Low

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19
Q

At birth Pulse and Resp of the newborn is

A

High

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20
Q

At approximately what age will the child’s vital signs be in adult range

A

At 10 years old

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21
Q

Normal Pulse

A

110-150

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22
Q

Normal Resp

A

30-60

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23
Q

Normal B/P

A

60/40

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24
Q

Which vital sign should we check first, and why

A

Resp, keep baby sleeping

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25
Q

According to Erikson In Infancy stage we look for

A

Trust vs mistrust

Needs should be met in timely manner

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26
Q

According to Erikson In Early childhood stage we look for

A

Autonomy vs shame and doubt

Needs loving support to develop independence

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27
Q

According to Erikson in Late childhood stage we look for

A

Initiative vs guilt

Need to child freedom within boundaries

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28
Q

According to Erikson in School age we look for

A

Industry vs Inferiority

Needs positive responses to concentrate on learning

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29
Q

According to Erikson in Adolescence we look for

A

Identity vs Role Confusion

Need love and support to find place in society

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30
Q

Average weight for newborn

A

7.5 lbs

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31
Q

Average weekly weight gain for first 6 months

A

5-7 oz.

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32
Q

Average height

A

20 inches

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33
Q

Average height growth during first year

A

10 inches

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34
Q

Average head circumference

A

13-14 inches

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35
Q

Breast-fed infants should

A

eat more often

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36
Q

If newborn has any brothers or sisters it is important we encourage

A

sibling involvement

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37
Q

For safety purposes how should we place newborn to sleep

A

Position supine or side-lying

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38
Q

What is the minimum wet diapers per day

A

6-8

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39
Q

What vaccination should the newborn receive at birth

A

Hep B

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40
Q

Newborn infants usually sleep around

A

20 hours / day

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41
Q

During Months 1-3 the baby should grow

A

1” / month 5-7 oz / week

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42
Q

Newborns do not develop tears until

A

2 months

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43
Q

By the 6th month babies birth weight should

A

Double birth weight by 6th month

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44
Q

At how old should we be concerned if a baby isn’t sitting

A

8 months

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45
Q

How should we introduce foods

A

1 new food every 4-5 days so we can check for allergies, abnormalities such as rash

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46
Q

At how old does it become a concern if a baby isn’t walking

A

18 months

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47
Q

What should weight be by the 12th month

A

Triple

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48
Q

Iron pills in babies cause

A

black tarry stools

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49
Q

What are the stages in order for infant hospitalization that the baby will go through

A

Protest –> Despair –> Denial

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50
Q

When does teething begin

A

3-6 months

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51
Q

When can negativism begin

A

12 months

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52
Q

When do first primary teeth begin to show

A

6-11 months

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53
Q

How is dose for a child determined

A

Childs weight

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54
Q

How do you administer ear drops to a child under 3 years of age

A

Down and back

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55
Q

How do you administer ear drops to a child over 3 years of age

A

Up and back

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56
Q

What is the preferred IM Injection site for children

A

Vastus lateralis

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57
Q

The Gluteal muscle should not be used until

A

Child is adequately ambulating

58
Q

When does the most change, development take place

A

Toddlerhood

59
Q

Pulse and Resp of toddler should be

A

90-120 Pulse and 20-30 Resp

60
Q

What is one stand out thing that toddlers aren’t capable of

A

sharing

61
Q

In the Preschool years the child begins to mimic the

A

same sex parent

62
Q

Pulse and Resp of the Pre-schooler

A

90-110 Pulse and 20-30 Resp

63
Q

What is the avg number of calories a Pre-schooler should have per day

A

1800

64
Q

Imagination runs most wild in the

A

Pre-schooler

65
Q

Girls vs boys begins in

A

School age

66
Q

Vital signs for adolescents

A

80-100 Pulse 16-24 Resp

67
Q

Toilet training should begin in what stage

A

Toddler

68
Q

Sibling rivalry, Cooperative play begins at

A

Preschool

69
Q

Children develop sexual curiosity at what age

A

4 years

70
Q

How are room assignments grouped (3)

A

Age, Dx, Acuity

71
Q

Define acuity

A

Level of illness

72
Q

Children under 5 that are hospitalized should …. (2)

A

Have attendant with them at all times

Don’t use call bell

73
Q

16 or 17 year old that by law can take care of themselves

A

Emancipated minor

74
Q

What is the best pet for a child with asthma

A

Fish

75
Q

During school age males and females do not

A

Want to be associated with each other

76
Q

Pulse and Resp of Adolescence

A

Pulse 80-100, Resp 16-24

77
Q

What is it called to shine light in eyes to measure brain activity

A

Perla

78
Q

What kind of nasal drainage indicates bad

A

Green or thin

79
Q

What are the 3 most common signs of raised temp

A

UTI, Respiratory infections, Ear infections

80
Q

Before giving immunizations what allergy should we check for

A

Eggs

81
Q

What is the preferred IM site

A

Vastus lateralis

82
Q

What can giving aspiring lead to

A

Ray syndrome

83
Q

What age should an infant be able to lift its head

A

Newborn

84
Q

At what age should an infant be able to turn over

A

3-4 months

85
Q

At what age should an infant be able to sit unsupported

A

7 months

86
Q

What should happen to an infant’s weight by 6 months

A

doubled

87
Q

What should happen to an infant’s weight by one year

A

tripled

88
Q

Newborns should be fed every

A

2.5-4 hours

89
Q

Posterior fontanel closes at

A

3-4 months

90
Q

Anterior fontanel closes at

A

15-18 months

91
Q

Primary teeth appear at

A

6 months

92
Q

At about 15 months how many teeth does a toddler have

A

8-12 teeth

93
Q

At what age should a child be able to kick a ball

A

15-18 months

94
Q

What age do children begin to develop sexual curiosity

A

4 years

95
Q

At what age should a child be able to brush its own teeth

A

3 years

96
Q

The height and weight of the average 4 year old is

A

Height 39-41 inches

Weight 35-40 lbs

97
Q

At what age should a child have totally understandable speech

A

4 years

98
Q

Obesity in 10-12 year olds starts to develop because of ________ and __________

A

inactivity and ravenous appetite

99
Q

1 month - 14 months is considered

A

Newborn

100
Q

When does teething begin

A

3-6 months

101
Q

When does a child begin to fear strangers

A

7-9 months

102
Q

15 months to 24 months is considered a

A

Toddler

103
Q

Magical thinking begins at

A

4 years

104
Q

3 years - 5 years is considered

A

Pre-school

105
Q

6 years - 9 years is considered

A

School age

106
Q

The most important nursing intervention to promote a positive hospital experience for a 1-month-old infant is

A

provision of consistent caregivers

107
Q

The best foods for the nurse to recommend for a 2-year-old child diagnosed with mild constipation are

A

shredded wheat and cooked prunes

108
Q

A group of children are observed playing house. Each child is assigned a specific role as mommy, daddy, or child. This type of play begins between

A

3 and 5 years old

109
Q

Under 2 years what is the formula to remember how many teeth a child should have

A

Age in months - 6

110
Q

After 3-4 days of life the newborns weight _________ by _______

A

decreases by 5-10%

111
Q

We should encourage toothbrushing by age

A

1 year

112
Q

Competitive games should be introduced at age

A

7-9 years

113
Q

The startle reflex is also known as the

A

Moro reflex

114
Q

What are the parameters for a rear facing car seat

A

Under 1 year or 22lbs

115
Q

What is the normal resp rate of a 2 year old

A

25-30

116
Q

Timeouts are calculated by

A

1 minute per year

117
Q

A 4 year old is in Erikson’s stage of

A

Initiative

118
Q

The pulse of a school age child is

A

85-100

119
Q

A major task by an adolescent as described by Erikson is

A

Finding an Identity

120
Q

Growth can be defined as

A

physical increase in size

121
Q

According to Erikson, what task would a 9 year old be completing

A

Industry

122
Q

Theories of personality help the nurse

A

Provide individual health care

123
Q

A 12 year old should be able to (speech)

A

say a few words

124
Q

When does a child have a complete set of Deciduous teeth

A

30 months

125
Q

Toilet training includes the child’s ability to

A

control sphincter

126
Q

The psychosocial task in a toddler is

A

Autonomy

127
Q

The type of play seen in a two year old is

A

Parallel play

128
Q

Toddlers resist sleep at night due to

A

Curiosity

129
Q

Toddlers use what mechanism of action to deal with stress

A

Regression

130
Q

The type of play seen at the preschool age is defined as

A

Associative play

131
Q

According to Erikson when has a child developed initiative

A

When child tries new roles without feelings of guilt

132
Q

Average intake of Preschooler is (calories)

A

1800

133
Q

Sibling rivalry is best resolved by

A

Separating both children

134
Q

During school age period sexual activity interest is

A

Dormant

135
Q

The number of hours of sleep a 6 year old needs is

A

12

136
Q

The first part of the body to show a growth spurt during puberty is

A

Feet

137
Q

Which food should not be included in the diet of infants in order to prevent botulism

A

Honey

138
Q

Parents of a 2-year-old child verbalize frustration over their child’s behavior, which they describe as inconsistent, and that he frequently says no to their requests. The nurse informs them that

A

this is called negativism and is normal behavior

139
Q

Toddlers usually recognize sexual differences by age

A

24 months

140
Q

An 8-year-old girl will most likely want to play with

A

Another 8 year old girl

141
Q

The time of adolescence that appears to be the time of greatest turmoil for most families is

A

Middle adolescence

142
Q

If an adolescent asks the nurse which food is best to eat prior to taking an important chemistry test, what is the most appropriate recommendation

A

Fish and Rice

Dressler 3rd Semester (7 decks)

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