Module 11

Question 1

what is Erickson most well known for

Answer 1

psychosocial development

Question 2

Erickson

birth to 1 yr

Answer 2

Trust vs. Mistrust

Question 3

Erickson

1-3 yr

Answer 3

autonomy vs shame doubt

Question 4

3-6 yr

Erickson

Answer 4

initiative vs guilt

Question 5

6-12 yr

Erickson

Answer 5

industry vs inferiority

Question 6

12-20 yr

Erickson

Answer 6

identity vs role confusion

Question 7

20-35 yr

Erickson

Answer 7

intimacy vs isolation

Question 8

35-64 yr

Erickson

Answer 8

generativity vs stagnation

Question 9

> 64 yr

Erickson

Answer 9

ego integrity vs despair

Question 10

what is Piaget most well known for

Answer 10

cognitive development

Question 11

Piaget’s stages

Answer 11

Sensorimotor (birth to 2 years)
Preoperational (2 to 7 years)
Concrete Operations (7 to 11 years)
Formal Operations (11 to 15 years)

Question 12

physical or cognitive skill a person must accomplish during a particular age period

Answer 12

developmental tasks

Question 13

growth and development are what

Answer 13

orderly and sequential

Question 14

the pace of growth and development

Answer 14

specific for each child

Children all grow and develop at varying rates; ALL within normal limits

Question 15

Head control before sitting, crawling, walking

Answer 15

cephalocaudal

Question 16

Roll over before coordinated hand movement

Answer 16

proximodistal

Question 17

Growth and development becomes increasingly

Answer 17

integrated

Question 18

what does a pediatric assessment include

Answer 18

history: health history, pediatric diseases, development

physical examination

Question 19

specific reason the child is being seen

Answer 19

chief complaint

Question 20

narrative of chief complaint from onset through progression to present

Answer 20

history of present illness

Question 21

four components of history of present illness

Answer 21

Details of onset
Complete interval history
Present status
Reason for seeking treatment NOW

Question 22

how to analyze a symptom

Answer 22

Type
Location
Severity
Duration
Influencing factors

Question 23

what are the important aspects of past medical history

Answer 23

Birth History - Prenatal, Natal, Postnatal
Detailed Feeding History
Immunizations
Growth and Development

Question 24

what type of habits are you looking for in past medical history

Answer 24

such as breath holding, thumb sucking, head banging, rocking, fears, use of security blanket or toy, tics, behavior disorders, temper tantrums, nail biting, hair pulling, masturbation

Question 25

psychosocial concerns you ask about during medical history

Answer 25

Adjustment to home, school, neighborhood

Question 26

temperament concerns you ask about during medical history

Answer 26

Activity level, predictability, moods, intensity of reactions, adaptability, initial responses, distractibility

Question 27

how should you start the interview portion of review of systems

Answer 27

with general question about health such as: “Describe your child’s general health” or “How would you describe your child’s general health?”

Question 28

socioeconomic factors

Answer 28

``` Occupations of mother and father Time spent with child by parents Finances – adequacy Persons in the home House or apartment living arrangements General relationships of family members Community support systems ```

Question 29

what is included in assessment of pediatric diseases

Answer 29

Infectious Diseases / Includes Immunizations Endocrine, Nutritional, Metabolic, Immune, Hematological Diseases Diseases by System – Respiratory, etc. Dental Disorders including dental caries Injury and poisoning

Question 30

what is necessary of nutritional assessment of Preschoolers, School-age, and Adolescents

Answer 30

Dietary intake including diet history and 24-hour recall (a typical day’s intake)

Question 31

what is necessary of nutritional assessment of infants

Answer 31

breast or bottle feeding (frequency/amount); if appropriate solids, what age introduced

Question 32

general rule of thumb for nutritional assessment

Answer 32

Depends upon age of child – the younger the child, the more detailed

Question 33

what are you looking for in assessment of cognitive development

Answer 33

Cognitive delay | Learning disorder

Question 34

what are you looking for in assessment of language development

Answer 34

Language delay | Speech delay

Question 35

what are you looking for in assessment of motor development

Answer 35

Gross motor delay | Fine motor delay

Question 36

what are you looking for in assessment of social development

Answer 36

Social development delay | Attachment failure

Question 37

how to communicate with children

Answer 37

Remember that children understand better than they can talk Ask open-ended questions Increase comprehension by using different methods to present and share information

Question 38

how to communicate with families

Answer 38

Include all involved family members Encourage families to write their questions Remain nonjudgmental Give families both verbal and nonverbal messages that express availability and openness Respect and encourage feedback

Question 39

describe how the physical examination is conducted

Answer 39

Head-to-Toe as appropriate to the age and temperament of the child

Question 40

reflect changes in growth patterns

Answer 40

Anthropometric measurements

Question 41

may signal a serious problem and should be taken at every health visit

Answer 41

measurements

Question 42

is a significant indicator of changing health status

Answer 42

child falling off the growth curve

Question 43

types of growth measurement charts

Answer 43

``` Length-for-age or stature-for-age Weight-for-age Head circumference-for-age Weight-for-length or weight-for-stature BMI-for-age (2-20 year) ```

Question 44

what is most common to look at on growth charts

Answer 44

patterns over time on weight-for-length or weight-for-stature

Question 45

underweight or small

Answer 45

below 3th percentile

Question 46

overweight or large

Answer 46

above 97th percentile

Question 47

why is chronological age calculated

Answer 47

to be measured on appropriate growth chart

Question 48

how do you measure stature in young kids

Answer 48

Use recumbent length until age 2 year

Question 49

how to measure stature in 2-20

Answer 49

``` Use wall mounted staideometer Remove bulk Stand erect with shoulders level, knees together, feet flat with all four contact points touching Place hand on chin Lower headpiece ```