Unit 1

Question 1

whats different about kids in relation to their liver and kidneys than in adults?

Answer 1

in kids watch liver and kidneys bc they don’t metabolize as fast

Question 2

who do you always involve in the care of a child?

Answer 2

the parents

Question 3

what do you follow while a child is hosptialized?

Answer 3

that childs home routine will be followed in hospital

Question 4

what type of objects do you encourage in a hospitalized child ?

Answer 4

transitional objects ( aka comfort objects like teddy bear)

Question 5

until when do you stop checking the head circumference of a child ?

Answer 5

check head circumference until 2 years old

Question 6

lack of adequate nutrition can lead to what in a child?

Answer 6

mental retardation

Question 7

what is parallel play

Answer 7

when children play next to each other not with

Question 8

what is cooperative play

Answer 8

when children play with each other and assume roles like “mom” and “dad”

Question 9

what is competitive play

Answer 9

children start to accept competition with rules

Question 10

what is symbolic play

Answer 10

secret codes, and knock knock jokes

Question 11

what is explore/imitate play

Answer 11

visual and touch stimuli and toys able to be manipulated

Question 12

what is therapeutic play

Answer 12

play that aids in the recovery process (ex: have the kid blow out the light of a flashlight as if it were a candle to promote deep breathing)

Question 13

when does separation anxiety begin

Answer 13

6-9 months

Question 14

if a parent changes positioning of child what would the nurse do

Answer 14

ask why incase child is use to something or else or another method works better, include parent in care of child

Question 15

when does birth weight double?

Answer 15

by 6 months

Question 16

when does birth weight triple?

Answer 16

by 12 months

Question 17

birth length increases by what percentage at what age

Answer 17

birth length increases 50% at 12 months

Question 18

at what age does an infant respond to name, and is babbling words?

Answer 18

6-9 months

Question 19

what is regression?

Answer 19

when a potty trained child is under stress and they start wetting themselves again

Question 20

pincer grasp is associated with what age group

Answer 20

10-12 months, pick up small finger food (10 months use 10 fingers)

Question 21

what organ is immature in kids

Answer 21

liver

Question 22

in children what do you assess ?

Answer 22

nonverbal cues like fidgeting, tapping fingers or feet

Question 23

5-10% of birth weight is lost by what days due to what

Answer 23

5-10% of birth weight is lost by day 3-4 as a result of stooling and limited intake

Question 24

what age does stranger anxiety begin

Answer 24

7-9 months

Question 25

what age says the words mama and dada

Answer 25

12 months

Question 26

enforced separation from parents is the greatest threat to what age group

Answer 26

toddlers (1-3 y/o)

Question 27

expect regression in what age group

Answer 27

toddler (1-3 y/o)

Question 28

when are all 20 primary teeth present

Answer 28

3 years old

Question 29

when does the anterior fontanelle close

Answer 29

12-18 months

Question 30

temper tantrums are common/expected in what age group

Answer 30

1-3 years old

Question 31

thinking is concrete and egocentric in what age group

Answer 31

preschooler (3-6 y/o)

Question 32

what is an important thing to remember in school-age (6-12 y/o) children who are hospitalized

Answer 32

that privacy and modesty must be respected so close the curtains

Question 33

what happens to the teeth of school-age (6-12 y/o) children

Answer 33

loss of all primary teeth and eruption of most permanent teeth occurs

Question 34

molars erupt at what age

Answer 34

6 years old

Question 35

what do adolescents who are hospitalized need to maintain

Answer 35

they need to maintain contact with peers

Question 36

the age of assent for making medical decisions ranges from what

Answer 36

7-14 y/o

Question 37

prolonged hospitalized adolescents need to have what with them to maintain their identity

Answer 37

own clothing, posters, and visitors

Question 38

what is most important thing to maintain in a px with encephalitis?

Answer 38

maintain airway

Question 39

what is detachment

Answer 39

when you leave child for period of time in hosptial ad you come back and they ignore you (also normal finding)

Question 40

use flacc for what kind of child? flacc and sedation ? (idk)

Answer 40

use flacc with children with neurological issues

Question 41

detachment is a normal finding for what age group in the hospital

Answer 41

3-6 y/o

Question 42

an infant should not be on NPO longer than what ? what do you provide to assist? if longer what do you give?

Answer 42

4-6 hrs
provide a pacificer to assist
if longer than 4-6 hrs give IV

Question 43

if child younger than 3 how do you give ear drops

Answer 43

if younger than 3 pull down and back

Question 44

if child older than 3 how do you give ear drops

Answer 44

if older than 3 pull up and back

Question 45

what are the signs and symptoms of strabismus

Answer 45

• eye squinting, frowning
  -reaching for objects and missing
• cover one eye to see
• tilting head to see
• dizziness or headache

Question 46

how do you wipe drainage from conjunctivitis

Answer 46

wipe drainage from inside to outside, inner canthus downward away from the opposite eye

Question 47

what do you use to diagnose meningitis

Answer 47

lumbar puncture

Question 48

how do you prevent Reyes syndrome in kids

Answer 48

do not give aspirin if they have a viral infection

Question 49

if the eyes are not symmetrical what could be wrong

Answer 49

if pupils are not symmetrical there is something wrong with the brain like increased ICP

Question 50

what is a febrile seizure? usually in what age group?

Answer 50

seizure due to rapid rise in body temperature, usually in 5 months to 6 years old

Question 51

a major s/s of meningitis is?

Answer 51

severe opisthotonos (involuntary arching of back)