Nursing Standard
Growth and Development
Supreme Vaccine
Healthy Beginnings
Epid
100
What is Health Promotion? How do nurses implement health promotion?
Directing action on the determinants of health is called. By ADVOCATING, MEDIATING AND ENABLING.
100
When is a child expected to recognize his/her mother?
What is 2 months?
100
What is the cold chain?
This refers to the temperature storage and transportation of vaccines.
100
When is a child ready for a forward facing car seat?
12 months, able to walk on their own and weighs at least 10 kg (22lb).
100
What is the difference between prevalence and incidence?
Prevalence: the accumulation of old and new cases Incidence: number of new cases in a specific time period and population
200
List 4 DOH that affect a single mother living in poverty.
Income and social status, Physical environment, Health practices and coping skills, Social support networks
200
Based on Erikson’s theory, what is the crisis that a four year old child faces? What are the favourable and unfavourable outcomes?
Initiative vs. Guilt. Favourable: Independence - initiate one’s own activities. Unfavourable: A sense of inadequacy to be on one's own.
200
If a vaccine is stored at 8.3 degrees Celsius, is this acceptable?
No, vaccines should be stored between 2-8 degrees. Bonus for 300 points: What are the proper steps for reporting vaccines that are not stored at correct temperature?
200
How much vitamin D is required in the first year for a newborn? List 5 food sources of vitamin D.
400 units in the winter and summer. Fatty fish, fortified cow’s milk, egg yolk, fortified fruit juice, and yogurt from fortified milk.
200
What is primordial prevention?
The focus on preventing emergence of risk factors known to create conditions for disease
300
List 4 areas of CARNA's STANDARDS of PRACTICE.
Professional responsibility, Knowledge based practice, Ethical Practise, Provision of Service to the Public
300
What stage is a 3 year old in according to Piaget's cognitive development theory? Describe the stage.
Pre- operations. Occurs between the ages of 2-7 years. Learns to use language and to represent objects by images and words. Thinking remains egocentric - difficulty taking the viewpoint of others. Can classify objects by a single feature.
300
An 4 month old baby comes to the clinic for their vaccines. Which vaccines are administered at 4 months and describe the landmarking.
DTap- IPV- Hib, Pneumococcal, Meningococcal, Rotavirus Vastus Lateralis: middle third of the anterior thigh and slightly lateral to the midline.
300
What is the bacteria that gets passed on from mother to baby through the transfer of saliva and what can it cause? Bonus: when should dental care for babies begin?
Streptococcus mutans which can cause cavities in babies. Dental care should start right away by wiping gums with a wet facecloth.
300
What is the goal of the Ottawa Charter for Health Promotion?
Empowering people to increase control over and improve their health. Conceptualization of empowerment as a component of health promotion.
400
List the 5 principles of Primary Health Care and which one is most difficult for nurses to practice.
Accessibility, Appropriate Technology, Intersectoral Collaboration, Public Participation and Health promotion and disease prevention.
400
A baby is born at 3200 grams. 7 days later, the baby weighs 2944 grams. Is this normal?
No. The baby lost 8% of its body weight. Losing 5-10% of their body weight is normal in the first 5 days of life, however after 5 days, it is expected that the baby begins to gain weight.
400
List 4 examples of live attenuated vaccines and the contraindications for this type of vaccine.
MMR-VAR, MMR, Varicella, Rotavirus. Contraindication: pregnancy and immunocompromised individuals.
400
How many voids and BM’s are normal in day 1, 2 and 6? What is the approximate volume of a newborn’s feeding and how often should they be fed?
Voids/BM - Day 1: 1 and 1, Day 2: 2 and 2, Day 6: 6 and 3 Newborn feeding: 7-15 mls every 2-3 hours.
400
What are the four measures of validity and describe each.
Specificity = If a person does not have the disease how often will the test be negative; Sensitivity = how accurately the test identifies the people with the condition; Positive predictive value = Of all the people who test positive, what is the proportion that actually are positive; Negative predictive value = Of all the people who test negative, what is the proportion that actually are negative
500
List the 5 health promotion strategies identified by the Ottawa Charter and an example of each.
Building healthy public policy (seat belts), Creating supportive environments (smoke free), Strengthening community action (funding initiatives), Developing personal skills (literacy skills), Reorienting health services (interdisciplinary)
500
A 2 months old baby, who was born at 34 weeks, comes into the healthy beginnings clinic for vaccinations. How do you accurately document the baby's growth on the growth chart?
The baby is 2 weeks behind. Term week (40) SUBTRACT the gestational age that the baby is born (34) = the baby is 6 weeks premature. At clinics visit, baby is 2 months old (8 weeks). 8 weeks SUBTRACT the # weeks baby is premature (6) =The baby is 2 weeks behind.
500
What is the difference between Syncope and Anaphylaxis and the treatment of each?
Syncope- sudden onset, drop in BP and HR, pale and clammy skin, diaphoresis. Treatment: place client in supine position and elevate legs, encourage deep breathing, juice. Anaphylaxis- onset 5-30 minutes, drop in BP, vasodilation - elevation in HR, bronchoconstriction - difficulty breathing, sensation of impending doom, “swollen tongue” Treatment: administer Epinephrine and oxygen.
500
What is the tool used to screen mothers for postpartum depression? What are the symptoms and criteria of a PPD diagnosis?
Edinburgh Postnatal Depression Scale (EPDS). Symptoms: Feelings of sadness/hopelessness and loss of interest. Change in eating and sleeping patterns, fatigue, difficulty concentrating. Criteria: If you have at least five of the above symptoms for 2 weeks or longer, and one of the symptoms is either sadness or loss of interest. PPD can happen up to 12 months following birth.
500
What is the recommended age of introducing solid foods and what are the signs that the baby is developmentally ready? Bonus: what should their cereals be fortified with and why?
6 months. Signs: can sit with support, good neck and head support, transition from using the sucking reflex to swallowing, demonstrates an interest in solids Bonus: IRON because the iron stores from mom have been depleted.
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