Foundations
Choose all that apply related to nursing interventions with children and their families:
a)Do everything for the family. They need a break.
b)Connect family with resources for family adaptation.
c) Assess parent-child interactions.
d) Assist family in understanding growth and development needs.
e) Respect family diversity
f) Assist families to adapt to needs of child with a health problem
Assist families to participate in care as appropriate.
Choose all that are apply for normal infant motor development:
a) 5 mo rolls from front to back and can hold items and put in mouth
b) 8 mo can sit unassisted and pincer grasp items
c) 2 mo old can lift head off mattress when prone, holds hands in open position, grasp reflex disappearing
d) 9 mo creeps on hands and knees instead of crawling, pulls to standing position, pincer grasp is more precise
ALL are CORRECT
CDC recommends this for healthy infants (less than 12 months of age):
This immunization at Birth
What is Hepatitis B (Hep B)?
These are all normal motor skills for a child this age:
Skips and hops on one foot; throws a ball overhead; catches ball reliably
What is FOUR YEARS OLD?
These are appropriate Nursing Interventions for this age group (choices: infant, toddler, preschooler, school-age, adolescent):
Provide factual information; encourage child to express feelings; maintain normal routine for long hospitalizations, including school work; encourage contact with peer group.
What is SCHOOL-AGE?
The anterior of these closes by 12 to 18 months of age. The posterior closed by 6 to 8 weeks of life.
What are the anterior and posterior FONTANELS?
This is known as the sensorimotor phase - birth to 24 months
What is PIAGET?
Separation - learns to separate from other objects in environment
Object permanence: Learns objects exist when hidden out of view
Mental representation: Recognizes and uses symbols
CDC recommends this for healthy infants (less than 12 months of age):
Immunizations at 2 month visit
What is diphtheria and tetanus toxoids and pertussis (DTaP), rotavirus vaccine (RV), inactivated poliovirus (IPV), Haemophilus influenzae type B (Hib), pneumococcal vaccine (PCV), and Hep B
Wow - that's a lot!
These are appropriate fine motor skills for a child this age:
Builds tower of nine to ten cubes; imitates cross when drawing; cannot draw a stick figure, may draw a circle with facial features
What is THREE YEARS OLD?
These are appropriate Nursing Interventions for this age group (choices: infant, toddler, preschooler, school-age, adolescent):
Provide consistency in caregivers; encourage parents to provide routine care; encourage autonomy by giving appropriate choices
What is TODDLER?
Children get their first of these between 6 and 10 months and have 6-8 of them by the end of the first year. For children under 2 years old, they have this number of these in months minus 6.
What are TEETH?
This developmental phase is characterized by trust vs. mistrust.
Bonding, separation anxiety (4-8 mo), Fear of strangers (6-8 mo)
Discovers mouth produces pleasure, smiling causes reaction in others, and hands and feet are objects of play
CDC recommends this for healthy infants (less than 12 months of age):
immunizations at 4 months
What is:
DTaP, RV, IPV, Hib, PCV
Appropriate motor skills for this age child:
Jumps rope; walks backward with heel to toe; moves up and down stairs easily; throws and catches ball with ease; ties shoelaces; uses pencil well; prints some letters; draws most of a stick figure
What is FIVE YEAR OLD?
These are appropriate Nursing Interventions for this age group (choices: infant, toddler, preschooler, school-age, adolescent):
Provide factual information; include in planning of care to relieve feelings of powerlessness and lack of control; encourage contact with peer group
What is ADOLESCENT?
The nurse should measure these three things on all infants and plot them on a graph.
What is HEIGHT (measure recumbent length, not tape measure), WEIGHT (to nearest 10 grams, naked), and HEAD CIRCUMFERENCE (at widest point)?
Identify issues less than 5% or more than 95%
True or false
Newborn infants require medical visit with provider within 72 hours of discharge.
TRUE
CDC recommends this for healthy infants (less than 12 months of age):
Immunizations at 6 months
What is:
DTap, IPV (6-18 months), PCV, and Hep B (6-18 months); RV; Hib
All appropriate for this age child:
Alternates feet when going up and down stairs; rides a tricycle; jumps off bottom step; stands on one foot for a few seconds
What is THREE YEARS OLD?
These are appropriate Nursing Interventions for this age group (choices: infant, toddler, preschooler, school-age, adolescent):
Place near nurses station if parents not present; provide consistent caregivers
What is INFANT?
True or False:
Infants may lose up to 10% of birth weight by 3-4 days of age.
TRUE
Choose all that apply for normal development:
a) Crying is first form of verbal communication
b) Coos and babbles; turns head to sound by 8 months
c) laughs aloud by 4 months
d)comprehends 'no' by 9 months
e) Three to five words other than 'dada' or 'mama' by 6 months
ALL are CORRECT except:
b) Coos and babbles; turns head to sound by 3 months
and
e) Three to five words other than 'dada' and 'mama' by 12 months
CDC recommends this for healthy infants (less than 12 months of age):
Immunizations at 6-12 months
What is:
seasonal influenza vaccination yearly (the trivalent inactivated influenza vaccine is available as an intramuscular injection)
Always refer to CDC website (www.cdc.gov) for latest immunization requirements and schedules
These are appropriate fine motor skills of this age child:
Uses scissors; laces shoes; copies square, traces cross and diamond
What is FOUR YEARS OLD?
These are appropriate Nursing Interventions for this age group (choices: infant, toddler, preschooler, school-age, adolescent):
Explain all procedures using simple, clear language; avoid terms that can be misinterpreted; encourage self-care; encourage expression of feelings; validate concerns and fears; provide toys and release of feelings of protest; give choices when possible; allow to handle equipment if it is safe
What is PRESCHOOLER?