communication & interviewing
What is the universal language of children?
Play
What is the sequence for measuring infant vital signs?
1. respirations
2. apical pulse
3. BP
4. temperature
Which reflex normally disappears around the time locomotion begins? (1 year)
the babinski reflex
For infants under 2 years, which pulse site should be used?
apical pulse for 1 full minute
Name one block to effective nurse communication?
Premature reassurance (or other barriers such as interrupting, socializing, cliches)
At what age should blood pressure measurements begin annually?
At 3 years
Name two primitive reflexes present at birth?
1. palmar grasp
2. plantar grasp
What is a normal breathing pattern is in normal in infants?
What is diaphragmatic and irregular
During assessment, a child freq. fidgets, yawns, and looks at the clock. What is happening?
When beginning an interview, why is it important to inform the family of confidentiality limits?
protect sensitive information while being transparent about mandatory reporting ( abuse, suicide )
To visualize the eardrum of an infant, in which direction should the pinna be pulled?
down and back
The blinking reflex disappears after 1 year (T or F)
False
Which organization's growth standard is used for children under 2?
WHO
A nurse tells a child, "Because you're a big boy, it won't hurt." Why is this inappropriate?
the nurse is building mistrust by being dishonest
Which communication technique helps children express perceptions of interpersonal relationships?
play therapy or observation through play
Which growth measurement best reflects brain development in infants?
Head circumference
What communication approach is best for a 10-year-old asking if a procedure will hurt?
Honesty- tell him it will hurt a little
When comparing pulses in infancy, which two should be checked simultaneously?
Radial and femoral
A nurse notes a child has an enlarged anterior fontanelle at 24 months. What does this suggest?
delayed closure. which may indicate hydrocephalus, or hypothyroidism
When using an interpreter, why should children not serve in this role?
violate cultural, ethical, and legal guidelines.
When does the anterior fontanel close?
between 12-18 months
Which developmental domain includes balance, coordination, and cerebellar function?
Neurological assessment
A nurse auscultates diminished breath sounds in an infant. What should this indicate?
A nurse assessing adolescent's sexual history should use which approach?
What is a direct yet respectful, confidential approach acknowledging cultural sensitivity?