Milestones
Respiratory
Safety
Erikson's Stages
Fluid & Electrolyte Imbalance
100

Most infants achieve this gross motor milestone around 6 months of age.

What is sitting with support?

100

The classic barking cough and inspiratory stridor are signs of this illness.

What is croup?

100

Infants should always be placed in this position for sleep.

What is on their back (supine)?

100

The developmental task for infants from birth to 18 months.

What is Trust vs. Mistrust?

100

The first clinical sign of dehydration in infants is often this finding

What is decreased urine output (or fewer wet diapers)

200

This developmental milestone usually occurs around 12 months and is often a child's first meaningful word.

What is saying "mama" or "dada" specifically (or first meaningful word)?

200

The priority nursing intervention for a child having an acute asthma attack is administering this medication.

What is albuterol (short-acting bronchodilator)?

200

The appropriate rear-facing car seat age recommendation is at least until this age.

What is 2 years old (or until maximum height/weight limits)?

200

Toddlers strive for independence during this psychosocial stage.

What is Autonomy vs. Shame and Doubt?

200

This isotonic solution is commonly used for initial fluid resuscitation in a child with severe dehydration or shock.

What is 0.9% Normal Saline (NS)

300

By this age, most children can ride a tricycle and speak in 3–4 word sentences.

What is 3 years old?

300

A 6-month-old infant with bronchiolitis has nasal congestion and difficulty feeding. The nurse should perform this intervention before feedings to improve the infant’s ability to breathe.

What is suctioning the nose with a bulb syringe or nasal suction device?

300

The nurse enters the room of a 2-year-old and finds the parent has lowered the crib rail to comfort the child. The priority nursing action is this.

What is raise the crib rails before leaving the room?

300

Adolescents work to establish a personal identity during this stage.

What is Identity vs. Role Confusion?

300

This electrolyte imbalance is most commonly seen in children with prolonged vomiting.

What is hypokalemia?

400

This fine motor milestone is expected around 9 months.

What is the pincer grasp?

400

A child taking this medication for asthma should rinse their mouth after use to prevent oral candidiasis.

What are inhaled corticosteroids (such as fluticasone)?

400

A nurse is preparing the room for a child receiving seizure precautions. This piece of equipment should be available at the bedside.

What is emergency equipment - suction equipment, oxygen and emergency medication sheet?

400

Preschoolers are developing imagination and leadership during this stage.

What is Initiative vs. Guilt?

400

This physical assessment finding is one of the best indicators of hydration status in an infant.

What is a sunken anterior fontanel?

500

A child who can hop on one foot, skip, and tie shoelaces is approximately this age.

What is 5–6 years old?

500

A nurse assesses a child with asthma and notes diminished or absent breath sounds, or "silent chest." This finding indicates this condition.

What is severe airway obstruction with minimal air movement?

500

A nurse finds the IV pump alarming "occlusion" while the parents are out of the room. The priority nursing action is this.

What is assess the child first (assess IV site, flush the IV, follow the line and make sure no areas are clamped)?

500

School-age children develop competence during this stage.

What is Industry vs. Inferiority?

500

Children with severe hyponatremia are at greatest risk for this life-threatening complication.

What are seizures?