Development
A 2-year old weighed 7lbs at birth - how much should the child weigh now?
28lbs (4x birth weight at 2 years)
What vaccines are LIVE ? Who shouldn’t receive these vaccinations?
Varicella - Zoster (chicken pox). Influenza (flu shot). MMR (measles, mumps, rubella). Rotavirus.
DO NOT give to low immune systems: cancers, chemo and radiation, immunosuppressants, IVIG, pregnancy.
What is the best way to explain a surgical procedure to a 4year old?
Show on a doll first! (Animism)
Risk factors for SIDS include…..
Smoking, sleeping on stomach, prematurity
You note that when a finger is placed under the toes of a newborn, the toes will curl downward. This is known as the _____ reflex.
Plantar Grasp Reflex
Immunization(s) given at birth:
ONLY HepB
Your patient is 6months old. According to Erikson’s stage of development, this patient is in what stage?
Trust vs Mistrust
What components should be included in a family assessment?
Stressors and support systems. Child’s physical growth. Parent’s education level. Medical history.
You’re assessing a 10 month old infant. You note on examination the anterior fontanelle is open.
Is this normal? And Why?
Document this as a normal finding because this fontanelle closes at about 18 months.
Immunizations given at 2months, 4months, and 6months:
True or False:
Preschool age children often practice animism in their play.
TRUE (teddy bears, dolly, etc).
Hair that appears dry, brittle, dull, and stringy may indicate what in a child?
Nutritional Deficiency
Tanner Stages can be used to help determine an adolescent’s stage of puberty. You have a 13-year-old female patient. What information does the nurse need to collect in order to use this scale for puberty determination?
Pubic hair growth And breast development
True or False:
The MMR vaccine is appropriate for a 13month old.
True (MMR given after 1year old).
Your patient is 7-years-old. What stage of psychosocial development, according to Erikson’s Theory, should this child be in?
Industry vs inferiority
With accidental poisoning it is best to call poison control before administering medications or treatment.
TRUE (bc different poisons may require different mechanisms)
A 15-year-old patient is struggling with body image. The patient verbalizes they are not happy with how they look and feel “ugly”. The nurse knows that what factors below can affect an adolescent’s body image?
Peers, Puberty changes, competitive
In order to get the flu shot, a patient must be at least how old?
6 months old (admin annually after that).
According to Erikson’s Stages of Psychosocial Development, the adolescent is in the ________ vs. __________ stage with a goal to develop _______
Identity vs role confusion; fidelity
A 10 year old is hospitalized for the treatment of a broken arm. The child is becoming restless and bored. The nurse asks the child if they would like to do an activity. What activity(s) would be appropriate for this child?
Watch a movie