Exam 1

Question 1

Infant Erikson Stage

Answer 1

Trust v. Mistrust

Question 2

Infant Ages

Answer 2

Birth - 1yr

Question 3

Toddler Erikson Stage

Answer 3

Autonomy v. Shame & Doubt

Question 4

Toddler Ages

Answer 4

1-3 yr

Question 5

Preschool Erikson Stage

Answer 5

Initiative v. Guilt

Question 6

Preschool Ages

Answer 6

3-6 y

Question 7

School-age Erikson Stage

Answer 7

Industry v. Inferiority

Question 8

School-age Ages

Answer 8

6-10 y

Question 9

Adolescent Erikson Stage

Answer 9

Identity v. Role Confusion

Question 10

Adolescent Ages

Answer 10

10-18 y

Question 11

Infant Physical Milestones

Answer 11

Weight Doubles by 4mo, Triples by 1y
Height Increase by 50% in 1y
Gross Motor = Rolling Over
Fine Motor = Pincher Grasp

Question 12

Infant Play Style

Answer 12

Solitary Play

Bright, Shiny, Colors, Patterns

Question 13

Toddler Physical Milestones

Answer 13

Walking, Climbing, Running, Tricycle (by 3)

Language starts at 12, can understand most sentence and speech by 3y

Question 14

Toddler Psychosocial Notes

Answer 14

Temper Tantrums (Treat like seizure = safety!)
Have security item like blankie/stuffy, picky eaters
Provide choices
Potty train when they show interest

Question 15

Toddler play style

Answer 15

Parallel play - play next to each other but separately

Question 16

Preschooler Psychosocial Notes

Answer 16

Magical Thinking can be pos or neg
Wants to please parents, begins to develop a conscience.
Tie shoes around 5YO
Establish a routine
Might view treatment as punishment

Question 17

Preschooler play style

Answer 17

Associative play -> play together, domestic mimicry

Question 18

School Age Psychosocial Notes

Answer 18

All 20 teeth lost, Tanner Stages might begin
Group Play/Team Sports
Scared of kidnapping/surgery
Crave praise and accomplishment -> sticker chart, rewards
Can start teaching self treatments like insulin injections

Question 19

Rehydration Goal

Answer 19

50-100 mL/kg over 4 hours

Question 20

Hemoglobin normal lab values in g/dL

Answer 20

Nonpregnant: 12 - 16
Pregnant: 11.5 - 14

Question 21

Hematocrit Normal Lab Values in PCV, %

Answer 21

Nonpregnant: 37 - 47
Pregnant: 32 - 42

Question 22

WBC Normal Labs in total per mm^3

Answer 22

Nonpregnant: 4.5k - 10k

Question 23

Fasting Glucose Normal Lab Value, in mg/dL

Answer 23

Nonpregnant: 70 - 80
Pregnant: 65

Question 24

2 hour postprandial (post meal) Glucose normal lab values, in mg/dL

Answer 24

Nonpregnant: 60 - 110
Pregnant: <140

Question 25

What effect does pregnancy have on lab values

Answer 25

All go down except WBC which goes up.

Question 26

List the 7 Cardinal Movements of Labor

Answer 26

``` Engagement Descent Flexion Internal rotation Extension External Rotation (Restitution) Expulsion ```

Question 27

Acceptable blood loss during delivery

Answer 27

500 mL for vaginal birth, 1L for c-section.

Question 28

Presumptive Signs of Pregnancy

Answer 28

Fatigue, Breast Tenderness, Nausea and Vomiting, Amenorrhea, Polyuria, Hyperpigmentation of Skin, Fetal Movements (quickening), Uterine Enlargement, Breast Enlargement

Question 29

Probable Signs of Pregnancy

Answer 29

Braxton Hicks Contractions, Positive Pregnancy Test, Abdominal Enlargement, Ballottement, Goodell's Sign, Chadwick's Sign, Hegar's Sign

Question 30

Positive Signs of Pregnancy

Answer 30

Ultrasound verification of embryo or fetus Fetal movement felt by experienced clinician Auscultation of fetal heart tones via doppler

Question 31

First Trimester Pregnancy Danger Signs

Answer 31

Spotting or bleeding, painful urination, severe persistent vomiting, fever > 100, Lower abd. pain with dizziness and shoulder pain

Question 32

Second Trimester Pregnancy Danger Signs

Answer 32

Regular Contractions, Pain in Calf, | Gush or Leakage of fluid, No fetal movement for >12 hr

Question 33

Third Trimester Pregnancy Danger Signs

Answer 33

Sudden weight gain, periorbital or facial edema, severe upper abd. pain, headache with visual changes, decrease in fetal movement, any and all previous signs

Question 34

First Trimester Pregnancy Discomforts

Answer 34

Urinary Frequency or incontinence, fatigue, nausea/vomiting, | breast tenderness, constipation, stuffiness, bleeding gums, epistaxis (nosebleed), cravings, leukorrhea

Question 35

Second Trimester Pregnancy Discomforts

Answer 35

Backache, varicosities of the vulva and legs, hemorrhoids, flatulance and bloating

Question 36

Third Trimester Pregnancy Discomforts

Answer 36

Return of First Trimester discomforts, SOB & Dyspnea, heartburn and indigestion, dependent edema, braxton hicks contractions

Question 37

Expected Pregnancy Weight Gain Based on BMI

Answer 37

Healthy BMI = 25-35 lb Low BMI = 28-40 lb High BMI = 15-25 lb

Question 38

Signs of Labor

Answer 38

Cervical Changes (Dilation and Effacement [thinning]) Lightening (fetal part descends into pelvis) Increased Energy Level Bloody Show Contractions Stronger Rupture of Membranes

Question 39

Fetal Heart Rate Variability Ranges

Answer 39

No variability -> Absent <5 bpm = Minimal 5-25 = Moderate >25 = Marked