Exam 1

Question 1

What is the job of healthy people 2030?

Answer 1

promotes health for children

Question 2

What kind of children are at the highest for mortality and morbidity?

Answer 2

children born preterm, very low birth weight and low birth weight

Question 3

Two main issues affecting childhood health?

Answer 3

Obesity and type 2 diabetes

Question 4

What is the nursing intervention for obesity in children?

Answer 4

prevention strategies to prevent overweight children, education

Question 5

Common causes of infant death?

Answer 5

Unintentional injury, motor vehicle crashes, and homicide

Question 6

What is atraumatic care?

Answer 6

use of interventions that minimize distress on children and their families

Question 7

What is evidence based practice?

Answer 7

combines knowledge with clinical experience to provide a rational approach to decision making

Question 8

What does PICOT stand for?

Answer 8

Population, intervention, comparison, outcome, and time

Question 9

Nonmaleficence

Answer 9

obligation to prevent harm

Question 10

Autonomy

Answer 10

patient’s right to self-governing

Question 11

beneficence

Answer 11

obligation to promote the patient’s well being

Question 12

justice

Answer 12

concept of fairness

Question 13

What is the leading cause of death in children over the age of 1 year?

Answer 13

motor vehicle accidents

Question 14

Family systems theory explains….

Answer 14

how families react to stressful events and suggest factors that promote adaptation to stress

Question 15

What is the developmental theory?

Answer 15

8 developmental tasks of family throughout its life span

Question 16

Stage 1 of Duvall’s development

Answer 16

Marriage and an independent home, reestablish couple identity and realign relationships with extended family

Question 17

Stage 2 of Duvall’s development

Answer 17

Families with infants; accommodate to new parenting, maintain marital bond

Question 18

Stage 3 of Duvall’s development

Answer 18

Families with preschoolers; parent and child adjust to separation

Question 19

Stage 4 of Duvall’s development

Answer 19

families with schoolchildren; children develop peer relations, adjust to school influences

Question 20

Stage 5 of Duvall’s development

Answer 20

Families with teenagers; autonomy, parents refocus on midlife and career issues

Question 21

Stage 6 of Duvall’s development

Answer 21

families as launching centers; parents and young adults establish independent identities

Question 22

Stage 7 of Duvall’s development

Answer 22

middle aged families; reinvest in couple identity, realign relationships to include in-laws and grandchildren

Question 23

Stage 8 Duvall’s development

Answer 23

aging families; shift from work role to leisure and retirement, prepare with own death and loss of spouse or siblings

Question 24

Blended/Reconstituted family

Answer 24

includes at least one stepparent, stepsibling, or half sibling

Question 25

Nuclear family

Answer 25

two parents and their children and can be biologic, step, adoptive or foster; parents are not married

Question 26

Traditional nuclear family

Answer 26

married parents and biologic children

Question 27

Extended family

Answer 27

at least one parent, one or more children and one or more members related or unrelated

Question 28

Some family nursing interventions

Answer 28

behavior modification, collaborative strategies, contracting, counseling, advocacy, role modeling, teaching strategies

Question 29

Authoritarian

Answer 29

parents control children's behavior and attitudes through unquestioned mandates

Question 30

Authoritative

Answer 30

democratic parents combine practices from both of the other parenting styles

Question 31

Positive reinforcement

Answer 31

rewarding for desired behavior

Question 32

Negative reinforcement

Answer 32

to extinguish behavior such as time-out, corporal punishment, or physical

Question 33

Effects of divorce on children

Answer 33

not doing well in school, problem sleeping

Question 34

Culture

Answer 34

a group with its value, beliefs, norms, laws, social relationships, and practices

Question 35

Cultural competence

Answer 35

understanding and respecting the influence of culture, race, and ethnicity on child-rearing and attitudes on health

Question 36

Subcultural influences

Answer 36

race and ethnicity, poverty and economy, parental education, land of origin and immigration

Question 37

4 things involved with developing cultural competence

Answer 37

self-awareness, attitude, knowledge, and skills

Question 38

ways to communicate with children

Answer 38

be developmentally appropriate, get on child's eye level, always be truthful, give the child choices, include play, use simple terms and questions

Question 39

Play can serve as a...

Answer 39

therapeutic intervention, stress reliever, pain reliever and distracter, barometer of illness

Question 40

Approaches to examining a child

Answer 40

alter head-to-toe sequence, least invasive to most, use play or parental assistance, minimize stress and anxiety

Question 41

Posterior fontanels close by...

Answer 41

6-8 weeks

Question 42

Anterior fontanels close by....

Answer 42

12-18 months

Question 43

Pain relief methods for teething

Answer 43

refrigerated pacifier, cold teething ring, acetaminophen, OTC teething gels

Question 44

Plagiocephaly

Answer 44

baby's head as a flattened appearance

Question 45

Newborns may loose up to [blank] % of birth weight by [blank] days of age

Answer 45

10%; 3-4 days of age

Question 45

Birth weight is regained by the [blank] day of life

Answer 45

10-14 days

Question 45

Birth weights double by [blank] months old

Answer 45

5

Question 45

Birth weight triples by [blank] months

Answer 45

12

Question 45

Birth length increases approximately [blank] cm per month for the first [blank] months

Answer 45

2.5 cm; 6 months

Question 45

Birth length increases [blank] % by [blank] months of age

Answer 45

50%; 12 months

Question 45

Piaget's sensorimotor stage is

Answer 45

birth to 24 months

Question 46

Separation

Answer 46

infants learn to separate themselves

Question 46

Object permanence

Answer 46

process by which infants learn that an object still exists when it is out of view

Question 46

Mental representation

Answer 46

ability to recognize and use symbols

Question 47

Separation anxiety occurs at what ages?

Answer 47

4-8 months

Question 48

Fear of strangers occurs at what ages?

Answer 48

6-8 months

Question 49

When are solid foods introduced?

Answer 49

6 months of age

Question 50

Infants sleep..

Answer 50

14 to 15 hours daily

Question 51

Nocturnal sleep pattern is established by

Answer 51

3-4 months of age

Question 52

Things to do to prevent burns

Answer 52

avoid warming formula in microwave, check temp of bath water, apply sunscreen to infants when exposed to sun, electrical outlets should be covered

Question 53

Purpose of vaccines

Answer 53

stimulate the immune system to produce antibodies against a specific disease

Question 54

At birth which vaccine do they receive?

Answer 54

Hep B

Question 55

At 2 months which vaccine do they receive?

Answer 55

DTaP, RV, IPV, Hib, PCV, Hep B

Question 56

When do kids get Hep A vaccine?

Answer 56

12-23 months and the second one 6-18 months after the first

Question 57

When do pregnant adolescents receive Tdap?

Answer 57

between 27-36 weeks; administer one dose with each pregnancy

Question 58

What do conjugate vaccine of Hib do?

Answer 58

connect hib to nontoxic form of another organism to improve to antibody response to Hib