final exam pt 2

Question 1

how should food be served to a toddler to promote nutrition?

Answer 1

• at/near room temp
• soft foods
• cut into small, bit-size pieces
• finger foods preferred (autonomy)

Question 2

why does physiologic anorexia occur in toddlers?

Answer 2

growth rate slows, decreasing need for calories/protein/fluid as compared to infancy

Question 3

what are food jags? what intervention should be taken?

Answer 3

toddler prefers certain foods for a time period
do not giver/offer junk food

Question 4

what should the nurse note when they recognize a toddler is adamant about using the same dish, cup, spoon for meals?

Answer 4

ritualism

Question 5

which of the following is greater in toddlers, receptive language or expressive language?

Answer 5

receptive (can comprehend more than they can say)

Question 6

how many words are expected by 2 yr?

Answer 6

50-300

Question 7

what age group may echolalia be present in?

Answer 7

toddlers

Question 8

what age group is telegraphic speech common in?

Answer 8

toddlers

Question 9

at what age can a child begin to sit forward-acing in a car seat?

Answer 9

> 2yr

Question 10

what age is solitary play seen in?

Answer 10

infant

Question 11

what age is parallel play seen in?

Answer 11

toddlers

Question 12

what age is associative play seen in?

Answer 12

pre-schooler

Question 13

what age is cooperative play seen in?

Answer 13

school-age

Question 14

what age group would benefit from mobiles, noise-makers, soft toys and large blocks?

Answer 14

infants

Question 15

what age group would benefit from push-pull toys, lg-piece puzzles and balls?

Answer 15

toddlers

Question 16

what age group would benefit from board games, action figures, models and video games?

Answer 16

school-age

Question 17

what age group would benefit from arts/crafts, playing pretend and books?

Answer 17

pre-schoolers

Question 18

what age group would benefit from reading, listening to music and peer time?

Answer 18

adolescent

Question 19

which age would benefit from calming tone, therapeutic hugging and soothing music?

Answer 19

infant

Question 20

which age group would benefit from approaching carefully, use toys/books to distract and parallel play?

Answer 20

toddler

Question 21

what age group would benefit from puppets, play, touching equipment, allowing choices, simple terms, counting aloud and pretending to give their bear a shot?

Answer 21

pre- schooler

Question 22

what age would benefit from encouraging questions, using diagrams and illustrations?

Answer 22

school-age

Question 23

how much should birth weight increase by 5m?

Answer 23

doubles

Question 24

how much should birth weight increase by 1 yr?

Answer 24

triples

Question 25

how much should height increase by 6m?

Answer 25

1in/month

Question 26

how much does birth length increase by 12m?

Answer 26

50%

Question 27

what age are rolling from back to side, grasping objects with both hands and head control expected?

Answer 27

4m

Question 28

what age are rolling back to front and holding bottle expected?

Answer 28

6m

Question 29

what age are crude pincer, creeping and unsupported sitting expected?

Answer 29

9m

Question 30

what age are self feeding, simple marks, 2 block tower, walking w/hand and sitting from standing expected?

Answer 30

12 m

Question 31

what nutritional intervention is recommended for a breastfeeding-only infant after 4m?

Answer 31

iron supplementation

Question 32

what nutrition is recommended for the first 6 m?

Answer 32

breastfeeding

Question 33

how many calories should formulas provide?

Answer 33

20 cal/oz

Question 34

how much iron/liter is indicated in formulas?

Answer 34

10-12 mg/Liter

Question 35

which pre-school trait is characterized by the belief that thoughts are all powerful and an ability to satisfy curiosity through make-believe?

Answer 35

magical thinking

Question 36

which pre-school trait is characterized by the ability to understand the sequence of daily events in relation to the other events?

Answer 36

time

Question 37

what are common fears for pre-schooler?

Answer 37

loud noises dark hospitalization body mutilation

Question 38

which age is imaginative and dramatic play most helpful for?

Answer 38

pre-school

Question 39

which condition causes dry, itchy, inflamed skin in response to environmental factors, temp changes and sweating?

Answer 39

atopic dermatitis

Question 40

what may assist with itching for atopic dermatitis?

Answer 40

antihistamines at HS

Question 41

what behavior modification techniques can be used during the waking hours for atopic dermatitis?

Answer 41

- clickers - distractions - rewards

Question 42

what type of linens should be used with eczema?

Answer 42

100% cotton

Question 43

what type of material should be avoided for eczema?

Answer 43

synthetics and wool

Question 44

what meds are used for eczema?

Answer 44

topical corticosteroids tacrolimus (immune modulators)

Question 45

what is indicated by elevated neutrophils?

Answer 45

acute bacterial severe stressor

Question 46

what is indicated by elevated eosinophils?

Answer 46

allergic reactions

Question 47

what is indicated by elevated lymphocytes (B &T cells)?

Answer 47

viral infections chronic bacterial

Question 48

what are the 2 inflammatory markers?

Answer 48

ESR and CRP

Question 49

which immunoglobulin crosses the placenta and breastmilk and protects against viruses, bacteria and toxins?

Answer 49

IgG

Question 50

which immunoglobulin is the defense against resp, GI and GU pathogens?

Answer 50

IgA

Question 51

which immunoglobulin indicates an active infection?

Answer 51

IgM

Question 52

which immunoglobulin increases during allergic states and parasitic infections?

Answer 52

IgE

Question 53

what is indicated by an elevated complement C3?

Answer 53

active immune system from injury or infection

Question 54

which formula is used to calculate fluid administration based on TBSA burned?

Answer 54

parkland formula

Question 55

what chart is used to calculate TBSA?

Answer 55

Lund and Browder chart

Question 56

which condition is characterized by muscle/joint pain, mild neck stiffness, malaise, fever and erythema migrans?

Answer 56

lyme disease

Question 57

how long is abx therapy for lyme?

Answer 57

14-28 disease

Question 58

what 2 abx for lyme?

Answer 58

doxycycline >8 amoxicillin < 8

Question 59

how often should temp be assessed for fever management?

Answer 59

4-6 h

Question 60

how soon after antipyretic admin should temp be assessed?

Answer 60

30-60 mins

Question 61

how long does abx therapy last for acute OM?

Answer 61

10-14 days