Module 1 Growth and Development Care of the Hospitalized Child Flashcards
(142 cards)
1
Q
Growth and Development are interdependent and occur
A
Simultaneously
2
Q
Total process in which skills and potential emerge regardless of practice or training
A
Maturation
3
Q
growth and development beginning at the head and progressing downward toward the feet
A
Cephalocaudal
4
Q
growth and development progressing from the center of the body toward the extremities
A
Proximodistal
5
Q
Moro Reflex is the
A
Startle reflex
6
Q
Rooting reflex is the
A
Touch cheek, baby turns head in that direction
7
Q
Sucking reflex is the
A
touch lips, baby starts sucking movements
8
Q
Babinski reflex is the
A
Stroke foot upward, toes hyperextend
9
Q
Palmar grasp reflex is the
A
Newborn curls fingers around item in hand
10
Q
Tonic neck reflex is the
A
Fencing positions
11
Q
Stepping/Plantar reflex is the
A
standing them up and putting them down and they start to march
12
Q
Swimming reflex is the
A
when you put them on their stomach and they start to make swimming rotations
13
Q
Anterior Fontanel closes within
A
12-18 months
14
Q
Posterior Fontanel closes within
A
3-4 months
15
Q
If fontanel is sunken that is a S&S of
A
Dehydration
16
Q
If fontanel is bulging that is a S&S of
A
Cerebral Edema
17
Q
Hydrocephalus is
A
fluid in brain
18
Q
At birth B/P of the newborn is
A
Low
19
Q
At birth Pulse and Resp of the newborn is
A
High
20
Q
At approximately what age will the child’s vital signs be in adult range
A
At 10 years old
21
Q
Normal Pulse
A
110-150
22
Q
Normal Resp
A
30-60
23
Q
Normal B/P
A
60/40
24
Q
Which vital sign should we check first, and why
A
Resp, keep baby sleeping
25
According to Erikson In Infancy stage we look for
Trust vs mistrust
| Needs should be met in timely manner
26
According to Erikson In Early childhood stage we look for
Autonomy vs shame and doubt
| Needs loving support to develop independence
27
According to Erikson in Late childhood stage we look for
Initiative vs guilt
| Need to child freedom within boundaries
28
According to Erikson in School age we look for
Industry vs Inferiority
| Needs positive responses to concentrate on learning
29
According to Erikson in Adolescence we look for
Identity vs Role Confusion
| Need love and support to find place in society
30
Average weight for newborn
7.5 lbs
31
Average weekly weight gain for first 6 months
5-7 oz.
32
Average height
20 inches
33
Average height growth during first year
10 inches
34
Average head circumference
13-14 inches
35
Breast-fed infants should
eat more often
36
If newborn has any brothers or sisters it is important we encourage
sibling involvement
37
For safety purposes how should we place newborn to sleep
Position supine or side-lying
38
What is the minimum wet diapers per day
6-8
39
What vaccination should the newborn receive at birth
Hep B
40
Newborn infants usually sleep around
20 hours / day
41
During Months 1-3 the baby should grow
1" / month 5-7 oz / week
42
Newborns do not develop tears until
2 months
43
By the 6th month babies birth weight should
Double birth weight by 6th month
44
At how old should we be concerned if a baby isn't sitting
8 months
45
How should we introduce foods
1 new food every 4-5 days so we can check for allergies, abnormalities such as rash
46
At how old does it become a concern if a baby isn't walking
18 months
47
What should weight be by the 12th month
Triple
48
Iron pills in babies cause
black tarry stools
49
What are the stages in order for infant hospitalization that the baby will go through
Protest --> Despair --> Denial
50
When does teething begin
3-6 months
51
When can negativism begin
12 months
52
When do first primary teeth begin to show
6-11 months
53
How is dose for a child determined
Childs weight
54
How do you administer ear drops to a child under 3 years of age
Down and back
55
How do you administer ear drops to a child over 3 years of age
Up and back
56
What is the preferred IM Injection site for children
Vastus lateralis
57
The Gluteal muscle should not be used until
Child is adequately ambulating
58
When does the most change, development take place
Toddlerhood
59
Pulse and Resp of toddler should be
90-120 Pulse and 20-30 Resp
60
What is one stand out thing that toddlers aren't capable of
sharing
61
In the Preschool years the child begins to mimic the
same sex parent
62
Pulse and Resp of the Pre-schooler
90-110 Pulse and 20-30 Resp
63
What is the avg number of calories a Pre-schooler should have per day
1800
64
Imagination runs most wild in the
Pre-schooler
65
Girls vs boys begins in
School age
66
Vital signs for adolescents
80-100 Pulse 16-24 Resp
67
Toilet training should begin in what stage
Toddler
68
Sibling rivalry, Cooperative play begins at
Preschool
69
Children develop sexual curiosity at what age
4 years
70
How are room assignments grouped (3)
Age, Dx, Acuity
71
Define acuity
Level of illness
72
Children under 5 that are hospitalized should .... (2)
Have attendant with them at all times
| Don't use call bell
73
16 or 17 year old that by law can take care of themselves
Emancipated minor
74
What is the best pet for a child with asthma
Fish
75
During school age males and females do not
Want to be associated with each other
76
Pulse and Resp of Adolescence
Pulse 80-100, Resp 16-24
77
What is it called to shine light in eyes to measure brain activity
Perla
78
What kind of nasal drainage indicates bad
Green or thin
79
What are the 3 most common signs of raised temp
UTI, Respiratory infections, Ear infections
80
Before giving immunizations what allergy should we check for
Eggs
81
What is the preferred IM site
Vastus lateralis
82
What can giving aspiring lead to
Ray syndrome
83
What age should an infant be able to lift its head
Newborn
84
At what age should an infant be able to turn over
3-4 months
85
At what age should an infant be able to sit unsupported
7 months
86
What should happen to an infant's weight by 6 months
doubled
87
What should happen to an infant's weight by one year
tripled
88
Newborns should be fed every
2.5-4 hours
89
Posterior fontanel closes at
3-4 months
90
Anterior fontanel closes at
15-18 months
91
Primary teeth appear at
6 months
92
At about 15 months how many teeth does a toddler have
8-12 teeth
93
At what age should a child be able to kick a ball
15-18 months
94
What age do children begin to develop sexual curiosity
4 years
95
At what age should a child be able to brush its own teeth
3 years
96
The height and weight of the average 4 year old is
Height 39-41 inches
| Weight 35-40 lbs
97
At what age should a child have totally understandable speech
4 years
98
Obesity in 10-12 year olds starts to develop because of ________ and __________
inactivity and ravenous appetite
99
1 month - 14 months is considered
Newborn
100
When does teething begin
3-6 months
101
When does a child begin to fear strangers
7-9 months
102
15 months to 24 months is considered a
Toddler
103
Magical thinking begins at
4 years
104
3 years - 5 years is considered
Pre-school
105
6 years - 9 years is considered
School age
106
The most important nursing intervention to promote a positive hospital experience for a 1-month-old infant is
provision of consistent caregivers
107
The best foods for the nurse to recommend for a 2-year-old child diagnosed with mild constipation are
shredded wheat and cooked prunes
108
A group of children are observed playing house. Each child is assigned a specific role as mommy, daddy, or child. This type of play begins between
3 and 5 years old
109
Under 2 years what is the formula to remember how many teeth a child should have
Age in months - 6
110
After 3-4 days of life the newborns weight _________ by _______
decreases by 5-10%
111
We should encourage toothbrushing by age
1 year
112
Competitive games should be introduced at age
7-9 years
113
The startle reflex is also known as the
Moro reflex
114
What are the parameters for a rear facing car seat
Under 1 year or 22lbs
115
What is the normal resp rate of a 2 year old
25-30
116
Timeouts are calculated by
1 minute per year
117
A 4 year old is in Erikson's stage of
Initiative
118
The pulse of a school age child is
85-100
119
A major task by an adolescent as described by Erikson is
Finding an Identity
120
Growth can be defined as
physical increase in size
121
According to Erikson, what task would a 9 year old be completing
Industry
122
Theories of personality help the nurse
Provide individual health care
123
A 12 year old should be able to (speech)
say a few words
124
When does a child have a complete set of Deciduous teeth
30 months
125
Toilet training includes the child's ability to
control sphincter
126
The psychosocial task in a toddler is
Autonomy
127
The type of play seen in a two year old is
Parallel play
128
Toddlers resist sleep at night due to
Curiosity
129
Toddlers use what mechanism of action to deal with stress
Regression
130
The type of play seen at the preschool age is defined as
Associative play
131
According to Erikson when has a child developed initiative
When child tries new roles without feelings of guilt
132
Average intake of Preschooler is (calories)
1800
133
Sibling rivalry is best resolved by
Separating both children
134
During school age period sexual activity interest is
Dormant
135
The number of hours of sleep a 6 year old needs is
12
136
The first part of the body to show a growth spurt during puberty is
Feet
137
Which food should not be included in the diet of infants in order to prevent botulism
Honey
138
Parents of a 2-year-old child verbalize frustration over their child's behavior, which they describe as inconsistent, and that he frequently says no to their requests. The nurse informs them that
this is called negativism and is normal behavior
139
Toddlers usually recognize sexual differences by age
24 months
140
An 8-year-old girl will most likely want to play with
Another 8 year old girl
141
The time of adolescence that appears to be the time of greatest turmoil for most families is
Middle adolescence
142
If an adolescent asks the nurse which food is best to eat prior to taking an important chemistry test, what is the most appropriate recommendation
Fish and Rice
