Well-Child Care

Question 1

weight gain by 6 months? 1 year?

Answer 1

x2 birth weight at 6 months, x3 at 1 year

Question 2

when does the anterior fontanel close?

Answer 2

12-18 months

Question 3

when does the posterior fontanel close?

Answer 3

2-3 months

Question 4

when is color vision achieved?

Answer 4

6 months

Question 5

teeth

Answer 5

first at 6 months, new one monthly

Question 6

normal infant temp

Answer 6

36.5-37.5

Question 7

normal infant BP

Answer 7

80/40 - 99/64

Question 8

normal infant HR

Answer 8

110-160 newborn, 100-120 infant

Question 9

normal infant RR

Answer 9

30-60 newborn, 20-30 infant

Question 10

rooting reflex

Answer 10

gone after 4 months

Question 11

moro reflex

Answer 11

gone after 4 months

Question 12

palmar grasp reflex

Answer 12

gone after 4 months

Question 13

babinski reflex

Answer 13

gone after 1 year

Question 14

when does the pincer grasp develop

Answer 14

around 9 months

Question 15

trust vs mistrust

Answer 15

infants, infant signals need, parent responds

Question 16

infant language

Answer 16

3-5 words

Question 17

infant psychosexual phase

Answer 17

oral

Question 18

head control is achieved at…

Answer 18

0-3 months

Question 19

rolling is achieved at…

Answer 19

4-6 months, belly to back first

Question 20

sitting without support is achieved at…

Answer 20

8 months

Question 21

crawling/creeping is achieved at…

Answer 21

9 months

Question 22

walking is achieved at

Answer 22

10-12 months

Question 23

when should solid food be started?

Answer 23

6 months

Question 24

foods to avoid with infants

Answer 24

honey, whole milk, 100% fruit juice

Question 25

when is Hep B given

Answer 25

birth, 2 months, 6 months

Question 26

weight/height gain in toddlers

Answer 26

5 pounds/inches per year

Question 27

child can drop small objects into bottle at...

Answer 27

15 months

Question 28

child can throw ball without falling

Answer 28

18 months

Question 29

child can open doors, walk up steps

Answer 29

24 months

Question 30

child can copy/draw a circle

Answer 30

30 months

Question 31

autonomy vs shame & doubt

Answer 31

toddlers, give choices, set limits

Question 32

parallel play

Answer 32

toddlers

Question 33

observation

Answer 33

infants

Question 34

toddler psychosexual phase

Answer 34

anal

Question 35

when can potty training begin? why?

Answer 35

age 2 - sphincter control develops

Question 36

which vaxes cannot be given until 12 months, why

Answer 36

MMR and varicella (VAR), they're live

Question 37

clinical manifestations of lead poisoning

Answer 37

anemia, bone/teeth density loss, neuro issues, from ADHD to lethargy

Question 38

nursing interventions for lead poisoning

Answer 38

fluids, monitor I&Os

Question 39

preschool height/weight gain

Answer 39

5 pounds/year, 3 inches/year

Question 40

initiative vs guilt

Answer 40

preschool, accomplishment, practice, people pleasing

Question 41

associative play

Answer 41

preschoolers

Question 42

language considerations with preschoolers

Answer 42

take words literally, always asking WHY

Question 43

preschool psychosexual phase

Answer 43

phallic

Question 44

preschool cognitive development

Answer 44

fears begin, no understanding of time, imminent justice

Question 45

when is full vision achieved

Answer 45

6 years

Question 46

when do children begin to lose teeth

Answer 46

6 years

Question 47

industry vs inferiority

Answer 47

school age, achieving personal mastery/competence, competitive

Question 48

cooperative play

Answer 48

school age

Question 49

school age psychosexual phase

Answer 49

latent

Question 50

concrete operations

Answer 50

grade school - learning is their job

Question 51

what age do children begin to collect things?

Answer 51

school age

Question 52

invincible thinking

Answer 52

adolescence

Question 53

order of puberty in women

Answer 53

breasts, height spurt, hair growth, menses

Question 54

order of puberty in men

Answer 54

testes grow/drop, hair growth, height spurt

Question 55

identity vs role confusion

Answer 55

adolescents

Question 56

adolescent psychosexual stage

Answer 56

genital

Question 57

adolescent cognitive stage

Answer 57

formal operations - abstract thinking, future oriented

Question 58

rubella

Answer 58

rash, joint pain, fever, viral

Question 59

rubella considerations

Answer 59

stay away from pregnant women, viral - treat s/s

Question 60

measles

Answer 60

highly contagious & dangerous, viral, Koplik spots

Question 61

measles considerations

Answer 61

airborne precautions

Question 61

varicella

Answer 61

virus, itchy rash

Question 62

varicella considerations

Answer 62

skin care, avoid itching, must crust over before going back to school

Question 63

polio

Answer 63

viral, can cause paralysis/resp distress

Question 64

polio considerations

Answer 64

droplet precautions, viral

Question 65

mumps

Answer 65

swollen salivary glands, often causing dehydration

Question 66

mumps considerations

Answer 66

give IV fluids, easy to swallow foods, can cause deafness

Question 67

impetigo

Answer 67

bacterial, itchy rash around mouth, honey colored crust

Question 68

impetigo abx

Answer 68

topical abx (oral if severe), contact precautions

Question 69

diphtheria

Answer 69

bacterial, swollen painful throat, often causing dehydration

Question 70

diphtheria considerations

Answer 70

Bull's neck, fluids, abx, antipyretic

Question 71

pertussis

Answer 71

severe URI, coughs so forceful pt may vomit and be dehydrated

Question 72

pertussis considerations

Answer 72

droplet precautions, abx (erythromycin), fluids

Question 73

order of infant assessment

Answer 73

auscultate, palpate, examine, reflexes, temp & bp LAST

Question 74

how to assess a toddler

Answer 74

USE PLAY, let them mimic you, traumatic stuff last

Question 75

how to take a temp on an infant

Answer 75

axillary, rectal only when needed for treatment decisions

Question 76

how to take a temp on a toddler/preschooler

Answer 76

axillary, tympanic, temporal, rectal

Question 77

when can a temporal temp be taken

Answer 77

6 months

Question 78

fever medications

Answer 78

acetaminophen, no aspirin, ibuprofen only after 6 months

Question 79

when should an infant make eye contact

Answer 79

4 months

Question 80

nursing interventions for pediatric fever

Answer 80

remove blankets/clothing, cold washcloth, NO ICE

Question 81

when to use arms for BP

Answer 81

around preschool

Question 82

where should IM injections be administered

Answer 82

vastus lateralis in thigh

Question 83

where should turgor be assessed

Answer 83

on abdomen

Question 84

how many mLs in 1 tsp

Answer 84

5

Question 85

how many mL in 1 oz

Answer 85

30

Question 86

how many mL in 1 tbsp

Answer 86

15