Intro to Nursing Exam 2 Blueprint
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Questions and Answers

What are the two openings in a newborn's skull called?

  • Occipital fontanel and temporal fontanel
  • Frontal fontanel and parietal fontanel
  • Lateral fontanel and medial fontanel
  • Anterior fontanel and posterior fontanel (correct)

The anterior fontanel closes at 2-4 months of age.

False (B)

Which theorist is credited with the concept of 'object permanence'?

  • Jean Piaget (correct)
  • Lawrence Kohlberg
  • Sigmund Freud
  • Erik Erikson

What is the term for the type of play where children play alongside each other, but don't interact directly?

<p>Parallel play</p> Signup and view all the answers

A toddler's chest is typically smaller than their head.

<p>False (B)</p> Signup and view all the answers

What is the term for the process of a child learning to control their bladder and bowels?

<p>Toilet training</p> Signup and view all the answers

What is the name for the curvature of the spine that can occur during adolescence?

<p>Scoliosis (A)</p> Signup and view all the answers

Adolescence is a period of rapid physical growth and development, but cognitive development has plateaued.

<p>False (B)</p> Signup and view all the answers

According to Erikson's theory, what is the major psychosocial task of adolescence?

<p>Identity vs. Role Confusion (B)</p> Signup and view all the answers

Middle adulthood is characterized by a decline in physical abilities and a shift towards introspective thinking.

<p>True (A)</p> Signup and view all the answers

Which theorist is associated with the concept of 'generativity vs. stagnation' in middle adulthood?

<p>Erik Erikson (A)</p> Signup and view all the answers

Older adults are more likely to experience a decline in cognitive abilities due to the natural aging process.

<p>True (A)</p> Signup and view all the answers

What is the name for the theory that describes the hierarchy of human needs, with physiological and safety needs at the base and self-actualization at the peak?

<p>Maslow's Hierarchy of Needs</p> Signup and view all the answers

What is the term for a visual diagram that illustrates the relationships within a family, including medical history and significant events?

<p>Genogram (A)</p> Signup and view all the answers

The roles within a family are always clearly defined and unchanging.

<p>False (B)</p> Signup and view all the answers

Flashcards

Cephalocaudal growth

Growth from head to tail. The head develops first and remains relatively larger than other body parts.

Progressive differentiation

Growing more unique through interaction with others. Understanding others helps us understand ourselves and vice-versa.

Proximodistal growth

Growth from the midline of the body outward to the extremities. It's symmetrical and sequential, but not all parts grow at the same rate.

Simple to complex development

Skills develop in stages, like standing before walking and walking before running. Language, as well as other skills, follow a similar pattern.

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Nature (growth)

Influence on growth comes from genetics. Tall parents typically have tall children.

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Nurture (growth)

Influence on growth comes from environment. Things like nutrition, sleep and upbringing impact growth and development.

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Kohlberg's theory

Theory of moral development, focused on how people make moral decisions. It looks at how thoughts about consequences influence moral choices.

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Piaget's theory

Theory of cognitive development, focused on mental processes as linked to brain and neural development and also psychosocial development.

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Erikson's theory

Psychosocial theory; A theory about how a person develops psychologically, focusing on how people adjust to different stages of life. It builds on Freud's psychosexual stages.

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Infant growth rate

Rapid growth in the first year, with a gain of 5-7 ounces per week in early weeks, and doubling/tripling in weight within the first year, as well as increasing in height.

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Infant Nutrition

Infants need around 110-120 calories/kg or 100 to 200 ml/kg, and should eat about 2 to 4 ounces of food every 3 to 4 hours.

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Infant sleep

Newborns need 18-22 hours of sleep, with occasional waking for feedings and diaper changes; 1-year-olds need 12 hours with 1-2 naps of 1-2 hours.

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Infant bonding

The emotional connection formed between the infant and caregiver, assessed by comfort and responsiveness to caregiver's actions and presence or absence of their touch.

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Object permanence

Understanding that objects continue to exist even when not visible; usually develops in a 9-14 month old infant.

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Parallel play

Children playing near each other but not interacting.

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Interactive play

Children playing together with interaction.

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Toddler language

Limited vocabulary and simple sentence structure in a toddler. Language progresses towards full sentences by age 4.

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Syncretic language

Few words with extensive meanings. Toddlers often imply more than the word itself.

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Toddler safety

Constant supervision; a child-proofed environment is essential. Removing hazards and ensuring safe space is critical.

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Toddler toileting

Usually starts around age 2 (at the earliest), requires cognitive understanding and nerve pathway myelination for appropriate bowel and bladder control.

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Toddler Autonomy

Develops through successful independent self-help skills.

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Oedipal Complex (Preschool)

Freud's theory: Child aligns with same-sex parent and competes for opposite sex parent's attention.

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Preschool Play

Play develops in creative, imaginative, and spontaneous ways. Mixes reality and fantasy.

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Preschool Initiative

The ability to perform actions independently, spontaneously, and creatively. Supported by confidence and encouragement from caregivers.

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Intuitive Thinking (preschool)

A type of thinking characterized by memory, beginning logical problem-solving capabilities, but limited understanding of concepts like 'conservation' and 'centering'.

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Study Notes

Intro Exam 2 Blueprint-2

  • The exam covers the entire Intro to Nursing textbook
  • It will be 100 multiple-choice questions and matching questions.
  • Review all chapters' questions, answers, and definitions at the end of each chapter.

Chapter 1 (Nature, Nurture)

  • Growth: Increase in size or number
    • Cephalocaudal: Head to tail (e.g., fetal development)
    • Progressive differentiation: Increasing uniqueness in development
    • Proximodistal: Midline to extremities (e.g., utero development)
  • Nature vs Nurture:
    • Nature (Susceptibility): Genetics largely influences traits and development. If parents are tall, offspring are more likely to be tall
    • Nurture (Exposure): Upbringing, nutrition, rest, psychosocial, and cognitive development are influenced by external factors.
  • Simple to Complex: Similar to the concept that one learns to speak single-words before sentences.
  • Major Theorists: Kohlberg, Piaget, Erikson
    • Kohlberg: Moral development (research primarily on males)
    • Piaget: Cognitive development (tied to Kohlberg's theory)
    • Erikson: Psychosocial development (tied to Freud’s psychosexual theory)

Chapter 2 (Infant)

  • Development: Increase in complexity or maturation of brain neuronal connections, muscle strength, flexibility, and endurance. Organs like kidneys, stomach, endocrine system develop
  • Schemas & Piaget Processes: Key stages from birth to adolescence.
    • Reflexive: (birth - 1 month)
    • Sensorimotor: (1 month - 2 years): primary and secondary circular reaction, object permanence, trial and error solution
    • Preoperational: (2 - 4 years) Language explosion, intuitive thought but limited, case and effect
    • Concrete Operational: (5 - 12 years) Hands-on learning, classifying, time, ranking, conservation of matter
    • Formal Operational: (13+) Abstract thinking.
  • Development Milestones: Defined milestones of child development
  • Apgar Score: Test of newborn health, assessed twice 1 minute, and 5 minutes after delivery; score range 0-10
  • Fontanel: Soft spots on the baby's head that close at different times.

Chapter 3 (Toddler)

  • Ages: 1 - 3 years of age
  • Play Styles:
    • Parallel play: Children play near each other but not with each other.
    • Interactive play: Children play together and interact.
  • Speech:
    • Vocabulary expansion
    • Putting words together
    • Full sentences by age 4
  • Safety:
    • Supervision (at all times)
    • Child-proof play environments
  • Physical Development:
    • Chest larger than the head. Limbs (arms and legs) grow faster than the trunk, causing a waddle.
    • Teeth erupt (16 teeth by 2 years)
  • Toilet Training:
    • Requires successful cognitive development (understanding expectations).
  • Developmental Issues:
  • Biting. Other behavior changes.

Chapter 4 (Preschool)

  • Ages: 3 - 5 years of age
  • Physical Development: Increased limbs and trunk proportion, growth in height and weight
  • Self Care: Dressing, feeding, using the restroom
  • Safety: Supervision, preventing injuries (swimming, cooking, medicines, sexual abuse)
  • Play: Developmentally appropriate play activities
  • Cognitive Development:
    • More concrete thinking
    • Limited abstract thinking

Chapter 5 (School Age)

  • Ages: 6 - 12 years of age
  • Physical Development: Slimmer and taller, size and proportion become more adult-like, physical changes.
  • Nutrition: Increase in caloric needs due to energy level. Important to avoid unhealthy high-sugar content meals
  • Sleep: 10-12 hours per night sleep
  • Cognitive Development:
    • Concrete operational thinking
    • Conservation of matter
    • Logical reasoning

Chapter 6 (Adolescence)

  • Ages: 12 - 18 years of age
  • Physical Developments: Growth spurt, primary and secondary sex characteristics
  • Social Development: Peer pressure
  • Cognitive Development: Formal operations
  • Health Issues: Risky sexual practices, domestic abuse, suicide, STI and unintended pregnancy
  • Mental Health Issues: Peer pressure, emotional stressors, mental health

Chapter 7 (Young Adult)

  • Ages: 18 - 35 years of age
  • Physical Development: Peak physical development occurs, and usually is the prime for physical performance
  • Mental Development: Cognitive awareness is at its peak. Mental capacity and abilities are at maximum. Formal operations.
  • Health Issues: Increased domestic abuse risk, sexual abuse, and suicide.
  • Family Dynamics: Developing family unit, starting a career, maintaining one's place in society while contributing as a member of a community

Chapter 8 (Middle Age)

  • Ages: 36 - 64 years of age
  • Physical Changes: Thinning and greying of hair, decrease in physical strength, age spots, possible changes in vision and hearing, decline in body mass.
  • Health Issues: Increased risk of chronic diseases, and physical changes
  • Mental Changes: Maintain cognitive processes and memory skills.
  • Family Dynamics: Maintaining relationships, retirement, raising children in the past

Chapter 9 (Older Adult)

  • Ages: 65+ years of age
  • Physical Changes: Vision, hearing, and mobility changes. Decline in physical capabilities.
  • Health Issues: Multiple health concerns (cardiovascular disease, cancer risks, type 2 diabetes)
  • Mental Changes: Wisdom, experiences, and knowledge, but cognitive changes are also present.
  • Family Dynamics: Retirement, relationships with family members, maintaining an active social life

Chapter 10 (Family)

  • Types of Families: Various family structures, including traditional, re-constituted, LGBTQ, or extended families.

  • Maslow's Hierarchy of Needs: Hierarchy that includes physiological, safety, belonging, esteem, and self-actualization needs. Charts the progress of a family, community, society and the well-being of everyone.

  • Genograms: Tools for analyzing familial medical history, patterns, and traits to identify risks of diseases, addictions, etc. Displays generational relationships, and health risks.

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Prepare for the Intro to Nursing Exam with this comprehensive quiz covering all chapters of the textbook. Test your knowledge on key concepts such as growth, nature vs nurture, and major theorists in the field. Ideal for reviewing multiple-choice and matching questions.

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