Nursing: Growth and Development

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Questions and Answers

What is the primary purpose of studying growth and development in nursing?

  • To understand the importance of growth and development in children
  • To understand the importance of growth and development in adults only
  • To better understand the reasons for specific conditions and illnesses at various age groups (correct)
  • To learn how to measure growth and development quantitatively

What is the main difference between growth and development?

  • Growth is a rapid process, while development is a slow process
  • Growth is a qualitative measure, while development is a quantitative measure
  • Growth is a quantitative measure, while development is a qualitative measure (correct)
  • Growth refers to physical changes, while development refers to emotional changes

What is a fundamental principle of growth and development?

  • Growth and development are continuous processes (correct)
  • Growth and development only occur in childhood
  • Growth and development progress at the same rate
  • Growth and development are rapid processes

What is the role of health personnel in teaching mothers about growth and development?

<p>To help mothers understand how to use knowledge of growth and development to achieve optimal growth and development in their children (C)</p> Signup and view all the answers

What is true about the sequence of growth and development?

<p>The sequence of growth and development is predictable and universal (A)</p> Signup and view all the answers

What is the primary goal of formulating a plan for total care in nursing?

<p>To outline a plan for optimal care that is tailored to the individual's needs (B)</p> Signup and view all the answers

What is the primary purpose of crying in a newborn?

<p>To get adults' attention (B)</p> Signup and view all the answers

What is the score range for a newborn that usually needs no treatment?

<p>7-10 (C)</p> Signup and view all the answers

What is the typical heart rate of a newborn during the initial stage of the first period of reactivity?

<p>160-180 beats/min (A)</p> Signup and view all the answers

What occurs during the second stage of the first period of reactivity?

<p>The newborn's heart and respiratory rates decrease (D)</p> Signup and view all the answers

When does the second period of reactivity typically begin?

<p>When the newborn awakens from deep sleep (B)</p> Signup and view all the answers

What is the purpose of the Apgar scoring system?

<p>To evaluate cardiopulmonary function (B)</p> Signup and view all the answers

What is the purpose of measuring the popliteal angle?

<p>To assess the degree of knee flexion (C)</p> Signup and view all the answers

What is the characteristic of the skin at birth?

<p>Bright red and puffy (D)</p> Signup and view all the answers

What is the function of vernix caseosa?

<p>To protect the skin from infection (B)</p> Signup and view all the answers

What is the normal range of the popliteal angle?

<p>Less than 90 degrees (B)</p> Signup and view all the answers

What is the scarf sign used to determine?

<p>The location of the elbow in relation to the midline (A)</p> Signup and view all the answers

What happens to vernix caseosa within 24-48 hours?

<p>It dries off and fades spontaneously (C)</p> Signup and view all the answers

What is the duration of the fetal period?

<p>From 8 weeks to birth (B)</p> Signup and view all the answers

What is the age range for the pre-school stage?

<p>From 3 – 5 years of age (D)</p> Signup and view all the answers

During which stage does the individual lose 5% to 10% of their weight?

<p>Newborn stage (D)</p> Signup and view all the answers

What is the average length of a newborn boy?

<p>50 cm (A)</p> Signup and view all the answers

What is the typical gain in weight for a newborn in the first month?

<p>150/210 g weekly (B)</p> Signup and view all the answers

What percentage of the total body length is the head of a newborn?

<p>1/4 (D)</p> Signup and view all the answers

What is the purpose of the gagging reflex in neonates?

<p>To prevent choking (B)</p> Signup and view all the answers

At what week of pregnancy does the sucking reflex start to develop?

<p>32nd week (B)</p> Signup and view all the answers

What happens when a baby's head is turned to one side during the tonic neck reflex?

<p>The arm on that side stretches out and the opposite arm bends up at the elbow (B)</p> Signup and view all the answers

What triggers the Moro reflex in a baby?

<p>A loud sound or sudden movement (A)</p> Signup and view all the answers

What is the purpose of the rooting reflex in neonates?

<p>To help the baby find the breast or bottle to start feeding (A)</p> Signup and view all the answers

How long does the rooting reflex typically last in a baby?

<p>About 4 months (D)</p> Signup and view all the answers

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Study Notes

Human Development Stages

  • Fetal period: 8 weeks to birth (40-42 weeks of gestation)
  • Infancy period:
    • Newborn age: First 24 hours
    • Neonatal stage: From birth to 4 weeks (28 days)
    • Infancy stage: From 1-12 months of age
  • Early Childhood:
    • Toddler: From 1-3 years of age
    • Pre-school: From 3-5 years of age
  • Middle Childhood:
    • School age period: From 6-12 years of age
  • Late Childhood:
    • Prepubertal: 10-13 years old
    • Adolescence: 13-approximately 18 years old

Newborn Characteristics

  • Weight: 2.7-4 kg, losing 5-10% in the first 3-4 days
  • Length: Average boy's length is 50 cm, girl's is 49 cm (normal range: 48-53 cm)
  • Head circumference: 33-35.5 cm, may be smaller immediately after birth due to molding
  • Creases on the anterior two-thirds of the sole, and the sole is usually flat

Neonatal Reflexes

  • Protective reflexes:
    • Blinking reflex: aroused by light
    • Coughing and sneezing: to clear the respiratory tract
    • Gagging: to prevent choking
  • Feeding reflexes:
    • Rooting reflex: helps the baby find the breast or bottle to start feeding
    • Sucking reflex: occurs when the roof of the baby's mouth is touched
    • Swallowing reflex: follows sucking reflex
  • Moro reflex: a startle reflex that occurs in response to a loud sound or movement
  • Tonic neck reflex: when the baby's head is turned to one side, the arm on that side stretches out

Importance of Studying Growth and Development

  • Knowing what growth and development would be expected from the child and adult at any given age
  • Understanding the reason for particular conditions and illnesses that occur in various age groups
  • Formulating the plan for total care
  • Teaching mothers how to use such knowledge in achieving their children's optimal growth and development

Concepts of Growth and Development

  • Growth: an increase in physical size of the whole body or any of its parts
  • Development: a progressive increase in skill and capacity of function through maturation and learning

Principles of Growth and Development

  • Continuous processes
  • Predictable sequence, as all human beings go through the same stages
  • Different rates of growth and development

Apgar Score

  • Apgar score is 10, which indicates the state of cardiopulmonary function
  • Scores 4 or less indicate the child needs oxygen
  • Scores 7-10 indicate the child usually needs no treatment

Periods of Reactivity

  • First period of reactivity (6-8 hours)
    • Initial stage (30 minutes): The newborn is very alert and cries vigorously
    • Second stage (2-4 hours): The newborn is in a state of sleep and relative calm
  • Second period of reactivity (2-5 hours)
    • Begins when the newborn awakes from the deep sleep
    • Observe rapidity and intensity of recoil to a state of flexion

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