Peds Exam 1 - Growth and Development Skills
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Questions and Answers

What growth and development skills go along with a 4-year-old? (Select all that apply)

  • Ties shoes, dresses without help, and skips on alternate feet
  • Undresses without help and walks down stairs without help
  • 2100 word vocabulary, beginning cooperative play, and runs well
  • Brushes teeth, 1500 word vocabulary, and can lace their own shoes (correct)
  • At what age should routine lab work of Hb/Hct be performed? (Select all that apply)

  • Between 6 and 9 months and again between 12 and 18 months (correct)
  • Between 18 months and 2 years and again between 4 and 6 years
  • After 18 months
  • Between 2 and 4 months and again at age 5
  • At what age can children begin receiving their yearly influenza vaccine?

  • Beginning at 2 months
  • Beginning at 6 months (correct)
  • Beginning at 5 years old
  • Beginning at 2 years old
  • Which of the following is not an example of a behavior exhibited by an adolescent related to divorce?

    <p>Panic reactions</p> Signup and view all the answers

    The nurse is planning care for a pediatric patient with a different ethnic background from the nurse's own. The most appropriate goal for the nurse in caring for this patient is:

    <p>Adapt, as necessary, ethnic practices to health needs</p> Signup and view all the answers

    Which is an important consideration when using the FACES Pain Rating Scale with children?

    <p>The scale can be used with most children as young as 3 years of age</p> Signup and view all the answers

    Mild cases of cognitive impairment are primarily associated with:

    <p>All of the above</p> Signup and view all the answers

    How should a nurse care for a hospitalized cognitively impaired child?

    <p>Mutual participation in planning the child's care</p> Signup and view all the answers

    Which of the following symptoms would you expect to see in a child with lead poisoning?

    <p>Sleepiness</p> Signup and view all the answers

    A 2-year-old is in for a yearly check-up. What would the nurse expect the toddler to have a fear of?

    <p>Animals, strangers</p> Signup and view all the answers

    A 6-month-old just received a DTaP injection. Which of the following is a serious side effect?

    <p>Continuous screaming</p> Signup and view all the answers

    A preschooler has sexual curiosity, and the parents are concerned. The parents ask the nurse for help in dealing with the situation. What is an appropriate response from the nurse?

    <p>Tell the parents to tell the child to ask questions and encourage the child to engage in other activities</p> Signup and view all the answers

    Identify which response is appropriate from a nurse who is constantly answering with 'No.'

    <p>'I am going to take your temperature now.'</p> Signup and view all the answers

    Study Notes

    Growth and Development in Children

    • A 4-year-old typically brushes teeth, has a vocabulary of 1500 words, and can lace shoes.
    • Routine lab work for hemoglobin and hematocrit should occur between 6-9 months and again 12-18 months of age.
    • Yearly influenza vaccination can begin at 6 months of age.

    Adolescent Behavior and Emotional Responses

    • Adolescents may worry about themselves, their parents, and siblings during family changes such as divorce.
    • Panic reactions are more common in middle school-aged children (6-8 years).

    Culturally Competent Care

    • When caring for pediatric patients from different ethnic backgrounds, it’s essential to adapt ethnic practices to meet health needs.

    Pain Assessment in Children

    • The FACES Pain Rating Scale can be effectively used for children as young as 3 years old.

    Cognitive Impairment

    • Mild cognitive impairment can be associated with all types of causes: familial, social, and environmental.

    Nursing Care for Cognitively Impaired Children

    • Engage in mutual participation in care planning for hospitalized cognitively impaired children.

    Lead Poisoning Indicators

    • Symptoms of lead poisoning in children include excessive sleepiness.

    Toddler Fears

    • A 2-year-old may exhibit fears of animals and strangers.

    Immunization Side Effects

    • Serious side effects following a DTaP injection in a 6-month-old can include continuous screaming.

    Addressing Sexual Curiosity in Preschoolers

    • Encourage parents to support their child's sexual curiosity by promoting questions and engaging them in alternative activities.

    Effective Communication with Children

    • A nurse should communicate clearly and directly, such as stating, "I am going to take your temperature now," instead of offering choices that could lead to feelings of denial or frustration.

    Common Sources of Stress in Adolescence

    • Common stressors include decision-making, peer relationships, and academic pressures (details to be provided in further studies).

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    Description

    Test your knowledge on the growth and development skills of a 4-year-old child with this flashcard quiz. Each question will challenge your understanding of key developmental milestones and abilities typical for this age group.

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