(pg 108) RN's Care and Reflexes Assessment

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Questions and Answers

What is the recommended age range for a preschooler?

  • 3-6 years (correct)
  • 1-3 years
  • 4-7 years
  • 2-4 years

Which of the following is a red flag for an infant's developmental milestones?

  • Attempts by infant to lift head when lying facedown
  • Good weight gain
  • Extreme floppiness (correct)
  • Crawling by 14 months

What are the signs of separation anxiety that nurses should watch for in infants?

  • Difficulty when separated from caregivers (correct)
  • Excessive weight gain
  • Responding to loud noises
  • Avoiding eye contact with caregivers

Why is it important for nurses to meet the needs of both infants and families during hospitalization?

<p>To promote effective care and support (B)</p> Signup and view all the answers

What is the recommended timeframe for an infant check-up after discharge?

<p>72 hours (A)</p> Signup and view all the answers

At what age does a baby typically begin to raise and support their head?

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

When does a baby usually begin to sit unsupported?

<p>6 months (A)</p> Signup and view all the answers

Which of the following is a sign of psychosocial/cognitive development in babies?

<p>Expressing frustration and anger (C)</p> Signup and view all the answers

What is a common milestone related to language acquisition in babies around 9 months of age?

<p>Saying 'dada' and 'mama' (D)</p> Signup and view all the answers

What age range do babies typically display stranger anxiety?

<p>6-9 months (A)</p> Signup and view all the answers

Which milestone is associated with sensory development in babies?

<p>Responding to parent's voices (A)</p> Signup and view all the answers

At what age do females typically experience a growth spurt?

<p>10-12 years (D)</p> Signup and view all the answers

Which type of screening is NOT typically included in health screenings for school-aged children?

<p>Dental check-up (A)</p> Signup and view all the answers

What developmental stage is characterized by the conflict of Industry vs. Inferiority, according to Erikson's theory?

<p>Industry vs. Inferiority (D)</p> Signup and view all the answers

Which of the following is NOT a concern related to nutrition in school-aged children?

<p>Anemia (C)</p> Signup and view all the answers

Which of the following is a safety concern specifically mentioned for school-aged children?

<p>Choking hazards (D)</p> Signup and view all the answers

What is a common focus of nursing implications for hospitalization in school-aged children?

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

At what age does the 'tonic neck' reflex typically disappear in infants?

<p>6-8 months (C)</p> Signup and view all the answers

Which reflex is considered normal in infants when they feel startled or like they are falling?

<p>Moro/startle reflex (C)</p> Signup and view all the answers

What happens to the big toe during the Babinski reflex in infants?

<p>It bends back toward the top of the foot (C)</p> Signup and view all the answers

Which reflex involves the corresponding arm extending while the other arm bends when an infant's head is turned to the right or left?

<p>Tonic neck reflex (B)</p> Signup and view all the answers

What does an infant typically do during the Moro/startle reflex?

<p>Extend arms and legs (A)</p> Signup and view all the answers

Why is it important to assess children from least to most invasive procedures?

<p>It follows a standard protocol in pediatric assessments. (D)</p> Signup and view all the answers

Why are pediatric vital sign ranges age-specific?

<p>To ensure safe and accurate assessment based on age-related norms. (B)</p> Signup and view all the answers

Why is blood pressure usually not taken on children under 3 years old?

<p>It can cause discomfort and anxiety in young children. (C)</p> Signup and view all the answers

How should tympanic temperatures be taken for children under 3 years old?

<p>Gently pull the lobe down. (B)</p> Signup and view all the answers

Why is it important to encourage contact with peer groups for hospitalized adolescents?

<p>To provide emotional support and reduce isolation. (A)</p> Signup and view all the answers

Why do children generally have weaker abdominal muscles compared to adults?

<p>To accommodate their belly breathing pattern. (C)</p> Signup and view all the answers

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Study Notes

Safe Sleep Positioning and Equipment Recalls

  • Ensure safe sleep positioning to prevent SIDS
  • Check for toy and equipment recalls to prevent injuries

Infant Developmental Milestones and Concerns

  • Check for improvements in head control and response to loud noises
  • Red flags: no attempts to lift head, extreme floppiness, lack of response to sounds or visual cues, poor weight gain
  • Milestones: crawling by 12 months, responding to caregiver's eyes, and achieving developmental milestones

Infant and Family Care

  • Priority nursing implications: hospitalization, medication administration, meeting needs of infant and family, and addressing separation anxiety
  • Anticipatory guidance: medication administration, bathing, handling, developmental milestones, car seat safety, blood lead level screenings, injury prevention, and immunizations

Toddler and Preschooler Development

  • Toddler age range: 1-3 years
  • Preschooler age range: 3-6 years
  • Normal vital signs: temperature, pulse, respirations, and blood pressure

Physical Assessment and Growth Development

  • Adapt care to child's stage of growth and development
  • Height and length measurements: how many inches per year
  • Critical component: reflexes (tonic neck, Moro, and Babinski)
  • Reflexes disappear at specific ages: 4-6 months (tonic neck and Moro), 1 year (Babinski)

Language Acquisition and Sensory Development

  • Language acquisition: cooing, babbling, "dada" and "mama", and understanding words
  • Sensory development: hearing, vision, and responding to sounds and visual cues
  • Head control and sitting: 4-6 months, 8 months
  • Standing and walking: 9-12 months

Psychosocial and Cognitive Development

  • Recognizes familiar objects and people, expresses displeasure, and develops object permanence
  • Social smile, language acquisition, and cognitive development
  • Stranger anxiety, security objects, and displays emotions

Injury Prevention and Health Screenings

  • Well-baby check-ups: schedule and ages
  • Growth spurts: boys and girls
  • Prepubescence: typical age and physical changes
  • Dental care: first permanent teeth eruption, care, and exams
  • Health screenings: vision, hearing, scoliosis, and developmental milestones

School-Aged Child Development

  • Weight and height growth: 3 kg/year, 5 cm/year
  • Growth spurt: females (10-12 years), males (12 years)
  • Dental care: 6 years
  • Health screenings: vision, hearing, scoliosis, and developmental milestones
  • Psychosocial/intellectual development: Erikson stage, confidence, cognitive development, and solves problems

Adolescence Development

  • Growth spurts: females (10-12 years), males (12 years)
  • Visible sexual maturation: minimal in boys during preadolescence
  • Rapid growth occurs
  • Dental care: 6 years
  • Health screenings: vision, hearing, scoliosis, and developmental milestones
  • Cognitive development: solves problems, perspective, and conservation understood
  • Psychosocial development: confidence, industry vs. inferiority, and best friends

Pediatric Physical Assessment

  • Critical component: clinical judgment
  • Children are physically and anatomically different from adults
  • Proportionately larger heads, greater ratio of body surface area, and larger tongues and soft tissue
  • Shorter, narrower airway, weaker abdominal muscles, and belly breathers
  • Higher metabolic rates
  • Physical assessment pearls: assess least to most invasive, intrusive and painful areas last, and pediatric vital sign ranges are age-specific.

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