lOMoAR cPSD| 57629747
NURS 307 Final Exam Study Guide-1
, lOMoAR cPSD| 57629747
NURS 307 Final Exam Study Guide:
Growth & Development:
• Physical and cognitive milestones by age
• Erickson’s Stages of psychosocial development o Trust vs Mistrust (0-1 years old) o
Autonomy vs Shame & Doubt (1-3 years old) o Initiative vs Guilt (3-6 years old) o
Industry vs Inferiority (6-12 years old) o Identity vs Role Confusion (12-19 years old)
• Leading cause of death among age groups o Unintentional injury (Highest in ages 1-4 &
15-19 years old): MVC, suffocation, drowning, poisoning, fires, & falls
• Regression: A common defense mechanism where the child returns to an earlier behavior
• Parenting styles (tantrum management) o If a child is throwing a tantrum, the best way to
deal w/ it is by asking the child to stop & ignore the child’s behavior, but also making sure
that the child is safe.
• Normal vital signs by age
Temp Pulse Respirations Blood pressure
3- 6 months- 99.5 Newborn- 110 Newborn to 1 year- Infants- 65 to 78/
to 160 30-35 41 to 52
1 year- 99.5
1 wk.- 3 1 to 2 years- 25 to 30 1 year- 80 to
3 years- 99 months- 107 to 114/ 34 to 67
180 6 to 12 years- 19 to 21
5 years- 98.6
3 years- 86 to
3 months – 2 12 years & older- 16
7 years- 98.2 120/ 44 to 76
year- 70 to 150 to 19
9-11 years- 98.1 6 years- 91 to
2-10 years- 60 125/ 53 to 84
13 years- 97.9 to 110
10 years- 97 to
10 years & 130/ 58 to 90
older- 50 to 90
16 years- 108 to
145/ 63 to 94
Respiratory:
• Larynogotracheobronchitis (Croup)- (ATI pg. 96, Ball & Bindler pg. 485): A viral
infection that causes the larynx, trachea, and bronchi to become inflamed. It can become
serious if left untreated.
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o Expected findings
Low grade fever
Restlessness
Hoarseness
Barky cough
Dyspnea
Inspiratory stridor Retractions o Nursing care
Provide humidity w/ cool mist
Admin oxygen PRN, nebulized racemic epinephrine, CCS (Oral/IM- dexamethasone or
nebulized-budesonide), IV fluids
Monitor cont oxygen
Encourage oral intake if tolerated
Epiglottis (ATI pg. 96, Ball & Bindler pg. 485): A bacterial infection that is considered a
medical emergency due to the tissue protecting the windpipe becoming inflamed.
o Expected findings
Absence of cough, drooling, & agitation
Sitting upright w/ chin pointing out, mouth opened, & tongue protruding (tripod
position)
Dysphonia (thick, muffled voice & froglike croaking sound)
Dysphagia
Inspiratory stridor (noisy inspirations)
Suprasternal & substernal retractions
Sore throat, high fever, and restlessness
o Diagnostic procedure
Lateral neck x-ray of the soft tissues o Nursing care
Protect airway
Avoid throat culture or using a tongue blade
Downloaded by Collins Mwaniki ()
NURS 307 Final Exam Study Guide-1
, lOMoAR cPSD| 57629747
NURS 307 Final Exam Study Guide:
Growth & Development:
• Physical and cognitive milestones by age
• Erickson’s Stages of psychosocial development o Trust vs Mistrust (0-1 years old) o
Autonomy vs Shame & Doubt (1-3 years old) o Initiative vs Guilt (3-6 years old) o
Industry vs Inferiority (6-12 years old) o Identity vs Role Confusion (12-19 years old)
• Leading cause of death among age groups o Unintentional injury (Highest in ages 1-4 &
15-19 years old): MVC, suffocation, drowning, poisoning, fires, & falls
• Regression: A common defense mechanism where the child returns to an earlier behavior
• Parenting styles (tantrum management) o If a child is throwing a tantrum, the best way to
deal w/ it is by asking the child to stop & ignore the child’s behavior, but also making sure
that the child is safe.
• Normal vital signs by age
Temp Pulse Respirations Blood pressure
3- 6 months- 99.5 Newborn- 110 Newborn to 1 year- Infants- 65 to 78/
to 160 30-35 41 to 52
1 year- 99.5
1 wk.- 3 1 to 2 years- 25 to 30 1 year- 80 to
3 years- 99 months- 107 to 114/ 34 to 67
180 6 to 12 years- 19 to 21
5 years- 98.6
3 years- 86 to
3 months – 2 12 years & older- 16
7 years- 98.2 120/ 44 to 76
year- 70 to 150 to 19
9-11 years- 98.1 6 years- 91 to
2-10 years- 60 125/ 53 to 84
13 years- 97.9 to 110
10 years- 97 to
10 years & 130/ 58 to 90
older- 50 to 90
16 years- 108 to
145/ 63 to 94
Respiratory:
• Larynogotracheobronchitis (Croup)- (ATI pg. 96, Ball & Bindler pg. 485): A viral
infection that causes the larynx, trachea, and bronchi to become inflamed. It can become
serious if left untreated.
Downloaded by Collins Mwaniki
, lOMoAR cPSD| 57629747
o Expected findings
Low grade fever
Restlessness
Hoarseness
Barky cough
Dyspnea
Inspiratory stridor Retractions o Nursing care
Provide humidity w/ cool mist
Admin oxygen PRN, nebulized racemic epinephrine, CCS (Oral/IM- dexamethasone or
nebulized-budesonide), IV fluids
Monitor cont oxygen
Encourage oral intake if tolerated
Epiglottis (ATI pg. 96, Ball & Bindler pg. 485): A bacterial infection that is considered a
medical emergency due to the tissue protecting the windpipe becoming inflamed.
o Expected findings
Absence of cough, drooling, & agitation
Sitting upright w/ chin pointing out, mouth opened, & tongue protruding (tripod
position)
Dysphonia (thick, muffled voice & froglike croaking sound)
Dysphagia
Inspiratory stridor (noisy inspirations)
Suprasternal & substernal retractions
Sore throat, high fever, and restlessness
o Diagnostic procedure
Lateral neck x-ray of the soft tissues o Nursing care
Protect airway
Avoid throat culture or using a tongue blade
Downloaded by Collins Mwaniki ()
