NUR 232 PEDS FINALS ALL QUESTIONS AND
ANSWERS SET A+
✔✔Clinical manifestations of potential child maltreatment -✔✔-growth failures
-signs of malnutrition
-poor hygiene
-frequent injuries
-dull behavior(excessively sleepy)
-self stimulatory (sucking on finger)
-begging/stealing food
-absences from school
-vandalism/shoplifting
-bruises/welts
-unusual fearfulness
-burns
-fractures/dislocations
-lacerations/abraisons
-wary of physical contact with adults
-fear of going home
-lying very still
-lack of reaction to pain/events
-superficial relationships
-displays affection
-withdrawal behavior
-poor relationship with peers
-substance abuse
-inconsistencies with injuries
-blaming siblings
-vague descriptions
-rapid personality changes
-suicidal attempts
✔✔care management -✔✔-protect child from further abuse
-support the child
,-support the family
-plan for discharge
-prevent abuse
-report to social services
✔✔Culture -✔✔always be open to learn/respect
-culture influences beliefs on health, illness
expression-changes and adapts
culture humility- what is parents view on illness
✔✔Health promotion -✔✔enabling people to increase control over and improve their
health
-acquire knowledge, attitudes, skills
-education
-one-one screenings
-should be developmental appropriate
BEHAVIORS THAT PROMOTE OPTIMAL HEALTH
✔✔Adolescents' Perspectives on Health -✔✔-stress
-anxiety
-relationships
-weight
-acne
-feelings of sadness/depression
Identify physiologic problems
✔✔health concerns of adolescents -✔✔able to assume additional responsibilities for
their own health
emotional well-being-help cope with changes/challenges
Intentional/unintentional injuries
Dietary habits
Physical fitness
✔✔Optimization -✔✔Prevent illness
maintain high levels of wellness
early detection/management of diseases
✔✔patient-centered community -✔✔-necessary assessment to determine wishes/target
Motivation is needed
✔✔Primary prevention -✔✔prevents an illness or injury from occurring at all
example: education/information
Promotes health
✔✔Secondary prevention -✔✔screenings/diagnostics/BMI
, ✔✔tertiary prevention -✔✔prevents disease from getting worse
-diet/medication/treatment/education
collaborative interventions
✔✔Nutrition -✔✔Optimal nutrition should begin prenatally
-Influence on growth
✔✔populations at risk nutrition -✔✔-low birth weight
-premature
-socioeconomic status
-ethnicity
✔✔Infants nutrition -✔✔first 6 months- human milk is biggest source of diet
-milk is biggest source for first 12 months
-receive vitamin D 400 units first few days of life to prevent rickets until consuming
fortified foods
-after 4 months infant receives iron supplements if exclusively breast feed
-do not require additional fluids for first 4 months
-fluoride not introduced unless mother has low supply
AVOID HONEY for first year of life to prevent botulism
NO GRAPES/POPCORN first year of life is choking hazard
SECOND 6 MONTHS
-mother may start weaning from breast/bottle and introducing solid foods 1 food at a
time SLOWLY INTRODUCE (to monitor for allergic reactions)
-iron fortified cereal
-rice/barley/oatmeal\
do not mix in bottle
KNOW POISON CONTROL NUMBER
✔✔Toddlerhood nutrition -✔✔"Physiologic anorexia"
-nutritional counseling/small portions is a win
-healthier/smaller snack
-vegetarian diets may need vitamins (risk for iron deficiency anemia)
take iron before meals with vitamin C Avoid milk
✔✔Preschool nutrition -✔✔Food fads/strong taste are common
-amount varies daily
-harder to slow down obesity once reached
✔✔School years nutrition -✔✔quality of diet related to family settings
-fast food concerns due to busy schedule
-vending machines
-learns to make own food choices (educate on health snack)
ANSWERS SET A+
✔✔Clinical manifestations of potential child maltreatment -✔✔-growth failures
-signs of malnutrition
-poor hygiene
-frequent injuries
-dull behavior(excessively sleepy)
-self stimulatory (sucking on finger)
-begging/stealing food
-absences from school
-vandalism/shoplifting
-bruises/welts
-unusual fearfulness
-burns
-fractures/dislocations
-lacerations/abraisons
-wary of physical contact with adults
-fear of going home
-lying very still
-lack of reaction to pain/events
-superficial relationships
-displays affection
-withdrawal behavior
-poor relationship with peers
-substance abuse
-inconsistencies with injuries
-blaming siblings
-vague descriptions
-rapid personality changes
-suicidal attempts
✔✔care management -✔✔-protect child from further abuse
-support the child
,-support the family
-plan for discharge
-prevent abuse
-report to social services
✔✔Culture -✔✔always be open to learn/respect
-culture influences beliefs on health, illness
expression-changes and adapts
culture humility- what is parents view on illness
✔✔Health promotion -✔✔enabling people to increase control over and improve their
health
-acquire knowledge, attitudes, skills
-education
-one-one screenings
-should be developmental appropriate
BEHAVIORS THAT PROMOTE OPTIMAL HEALTH
✔✔Adolescents' Perspectives on Health -✔✔-stress
-anxiety
-relationships
-weight
-acne
-feelings of sadness/depression
Identify physiologic problems
✔✔health concerns of adolescents -✔✔able to assume additional responsibilities for
their own health
emotional well-being-help cope with changes/challenges
Intentional/unintentional injuries
Dietary habits
Physical fitness
✔✔Optimization -✔✔Prevent illness
maintain high levels of wellness
early detection/management of diseases
✔✔patient-centered community -✔✔-necessary assessment to determine wishes/target
Motivation is needed
✔✔Primary prevention -✔✔prevents an illness or injury from occurring at all
example: education/information
Promotes health
✔✔Secondary prevention -✔✔screenings/diagnostics/BMI
, ✔✔tertiary prevention -✔✔prevents disease from getting worse
-diet/medication/treatment/education
collaborative interventions
✔✔Nutrition -✔✔Optimal nutrition should begin prenatally
-Influence on growth
✔✔populations at risk nutrition -✔✔-low birth weight
-premature
-socioeconomic status
-ethnicity
✔✔Infants nutrition -✔✔first 6 months- human milk is biggest source of diet
-milk is biggest source for first 12 months
-receive vitamin D 400 units first few days of life to prevent rickets until consuming
fortified foods
-after 4 months infant receives iron supplements if exclusively breast feed
-do not require additional fluids for first 4 months
-fluoride not introduced unless mother has low supply
AVOID HONEY for first year of life to prevent botulism
NO GRAPES/POPCORN first year of life is choking hazard
SECOND 6 MONTHS
-mother may start weaning from breast/bottle and introducing solid foods 1 food at a
time SLOWLY INTRODUCE (to monitor for allergic reactions)
-iron fortified cereal
-rice/barley/oatmeal\
do not mix in bottle
KNOW POISON CONTROL NUMBER
✔✔Toddlerhood nutrition -✔✔"Physiologic anorexia"
-nutritional counseling/small portions is a win
-healthier/smaller snack
-vegetarian diets may need vitamins (risk for iron deficiency anemia)
take iron before meals with vitamin C Avoid milk
✔✔Preschool nutrition -✔✔Food fads/strong taste are common
-amount varies daily
-harder to slow down obesity once reached
✔✔School years nutrition -✔✔quality of diet related to family settings
-fast food concerns due to busy schedule
-vending machines
-learns to make own food choices (educate on health snack)
