N173 WEEK 1 EXAM QUESTIONS WITH
CORRECT ANSWERS
What is the developmental approach when caring for infants? - ANSWER
Support sucking, comforting, holding and cuddling needs (volunteers if
needed)
Maintain home routines / naps and feeds, familiar and comfort objects as
possible
Provide age appropriate infant toys and developmental stimulation /
distraction
Parental support (support parental presence when possible)
Provide continuity of care
What is the developmental approach when caring for toddlers? - ANSWER
Anticipate stranger and separation anxiety - approach slowly, talk with
parent first
Support parental / caretaker presence, support parental comfort / visitation
needs
Make interactions fun and nonthreatening (make them "fun" when possible)
Use developmentally appropriate language. Keep it short and simple. Be
honest.
Give choices, control when possible
Anticipate regression, provide comfort - avoid painful procedures, when
possible
Maintain home routines and home foods when possible, support security
objects
Support play needs: bring in "fresh" toys, simple medical play, solitary /
parallel play, play rooms, child life and other support programs.
,What is the devlopmental approach when caring for preschoolers? -
ANSWER Smile, relax: put your "inner Disney" on!
Anticipate fears/fantasy - may be afraid of dark, needles, noises etc. (ask
the child and parent about fears)
Use developmentally appropriate language. Answer questions honestly
with brief answers. Prepare child for experience with focus on sensory
experiences and outcomes.
Support parental / caretaker presence
Maintain home routines, home food choices when possible
Give choices and control when possible. For example:
Setting us a sticker chart for a child who has to take several medications
Asking a child if he wants juice or water as a "chaser" to drink when taking
meds
Have child hold the cotton ball on his arm after having his blood drawn
f. Anticipate regression, help the child deal with the emotions related to
regression (bedwetting, being in a crib etc.), Support security objects and
need for comfort
g. Support play needs: age appropriate toys, medical play, stories,
drawings, dramatic play, associative play, cooperative play begins (late),
child life, playrooms / programs.
What is the developmental approach for caring for school aged children? -
ANSWER Allow the child to "warm up" to you. Use games or other
distracting activities to "break the ice"
Be honest. Use age appropriate wording, no "baby talk". Be careful not to
"over explain".
Offer choices / control whenever possible. "Mastery" is the developmental
stage.
Encourage the child to bring in favorite foods & toys (CAREFUL not to lose
them!)
Protect body integrity / modesty (pull drapes, keep covered etc)
Encourage play (medical, imaginative, creative) express feelings,
distraction, recreation,
Facilitate siblings to visit when possible, encourage connection with friends
& school
Work with school / family to bring in schoolwork
For children with long-term hospitalization, "make a wish" (or other
organizations), pet therapy visits, activity rooms / carts, & other programs.
, What is the developmental approach when caring for adolescent? -
ANSWER Protect body integrity / privacy - this is REALLY important. (pull
drapes, keep covered etc). Allow the adolescent to wear home clothing if it
doesn't interfere with treatment.
Allow the adolescent "warm up" to you. Sometimes just giving the teen
some space and a chance to talk will allow them time to open up.
Sometimes a game or other distracting activity works as will. For some, it
just may not happen in a single day.
Be honest. Use age appropriate wording. Don't try to act / talk like a
teenager. Don't "over explain" but give complete answers. Watch for teen's
cues to tell the difference.
Offer choices / control whenever possible. Be honest and provide updates
to both the adolescent and his / her family whenever possible.
Facilitate reading, journaling / blog, watching movies, video games and
other distractions and recreation. Facilitate family and friends to visit when
possible. Encourage friends / family to bring in mementos and cards,
friends to post on walls (as desired by adolescents).
Work with school / family to bring in schoolwork
For teens with long-term hospitalization, work with child life for "make a
wish" (or other organizations), "pet therapy visits, activity rooms / carts, &
other programs.
Consider pros and cons of each type of thermometer - ANSWER
Temperature: consider pros and cons of each type, learn equipment
available
Hints: Tuck the thermometer under the arm closest to the parent's body
and hold the child in a swaddled position while distracting him. Give
choices for which arm for Axillary measurement.
Axillary: ensure good skin contact under arm, least invasive, most common
for infants
Oral: must hold under tongue, not appropriate for young children
Tympanic: ensure a good seal, measurement issues with poor technique
Rectal (rarely done): lubricate, < 1 inch, hold legs, most invasive,
contraindicated for onc pts.
Alternate methods may be used in various settings such as forehead
readers, pacifier readers etc. Be sure to use validated, research-based
methods devices
Tips for taking blood pressure on children - ANSWER Attach BP cuff and
tuck the infant's arm in a blanket. Take the measurement when the baby
CORRECT ANSWERS
What is the developmental approach when caring for infants? - ANSWER
Support sucking, comforting, holding and cuddling needs (volunteers if
needed)
Maintain home routines / naps and feeds, familiar and comfort objects as
possible
Provide age appropriate infant toys and developmental stimulation /
distraction
Parental support (support parental presence when possible)
Provide continuity of care
What is the developmental approach when caring for toddlers? - ANSWER
Anticipate stranger and separation anxiety - approach slowly, talk with
parent first
Support parental / caretaker presence, support parental comfort / visitation
needs
Make interactions fun and nonthreatening (make them "fun" when possible)
Use developmentally appropriate language. Keep it short and simple. Be
honest.
Give choices, control when possible
Anticipate regression, provide comfort - avoid painful procedures, when
possible
Maintain home routines and home foods when possible, support security
objects
Support play needs: bring in "fresh" toys, simple medical play, solitary /
parallel play, play rooms, child life and other support programs.
,What is the devlopmental approach when caring for preschoolers? -
ANSWER Smile, relax: put your "inner Disney" on!
Anticipate fears/fantasy - may be afraid of dark, needles, noises etc. (ask
the child and parent about fears)
Use developmentally appropriate language. Answer questions honestly
with brief answers. Prepare child for experience with focus on sensory
experiences and outcomes.
Support parental / caretaker presence
Maintain home routines, home food choices when possible
Give choices and control when possible. For example:
Setting us a sticker chart for a child who has to take several medications
Asking a child if he wants juice or water as a "chaser" to drink when taking
meds
Have child hold the cotton ball on his arm after having his blood drawn
f. Anticipate regression, help the child deal with the emotions related to
regression (bedwetting, being in a crib etc.), Support security objects and
need for comfort
g. Support play needs: age appropriate toys, medical play, stories,
drawings, dramatic play, associative play, cooperative play begins (late),
child life, playrooms / programs.
What is the developmental approach for caring for school aged children? -
ANSWER Allow the child to "warm up" to you. Use games or other
distracting activities to "break the ice"
Be honest. Use age appropriate wording, no "baby talk". Be careful not to
"over explain".
Offer choices / control whenever possible. "Mastery" is the developmental
stage.
Encourage the child to bring in favorite foods & toys (CAREFUL not to lose
them!)
Protect body integrity / modesty (pull drapes, keep covered etc)
Encourage play (medical, imaginative, creative) express feelings,
distraction, recreation,
Facilitate siblings to visit when possible, encourage connection with friends
& school
Work with school / family to bring in schoolwork
For children with long-term hospitalization, "make a wish" (or other
organizations), pet therapy visits, activity rooms / carts, & other programs.
, What is the developmental approach when caring for adolescent? -
ANSWER Protect body integrity / privacy - this is REALLY important. (pull
drapes, keep covered etc). Allow the adolescent to wear home clothing if it
doesn't interfere with treatment.
Allow the adolescent "warm up" to you. Sometimes just giving the teen
some space and a chance to talk will allow them time to open up.
Sometimes a game or other distracting activity works as will. For some, it
just may not happen in a single day.
Be honest. Use age appropriate wording. Don't try to act / talk like a
teenager. Don't "over explain" but give complete answers. Watch for teen's
cues to tell the difference.
Offer choices / control whenever possible. Be honest and provide updates
to both the adolescent and his / her family whenever possible.
Facilitate reading, journaling / blog, watching movies, video games and
other distractions and recreation. Facilitate family and friends to visit when
possible. Encourage friends / family to bring in mementos and cards,
friends to post on walls (as desired by adolescents).
Work with school / family to bring in schoolwork
For teens with long-term hospitalization, work with child life for "make a
wish" (or other organizations), "pet therapy visits, activity rooms / carts, &
other programs.
Consider pros and cons of each type of thermometer - ANSWER
Temperature: consider pros and cons of each type, learn equipment
available
Hints: Tuck the thermometer under the arm closest to the parent's body
and hold the child in a swaddled position while distracting him. Give
choices for which arm for Axillary measurement.
Axillary: ensure good skin contact under arm, least invasive, most common
for infants
Oral: must hold under tongue, not appropriate for young children
Tympanic: ensure a good seal, measurement issues with poor technique
Rectal (rarely done): lubricate, < 1 inch, hold legs, most invasive,
contraindicated for onc pts.
Alternate methods may be used in various settings such as forehead
readers, pacifier readers etc. Be sure to use validated, research-based
methods devices
Tips for taking blood pressure on children - ANSWER Attach BP cuff and
tuck the infant's arm in a blanket. Take the measurement when the baby
