MCN 374 Final Exam Questions With Correct Answers | Latest Update 2023/2024 Graded A+

Family centered care - correct answers Addressing and meeting emotional, social, physical, spiritual, cultural, and developmental needs of children and families seeking health care Atraumatic care: Goals - correct answers Prevent/minimize separation from family Promote sense of control Prevent/minimize bodily injury and pain Causes of Infant Mortality - correct answers Congenital malformations, low birth weight, maternal complications, SIDS, unintentional injuries "New" Morbidity - correct answers Pediatric Social Illness Behavior, social, and educational problems Factors like poverty, violence, aggression, noncompliance, school failure, adjustment to parental separation or divorce Parenting Styles: Authoritarian - correct answers Rigid Sets rules MCN 374 FINAL Exam Test Guide (Latest Update 2023) Assured Success Parenting Styles: Authoritative - correct answers Sets limits Listens to child Parenting Styles: Permissive - correct answers No limits Child sets rules Lots of love Parenting Styles: Indifferent - correct answers Little interest in child Low control Low Warmth Strategies for Limit-Setting and Discipline - correct answers To minimize misbehavior Reasoning Behavior modification Consequences Time out MCN 374 FINAL Exam Test Guide (Latest Update 2023) Assured Success Corporal punishment Family assessment performed when - correct answers Suspected abuse To give a picture of home life Family Assessment: Goals - correct answers Assess family strengths and support mechanisms Identify coping strategies Identify when families have overextended their resources Identify when families need additional support Examine family strengths and stressors Cultural Assessment Tool - correct answers Provides information on health practices based on patient beliefs, values, and customs Culture - correct answers Characterizes a particular group with its values, beliefs, norms, patterns, and practices that are learned, shared, and transmitted from one generation another MCN 374 FINAL Exam Test Guide (Latest Update 2023) Assured Success Race - correct answers A biologic term distinguishing variety of humans by physical traits Ethnicity - correct answers The affiliation of a set of persons who share a unique cultural, social, and linguistic heritage Cultural Considerations that Influence Health Care - correct answers Family roles/organization Communication Time orientation Nutrition Health beliefs/approaches/practices Cultural Traditions to Maintain, Protect, and Restore Health - correct answers Special clothes, foods, and medicines Feelings, attitudes, rituals Identity MCN 374 FINAL Exam Test Guide (Latest Update 2023) Assured Success Customs/prayers/healing Types of CAM - correct answers Herbal medications, vitamins minerals, probiotics Acupuncture, massage, therapeutic tough Meditation, relaxation, yoga, prayer Essential ils, candles Pediatric Assessment: Communication - correct answers Introduce yourself politely to the parents and child, acknowledge other family members in the room as well Explain what your role is and the purpose of communication Involve the child in the communication Let the child warm up to your When speaking to the child get down to their level physically if possible Use developmentally/cognitively appropriate speech for both the child and parents Always refer to parents as Mr. or Mrs. unless they tell you otherwise Be aware and sensitive to any cultural differences, if unsure ask the family MCN 374 FINAL Exam Test Guide (Latest Update 2023) Assured Success Careful listening - be attentive and respectful Try to help focus parents/child on specific information you are trying to elicit Use a family-oriented approach to encourage everyone to express concerns or questions Use an interpreter if needed Pediatric Assessment: Health Hx Components - correct answers Biographical data Chief complain and hx of present illness Past health hx (birth hx, parent history, immunizations) Social history, environmental risk, siblings, genetic diseases, hospital admissions, allergies, surgeries Review of systems Nutritional assessment Sleep assessment Psychosocial assessment (how they do in school, with other kids) Developmental assessment (milestones, delays) MCN 374 FINAL Exam Test Guide (Latest Update 2023) Assured Success Pediatric Assessment: Notes - correct answers Kids have a higher metabolic rate, increased caloric needs, and increased oxygen needs Start with least intrusive first Consider anxiety level Use developmental approach Include family when appropriate Developmental Approach to Assessment: Infant - correct answers Birth12m Examine on parents lap Use a pacifier or cuddling to keep infant calm and quiet Utilize distraction Start with feet and hands and move to trunk Developmental Approach to Assessment: Toddler - correct answers 1- 3yrs Examine on parents lap Demonstrate use of instruments on parent or security object MCN 374 FINAL Exam Test Guide (Latest Update 2023) Assured Success Offer choices when possible Let child have some control Start with hands and feet and move to trunk Developmental Approach to Assessment: Preschool - correct answers 3- 6yrs Allow child to play with equipment Give simple explanations Offer choice when possible Utilize distraction Developmental Approach to Assessment: School-age - correct answers 6- 12yrs Demonstrate how instruments are used Allow child to handle them Explain what and why you are doing something Offer choices MCN 374 FINAL Exam Test Guide (Latest Update 2023) Assured Success Developmental Approach to Assessment: Adolescent - correct answers 12-18yrs Protect modesty Perform assessment in private unless parent/sibling is requested Physical Examination - correct answers Recumbent length up to 24m + weight and HC (clothes off) Standing height + weight after 24m (shoes off) HC until 24-36m Plot on growth chart (between 5-95th percentile is normal) Vital Signs: Infant - correct answers HR 80-170 Resp 30-44 BP-S 65-100 BP-D 45-65 Vital Signs: Toddler - correct answers HR 70-120 Resp 20-40 MCN 374 FINAL Exam Test Guide (Latest Update 2023) Assured Success BP-S 90-105 BP-D 55-70 Vital Signs: Preschooler - correct answers HR 70-120 Resp 20-30 BP-S 95-110 BP-D 60-75 Vital Signs: School-aged - correct answers HR 60-100 Resp 16-22 BP-S 100-120 BP-D 60-75 Vital Signs: Adolescent - correct answers HR 60-100 Resp 12-20 BP-S 110-135 BP-D 65-85 MCN 374 FINAL Exam Test Guide (Latest Update 2023) Assured Success Pediatric Blood Pressures - correct answers Not normally done on an infant Too large cuff = falsely high reading Too small cuff = falsely low reading Body Systems to Examine - correct answers General appearance Behavior Skin Head Neck