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Exam (elaborations)

ATI Capstone Care of Children Pre Assessment Quiz 2O24

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Holding a soft rattle -3-6 months Watching black-and-white mobiles -birth to 3 months Playing peek-a-boo -6-9 months Drawing, painting, riding a tricycle -preschooler Team sports -school age children Banging large block -9-12 months Loud, harsh murmur that is not usually audible until pulmonary pressures drop at about 4 to 8 weeks of age; Heart failure; Failure to thrive; Small, possibly asymptomatic defects. -Ventricular septal defect (VSD) Systolic ejection murmur; Right ventricular enlargement; Exercise intolerance; Cyanosis with severe narrowing. -pulmonary stenosis Murmur; Cyanosis, severe dyspnea, clubbing of the fingers, hypercyanotic spells, and acidosis; Polycythemia, clot formation; Frequently sits in a squatting position (decreases venous return); Failure to thrive and growth retardation. -tetralogy of fallot Increased blood pressure and oxygen saturation in the upper extremities compared to the lower extremities; Nosebleeds; Headaches, vertigo, leg pain, weak or absent lower extremity pulses (indicate decreased cardiac output). -coarctation of the aorta Loud, harsh murmur; Mild heart failure; Possible enlarged right atrium; Increased oxygen saturations in the right atrium; Asymptomatic (possibly). -atrial septal defects (ASD) Murmur (machine-hum); Wide pulse pressure; Bounding pulses; Asymptomatic (possibly). -patent ductus Industry vs Inferiority -toddler 1-3 years Initiative vs. Guilt -preschooler 3-6 years Autonomy vs. Shame and Doubt -toddler 1-3 years Identity vs Role Confusion -adolescent 13-20 years Trust vs. Mistrust -infant birth- 1 year View dying as temporary because they have no concept of time and because the dead person may still have attributes of the living (sleeping, eating, breathing). -preschool children Have egocentric thinking that prevents them from understanding death. -toddlers Experience fear of the disease process, the death process, the unknown, and loss of control. -school age children May have difficulty accepting death because they are discovering who they are, establishing an identity, and dealing with issues of puberty. -adolescents A nurse is caring for a 6-month-old infant following surgery. Which of the following should the nurse use to measure pain in this client? Select one:

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