NURS 3444. Exam 1 (Preschool) Training
Exam Questions And 100% Correct
Answers.
Physical Characteristics of Preschoolers - Answer Become more slender, erect, and leaner (compared to
barrel-chested toddler)
Knock-knee (genu valgum) - Answer Legs curved inward so knees come together as person walks
(normal finding for preschool)
When will knock knees be resolved by? - Answer School age legs should be more in alignment
What to consider with preschool physical exam - Answer Give choices
- Go from least to most invasive (save vaccines for the end)
Order to get vitals on preschooler? - Answer 1. Respiratory rate
2. Heart rate
3. Blood pressure (save for end)
How is pulse assessed in preschoolers? - Answer Radial pulse (can also do apical)
Expected preschooler gross motor skills - Answer - Agile while standing, walking, running, skipping and
jumping
- Can go up and down stairs and walk forward and backward
- Standing on tip toes or on one food still requires extra concentration
Expected preschooler fine motor skills - Answer - Grasp utensils and crayons in adult fashion
- Can scribble, feed themselves, write their name
- Skills become refined over next two years
, - Tie shoelaces by age 5
Preschool (Erikson) - Answer initiative vs guilt
- Want to feel successful at whatever they're doing
- Ex. Pouring own juice (initiative) vs Spilling juice (guilt)
- How family (caregiver) responds can be very impactful
How can you help preschooler explore their sexuality? - Answer make sure children do not feel bad
about themselves
- Ex. if boy wants to play with pink or wear pink
What are the two common sleep disturbances in preschoolers? - Answer Nightmares and night terrors
nightmare - Answer scary or bad dream followed by awakening
- Child awakens parent after episode
- Usually in second half of the night
- Crying may be scared after waking
- Parent should be soothing and reassuring
- Difficult to go back to sleep
night terror - Answer child screaming, kicking, yelling but they are still sleeping
- Do not wake child up (child unaware of parents presence)
- Take notice of what happened that day (could be a trend)
- occurs around 1 hour after following asleep
Preschool play - Answer Will start to play together in more associative play and dramatic play
- Often have imaginary friends
Exam Questions And 100% Correct
Answers.
Physical Characteristics of Preschoolers - Answer Become more slender, erect, and leaner (compared to
barrel-chested toddler)
Knock-knee (genu valgum) - Answer Legs curved inward so knees come together as person walks
(normal finding for preschool)
When will knock knees be resolved by? - Answer School age legs should be more in alignment
What to consider with preschool physical exam - Answer Give choices
- Go from least to most invasive (save vaccines for the end)
Order to get vitals on preschooler? - Answer 1. Respiratory rate
2. Heart rate
3. Blood pressure (save for end)
How is pulse assessed in preschoolers? - Answer Radial pulse (can also do apical)
Expected preschooler gross motor skills - Answer - Agile while standing, walking, running, skipping and
jumping
- Can go up and down stairs and walk forward and backward
- Standing on tip toes or on one food still requires extra concentration
Expected preschooler fine motor skills - Answer - Grasp utensils and crayons in adult fashion
- Can scribble, feed themselves, write their name
- Skills become refined over next two years
, - Tie shoelaces by age 5
Preschool (Erikson) - Answer initiative vs guilt
- Want to feel successful at whatever they're doing
- Ex. Pouring own juice (initiative) vs Spilling juice (guilt)
- How family (caregiver) responds can be very impactful
How can you help preschooler explore their sexuality? - Answer make sure children do not feel bad
about themselves
- Ex. if boy wants to play with pink or wear pink
What are the two common sleep disturbances in preschoolers? - Answer Nightmares and night terrors
nightmare - Answer scary or bad dream followed by awakening
- Child awakens parent after episode
- Usually in second half of the night
- Crying may be scared after waking
- Parent should be soothing and reassuring
- Difficult to go back to sleep
night terror - Answer child screaming, kicking, yelling but they are still sleeping
- Do not wake child up (child unaware of parents presence)
- Take notice of what happened that day (could be a trend)
- occurs around 1 hour after following asleep
Preschool play - Answer Will start to play together in more associative play and dramatic play
- Often have imaginary friends
