Proctored Newest Complete 304 Questions
with Correct Verified Detailed Answers
Dictatorial/Authoritarian --- correct answer ---Parents try to control the child's
behaviors and attitudes through unquestioned rules and expectations
Example: child is never allowed to watch TV on school nights
Permissive --- correct answer ---Parents exert little or no control over the child's
behavior and consult the child when making decisions
Example: child assists with deciding whether or not he will watch TV
AuthoritatiVe --- correct answer ---Parents direct the child's behavior by setting
rules and explaining the reason for each rule setting
VERY good parents
Passive --- correct answer ---Parents are uninvolved, indifferent, and emotionally
removed
Fontanels --- correct answer ---Should be flat and soft
Posterior Fontanels --- correct answer ---Closes by 6-8 weeks of age
Anterior Fontanels --- correct answer ---Closes at 12-18 months of age
Moro Reflex --- correct answer ---Fall back and arms and legs extend; present from
birth to 4 months
Tonic Neck --- correct answer ---Turn head to one side and extend opposite arm or
leg; birth to 3-4 months
Babinski --- correct answer ---Touch foot and toes curl; birth-1 year
Normal Temperature --- correct answer ---99.9 (37.5); axillary
,Newborn Pulse Rate --- correct answer ---80-180/min
Newborn Respirations --- correct answer ---30-35/min
Weight --- correct answer ---Infants gain approximately 150-210 g (about 5-7oz)
per week at the first 6 months
Birth weight is DOUBLED by 6 months
Birth weight is TRIPLED by 12 months
Dentition --- correct answer ---6-8 teeth should erupt in infant's mouths by the end
of the first year
First teeth typically erupt between 6-10 months
Atraumatic Care --- correct answer ---Use of interventions that minimize or
eliminate physical and psychological distress
Pediatric Doses --- correct answer ---Based on age, body weight, and body surface
area
Medication Administration-Nursing --- correct answer ---Double check high risk and
facility regulated medications with a second nurse
Use 2 patient identifiers
Allow the child to make appropriate choices regarding administration (choosing
the left or right leg)
Oral Medication --- correct answer ---Oral route of medication administration is the
preferred route for children
Children younger than 3 (otic meds) --- correct answer ---Pull the pinna DOWN and
straight back
Children older than 3 (otic meds) --- correct answer ---Pull the pinna UP and back
Atraumatic care for injections --- correct answer ---Apply ELMA to the site 60
minutes prior to injection
,Use the smallest gauge of needle possible
Nonpharmacological Pain Measures --- correct answer ---Distraction, relaxation,
guided imagery, positive self-talk, behavioral concentrating, containment
(swaddle), nonnutritive suckingm kangaroo care (skin to skin)
Separation Anxiety (6-18 months) --- correct answer ---Protest: screaming, clinging
to parents, verbal and physical aggression toward strangers
Despair: withdrawal from others, depression, decreased
communication,developmental regression
Detachment: interacts with strangers, forms new relationships, appears happy
Infant Hospitalization --- correct answer ---Inability to describe illness and follow
directions, lack of understanding
Toddler Hospitalization --- correct answer ---Limited ability to describe illness,
experiences separation anxiety, displays intense emotions, exhibits regressive
behaviors
Preschooler Hospitalization --- correct answer ---Limited understanding of the
cause of illness but knows what illness feels like, fears related to magical thinking
School Age Hospitalization --- correct answer ---Beginning awareness of body
functioning, ability to describe pain, fears loss of control
Adolescent Hospitalization --- correct answer ---Increasing ability to understand
cause and effect, perceptions of illness are based on the degree of body image
changes, develops body image disturbance
Parallel Play --- correct answer ---Children playing independently but among other
children, which is a characteristic of the toddler
Associative Play --- correct answer ---Children playing together without
organization, which is characteristic of preschool
Onlooker Play --- correct answer ---Child observing others
, Solitary Play --- correct answer ---Child playing alone
Nursing Interventions for illness, hospitalization, and play --- correct answer ---
Select toys that are safe for the child
Select activities that enhance development
Encourage parents to bring one favorite toy from home
Use dolls/and or stuffed animals to demonstrate procedure before its done
Allow the child to go to play room, if able
Encourage adolescent peers to visit
Involve a child life specialist
Anticipatory Grief --- correct answer ---When death is expected or a possible
outcome
Complicated Grief --- correct answer ---Extends for more than a year following the
loss
Assessment of Pain --- correct answer ---Depends on the child's cognitive,
emotional, and physical development
Atraumatic Care --- correct answer ---Use of interventions that minimize or
eliminate physical and psychological distress
How is pain managed? --- correct answer ---Atraumatic, pharmacological, and
nonpharmacological interventions
Pain in young infant --- correct answer ---Loud cry, rigid body or thrashing, local
reflex withdrawal from pain stimulus, expression of pain, lack of association
between stimulus and pain
When can a child self report pain? --- correct answer ---Greater than 4 years old
FLACC Scale --- correct answer ---Pain rated on a scale of 0-10
Used on children 2 months-7 years