Summary Chamberlain College of Nursing NR322 ESE Study Guide

HESIARNAPedsAHesiA(1)




Chamberlain College of Nursing NR322
ESE Study Guide


MedicationAcalculationsA(IM,AmgA&Aml;AIV-gtt/min)


GrowthA&ADevelopmentATablesAHA182-184
❖ InfantA(birthAtoAoneAyear)
• DevelopmentalAmilestones
o BirthAweightAdoublesAbyA6Amonths
▪ TriplesAbyA12Amonths
o BirthAlengthAincreasesAbyA50%AatA12Amonths
o PosteriorAfontanelAclosesAbyA8Aweeks
o SocialAsmileAoccursAatA2Amonths
o HeadAturnsAtoAlocateAsoundsAatA3Amonths
o MoroAreflexAdisappearsAaroundA4Amonths
o SteadyAheadAcontrolAisAachievedAatA4Amonths
o RollsAfromAabdomenAtoAbackAandAbackAtoAabdomenAatA5-6Amonths
o PlaysApeek-a-AbooAafterA6Amonths
o TransfersAobjectsAfromAhandAtoAhandAatA7Amonths
o DevelopsAstrangerAanxietyAatA7-9Amonths
o SitsAunsupportedAatA8Amonths
o CrawlsAatA10Amonths
o FineApincerAgraspAappearsAatA10A-12Amonths
o WavesAbyeAbyeAatA10Amonths
o WalksAwithAassistanceAatA10-12Amonths
o SaysAaAfewAwordsAinAadditionAtoA“mama”AorA“dada”AatA12Amonths
o ExploresAenvironmentAbyAmotorAandAoralAmeans
• Erickson’sAtheory:AdevelopingAaAsenseAofAtrustA(AtrustAvsAmistrust)
• NursingAimplications
o DuringAhospitalizationAtheAinfantsAemergingAskillsAmayAdisappear




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,HESIARNAPedsAHesiA(
1)




o IfAtheAparentsAareAnotAbaleAtoAbeAwithAtheAinfantAtheAbabyAmayA
beAinconsolableAdueAtoAseparationAanxiety
o TheAnurseAshouldAplanAtoAhaveAtheAparentsAbeApartAofAtheAinfant’sAcareAa
ndAshouldAencourageAthemAtoAdoAso
o RespectAtheAinfant’sAscheduleAatAhomeAbyAassessingAandAimplementin
gAcomponentsAasApossible
o PreparationAandAteachingAshouldAbeAdirectedAtoAtheAfamilyAhoweverAth
eAnurseAshouldAalwaysAspeakAtoAtheAinfantAespeciallyAwhileAperformin
gApainfulAorAstressfulAprocedures
o ToysAforAhospitalizedAinfantsAinclude:
▪ Mobiles
▪ Rattles
▪ SqueakingAtoys
▪ PictureAbooks
▪ Balls
▪ ColoredAblocks
▪ ActivityAboxes
❖ ToddlerA(1-3Ayears)
• DevelopmentalAmilestones
o BirthAweightAquadruplesAbyA30Amonths
o AchievesA50%AofAadultAheightAbyA2Ayears
o GrowthAvelocityAslows
o AppearsAtoAbeAbowleggedAandApotbellied
o AllAprimaryAteethA(20)AareApresent
o AnteriorAfontanelAclosesAbyA12-18Amonths
o ThrowsAaAballAoverhandAatA18Amonths
o KicksAaAballAatA24Amonths
o FeedsAselfAwithAspoonAandAcupAatA2Ayears
o DaytimeAtoiletAtrainingAcanAusuallyAbeAstartedAaroundA2Ayears
o TwoAtoAthreeAwordAsentencesAareAspokenAbyA2Ayears




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,HESIARNAPedsAHesiA(
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o ThreeAtoAfourAwordAsentenceAspokenAbyA3Ayears
o OwnAfirstAandAlastAnameAcanAbeAstatedAbyA2A½AtoA3Ayears
o TemperAtantrumsAareAcommon
• Erikson’sAtheory:AdevelopingAaAsenseAofAautonomyA(AautonomyAvsAdoubtAan
dAshame)
• NursingAimplications
o GiveAsimpleAbriefAexplanationsAbeforeAproceduresAkeepingAinAmindAthatAaA
1AyearAoldAdoesAnotAbenefitAfromAtheAsameAexplanationAasAthatAgivenAtoAaA
3AyearAold
o DuringAhospitalizationAenforcedAseparationAfromAparentsAisAtheAgreates
tAthreatAtoAtheAtoddler’sApsychologicalAandAemotionalAintegrity
o SecurityAobjectsAorAfavoriteAtoysAfromAhomeAshouldAbeAprovidedAforA
aAtoddler
o TeachAparentsAtoAexplainAtheirAplansAtoAtheAchild
o RespectAtheAchild’sAroutineAandAimplementAwhenApossible
o ExpectAregressionAlikeAbedAwetting
o ToysAforAhospitalizedAtoddlersAincludeAboardAandAmallet,ApushApullAtoys,Ato
yAtelephones,AstuffedAanimals,AstoryAbooksAwithApictures,AdependingAonAth
eAreasonAforAhospitalization.AToddlersAbenefitAformAbeingAtakenAtoAtheAhos
pitalAplayroomAwhenAableAbecauseAmobilityAisAveryAimportantAtoAtheirAdev
elopment
o ToddlersAareAlearningAtoAnameAbodyApartsAandAareAconcernedAaboutAthe
irAbodies
o VeryAbasicAexplanationsAshouldAbeAgivenAtoAtoddlersAaboutAprocedures
o AutonomyAshouldAbeAsupportedAbyAprovidingAguidedAchoicesAwhe
nAappropriate

❖ PreschoolAchildA(3-6Ayears)
• DevelopmentalAmilestones
o EachAyearAaAchildAgainsAaboutA5AlbsAandAgrowsA2A½AtoA3Ainches
o AAchildAstandsAerectAwithAmoreAslenderAposture




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, HESIARNAPedsAHesiA(
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o AAchildAlearnsAtoArunAjumpAskipAandAhop
o AA3AyearAoldAcanArideAaAtricycle
o HandednessAisAestablished
o AAchildAusesAscissorsAatA4Ayrs
o AAchildAtiesAshoelacesAatA5Ayrs
o AAchildAlearnsAcolorsAandAshapes
o VisualAacuityAapproachesA20/20
o ThinkingAisAegocentricAandAconcrete
o AAchildAusesAsentencesAofAfiveAtoAeightAwords
o AAchildAlearnsAsexualAidentityA(curiosityAandAmasturbationAareAcommon)
o ImaginaryAplaymatesAandAfearsAareAcommon
o AggressivenessAatA4AyrsAisAreplacedAbyAmoreAindependenceAatA5Ayears
• Erikson’sAtheory:AdevelopingAaAsenseAofAinitiativeA(initiativeAvsAguilt)
• NursingAimplications
o NursingAcareAforAhospitalizedApreschoolersAshouldAemphasizeAundersta
ndingAofAtheAchild’sAegocentricity.AExplainAthatAheAorAsheAdidAnotAcauseA
theAillnessAandAthatApainfulAproceduresAareAnotAaApunishmentAforAmisde
eds
o TheAchild’sAquestionsAshouldAbeAansweredAatAtheAchild’sAlevelAuseAsimpl
eAwordsAthatAwillAbeAunderstoodAbyAtheAchild
o TherapeuticAplayAorAmedicalAplayAthatAallowsAtheAchildAtoAactAoutAhisAorAh
erAexperiencesAisAhelpful
o FearAofAmutilationAbyAproceduresAisAcommonAaAbandA–
aidAmayAbeAquiteAhelpfulAinArestoringAbodyAintegrity
A



o ToysAandAplayAforAtheAhospitalizedApreschoolerAincludeAcoloringAbooks,A
puzzles,AcuttingAandApasting,Adolls,AbuildingAblocks,AclayAandAtoysAthatA
allowAtheApreschoolerAtoAworkAoutAhospitalizationAexperiencesAdependin
gAonAtheAreasonAforAhospitalization
o TheApreschoolerAneedsApreparationAforAproceduresAheAorAsheAshouldAunder
standAwhatAisAandAwhatAisAnotAgoingAtoAbeA“fixed”AsimpleAexplanations




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