Growth and Development Pediatric milestones, Ricci Chapter 30
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Grasp reflex fading correct answers 2 months
No longer has grasp reflex correct answers 3 months
dominant hand preference evident correct answers 9 months
Pulls self from standing to sitting correct answers 9 months
Uses a cup well correct answers 12 months
Places objects into a container correct answers 11 months
Change from prone to sitting correct answers 10 months
Pulls an push toy correct answers 18 months
Throws ball overhead correct answers 18 months
Skips and hops on one foot correct answers 4 years
Only slight head lag correct answers 3 months
Holds hand in an open position correct answers 2 months
uses palmar grasp dominantly correct answers 5 months
Cruises or walks while holding onto something correct answers 11 months
Moves object from one hand to the other correct answers 7 months
Runs clumsily; falls often correct answers 18 months
Creeps on hands and knees correct answers 9 months
Rolls from back to side correct answers 4 months
Demonstrates head lag correct answers 1 month
Sits unsupported correct answers 8 months
,Head and shoulders off mattress when prone correct answers 3 months
Grasps objects with both hands correct answers 4 months
rolls from front to back correct answers 5 months
Holds a bottle correct answers 6 months
Begin using pincher grasp correct answers 8 months
Pulls self to standing position correct answers 9 months
sits down from a standing position without assistance correct answers 12 months
Creeps upstairs correct answers 15 months
Builds a tower of 3-4 blocks correct answers 18 months
Rolls from back to front correct answers 6 months
walks with one hand held correct answers 12 months
Pulls to standing position correct answers 9 months
Manages a spoon without rotation correct answers 18 months
Has a strong grasp reflex correct answers 1 month
walks without help correct answers 15 months
Keeps hands open correct answers 3 months
lifts head off mattress when prone correct answers 2 months
Grasp rattle by handle correct answers 10 months
1.The nurse is providing atraumatic care to children in a hospital setting. What are
principles of this philosophy of care? Select all that apply.
A) Avoid or reduce painful procedures.
B) Avoid or reduce physical distress.
C) Minimize parent-child interactions.
D) Provide child-centered care.
E) Minimize child control.
F) Use core primary nursing. correct answers Ans: A, B, F
Feedback:
,When using atraumatic care, the nurse would avoid or reduce painful procedures,
avoid or reduce physical distress, use core primary nursing, maximize parent-child
interactions, provide family-centered care, and provide opportunities for control,
such as participating in care, attempting to normalize daily schedule, and providing
direct suggestions.
2.The nurse is consulting with a child life specialist (CLS) to help minimize the stress
of hospitalization for a child. Which services would the CLS provide? Select all that
apply.
A) Medical preparation for tests, surgeries, and other medical procedures
B) Support before and after, but not during, medical procedures
C) Activities to support normal growth and development
D) Grief and bereavement support
E) Emergency room interventions for children and families
F) Only inpatient consultations with families correct answers Ans: C, D, E
Feedback:
• The CLS would provide activities to support normal growth and development, grief
and bereavement support, and emergency room interventions for children and
families. The CLS would also provide nonmedical preparation for tests, surgeries,
and other medical procedures; support during medical procedures; and outpatient
consultation with families (American Academy of Pediatrics, Committee on
Hospital Care and Child Life Council, 2014, reaffirmed 2018).
3.The nurse is implementing interventions to prevent physical stressors for a
9-year-old child receiving chemotherapy in the hospital. How will the nurse provide
atraumatic care for this child?
A) Use restraint or "holding down" of the child during the procedure to prevent
injury.
B) Have the parent stand near and/or rub the child's feet during the procedure.
C) Insert a saline lock if the child will require multiple doses of parenteral
medications.
D) Avoid using numbing techniques for multiple blood draws or IV insertion. correct answers
Ans: C
Feedback:
The nurse should insert a saline lock if the child will require multiple doses of
parenteral medications. During painful or invasive procedures, the nurse should
avoid traditional restraint or "holding down" of the child and use alternative
positioning such as "therapeutic hugging." If therapeutic hugging is not an option, the
nurse could have the parent stand near the child's head, not his feet to provide visual
and verbal comfort. The nurse should also use numbing techniques for blood draws or
IV insertion.
4.The nurse contacts a child life specialist (CLS) to work with children on a pediatric
ward. What is the primary goal of the CLS?
A) Decrease anxiety and fear during hospitalization and painful procedure.
B) Keep children who are hospitalized distracted from pain.
, C) Perform medical procedures using atraumatic principles.
D) Act as a liaison between the nurse and the child. correct answers Ans: A
Feedback:
The CLS is a specially trained individual who provides programs that prepare children
for hospitalization, surgery, and other procedures that could be painful (Child Life
Council, 2010a, 2010b). The goal of the CLS is to decrease the anxiety and fear while
improving and encouraging understanding and cooperation of the child. The CLS may
use distraction techniques and act as a liaison, but that is not the primary goal of the
CLS role. The CLS does not perform medical procedures.
5.The nurse is preparing a child and his family for a lumbar puncture. Which would be
a primary intervention instituted to keep the child safe?
A) Distraction methods
B) Stimulation methods
C) Therapeutic hugging
D) Therapeutic touch correct answers Ans: C
Feedback:
Therapeutic hugging (a holding position that promotes close physical contact
between the child and a parent or caregiver) may be used for certain procedures or
treatments where the child must remain still. Alternatively, distraction or stimulation
(such as with a toy) can help to gain the child's cooperation, but therapeutic hugging
would be used to keep the child safe during the procedure. Therapeutic touch is an
energy therapy used to promote healing and decrease anxiety and stress and is not
related to safety.
6.The child life specialist (CLS) is preparing a 6-year-old child for a magnetic
resonance imaging (MRI) scan. Which statement reflects the use of atraumatic
principles when explaining the procedure?
A) "You will be taken to a magnetic resonance imaging machine for an x-ray of
your liver."
B) "You may hear some loud noises when you are lying in the machine, but
they won't hurt you."
C) "You have nothing to worry about; the MRI machine is safe and will not
cause you any pain."
D) "Let's just get you to the x-ray department for your test and you'll see how
simple it is." correct answers Ans: B
Feedback:
When using atraumatic principles, the CLS would explain any sensations, such as
noises that will be experienced. The language should be simple and at the child's
developmental age; using the technical term for the machine might frighten the child.
Telling the child there is nothing to worry about does not allay the child's fears.
Allowing the child to experience the machine without explaining the sensations does
not follow atraumatic principles.
7.The nurse uses family-centered care to provide care for children in a pediatric
office. Upon what concept is family-centered care based?
- Test Bank - 4th Edition, Ricci Chapter 26 - Test Bank - 4th
Edition, Ricci Chapter 25 - Test Bank - 4th Edition, Ricci
Chapter 28 - Test Bank - 4th Edition, Ricci Chapter 27 - Test
Bank || A+ Guaranteed.
Grasp reflex fading correct answers 2 months
No longer has grasp reflex correct answers 3 months
dominant hand preference evident correct answers 9 months
Pulls self from standing to sitting correct answers 9 months
Uses a cup well correct answers 12 months
Places objects into a container correct answers 11 months
Change from prone to sitting correct answers 10 months
Pulls an push toy correct answers 18 months
Throws ball overhead correct answers 18 months
Skips and hops on one foot correct answers 4 years
Only slight head lag correct answers 3 months
Holds hand in an open position correct answers 2 months
uses palmar grasp dominantly correct answers 5 months
Cruises or walks while holding onto something correct answers 11 months
Moves object from one hand to the other correct answers 7 months
Runs clumsily; falls often correct answers 18 months
Creeps on hands and knees correct answers 9 months
Rolls from back to side correct answers 4 months
Demonstrates head lag correct answers 1 month
Sits unsupported correct answers 8 months
,Head and shoulders off mattress when prone correct answers 3 months
Grasps objects with both hands correct answers 4 months
rolls from front to back correct answers 5 months
Holds a bottle correct answers 6 months
Begin using pincher grasp correct answers 8 months
Pulls self to standing position correct answers 9 months
sits down from a standing position without assistance correct answers 12 months
Creeps upstairs correct answers 15 months
Builds a tower of 3-4 blocks correct answers 18 months
Rolls from back to front correct answers 6 months
walks with one hand held correct answers 12 months
Pulls to standing position correct answers 9 months
Manages a spoon without rotation correct answers 18 months
Has a strong grasp reflex correct answers 1 month
walks without help correct answers 15 months
Keeps hands open correct answers 3 months
lifts head off mattress when prone correct answers 2 months
Grasp rattle by handle correct answers 10 months
1.The nurse is providing atraumatic care to children in a hospital setting. What are
principles of this philosophy of care? Select all that apply.
A) Avoid or reduce painful procedures.
B) Avoid or reduce physical distress.
C) Minimize parent-child interactions.
D) Provide child-centered care.
E) Minimize child control.
F) Use core primary nursing. correct answers Ans: A, B, F
Feedback:
,When using atraumatic care, the nurse would avoid or reduce painful procedures,
avoid or reduce physical distress, use core primary nursing, maximize parent-child
interactions, provide family-centered care, and provide opportunities for control,
such as participating in care, attempting to normalize daily schedule, and providing
direct suggestions.
2.The nurse is consulting with a child life specialist (CLS) to help minimize the stress
of hospitalization for a child. Which services would the CLS provide? Select all that
apply.
A) Medical preparation for tests, surgeries, and other medical procedures
B) Support before and after, but not during, medical procedures
C) Activities to support normal growth and development
D) Grief and bereavement support
E) Emergency room interventions for children and families
F) Only inpatient consultations with families correct answers Ans: C, D, E
Feedback:
• The CLS would provide activities to support normal growth and development, grief
and bereavement support, and emergency room interventions for children and
families. The CLS would also provide nonmedical preparation for tests, surgeries,
and other medical procedures; support during medical procedures; and outpatient
consultation with families (American Academy of Pediatrics, Committee on
Hospital Care and Child Life Council, 2014, reaffirmed 2018).
3.The nurse is implementing interventions to prevent physical stressors for a
9-year-old child receiving chemotherapy in the hospital. How will the nurse provide
atraumatic care for this child?
A) Use restraint or "holding down" of the child during the procedure to prevent
injury.
B) Have the parent stand near and/or rub the child's feet during the procedure.
C) Insert a saline lock if the child will require multiple doses of parenteral
medications.
D) Avoid using numbing techniques for multiple blood draws or IV insertion. correct answers
Ans: C
Feedback:
The nurse should insert a saline lock if the child will require multiple doses of
parenteral medications. During painful or invasive procedures, the nurse should
avoid traditional restraint or "holding down" of the child and use alternative
positioning such as "therapeutic hugging." If therapeutic hugging is not an option, the
nurse could have the parent stand near the child's head, not his feet to provide visual
and verbal comfort. The nurse should also use numbing techniques for blood draws or
IV insertion.
4.The nurse contacts a child life specialist (CLS) to work with children on a pediatric
ward. What is the primary goal of the CLS?
A) Decrease anxiety and fear during hospitalization and painful procedure.
B) Keep children who are hospitalized distracted from pain.
, C) Perform medical procedures using atraumatic principles.
D) Act as a liaison between the nurse and the child. correct answers Ans: A
Feedback:
The CLS is a specially trained individual who provides programs that prepare children
for hospitalization, surgery, and other procedures that could be painful (Child Life
Council, 2010a, 2010b). The goal of the CLS is to decrease the anxiety and fear while
improving and encouraging understanding and cooperation of the child. The CLS may
use distraction techniques and act as a liaison, but that is not the primary goal of the
CLS role. The CLS does not perform medical procedures.
5.The nurse is preparing a child and his family for a lumbar puncture. Which would be
a primary intervention instituted to keep the child safe?
A) Distraction methods
B) Stimulation methods
C) Therapeutic hugging
D) Therapeutic touch correct answers Ans: C
Feedback:
Therapeutic hugging (a holding position that promotes close physical contact
between the child and a parent or caregiver) may be used for certain procedures or
treatments where the child must remain still. Alternatively, distraction or stimulation
(such as with a toy) can help to gain the child's cooperation, but therapeutic hugging
would be used to keep the child safe during the procedure. Therapeutic touch is an
energy therapy used to promote healing and decrease anxiety and stress and is not
related to safety.
6.The child life specialist (CLS) is preparing a 6-year-old child for a magnetic
resonance imaging (MRI) scan. Which statement reflects the use of atraumatic
principles when explaining the procedure?
A) "You will be taken to a magnetic resonance imaging machine for an x-ray of
your liver."
B) "You may hear some loud noises when you are lying in the machine, but
they won't hurt you."
C) "You have nothing to worry about; the MRI machine is safe and will not
cause you any pain."
D) "Let's just get you to the x-ray department for your test and you'll see how
simple it is." correct answers Ans: B
Feedback:
When using atraumatic principles, the CLS would explain any sensations, such as
noises that will be experienced. The language should be simple and at the child's
developmental age; using the technical term for the machine might frighten the child.
Telling the child there is nothing to worry about does not allay the child's fears.
Allowing the child to experience the machine without explaining the sensations does
not follow atraumatic principles.
7.The nurse uses family-centered care to provide care for children in a pediatric
office. Upon what concept is family-centered care based?
