nurs 330 peds before midterm UPDATED ACTUAL Questions
and CORRECT Answers
Attachment Theory John Bowlby
- Attachment = motivational-behavioral control system.
- attachment occurs in organized system - purpose = make individuals to feel
safe+secure
- infants need 1 special relationship for internal dev't.
Family Centered Care Families play a central role in children's life.
- Respect + dignity - informed consent
- Information sharing
- Participation - not doing anything TO them - they get to participate
- Collaboration
Social determinants of health: - education
- food insecurity
- housing
- gender
- race
- disability
- health services
- income + income distribution
- unemployment + job security
- employment + working conditions
- early childhood development
- social exclusion
- social safety network
- Indigenous status
, Development more complex - qualitative ↑ capabilities, ↑ skill/ability to perform certain tasks.
- Depends on maturity + learning
- progession = simple→complex, general→specific, cephalocaudal, proximodistal
Cephalocaudal Proceeds from head downward through body + toward feet.
Proximodistal Proceeds form center of body outward toward extremities.
Infant development - gross motor = head lag → more head control, raises head + chest → no head
lag, turns from abdomen to back → sis in tripod position → sits alone
- fine motor = looks @ hands + bats objects → releases object to take another →
gross pincer grasp (rakes) → fine pincer grasp, can grasp w/ thumb + forefinger,
bangs objects together
- speech + language = coos/differentiated crying → laughs/simple vowels →
squealing/yelling → babbles/2 syllable sounds/mama/dada nonspecific →
mama/dada specific
- red flags = no sounds at 4m/o, no babbling by 8m/o, no words w/ meaning by
12m/o
- solitary play
- red flags = floppy/stiff tone, no responsive smiling by 3m/o, no head support at
4m/o, can't sit independently by 6m/o, no crawling by 12m/o, reaches 1 hand only
Toddler (1-3 years old) development - social = independence starts, helping
- fine motor = feeds self, turns pages, stacks of blocks, removes clothes → turns
knobs → holds pencil, copies a circle, turns pages, undresses self
- gross motor = walks w/ ease, climbs stairs w/ help → runs, kicks, throws, tricycles
- language/cognitive = ⅔ of what they say is understood → almost all speech
understood
- parallel play
- reg flags = no walking/speaking 15 words by 18m/o, no following 1 step/pushing
toys/2 word sentences by 24m/o, ++falling/no building/no 3 word phrases/no
responding to noise/not engaging in play by 36m/o
Preschool (3-6 years old) development - fine motor = scissors, copying letters, drawing simple picture → dressing self,
printing, drawing more complex, toileting independently, tying shoes
- gross motor = throwing, hopping, alternating feet on stairs → balancing on 1
foot, skip, somersault, skate, swim
- communication = 1500-2100 words
- associative play
- red flags = not grasping crayon well, aggression, resisting toileting, not playing
w/ others, unable to follow directions, no self-care tasks
School-Age (6-12 years old) development - Communication = corrected grammar/pronunciations, mature language,
metaphors
- gross motor = team sports, high energy, more coordination, less falling
- fine motor = myelinization → refinement of skills (similar to adult)
- cognitive = longer attention span, self-directed, reading, writing
Adolescent (12-18 years old) development - fine motor = manipulation, dexterity, precise hand-eye coordination
- gross motor = endurance, speed, accuracy, narrowed interests
- social + emotional = parent relationships, self-concept, body image, peers are
important, sexuality, dating
- red flags = regressions, withdrawal, inappropriate anger, eating disorders
and CORRECT Answers
Attachment Theory John Bowlby
- Attachment = motivational-behavioral control system.
- attachment occurs in organized system - purpose = make individuals to feel
safe+secure
- infants need 1 special relationship for internal dev't.
Family Centered Care Families play a central role in children's life.
- Respect + dignity - informed consent
- Information sharing
- Participation - not doing anything TO them - they get to participate
- Collaboration
Social determinants of health: - education
- food insecurity
- housing
- gender
- race
- disability
- health services
- income + income distribution
- unemployment + job security
- employment + working conditions
- early childhood development
- social exclusion
- social safety network
- Indigenous status
, Development more complex - qualitative ↑ capabilities, ↑ skill/ability to perform certain tasks.
- Depends on maturity + learning
- progession = simple→complex, general→specific, cephalocaudal, proximodistal
Cephalocaudal Proceeds from head downward through body + toward feet.
Proximodistal Proceeds form center of body outward toward extremities.
Infant development - gross motor = head lag → more head control, raises head + chest → no head
lag, turns from abdomen to back → sis in tripod position → sits alone
- fine motor = looks @ hands + bats objects → releases object to take another →
gross pincer grasp (rakes) → fine pincer grasp, can grasp w/ thumb + forefinger,
bangs objects together
- speech + language = coos/differentiated crying → laughs/simple vowels →
squealing/yelling → babbles/2 syllable sounds/mama/dada nonspecific →
mama/dada specific
- red flags = no sounds at 4m/o, no babbling by 8m/o, no words w/ meaning by
12m/o
- solitary play
- red flags = floppy/stiff tone, no responsive smiling by 3m/o, no head support at
4m/o, can't sit independently by 6m/o, no crawling by 12m/o, reaches 1 hand only
Toddler (1-3 years old) development - social = independence starts, helping
- fine motor = feeds self, turns pages, stacks of blocks, removes clothes → turns
knobs → holds pencil, copies a circle, turns pages, undresses self
- gross motor = walks w/ ease, climbs stairs w/ help → runs, kicks, throws, tricycles
- language/cognitive = ⅔ of what they say is understood → almost all speech
understood
- parallel play
- reg flags = no walking/speaking 15 words by 18m/o, no following 1 step/pushing
toys/2 word sentences by 24m/o, ++falling/no building/no 3 word phrases/no
responding to noise/not engaging in play by 36m/o
Preschool (3-6 years old) development - fine motor = scissors, copying letters, drawing simple picture → dressing self,
printing, drawing more complex, toileting independently, tying shoes
- gross motor = throwing, hopping, alternating feet on stairs → balancing on 1
foot, skip, somersault, skate, swim
- communication = 1500-2100 words
- associative play
- red flags = not grasping crayon well, aggression, resisting toileting, not playing
w/ others, unable to follow directions, no self-care tasks
School-Age (6-12 years old) development - Communication = corrected grammar/pronunciations, mature language,
metaphors
- gross motor = team sports, high energy, more coordination, less falling
- fine motor = myelinization → refinement of skills (similar to adult)
- cognitive = longer attention span, self-directed, reading, writing
Adolescent (12-18 years old) development - fine motor = manipulation, dexterity, precise hand-eye coordination
- gross motor = endurance, speed, accuracy, narrowed interests
- social + emotional = parent relationships, self-concept, body image, peers are
important, sexuality, dating
- red flags = regressions, withdrawal, inappropriate anger, eating disorders
