[2026] | UPDATED ACTUAL Exam | 100%
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• Solids introduced -✓✓ 4-6 months
• How long for foods to be introduced one at a time -✓✓ 5-7 days
• Indicators for readiness of solid foods -✓✓ Voluntary control of head and trunk, hunger
less than four hours after nursing, or intake of 8 oz of formula
• Foods to be avoided -✓✓ Milk, eggs, wheat, citrus fruits, peanuts, pbutter, honey
• Piaget-birth to 1 yr -✓✓ Sensorimotor
• Piaget 1-3yrs -✓✓ Preoperational
• Erickson 1-3 yrs -✓✓ Autonomy versus shame and doubt
• Erickson 3-6 years -✓✓ Initiative vs guilt
• Piaget 2-4 years -✓✓ Preconceptial thought
• Piaget 4-7 years -✓✓ Intuitive thought
• Piaget 6-12year -✓✓ Concrete operations
• Erickson 6-12 years -✓✓ Industry vs inferiority
• Piaget 12-20 years -✓✓ Formal operations
• Erickson 12-20 years -✓✓ Identity vs role confusion
• CRIES scale -✓✓ Based on pain 32 wks of gestation to 20 wks of life
• FLACC scale -✓✓ Leg position, activity, consolibility, facial expressions, crying 2mths-
7yrs
• FACES scale -✓✓ Faces to deem pain level 3 yrs or older
• Visual analog scale -✓✓ Child points to number 7 yrs and older
, • Meningitis -✓✓ Dx-Csf with lumbar puncture
Nursing actions-hold child in position.monitor for hematoma o/ infection. Remain in bed
4-8hrs after. Droplet precautions.decrease environment stimuli.position w/o pillow. May
prefer side lying position.monitor head size
• Reyes syndrome -✓✓ Testing to seperate from other disease. Sx- hypoglycemia, liver
dysfunction, shock, cerebral edema. R/t recent viral illness and aspirin use. Five
stages.liver biopsy possible. Lp used to RO meningitis.
• Tonic phase -✓✓ Stiffening of muscles
• Clinic -✓✓ Rhythmic jerking
• EEG specs -✓✓ Abstain for caffeine.wash hair before and after. Not be painful.
Flashing lights possibly
• Seizure safety -✓✓ Safety.. Airway...suction oral secretions..turn on side post
seiz...side lying.. Check vital signs .. Assess for injuries ..allow rest
• Aed -✓✓ Valium phenytoin tegretol depakote cerebryx
• Brudzinski -✓✓ Flexion of extremities including neck
• Kernigs -✓✓ Resistance to extension of the child's leg from flexed
• Cushing reflex -✓✓ Severe hypertension, widening pulse pressure, bradycardia
• Decorticate -✓✓ Arms, wrists, fingers flexed....bent inward to chest
• Decerebrate -✓✓ Arching of head and arms with legs extended, toes pointing
downward
• some head injury signs -✓✓ decreasing loc, dilated & fixed o/ slow to react o/
nonreactive pupils, weird breathing
• Conductive hearing loss -✓✓ otitis media, external ear infection, foreign bodies,
excessive ear wax
• sensorineural loss -✓✓ congentital defects, ototoxic meds, exposure to constant noise
• central auditory imperception -✓✓ all hearing loss, aphaisa, agnosia
• Pluse oximetery -✓✓ Used to monitor effectiveness of inhalation therapies