NURS 629 MVU Exam 2 Questions and Approved Answers | Latest 2023/2024 solutions
NURS 629 MVU Exam 2 Questions and Approved Answers | Latest 2023/2024 solutions infant weight increase - 6-8lbs and up to 20lbs in the first year should regain weight up to birth weight by 2 weeks old posterior fontanelle closes by... - 2 months of age abdominal muscles do not close until - 3 years of life when should both testes be descended by? - 6 months if not both descended, get ultrasound SIDS prevention - no cosleeping no smoking in house laying baby on back to sleep no blankets, pillows, or stuffed animals in cribs umbilical cord care - look for drying check for signs of infection no submersion bath until cord falls off ways to protect baby's sensitive skin - hypoallergenic lotion and soap do not bath daily normal number of stools per day for infant - breastfeeding: 3-4 stools until 2 months, then may decrease to 1 stool/day formula fed: 2-4 stools/ day for first month normal number of wet diapers for infant - at least 6 wet diapers a day normal stools for toddlers - 1-3 stools/day and at least 5-7 stools/week will be more formed may become constipated normal urination is 8-14x/day water guidelines for kids - no water before 12 months kids older than 1, 30mL/kg/day of water formula concerns - diluting - leads to electrolyte imbalance, seizures, and death reasons for more frequent follow up - weight checks/poor weight gain bilirubin check feeding concerns umbilical cord concerns circumcision concerns ways to help with acid reflux - acid reflux is very prevalent due to immature sphincters give small frequent feedings burp after 15mls educate regurgitation is normal, ok if it is large or comes out of nose ensure weight is going up Colic - colic is prolonged crying for over 3 hours multiple times a week Colic education - it is common in newborn period starts around 3mos, often stops at 6mos can be caused by gas, if mom breastfeeding, decrease foods that cause gas OK to tell parents to walk away and let baby cry for 10 minutes educate about stress relief and help for caregivers Infantile Reflexes - Moro - disappears at 3-4 months Placing/stepping - disappears at 2 moths Babinski - disappears at 6-24 months Tonic neck reflex - disappears at 2-6 monts Rooting - disappears at 3-4 months Grasp - disappears at 3-6 months Erikson Stages - Trust vs mistrust: 0-18 months Autonomy vs shame: 18 month - 3 years Initiative vs guild: 3 - 5 years industry vs inferiority: 5-12 years Identity vs role confusion: 12-18 years Infant nutrition education - No solid foods until at least 6 months Introduce 1 new food a week introduce vegetables before fruits No cows milk until after 12 months to reduce risk of anemia (not iron fortified) Juice limited to 4oz - should be 100% juice Car Seat Safety - Rear facing until 2! Should be in 5-point harness adjust car seat based on ht and wt, not age Discipline for 6-9months - structure safe environment use distraction use positive reinforcement safe "no" only when doing something potentially harmful Piaget stages - sensorimotor: birth - 24 months, goal of object permanence preoperational: 2-7 years old, goal of symbolic thought concrete operational: 7-11 years old, goal of operational thoughts full operational: adolescents to adults, goal of abstract concepts Infant immunizations: birth - Hep B 2 month immunizations - Hep B DTap Hib PCV IPV Rota
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