Nursing 328 Test #1 Questions With Complete Solutions
Healthy People 2020 Pediatric Goals correct answer: 1. Increase
quality and length of life
2. Eliminate health disparities
Bright Futures correct answer: A national health promotion
initiative focused on the peds population
Healthy People 2020 leading health indicators correct answer: -
Physical activity
- overweight and obesity
- tobacco use
- substance use
- responsible sexual behavior
- mental health
- injury and violence
- environmental quality
- immunization
- access to health care
Childhood health problems correct answer: - Obesity ***
- Type II Diabetes *** (secondary to obesity)
- Childhood injuries = accidental is most COMMON cause of
death and disabilities I chid of ALL AGES (violence is
EVERYWHERE, assess for risk factors is important)
- Violence
- mental health problems (anxiety and depression)
,- Infant mortality (death, USA is the leader of this of the
developed nations)
- Childhood mortality
- Childhood morbidity = Illness and impairment in childhood
(homeless, poverty, etc = HIGH risk) --> NEW morbidity
The new morbidity correct answer: Behavioral, social, and
educational problems that alter health
Five leading causes of DEATH in children in the US correct
answer: #1 in ALL AGES is INJURIES
Principles of Pediatrics: Where we see differences between
children and adults (abnormals) correct answer: - vital signs
differences
- anatomical differences
- body composition differences
- vulnerability to injury and illness
Pediatric physical assessment exam guidelines correct answer:
1. Developmentally appropriate (Table 29.2) = different parts of
the exam may be more stressful for different developmental ages
(Infants = heart/lungs FIRST)
2. Choice = DO NOT offer a choice if a choice does not actually
exist
3. Clothing = maintain privacy
4. Distraction = toddlers and preschoolers for scary procedures
,5. Flexibility = some may be cooperative while others not so
much
6. Organization = meet exam requirements
7. Thorough = meet exam requirements
8. Honesty and empathy*** A listening ear can be really
important
9. Listening
Pediatric Vital Signs correct answer:
Pediatric physical assessment: Measures of growth correct
answer: - Length
- Height
- Weight (lying, siting, standing)
- Head circumference (looking at brain growth)
- Growth charts: CDC, WHO
---> Normal growth parameters = 5-95%
How long do you measure the length of a child on their back?
correct answer: Until child is TWO years old
When do you start measuring height in children? correct answer:
At TWO years old
When can you measure a Childs weight when they are sitting up
vs lying? correct answer: When they are able to sit up by
themselves, usually around EIGHT months
, When do you usually start weighting children standing up?
correct answer: After 18 months (depends on child though)
How long do you weigh children naked? correct answer: For
the first SIX months and then you can weigh with a dry diaper
How long do you measure the head circumference of children?
correct answer: For the first TWO yeas of life
This reflects brain growth and can reflect genetics too
Temperature: where and how? correct answer: Oral = under
tongue (3-4 years old)
rectal = in rectum, REALLY accurate, different thermometer,
lubricate and put ONE INCH in rectum
Axillary = under the arm, for toddlers who cannot put it under
their tongue
Tympanic = ear, see a lot in home but NOT in the hospital, NOT
accurate or the best choice
When can you start taking children's temp orally? correct
answer: Generally when they are 3 to 4 years old and can hold it
under their tongue independently
Pulse: Where and how long? correct answer: Best to get the
pulse apically and take it for ONE minute
Healthy People 2020 Pediatric Goals correct answer: 1. Increase
quality and length of life
2. Eliminate health disparities
Bright Futures correct answer: A national health promotion
initiative focused on the peds population
Healthy People 2020 leading health indicators correct answer: -
Physical activity
- overweight and obesity
- tobacco use
- substance use
- responsible sexual behavior
- mental health
- injury and violence
- environmental quality
- immunization
- access to health care
Childhood health problems correct answer: - Obesity ***
- Type II Diabetes *** (secondary to obesity)
- Childhood injuries = accidental is most COMMON cause of
death and disabilities I chid of ALL AGES (violence is
EVERYWHERE, assess for risk factors is important)
- Violence
- mental health problems (anxiety and depression)
,- Infant mortality (death, USA is the leader of this of the
developed nations)
- Childhood mortality
- Childhood morbidity = Illness and impairment in childhood
(homeless, poverty, etc = HIGH risk) --> NEW morbidity
The new morbidity correct answer: Behavioral, social, and
educational problems that alter health
Five leading causes of DEATH in children in the US correct
answer: #1 in ALL AGES is INJURIES
Principles of Pediatrics: Where we see differences between
children and adults (abnormals) correct answer: - vital signs
differences
- anatomical differences
- body composition differences
- vulnerability to injury and illness
Pediatric physical assessment exam guidelines correct answer:
1. Developmentally appropriate (Table 29.2) = different parts of
the exam may be more stressful for different developmental ages
(Infants = heart/lungs FIRST)
2. Choice = DO NOT offer a choice if a choice does not actually
exist
3. Clothing = maintain privacy
4. Distraction = toddlers and preschoolers for scary procedures
,5. Flexibility = some may be cooperative while others not so
much
6. Organization = meet exam requirements
7. Thorough = meet exam requirements
8. Honesty and empathy*** A listening ear can be really
important
9. Listening
Pediatric Vital Signs correct answer:
Pediatric physical assessment: Measures of growth correct
answer: - Length
- Height
- Weight (lying, siting, standing)
- Head circumference (looking at brain growth)
- Growth charts: CDC, WHO
---> Normal growth parameters = 5-95%
How long do you measure the length of a child on their back?
correct answer: Until child is TWO years old
When do you start measuring height in children? correct answer:
At TWO years old
When can you measure a Childs weight when they are sitting up
vs lying? correct answer: When they are able to sit up by
themselves, usually around EIGHT months
, When do you usually start weighting children standing up?
correct answer: After 18 months (depends on child though)
How long do you weigh children naked? correct answer: For
the first SIX months and then you can weigh with a dry diaper
How long do you measure the head circumference of children?
correct answer: For the first TWO yeas of life
This reflects brain growth and can reflect genetics too
Temperature: where and how? correct answer: Oral = under
tongue (3-4 years old)
rectal = in rectum, REALLY accurate, different thermometer,
lubricate and put ONE INCH in rectum
Axillary = under the arm, for toddlers who cannot put it under
their tongue
Tympanic = ear, see a lot in home but NOT in the hospital, NOT
accurate or the best choice
When can you start taking children's temp orally? correct
answer: Generally when they are 3 to 4 years old and can hold it
under their tongue independently
Pulse: Where and how long? correct answer: Best to get the
pulse apically and take it for ONE minute
