NUR 414 Exam 1 Questions And Solutions All 100% Correct

NUR 414 Exam 1 Questions And Solutions All 100% Correct how do we measure children's health - ANSWER- mortality and morbidity rate 0-1yo causes of death - ANSWER- - genetic / developmental conditions - premature birth - sids 1-4yo causes of death - ANSWER- - accidents - developmental / genetic conditions - homicide 5-14yo causes of death - ANSWER- - accidents - cancer - suicide informed consent scenarios - ANSWER- - child not living w parents - mature/emancipated minors - parental consent after divorce - psychiatric / reproductive services pediatric assent - ANSWER- •Affirms child's participation in the decision-making process about health care (child does not make final decision) •Helps the child to understand his or her health condition as developmentally appropriate for the child •Informs the child of the treatment planned and discuss what he or she should expect •Make sure he or she is not being unduly influenced to make a decision one way or another •Ascertains the child's willingness to participate in the treatment or research is a traditional nuclear family the only family structure - ANSWER- no order of physical exam - ANSWER- observation palpationn percussion auscultation who do you want a birth history for - ANSWER- anyone under 3yo important health hx q's - ANSWER- prenatal hx (if under 3yo) developmental concerns diet allergies how to examine an infant / toddler - ANSWER- in parents lap how to examine preschooler - ANSWER- give stethoscope to play with talk to and with parent how to examine school age - ANSWER- give sense of control talk to and with parent how to examine adolescent - ANSWER- give privacy talk directly to measurements in physical exam - ANSWER- WEIGHT length/height head circumference infant HR - ANSWER- 80-150 toddler HR - ANSWER- 70-120 preschooler HR - ANSWER- 65-110 school age HR - ANSWER- 60-100 adolescent HR - ANSWER- 55-95 infant RR - ANSWER- 25-55 toddler RR - ANSWER- 20-30 preschooler RR - ANSWER- 20-25 school age RR - ANSWER- 14-26 adolescent RR - ANSWER- 12-20 when should the anterior fontanel close - ANSWER- 9-18 months when should the posterior fontanel close - ANSWER- 6-8 weeks strabismus - ANSWER- cross eyed strabismus is present for how long - ANSWER- intermittent up to 6 mo hirshberg - ANSWER- bad corneal light reflexes (red eye) should be symmetrical accessory breathing muscles - ANSWER- retractions nasal flaring head bob how long should you listen to the heart - ANSWER- FULL MINUTE how should you listen to the heart - ANSWER- sitting up and lying down (may hear a postural murmur) tanner staging - ANSWER- scale for degree of pubertal development when does babinksi reflex go away - ANSWER- 12 mo how to classify pain - ANSWER- duration etiology (nociceptive or neuropathic) source/location (somatic or visceral) intensity can newborns feel pain - ANSWER- yes do infants and small children have memory of pain - ANSWER- yes can a child be in pain if they are playing or sleeping - ANSWER- yes are children more prone to narcotic addictions - ANSWER- no behavioral indicators of pain - ANSWER- facial expressions body movements crying irritability refusal to move painful body part interrupted sleep physiologic indicators of pain - ANSWER- changes in HR, RR, o2 sat, vagal tone sweating are parents a good resource for pain assessment - ANSWER- YES - the best historians acronym for pain assessment - ANSWER- QUESTT question the child use a reliable and valid pain scale evaluate behavior and physio changes (for baseline and effectiveness) secure parents involvment take cause of pain into account take action