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Exam (elaborations)

Hesi Peds - Developmental Milestones Questions and Answers Already Passed

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Hesi Peds - Developmental Milestones Questions and Answers Already Passed When does birth length double? By 4 years. When does the child sit unsupported? 8 months. When does a child acheive 50% adult height? 2 years. When does a child throw a ball overhand? 18 months. When does a child speak two- to three-word sentences? 2 years. When does a child use scissors? 4 years. Note: I had this question on my OB HESI. When does a child tie his or her shoes? 5 years. When does the infant develop stranger anxiety? 7 to 9 months. Fine pincer grasp appears...? ...at 10 to 12 months. When should the infant be expected to start crawling? 10 months. The infant (birth to 1 year) is in what stage of psychosocial development? Trust vs. Mistrust The toddler (1-3 years) is in what stage of psychosocial development? Autonomy vs. Shame and Doubt The preschool child (3-6 years) is in what stage of psychosocial development? Initiative vs. guilt. The school-age child (6-12 years) is in what stage of psychosocial development? Industry vs. Inferiority The adolescent (12-18 years) is in what stage of psychosocial development? Identity vs. role confusion Concepts of bodily injury: Toddlers (1-3 years) fear...? ...intrusive procedures. Concepts of bodily injury: Preschoolers (3-6 years) fear...? ...body mutilation. Concepts of bodily injury: School-age (6-12 years) children fear..? ...Loss of control of their bodies. Concepts of bodily injury: Adolescents (12-18 years) fear...? ...Major concern is change in body image. Moro reflex disappears when? Around 4 months of age. Handedness is established during what age bracket? (Infant, toddler, preschool, school-age, adolescent) Handedness is established in the preschool-age child (3-6 years) Appropriate toys and play for the hospitalized infant (birth to 1 year)? Mobiles, rattles, squeaking toys, picture books, balls, colored blocks, activity boxes. Appropriate toys and play for the hospitalized toddler (1 to 3 years)? Push-pull toys, toy telephones, stuffed animals, etc Toddlers benefit from being taken to the hospital playroom when able, because mobility is important to their development. Appropriate toys and play for the hospitalized preschooler (3-6years)? Coloring books, puzzles, cutting and pasting, clay... etc. Appropriate toys and play for the hospitalized school-aged child (6-12 years)? Board and card games, hobbies, video games. Children can be expected to dress themselves completely when they reach what age group? School-age children (6-12 years) When can a child be expected to feed themselves with a spoon and cup? 2 years. When does the anterior fontanel close? 12-18 months. (1 - 1 1/2 years) When does the posterior fontanel close? Sometime between birth and 8-12 weeks (2-3 months) (Yellow NCLEX-RN Review book, pg. 339) Which fontanel closes first? The POSTERIOR fontanel. It closes in birth to 2-3 months. The anterior fontanel closes in 12-18 months. Would a 4 month-old have steady head control? Yes. How would you elicit the rooting reflex? Touch infants lip, cheek, or corner of mouth with finger. What would you expect to observe when eliciting the rooting reflex in an infant? Infant turns head toward stimulus and opens mouth. Note: Reflex is difficult to elicit when infant has been fed. How would you elicit the palmar reflex? Place finger in palm of hand. How would you elicit the Tonic Neck or "Fencing" reflex, and what is the characteristic response? With the infant supine, turn their head to one side. The arm and leg on that side should extend; opposite arm and leg should flex. What is a positive Babinski reflex? All toes hyperextended, with dorsiflexion of big toe. When should the Babinski reflex disappear? SHOULD disappear by 1 year of age. Two to three word sentences should be expected when a child is how many years old? 2 years. Three to four word sentences should be expected when a child is how many years old? 3 years. Visual acuity approaches 20/20 when the child reaches what age group? (infant, toddler, preschooler, school-age, adolescent) Preschooler (3-6 years)

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