ATI Capstone Care of Children Questions and answers.VERIFIED

Holding a soft rattle - ANSWER3-6 months Watching black-and-white mobiles - ANSWERbirth to 3 months Playing peek-a-boo - ANSWER6-9 months Drawing, painting, riding a tricycle - ANSWERpreschooler Team sports - ANSWERschool age children Banging large block - ANSWER9-12 months Loud, harsh murmur that is not usually audible until pulmonary pressures drop at about 4 to 8 weeks of age; Heart failure; Failure to thrive; Small, possibly asymptomatic defects. - ANSWERVentricular septal defect (VSD) Systolic ejection murmur; Right ventricular enlargement; Exercise intolerance; Cyanosis with severe narrowing. - ANSWERpulmonary stenosis Murmur; Cyanosis, severe dyspnea, clubbing of the fingers, hypercyanotic spells, and acidosis; Polycythemia, clot formation; Frequently sits in a squatting position (decreases venous return); Failure to thrive and growth retardation. - ANSWERtetralogy of fallot Increased blood pressure and oxygen saturation in the upper extremities compared to the lower extremities; Nosebleeds; Headaches, vertigo, leg pain, weak or absent lower extremity pulses (indicate decreased cardiac output). - ANSWERcoarctation of the aorta Loud, harsh murmur; Mild heart failure; Possible enlarged right atrium; Increased oxygen saturations in the right atrium; Asymptomatic (possibly). - ANSWERatrial septal defects (ASD) Murmur (machine-hum); Wide pulse pressure; Bounding pulses; Asymptomatic (possibly). - ANSWERpatent ductus Industry vs Inferiority - ANSWERtoddler 1-3 years Initiative vs. Guilt - ANSWERpreschooler 3-6 years Autonomy vs. Shame and Doubt - ANSWERtoddler 1-3 years Identity vs Role Confusion - ANSWERadolescent 13-20 years Trust vs. Mistrust - ANSWERinfant birth- 1 year View dying as temporary because they have no concept of time and because the dead person may still have attributes of the living (sleeping, eating, breathing). - ANSWERpreschool children Have egocentric thinking that prevents them from understanding death. - ANSWERtoddlers Experience fear of the disease process, the death process, the unknown, and loss of control. - ANSWERschool age children May have difficulty accepting death because they are discovering who they are, establishing an identity, and dealing with issues of puberty. - ANSWERadolescents A nurse is caring for a 6-month-old infant following surgery. Which of the following should the nurse use to measure pain in this client? Select one: a. Oucher numeric scale. b. Wong-Baker faces pain rating scale. c. FLACC pain scale. d. There is no special pain scale for infants. - ANSWERFLACC pain scale A nurse is caring for an infant following a cleft lip and palate repair. Which of the following actions should the nurse take in the post-operative period? Select one: a. Encourage the use of a pacifier. b. Provide hard toys. c. Administer analgesics. d. Assess incision using tongue blade. - ANSWERadminister analgesics A nurse is caring for a child with a closed head injury. Which of the following interventions should the nurse institute to decrease intracranial pressure? Select all that apply. Select one or more: a. Provide a calm, restful environment. b. Keep the body in alignment. c. Keep the head of the bed flat. d. Avoid extreme flexion, extension or rotation of the head. e. Instruct to avoid coughing and blowing nose. - ANSWERAvoid extreme flexion, extension or rotation of the head., Keep the body in alignment., Instruct to avoid coughing and blowing nose., Provide a calm, restful environment. Which of the following is the priority intervention a nurse should take when caring for a child who just experienced a febrile seizure? Select one: a. Reorient to the environment. b. Take vital signs. c. Check for injuries. d. Keep in a side-lying position. - ANSWERKeep in a side-lying position. A nurse is providing discharge education to the parents of a child experiencing acute diarrhea secondary to gastroenteritis. Which of the following should the nurse include?