NURS 629 PEDS EXAM 2 QUESTIONS AND ANSWERS RATED A+[202425]

NURS 629 PEDS EXAM 2 QUESTIONS AND ANSWERS RATED A+[202425] When does teething begin? 5-6 months When do babies roll from front to back? 4 months What age do infants sit up without support? 6-9 month When do babies sit alone 7-9 months When do babies crawl? 6-8 months When do babies start walking? 15 months When do babies start running? 2 years When can kids return to normal activity after a TBI/concussion once headaches are resolved and followed up by you in a day or two. What is the normal time for recovery after a concussion 7-14 days When do you refer to a specialist after a concussion? 10-14 days of symptoms What causes sudden cardiac in athletes Hypertrophic cardiomyopathy Rear facing car seat until 2 years When do you check hemoglobin? 1 year When can you start getting the flu vaccine? 6 months Which vaccines are live? MMR and varicella, rotavirus, and influenza (intranasal) In what situations should you not give a live vaccine? immunocompromised pregnant anaphylactic reactions to the components (gelatin, egg, neomycin) rotavirus - history of intussusception What vaccine is given at birth? Hep B What is in Pentacel? Dtap IPV HIB What is in ProQuad? MMR + Varicella What is Pediarix? HBV DTaP IPV What is in Kinrix? DTaP IPV What Piaget stage is characterized by egocentric thinking? Preoperational age 2-5 What Erickson stage is characterized by making things and playing? Initiative vs. Guilt age 3-6 When do kids put words together? 2 years- 2 word sentences When do babies start babbling? 6 months When do kids start to let you know what they want? 18 months points to things they want, uses words to ask for help When does the moro reflex disappear? 3-6 months When does the placing/stepping reflex disappear? 2 months When does the Babinski reflex disappear? 12-14 months When does the fencing reflex disappear? 4-6 months When does the rooting reflex disappear? 3-4 months When does the Grasp reflex disappear? 3-6 months for palmar Average weight gain for Toddler 4-6 lbs/year Average weight gain for Preschooler 5lbs/year Average weight gain for School-age 4 ½ - 6 ½ lbs/year When does the anterior fontanelles close? 18 months-2 years When does the posterior fontanelles close? 2 months At what Tanner stage does puberty start? Stage 2 At what Tanner stage does the voice change in males? Stage 4 At what Tanner stage does the menstrual cycle start? Stage 4 At what Tanner stage does the breast and areola and nipples grow together in one mound. There is no separation yet. Stage 3 Can a 17 year old be seen alone for a physical exam? No. unless it is for STI or suicidal ideation. You can talk to him briefly, but you cannot examine/touch him. Needs to reschedule. leading cause of death in children Injuries due to transportation (occupants of an MVC) Common causes of infant morbidity Falls Getting stuck or trapped Animal Bites Bike injuries Poisonings Playground accidents/falls Obesity-an emerging epidemic! Pincer grasp develops at 9-12 months Name 2 things that would ensure a 1st grader is ready for school Potty trained, can follow simple 3 part commands when can time-out be implemented? at 12-18 months Use positive discipline as well as time-outs and distractions; praise for good behaviors. what do you say to mom of 2 1/2 yr old not potty trained? it's normal What warrants a visit to clinic for newborn before? jaundice; fever over 100.4 What should screen time be limited to 2 hrs or less Anticipitory Guidance at 6 month well check? -Infant will become increasingly mobile -safety locks-stair gates -Hot water thermostat less than 120◦ - avoid Small parts / toys -Poison prevention/know how to contact poison control -No standing water -oral hygiene/soft toothbrush, advise on teething, avoidance of bottle in bed children 6 months to 9 years of age who have never had a flu shot will need? 2 doses of the vaccine, given at least 4 weeks apart What are signs of vitamin D deficiency in children? muscle pain If a baby is strictly breast fed what supplement do they need? vitamin D