NUR 232 PEDs- Exam 1 Latest 2024/2025 Updated Questions and Answers Guaranteed 100% Success.

Erikson's 8 stages of development - ️️trust vs mistrust ( birth to 1 year) autonomy vs shame and doubt (1-3 years) initiative vs guilt (3 to 6 years) industry vs inferiority (6 to 12 years) identity vs identity confusion (12 to 18 years) important 2 month baby milestone - ️️Can hold head up and begins to push up when laying on tummy begins to smile at people coos and makes gurgling sounds Cephalocaudal - ️️head to toe This is how an infant grows Immunization location - ️️thigh Primary prevention - ️️Education, immunization, exercise safe living Secondary prevention - ️️Screening, prompt treatment of the disease Tertiary prevention - ️️Disease management Tylenol - ️️Given as a newborn , don't give before immunizations Motrin - ️️Given at 6 months Hospitalization Infants 0-12 months - ️️Separation anxiety, stranger anxiety, have the same nurse continue care. Educate the parents Hospitalization toddlers 1-3 years old - ️️Most traumatized for being hospitalized, Separation anxiety, Fear of body mutalation, loss of control, being confined, have parent stay with child, do not restrain them. Hospitalization preschooler 3-5 - ️️Fear of abandonment, pain, loss control, dark and body harm. Encourage parents to participate offer choices if possible and reassuranceHospitalization 6 to 11 school age - ️️Altered body image, fear of death, privacy, separation from friends, offer reward after procedure. Clear thorough explanation. Showing equipment, drawings, nurse teaches coping strategies. Birth immunization - ️️Hep B 2 months immunization - ️️Hep B, RV, DTaP, Hib, PCV, IPV 4 months immunization - ️️RV, DTaP, Hib, PCV, IPV 6 months immunization - ️️Hep B, RV DTap, Hib, PCV, IPV, influenza yearly 12 months immunization - ️️Hep B, DTaP, Hib, PCV, IPV,influenza MmR, Varicella, HepA 15 months immunization - ️️Hep B, DTaP, Hib, PCV, IPV, Influenza Mr, Varicella, HepA 18 months immunization - ️️HepB, DTap, IPV, Influenza, Hep A 4-6 years immunization - ️️DTaP IPV Influenza MMR Varicella Which vaccines are live? - ️️MMR, varicella How many doses of Tylenol can a child have per day? - ️️No more than 5 doses in 24 hours birth milestones - reflexes of neonates: - ️️Rooting reflex Palmar grasp reflex Plantar grasp Stepping reflexTonic neckMoro (startle) reflex Signs and symptoms of vaccine reactions? - ️️Pain, swelling or redness at the site, flu-like symptoms, headache, muscle and joint paint Where are IM injections given in newborns? - ️️vastus lateralisHow much vaccination can be given in the muscle of a baby - ️️1ml Vaccinations are usually how much in a vile - ️️0.5 with the exception of some flu vaccinations which can be 0.25 How do you have to be to get a FlU shot - ️️6 months of age. and if you are getting your first ever flu shot before the age of 8, you have to get another shot one month after your initial shot. how long is chickenpox contagious for? - ️️until ALL lesions have crusted over when do you start the vaccination process - ️️at 2 months of age Correct order for removal of PPE - ️️1. Gloves 2. Googles or face shield 3. gown/apron 4. Mask or respirator Important 4 month baby milestones - ️️smiles spntaneously holds head steady unsupported May be able to roll over from tummy to back important 6 month baby milestones - ️️Rolls over in both directions begins to sit w/o support knows familiar faces and begins to know if someone is a stranger When to use Faces / Wong baker pain scale - ️️When able to talk The nurse is assessing a newborn who weighs 3 kg (7 lb). At what growth stage would the child weigh 12 kg (26 lb)? - ️️A child's weight should quadruple by the toddler stage A nurse is examining a toddler and is discussing with the mother psychosocial development according to Erikson's theories. Based on the nurse's knowledge of Erikson, what is the most age-appropriate activity to suggest to the mother at this stage? - ️️A toddler is developing autonomy and is able to start making some choices about what he or she can wear. A toddler is developing autonomy and focusing on doing things for himself or herself and therefore would not want the mother to feed him or her. The child is at the stage of autonomy versus shame and doubt, as defined by Erikson An infant's blood glucose levels are low, and the nurse instructs the mother to perform kangaroo care. Which condition would the nurse have assessed in the child? - ️️Improper thermoregulationThermoregulation is one of the most important adaptations for an infant to develop. A hypothermic infant tends to develop conditions such as hypoglycemia and metabolic acidosis. Skin-to-skin contact, or kangaroo care, is beneficial in maintaining the infant's temperature. Which statement regarding child growth and development is true? - ️️When growth occurs in one area, it slows in another. The nurse is assessing a child with a mitochondrial disorder. What should the nurse communicate to the child's parents? Select all that apply. - ️️Mitochondrial disorders are usually inherited, and they have a high chance of recurrence. When these disorders are seen, parents usually believe it is something they did wrong, such as drinking a glass of wine during pregnancy. The nurse should make the parents aware of techniques such as the use of donor eggs or sperm for future pregnancies. Mitochondrial disorders do not necessarily affect future generations. Mitochondrial disorders cannot be cured by medication but can be managed with medications. The nurse is administering varicella vaccine to a patient. By which route will the nurse administer the medication? - ️️Varicella vaccine is administered subcutaneously into the outer aspect of the upper arm or into the anterolateral thigh