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NURS 371 Midterm Exam Questions And Correct Answers

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NURS 371 Midterm Exam Questions And
Correct Answers


How to minimize uncertainty

provide information

answer parents questions and concerns, if cant answer find someone who can

be sensitive to disruption and inconvenice

address emotional, cultural and spiritual needs



why do we monitor growth and development

- to have earlier diagnoses and better outcomes

-to meet growth curve.

physical growth of a child is

1. quantitative measurement of change in size, length, or mass



2. continuous but uneven process



Physical growth is an indicator of

General health and nutrition

Shows deviation from growth curve that need further investigation

Development is

Qualitative

Increase in capacity to function

Includes development of new skills the child increasingly respond to environment

Types of growth measurements

,Length (infancy) or height (older children)

Weight (Kg n Lbs)

Head circumference (cm or inches)

When do infants re-attain birth weight

14 days

Head circumference (HC) reflects

Growth and differentiation of nervous system

How much does an infanta head growth per month

2 cms till about 3 months



from 4-6 m, how much does the HC grow per month

1 cm



from 6-12 m, how much does the HC grow per month

0.5 cm



when does the posterior fontanel close

2m



when is the anterior fontanel not palpable

after 18 m



with premies what is different about their head

Their heads can be different shapes and sizes



physical differences in children

-smaller body

,-sutures not fused

-immature motor development = no control over voluntary movement - infant reflexes

-eustachian tubes are shorter and straighter=more sensitive to sound

-heart grows slowly

-larynx/trachea very soft

-urethra is short=UTIs

-kidney cannot concentrate urine

-skin is half as thick as adults

-blood values are different

-The digestive tract is immature at birth n grows through adolescence

-mental and emotional differences




Physical development occurs in what fashion?

head to toe, center to periphery

-movement moves from reflexes to gross motor to fine motor




physical development 1 m



-turn head when prone; lifts head momentarily, cant hold head, head lag



-Hands predominantly closed w grasp reflex strong



-Hand clenches on contact with the rattle

, • Able to fixate on moving objects 8-10 inches away



-Quiets when hears a voice



-Cries to express displeasure, some noise



-Primitive reflexes present and strong



-Doll's eye reflex and dance reflex fading



-Obligatory nose breathing (most infants)



—sensorimotor =stage I, use of reflexes




physical development 2 m

-

Can hold head in same plane as rest of body



Posterior fontanel closed



Crawling reflex disappears



- follows dangling toy from side to point beyond midline

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