NUR 122 Principals Of Pediatric Nursing Test 1-A
Questions And Answers
Nurse's Role in Health Promotion ANS Assessments
Emotional support
Anticipatory guidance
Teaching
Implement prevention strategies
Child & Family advocate
Partner with families
Components of Health Promotion & Maintenance Visits ANS General observations
Physical assessments
Assess - Growth measurements, Developmental milestones, Nutrition, Physical Activity, Oral health,
Mental health
Address parental concerns
Disease & Injury prevention strategies
Age Range Categories ANS Infancy - Birth to 1 year
Toddler - 1 to 3 years
Preschool - 3 to 5 years
School-age - 6 to 11 years
Adolescence - 12 to 18 years
First Well Exam ANS Establish relationship/partnership
Explain importance of regular visits
Summarize what is expected at each visit
Encourage parents to express concerns
,Assessment - Physical Assessment Modifications ANS Order of assessments may vary
Child may be uncooperative or irritable
Do intrusive or invasive activities last
Incorporate play
Developmental Approach - Infant Assessment ANS Let parent hold baby & be involved
Talk with parent calmly
Smile & talk soothingly to the infant
Move gently through assessment
Developmental Approach - Toddler Assessment ANS Allow toddler to remain close to parent
Use simple terms & explanations
Let toddler see and touch equipment
Give choices when possible
Give praise
Attention span of 5-10 minutes
Developmental Approach - Preschooler Assessment ANS Have parent nearby
Simple explanations - direct & concrete
Avoid threatening words
Give choices when possible
Give praise
Developmental Approach - School-Age Assessment ANS Parents still present
Remain concrete
Give explanations as you assess
Give more responsibility to child
Provide teaching & demonstrations
Encourage & engage in discussion with child
, Maintain privacy
Developmental Approach - Adolescents Assessment ANS Ask to speak to adolescent alone
Use detailed explanations
Allow control & choices when applicable
Involve adolescent in planning care
Maintain privacy & confidentiality
Growth & Development - Infant Assessment ANS Measurements - Weight, Height, HC
Plot measurements on growth chart
Weight doubles by 5-6 mo.
Weight triples by 1 year
Red Flag = drop in percentile range for weight
Assess developmental milestones
Provide anticipatory guidance
Support development
Promote safety
Growth & Development - Young Child Assessment ANS Measurements - Weight, Height, HC,
BMI starting at 2 yrs
Consistent growth (5th-85th %)
Gains 8oz or more monthly 1-2 yrs, 3-5lbs annually from 2-6yrs
Grows annually 3-5in 1-2 yrs, 2-2.5in 2-3yr, 1.5-2.5in 3-6yr
Assess developmental milestones
Developmental testing if necessary
Growth and Development - School Age Assessment ANS Measurements - Weight, Height, BP,
BMI
Gains 3-5lbs annually
Questions And Answers
Nurse's Role in Health Promotion ANS Assessments
Emotional support
Anticipatory guidance
Teaching
Implement prevention strategies
Child & Family advocate
Partner with families
Components of Health Promotion & Maintenance Visits ANS General observations
Physical assessments
Assess - Growth measurements, Developmental milestones, Nutrition, Physical Activity, Oral health,
Mental health
Address parental concerns
Disease & Injury prevention strategies
Age Range Categories ANS Infancy - Birth to 1 year
Toddler - 1 to 3 years
Preschool - 3 to 5 years
School-age - 6 to 11 years
Adolescence - 12 to 18 years
First Well Exam ANS Establish relationship/partnership
Explain importance of regular visits
Summarize what is expected at each visit
Encourage parents to express concerns
,Assessment - Physical Assessment Modifications ANS Order of assessments may vary
Child may be uncooperative or irritable
Do intrusive or invasive activities last
Incorporate play
Developmental Approach - Infant Assessment ANS Let parent hold baby & be involved
Talk with parent calmly
Smile & talk soothingly to the infant
Move gently through assessment
Developmental Approach - Toddler Assessment ANS Allow toddler to remain close to parent
Use simple terms & explanations
Let toddler see and touch equipment
Give choices when possible
Give praise
Attention span of 5-10 minutes
Developmental Approach - Preschooler Assessment ANS Have parent nearby
Simple explanations - direct & concrete
Avoid threatening words
Give choices when possible
Give praise
Developmental Approach - School-Age Assessment ANS Parents still present
Remain concrete
Give explanations as you assess
Give more responsibility to child
Provide teaching & demonstrations
Encourage & engage in discussion with child
, Maintain privacy
Developmental Approach - Adolescents Assessment ANS Ask to speak to adolescent alone
Use detailed explanations
Allow control & choices when applicable
Involve adolescent in planning care
Maintain privacy & confidentiality
Growth & Development - Infant Assessment ANS Measurements - Weight, Height, HC
Plot measurements on growth chart
Weight doubles by 5-6 mo.
Weight triples by 1 year
Red Flag = drop in percentile range for weight
Assess developmental milestones
Provide anticipatory guidance
Support development
Promote safety
Growth & Development - Young Child Assessment ANS Measurements - Weight, Height, HC,
BMI starting at 2 yrs
Consistent growth (5th-85th %)
Gains 8oz or more monthly 1-2 yrs, 3-5lbs annually from 2-6yrs
Grows annually 3-5in 1-2 yrs, 2-2.5in 2-3yr, 1.5-2.5in 3-6yr
Assess developmental milestones
Developmental testing if necessary
Growth and Development - School Age Assessment ANS Measurements - Weight, Height, BP,
BMI
Gains 3-5lbs annually
