NURS 371 midterm.docx

NURS 371 midterm b b




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1. How to reduce b b b an infanta head b b b




uncertainty give information b




respond to parents questions and concerns, if cant b b b b b b b b




answer find someone who can be sensitive to disruption
b b b b b b b b b




and inconvenice address emotional, cultural and spiritual
b b b b b b b




2. why do we mon-b b b
needs
itor growth and
b b b



- to have earlier diagnoses and better outcomes
development
b b b b b b b




-to meet growth curve
b b b




3. physical growth b b




of a child is
b b
1. quantitative measurement of change in size, length, or
b
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mass
2. continuous but uneven process b b b




4. physical growth b b




is an indicator of -general health and nutrition
b b b
b b b b




-shows deviation from growth curve that need further b b b b b b b b




investigation
5. development is
qualitative
b




b




-increase in capacity to function b b b b b




-includes development of new skills the child increasingly b b b b b b b b




respond to environment b b




6. types of growth
-length (infancy) or height (older children)
b b b




measurements
b b b b b




-weight (Kg n Lbs) b b b




-head circumference (cm or inches) b b b b




7. when do in-
14 days
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fants re-attain
b




b b




birth weight b




8. head b

growth and differentiation of nervous system
b b b b b




circumference b




(HC) reflects b




9. how much does b b b
2 cms till around age 3 months
b b b b b b




b b

, NURS 371 midterm b b




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b b b




growth per month b b




10. from ages 4-6 m, 1 cm how
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much does b b




the HC grow per month
b b b b




11. from ages 6-12 0.5 cm m, how
b b b b b b b




much does the HC grow per b b b b b b




month

12. when does 2m b b b




the posterior fontanel
b b b




close

13. when is the ante- after 18 m rior
b b b b b b b b




fontanel not palpable b b




14. with premies their heads can
b b b b b




be different shapes and sizes
b b b b b




what is different about their
b b b b b




head

15. physical differ- -smaller b b




body ences in children -
b b b b




sutures not fused b b b




-immature motor development = no control over voluntary b b b b b b b b




movement (infancy reflexes) b b b




-eustachian tubes are shorter and straighter=more b b b b b b




sensitive to sound -heart grows slowly b b b b b




-larynx/trachea very soft b b




-urethra is short=UTIs b b





b b

, NURS 371 midterm
b b




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b b b




-kidney cannot concentrate urine b b b b




-skin is half as thick as adults
b b b b b b




-blood values are different b b b




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




adolescence
-mental and emotional differences b b b




16.
physical devel- head to toe, center to periphery
b b b b b b b




opment occurs -movement moves from reflexes to gross motor to fine in
b b b b b b b b b b b b




what fashion motor
b




17. physical devel- -turn head when prone; lifts head
b b b b b b b




momentarily, cant hold opment 1 m head, head lagb b b b b b b




-Hands predominantly closed w grasp reflex strong b b b b b b




-Hand clenches on contact with the rattle b b b b b b




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




-Quiets when hears a voice b b b b




-Cries to express displeasure, some noise b b b b b b




-Primitive reflexes present and strong b b b b




-Doll's eye reflex and dance reflex fading b b b b b b




-Obligatory nose breathing (most infants) b b b b




—sensorimotor =stage I, use of reflexes b b b b b




18. physical devel- b -Can maintain head in same plane as rest of
b b b b b b b b b




body opment 2 m
b b b -Posterior fontanel closed b b




-Crawling reflex disappears b b




- follows dangling toy from side to point beyond midline -
b b b b b b b b b b




Visually searches to locate sounds b b b b




-Turns head to side when sound is made at level of ear
b b b b b b b b b b b




• Vocalizes, coos, recognizes voice, cried differeniated b b b b b





b b

, NURS 371 midterm
b b




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b b b




-Demonstrates social smile in response to various stimuli b b b b b b b




19. physical devel- -Primitive reflexes fading opment 3m-
b b b b b




Able to hold head more erect when sitting
b b b b b b b b




- Actively holds rattle but will not reach for it b b b b b b b b b




-no Grasp reflex , Hands kept loosely open b b b b b b b




• Follows objects to the periphery b b b b




• Locates sound b b




-Begins to have ability to coordinate stimuli b b b b b b b




-"Talks" b




-Can recognize familiar faces and objects, such as feeding b b b b b b b b b




bottle
-Shows awareness of strange situations b b b b




20. physical devel- b -begins to roll opment 4 m -Drooling b b b b b b




begins
-Moro, tonic neck, and rooting reflexes have disappeared
b b b b b b b




-tries to reach objects with hand but overshoots
b b b b b b b




-begins hand eye coordination b b b




-begins memory b




-social, makes sound b b




21. physical devel- -Beginning signs of tooth eruption opment
b b b b b b b




5 m -Birth weight doubles
b b b




-palmer grasp b




-pursues dropped object b b




-Is able to discriminate strangers from family b b b b b b




22. physical devel- • Teething may begin with the eruption of two
b b b b b b b b b b b




lower central opment 6 m incisors
b b b b b




• Chewing and biting occur b b b




b b