HOCKENBERRY WONGS ESSENTIALS OF PEDIATRIC NURSING, 11TH EDITION EXAM 1 WITH QUESTION AND CORRECT ANSWERS Nursing Priorities in Care of a Child with a Communicable Disease - correct answer-Early identification of the infectious agent, Prevent

HOCKENBERRY WONGS ESSENTIALS OF PEDIATRIC NURSING, 11TH EDITION EXAM 1 WITH QUESTION AND CORRECT ANSWERS Nursing Priorities in Care of a Child with a Communicable Disease - correct answer-Early identification of the infectious agent, Prevent spread of disease, Prevent complications, Family-Centered Care Contraindications and Precautions for Immunizations - correct answer-Contraindications: Severe febrile illness, Immunocompromised, Known allergic response, Pregnant women, Precautions: Moderate to severe illness, Personal or family history of seizures for MMRV vaccination Types of Immunizations and Nursing Priorities - correct answer-Immunization types: Live, Attenuated, Inactivated, Nursing Priorities: Provide information via Vaccine Information Sheet (VIS), Report any adverse reactions to VAERS, Be aware of grace period Hepatitis B - correct answer-Viral infection transmitted by blood, semen, or other body fluids, Chronic infection, S&S: fever, fatigue, loss of appetite, jaundice, joint pain, dark urine, clay-colored stool, Vaccine: Hep B vaccine Rotavirus - correct answer-Severe, watery diarrhea and vomiting, Transmission via fecal-oral route, Vaccine: RV vaccine Physical Examination Tips - correct answer-Examine heart/lungs/abd first if patient is quiet/asleep Distractions for Young Patients - correct answer-ID badges, pen lights, pacifier, bottle Neuro Exam Observation - correct answer-60-75% of neuro exam can be done by close observation Vital Signs in Children - correct answer-Smaller kids have higher HR and RR, lower BP Fontanelle Closure - correct answer-Anterior: 12-18 months, Posterior: 2-3 months Vision Development in Newborns - correct answer-Farsighted until 8 months, follow from midline at 3 months Primitive Reflexes - correct answer-Moro Reflex: Birth-4m, ATNR: 2wks-6mo, Protective Equilibrium: 4- 6mo, Parachute Reflex: 8-9mo, Galant Reflex: N/A, Babinski Reflex: Birth-1yr, Palmar/Plantar Grasp: N/A, Pain Assessment Tool: N/A Patterns of Growth and Development - correct answer-Infancy: Neonate (birth-28 days), Infant (1-12 months), Early Childhood: Toddler (1-3 years), Preschooler (3-6 years), Middle Childhood: School age (6- 12 years), Later Childhood: Prepubertal (10-13 years), Adolescent (13-18 years) Developmental Stages in Infants 2 month Fine Motors - correct answer-2 months: Some head control, lift head, neck and upper chest with support on arms Developmental Stages in Infants 6 months Fine motor - correct answer-6 months: Poke with finger, Shakes, bangs, throws and drops objects Developmental Stages in Infants 4 months Gross Motor - correct answer-Reaches for and bats objects, Roll over stomach to back Developmental Stages in Infants 6 months Gross Motor - correct answer-No head lag when pull to sit, Sits with support, Stands when placed Developmental Stages in Infants 9m Gross motor - correct answer-Plays peek-a-boo or pat-a-cake Developmental Stages in Infants 2m language - correct answer-Coos and vocalizes Developmental Stages in Infants 4m language - correct answer-Babbles, smiles, laughs, squeals Developmental Stages in Infants 6m language - correct answer-Says dada or baba Developmental Stages in Infants 9m language - correct answer-Responds to own name, Understands few words Developmental Stages in Infants 2m soc/adaptive - correct answer-Smiles responsively, Recognizes parents voice and touch Developmental Stages in Infants 9m soc/adaptive - correct answer-Feeds self with fingers, May show stranger anxiety Developmental Stages in Infants 6m soc/Adapative - correct answer-self comfort; smiles, laugh, squeals. shows differential recognition of parents Neonatal Period Growth weight - correct answer-Gains 5-7 oz per week first 6 months, Doubles weight by 4-7 months, Triples weight by 12 months Neonatal Period Growth height - correct answer-Height increases by 50% of birth height by 12 months Neonatal Period Growth head - correct answer-Head circumference 2cm larger than chest by 12 months Early Childhood/Toddler Development 1 yr fine motor - correct answer-Points, bangs blocks together, Feed self Early Childhood/Toddler Development 15 months fine motor - correct answer-Stacks two blocks, Feeds self with fingers Early Childhood/Toddler Development 18m fine motor - correct answer-Stacks three blocks, Uses spoon and cup Early Childhood/Toddler Development 2 yr - correct answer-Stacks five blocks