NUR254 / NUR 254 Exam 4: The Childbearing and Child Caring Families Guide (Latest 2025/ 2026 Update) | Qs & As| Grade A| 100% Correct (Verified Answers)- Galen

NUR254t /t NURt 254t Examt 4:t Thet
Childbearingt andt Childt Caringt Familiest
Guidet (Latestt 2025/t 2026t Update)t |t Qst
&t As|t Gradet A|t 100%t Correctt (Verifiedt
Answers)-t Galen


QUESTION
Childt neglect

Answer:
failuret tot providet basict needst andt adequatet care.



QUESTION
Childt abuse

Answer:
deliberatet inflictiont oft physicalt injury



QUESTION
Abusivet Headt Trauma

Answer:
Shakent baby



QUESTION
Abusivet Headt Trauma:t Etiology/Diagnostics

Answer:
-Violentt shakingt usuallyt becauset thet babyt ist crying*t

,-Causedt byt shearingt forcest int head.t Oftent not externalt injuriest aret present.



QUESTION
Abusivet Headt Trauma:t S/S

Answer:
Apnea,t Irritability,t lethargy,t seizures,t nott eatingt properly



QUESTION
Childt abuset (important)

Answer:
Talkingt tot thet kidst aboutt it



QUESTION
Childt Abuse:t S/S

Answer:
Don'tt promiset nott tot tellt
t Avoidt leadingt questionst
t Redt Flags:t
ot Parentst answeringt fort childt whot cant speakt
ot Injuryt doesn'tt matcht story,t changingt thet storyt
ot Parentt andt childt storiest don'tt matcht eacht othert
ot Inappropriatet responset fromt childt
ot Parentt refusingt testing/treatment:t ASSESS*t maybet theyt can'tt afford.t Rulet thist out,t
talkt tot socialt workt tot seet ift there'st at way,t ift theyt refuse,t thent assesst again
t ot FREQUENTt FLYERS***t
ot Bruisingt ont 4t yearst ort younger:t Torso,t Ears,t Neckt (TEN-4t rule)



QUESTION
ADHD:t Etiology/Diagnostics

Answer:
-t inappropriatet degreest oft inattention,t hyperactivity,t andt impulsiveness

,QUESTION
ADHD:t S/S

Answer:
ot Distractibilityt
ot difficultyt completingt taskt ->t Homework,t Chores*
t ot difficultyt writingt
ot manifestationst presentt int 2t settingt fort longert thant 6t monthst (educational,t familyt
environment)



QUESTION
ADHA:t Treatmentst andt interventions

Answer:
ot behaviort therapyt
ot organizedt chartst
ot breakst
ot medicationt
ot safetyt fort impulsivityt ->t cleart directions,t crossingt thet streett
ot appropriatet classroomt placementt ot needst structuredt environment



QUESTION
Downt syndrome:t Eology/Diagnostics

Answer:
trisomyt 21t (extrat chromosome),t greatert riskt fort maternalt aget overt 35,t manifestations,t
chromosomet analysis.



QUESTION
Downt syndrome:t S/S

Answer:
-t lowt birtht weightt
ot shortt staturet
ot depressedt nasalt bridge,t smallt nose*,t noset alwayst studyt
ot stubbyt digitst

, ot hypotonicityt (poort musclet tone)
t ot hypert flexibility->t "ragt doll"t
ot protrudingt tonguet ot slantedt eyest
ot widet spacet betweent bigt toet andt 2ndt toe,t or/andt at plantart creaset betweent bigt tot andt
2ndt toe



QUESTION
Downt syndrome:t Treatmentt &t Interventions

Answer:
-managementt ont complications:t
ot cardiact defectst ->t heartt surgeryt
ot respt problemst
ot hypothyroidismt
ot supportt familyt
ot encouraget familyt tot swaddlet
ot changet positiont frequentlyt
ot dietaryt intaket needst supervisiont
ot watcht parents't reaction,t willt showt howt theyt ort ift theyt willt caret fort theirt baby



QUESTION
Grieft andt Loss:t important

Answer:
Thoughtst andt responsest fromt eacht aget group:t nursingt interventionst tot meett thet child'st
needs.t Alwayst bet honestt andt accurate



QUESTION
Grieft andt Loss:t Infants

Answer:
Deatht hast thet LEASTt significancet ont childrent undert 6t monthst aftert trustt ist established,t
losst ist profound



QUESTION
Grieft andt Loss:t Toddlers