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Pediatrics HESI: Essential Preparation for Nursing Students

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Pediatrics HESI is a vital assessment tool for nursing students, focusing on the critical knowledge and skills required for effective pediatric care. This exam evaluates understanding in key areas such as child development, common pediatric illnesses, immunization schedules, and the psychosocial aspects of caring for children and their families. To excel in the Pediatrics HESI, students should prioritize mastering essential concepts, including growth and development milestones, effective communication techniques, and the management of both acute and chronic conditions in pediatric populations. Engaging with practice questions, participating in study groups, and reviewing case studies can significantly enhance clinical reasoning and application skills. By thoroughly preparing for the Pediatrics HESI, nursing students can build confidence and ensure they are well-equipped to provide high-quality care in pediatric settings.

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Pediatrics HESI
Infant (Birth to 1 year) -
☑️-Birth weight doubles by 6 months, triples by 12 months
-Birth length increases 50% by 12 months
-Infant explores environment by motor and oral means

Infants and bodily injury -
☑️After 6 months, their cognitive development allows them to remember pain

Infants may be inconsolable due to separation anxiety from -
☑️6 months - 30 months

Posterior fontanel closes -
☑️8 weeks

Social smile occurs -
☑️2 months

Steady head control achieved by -
☑️4 months

Head turns to locate sounds -
☑️3 months

Moro reflex disappears around -
☑️4 months

Able to roll from abdomen to back and back to abdomen -
☑️5-6 months

Can play "peak a boo" -
☑️6 months

Able to transfer objects from hand to hand at -
☑️7 months

Develops stranger anxiety from -
☑️7-9 months

Able to sit unsupported at -
☑️8 months

Able to crawl at -
☑️10 months

Waves bye at -
☑️10 months

1

, Fine pincer grasp appears at -
☑️10-12 months

Able to walk with assistance at -
☑️10-12 months

Simple language/few words at -
☑️12 months

A child can throw a ball overhanded at -
☑️18 months

Toddler (1-3 years) -
☑️-Birth weight quadruples by 30 months
-Reaches 50% of adult height by 2 years
-Growth velocity slows

Toddlers and bodily injury -
☑️They fear intrusive procedures

Enforced separation from parents -
☑️is the greatest threat to a toddler's psychological and emotional integrity

When should you expect regression? -
☑️Toddler (1-3 yrs)

Toddler's are- -
☑️learning about their body parts and concerned with their bodies
-basic explanations about procedures
-giving autonomy

Preschool Child (3-6 months) - growth, skills, vision, social -
☑️-each year the child grows 2 1/2 - 3 1/2 inches and gains 5 pounds
-stands erect with better posture
-learn how to jump, hop, skip, and run
-learns handedness
-learns colors and shapes
-visual acuity at 22/20
-learns sexual identity
-playmates and fears most common
-aggressiveness at 4 yrs old gets replaced by independence at 5 yrs old

Preschoolers and bodily injury -
☑️They fear body mutilation

A child can speak 2-3 word sentences at -
☑️2 years

A child can ride a tricycle at -


2

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