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NUR 418
NUR 418 Exam 1: Nursing Care of the Childbearing Family 2025
Actual Questions & Answers. Concordia St. Paul
1. normal pediatric nails: symmetric and smooth
2. normal pediatric eyes: - clear bright, moist
- good night vision
- pink, glossy conjunctiva that tolerate light exposure
3. normal pediatric mouth: - lips: smooth, moist, darker than skin, no
lesions
- gums: firm, pink, stippled
- mucous membranes: bright pin, smooth, moist
- tongue: moist pin, slightly rough, no lesions, taste
- teeth: white, smooth, intact (erupt at 4-12 months)
NUR 418
, 2
NUR 418
4. physical growth: - track height and weight over time
- WHO until age 2 (breastfed)
- CDC once above age 2
5. pediatric measurements: - head circumference
- chest circumference
- abdominal circumference
- crown-heel recumbent length
- weight
6. head circumference: - aka occipital frontal circumference (OFC)
- taken at eyebrows
7. chest circumference: - usually only taken at birth
- measured at nipples
8. abdominal circumference: - important in NICU (checked every 3 hours)
- measured right above umbilicus
- indicates feeding tolerance
9. infant weight: - weighed with clean diaper on (or nude if very strictly
tracking weight)
NUR 418
, 3
NUR 418
10. pediatric weight increase: - double birth weight in lbs by 4-6
months
- triple birth weight in lbs by 12 months
- gain 6-8 lbs during the second year of life
11. measurement of children up to 36 months: - recumbent length
(supine on board), height, and head circumferance
(some start measuring standing height at 24 months)
12. measurement of children after 37 months: - standing height and
weight
13. additional considerations for growth: - ethnic differences
- stance for standing height measurements
14. growth chart measurements: - plot by gender and prematurity if
appropriate
- less than 5th or greater than 95th percentile are considered outside
expected parameters for height, weight, and head circumference
NUR 418
, 4
NUR 418
15. stance for standing height measurements: - take shoes off, head midline,
line of vision parallel to ceiling and floor, back against wall,
head/shoulders/buttocks/heels touching wall
- frankfort plane (bar that comes down to measure head)
16. developmental history: - early identification = early treatment = child can
reach full potential
- assess walking, talking, feeding themselves, toilet training, and puberty
17. Ages and Stages Questionnaire (ASQ): - developmental screening tool
that parents fill out
18. Pain assessment: - assess with developmental considerations
- observational pain scales
- self-report rating scales
19. observational pain scales: FLACC
20. FLACC: - face
- legs
- activity
NUR 418
NUR 418
NUR 418 Exam 1: Nursing Care of the Childbearing Family 2025
Actual Questions & Answers. Concordia St. Paul
1. normal pediatric nails: symmetric and smooth
2. normal pediatric eyes: - clear bright, moist
- good night vision
- pink, glossy conjunctiva that tolerate light exposure
3. normal pediatric mouth: - lips: smooth, moist, darker than skin, no
lesions
- gums: firm, pink, stippled
- mucous membranes: bright pin, smooth, moist
- tongue: moist pin, slightly rough, no lesions, taste
- teeth: white, smooth, intact (erupt at 4-12 months)
NUR 418
, 2
NUR 418
4. physical growth: - track height and weight over time
- WHO until age 2 (breastfed)
- CDC once above age 2
5. pediatric measurements: - head circumference
- chest circumference
- abdominal circumference
- crown-heel recumbent length
- weight
6. head circumference: - aka occipital frontal circumference (OFC)
- taken at eyebrows
7. chest circumference: - usually only taken at birth
- measured at nipples
8. abdominal circumference: - important in NICU (checked every 3 hours)
- measured right above umbilicus
- indicates feeding tolerance
9. infant weight: - weighed with clean diaper on (or nude if very strictly
tracking weight)
NUR 418
, 3
NUR 418
10. pediatric weight increase: - double birth weight in lbs by 4-6
months
- triple birth weight in lbs by 12 months
- gain 6-8 lbs during the second year of life
11. measurement of children up to 36 months: - recumbent length
(supine on board), height, and head circumferance
(some start measuring standing height at 24 months)
12. measurement of children after 37 months: - standing height and
weight
13. additional considerations for growth: - ethnic differences
- stance for standing height measurements
14. growth chart measurements: - plot by gender and prematurity if
appropriate
- less than 5th or greater than 95th percentile are considered outside
expected parameters for height, weight, and head circumference
NUR 418
, 4
NUR 418
15. stance for standing height measurements: - take shoes off, head midline,
line of vision parallel to ceiling and floor, back against wall,
head/shoulders/buttocks/heels touching wall
- frankfort plane (bar that comes down to measure head)
16. developmental history: - early identification = early treatment = child can
reach full potential
- assess walking, talking, feeding themselves, toilet training, and puberty
17. Ages and Stages Questionnaire (ASQ): - developmental screening tool
that parents fill out
18. Pain assessment: - assess with developmental considerations
- observational pain scales
- self-report rating scales
19. observational pain scales: FLACC
20. FLACC: - face
- legs
- activity
NUR 418
