N483 Exam #1 with correct answers
|\ |\ |\ |\ |\
atraumatic care - CORRECT ANSWERS ✔✔do no harm
|\ |\ |\ |\ |\ |\ |\
prevent and minimize child's separation from family
|\ |\ |\ |\ |\ |\
promote a sense of control
|\ |\ |\ |\
prevent/minimize pain and bodily injury |\ |\ |\ |\
family-centered care - CORRECT ANSWERS ✔✔families |\ |\ |\ |\ |\ |\
are supported in their care
|\ |\ |\ |\
decisions and needs of all members are considered
|\ |\ |\ |\ |\ |\ |\
nurse-family partnership |\
empowerment
core concepts of family-centered care - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔family strengths |\ |\
trust and respect
|\ |\
choices
support
flexibility
collaboration
information-sharing
,preparing child and parent for procedure - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔give child a job |\ |\ |\ |\
lots of praise
|\ |\
prepare the child and keep developmental stages in mind
|\ |\ |\ |\ |\ |\ |\ |\
allow child to manipulate equipment before procedure
|\ |\ |\ |\ |\ |\
give parent time to ask questions alone, discuss how child
|\ |\ |\ |\ |\ |\ |\ |\ |\
may respond, offer guidance on what parent can do,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reinforce role of support |\ |\ |\
health promotion maintenance - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\
✔✔hospital: bed alarm, siderails, arm bands, hugs tags, |\ |\ |\ |\ |\ |\ |\ |\
back to sleep, anti-skid socks
|\ |\ |\ |\
home: babyproofing, back to sleep, keep meds out of
|\ |\ |\ |\ |\ |\ |\ |\ |\
reach, battery safety, toilet locks, magnets, covering
|\ |\ |\ |\ |\ |\ |\
outlets, keep weapons out of reach, put gates at stairs
|\ |\ |\ |\ |\ |\ |\ |\ |\
roles of the nurse - CORRECT ANSWERS ✔✔preparing
|\ |\ |\ |\ |\ |\ |\ |\
child/parent for procedure |\ |\
health and safety promotion
|\ |\ |\
health teaching and healthcare planning
|\ |\ |\ |\
anticipatory guidance (based on developmental stage) |\ |\ |\ |\ |\
family advocacy |\
therapeutic relationship building |\ |\
ethical decision making |\ |\
,culturally responsive care |\ |\
maintenance fluid requirement (MFR) formula - CORRECT |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔100 ml/kg for the first 10 kgs |\ |\ |\ |\ |\ |\ |\
50 ml/kg for the second 10 kg
|\ |\ |\ |\ |\ |\
20 ml/kg for each kg over 20 kg
|\ |\ |\ |\ |\ |\ |\
MFR is the amount of fluid in 24hrs required to maintain
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fluid needs |\
calculating urine output - CORRECT ANSWERS ✔✔healthy |\ |\ |\ |\ |\ |\ |\
infants/children make 3-4 ml/kg/hr |\ |\ |\
minimum for infants/children is 1 ml/kg/hr |\ |\ |\ |\ |\
adolescent minimum is 0.5 ml/kg/hr |\ |\ |\ |\
adult (over 40 kg) = 30 ml/hr minimum
|\ |\ |\ |\ |\ |\ |\
nervous system in children - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔incomplete cortical function |\ |\
intact but immature ANS |\ |\ |\
at 8 months infants have less than 1/2 of the myelin
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sheath so impulses are slower and less predictable
|\ |\ |\ |\ |\ |\ |\
infants may not look flushed when they have a fever, for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
example |\
temperature control measures are less developed |\ |\ |\ |\ |\
, skull is not rigid, fontanels are open (anterior fontanel is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
open longer and provides information on ICP and
|\ |\ |\ |\ |\ |\ |\ |\
hydration)
soft and flat = normal
|\ |\ |\ |\
sunken = dehydrated |\ |\
bulging = IICP |\ |\
neuro status: assess activity level, LOC, quality of cry
|\ |\ |\ |\ |\ |\ |\ |\ |\
(high-pitched cry = insult to nervous system) |\ |\ |\ |\ |\ |\
cardiovascular system in children - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\
✔✔the younger the child, the more RR and HR vary with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
illness
breaths to heart ratio is 1:4 |\ |\ |\ |\ |\
increased HR during inhalation and decreased HR during |\ |\ |\ |\ |\ |\ |\ |\
exhalation
prolonged tachycardia = decompensation of the heart |\ |\ |\ |\ |\ |\ |\
muscle
radial pulse isn't reliable until at least 6 years old, need to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
check apical pulse (smaller blood volume and less
|\ |\ |\ |\ |\ |\ |\ |\ |\
developed left ventricle) |\ |\
lower BP d/t small left ventricle, immature nervous
|\ |\ |\ |\ |\ |\ |\ |\
control, low body mass, check infant's BP on the popliteal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pulse
normal findings: pink mucous membranes and nail beds,
|\ |\ |\ |\ |\ |\ |\ |\
generally consistent skin color (acrocyanosis is only |\ |\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\
atraumatic care - CORRECT ANSWERS ✔✔do no harm
|\ |\ |\ |\ |\ |\ |\
prevent and minimize child's separation from family
|\ |\ |\ |\ |\ |\
promote a sense of control
|\ |\ |\ |\
prevent/minimize pain and bodily injury |\ |\ |\ |\
family-centered care - CORRECT ANSWERS ✔✔families |\ |\ |\ |\ |\ |\
are supported in their care
|\ |\ |\ |\
decisions and needs of all members are considered
|\ |\ |\ |\ |\ |\ |\
nurse-family partnership |\
empowerment
core concepts of family-centered care - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔family strengths |\ |\
trust and respect
|\ |\
choices
support
flexibility
collaboration
information-sharing
,preparing child and parent for procedure - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔give child a job |\ |\ |\ |\
lots of praise
|\ |\
prepare the child and keep developmental stages in mind
|\ |\ |\ |\ |\ |\ |\ |\
allow child to manipulate equipment before procedure
|\ |\ |\ |\ |\ |\
give parent time to ask questions alone, discuss how child
|\ |\ |\ |\ |\ |\ |\ |\ |\
may respond, offer guidance on what parent can do,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reinforce role of support |\ |\ |\
health promotion maintenance - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\
✔✔hospital: bed alarm, siderails, arm bands, hugs tags, |\ |\ |\ |\ |\ |\ |\ |\
back to sleep, anti-skid socks
|\ |\ |\ |\
home: babyproofing, back to sleep, keep meds out of
|\ |\ |\ |\ |\ |\ |\ |\ |\
reach, battery safety, toilet locks, magnets, covering
|\ |\ |\ |\ |\ |\ |\
outlets, keep weapons out of reach, put gates at stairs
|\ |\ |\ |\ |\ |\ |\ |\ |\
roles of the nurse - CORRECT ANSWERS ✔✔preparing
|\ |\ |\ |\ |\ |\ |\ |\
child/parent for procedure |\ |\
health and safety promotion
|\ |\ |\
health teaching and healthcare planning
|\ |\ |\ |\
anticipatory guidance (based on developmental stage) |\ |\ |\ |\ |\
family advocacy |\
therapeutic relationship building |\ |\
ethical decision making |\ |\
,culturally responsive care |\ |\
maintenance fluid requirement (MFR) formula - CORRECT |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔100 ml/kg for the first 10 kgs |\ |\ |\ |\ |\ |\ |\
50 ml/kg for the second 10 kg
|\ |\ |\ |\ |\ |\
20 ml/kg for each kg over 20 kg
|\ |\ |\ |\ |\ |\ |\
MFR is the amount of fluid in 24hrs required to maintain
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fluid needs |\
calculating urine output - CORRECT ANSWERS ✔✔healthy |\ |\ |\ |\ |\ |\ |\
infants/children make 3-4 ml/kg/hr |\ |\ |\
minimum for infants/children is 1 ml/kg/hr |\ |\ |\ |\ |\
adolescent minimum is 0.5 ml/kg/hr |\ |\ |\ |\
adult (over 40 kg) = 30 ml/hr minimum
|\ |\ |\ |\ |\ |\ |\
nervous system in children - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔incomplete cortical function |\ |\
intact but immature ANS |\ |\ |\
at 8 months infants have less than 1/2 of the myelin
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sheath so impulses are slower and less predictable
|\ |\ |\ |\ |\ |\ |\
infants may not look flushed when they have a fever, for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
example |\
temperature control measures are less developed |\ |\ |\ |\ |\
, skull is not rigid, fontanels are open (anterior fontanel is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
open longer and provides information on ICP and
|\ |\ |\ |\ |\ |\ |\ |\
hydration)
soft and flat = normal
|\ |\ |\ |\
sunken = dehydrated |\ |\
bulging = IICP |\ |\
neuro status: assess activity level, LOC, quality of cry
|\ |\ |\ |\ |\ |\ |\ |\ |\
(high-pitched cry = insult to nervous system) |\ |\ |\ |\ |\ |\
cardiovascular system in children - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\
✔✔the younger the child, the more RR and HR vary with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
illness
breaths to heart ratio is 1:4 |\ |\ |\ |\ |\
increased HR during inhalation and decreased HR during |\ |\ |\ |\ |\ |\ |\ |\
exhalation
prolonged tachycardia = decompensation of the heart |\ |\ |\ |\ |\ |\ |\
muscle
radial pulse isn't reliable until at least 6 years old, need to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
check apical pulse (smaller blood volume and less
|\ |\ |\ |\ |\ |\ |\ |\ |\
developed left ventricle) |\ |\
lower BP d/t small left ventricle, immature nervous
|\ |\ |\ |\ |\ |\ |\ |\
control, low body mass, check infant's BP on the popliteal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pulse
normal findings: pink mucous membranes and nail beds,
|\ |\ |\ |\ |\ |\ |\ |\
generally consistent skin color (acrocyanosis is only |\ |\ |\ |\ |\ |\ |\
