Nurs629 Exam 2 SOLUTIONS 100% CORRECT /Nurs629 Exam 2 SOLUTIONS 100% CORRECT ANSWERS

Nurs629 Exam 2 SOLUTIONS 100% CORRECT ANSWERS Name two things that would ensure a 1st grader is ready for school? - ANSWER 1. Potty Trained 2. Can follow simple 3 part commands When can time out be implemented? - ANSWER 1. 12-18 months -praise good behavior -use positive discipline as well as timeouts and distractions What do you say to a mom of 2.5 year old who isn't potty trained? - ANSWER 1. its normal What warrants a visit to a clinic for a newborn? - ANSWER 1. jaundice 2. fever over 100.4 What should screen time be limited to? - ANSWER 2 hours or less What are the key/fact principles about development? - ANSWER 1. ** We all develop in the same order but at different rates 2. Development is a LIFELONG but rate is accelerated in children 3. We are all UNIQUE in our growth and development Anticipatory guidelines at 6 month well child exam? - ANSWER 1. ***** Infant will become increasingly mobile -safety locks -stair gates -hot water thermostat less than 120 -avoid small parts/toys -poison prevention/how to contact poison control -no standing water -oral hygiene/soft toothbrush -advise on teething -avoidance of bottle in bed Children 6mos-9mos of age who have never had a flu shot will need? - ANSWER 2 doses of the vaccine given at least 4 weeks apart What does the Ages and Stages Questionnaire screen for? - ANSWER Developmental Progress in children between the ages of one month to 5.5 years. What are signs of Vitamin D deficiency in children? - ANSWER Muscle Pain If baby is strictly breast fed what supplement do they need? - ANSWER Vitamin D What type of vaccine is Varicella? - ANSWER Live Vaccine What age does child know their own name? - ANSWER 6-9mos At what age will they begin to take first steps alone? - ANSWER 12 months At what age should a child be walking completely on their own? - ANSWER 15-18mos At what age should infant sit up without support - ANSWER 6-9mos When does a child know their age and can tell you? - ANSWER 2-3 years What age does the MCHAT assess for autism? - ANSWER 16-30 months When does the anterior fontanel close? - ANSWER 18mos Education for prevention of SIDS - ANSWER 1. sleep on back 2. no stuffed animals 3. remove fluff from crib 4. no smoking in house 5. adequate air movement in room 6. firm mattress until 1 year 7. no prenatal smoking What should a child take a break from after concussion? - ANSWER School and homework technology When can a baby roll both ways? - ANSWER 4 mos What must a child have parental consent for to be done in office? - ANSWER Sports PE and immunizations What is the tanner stage 2 for girls? - ANSWER Puberty, breast bud stage, increase in diameter of areola, scant, light pubic hair Most likely cause of death during sports? - ANSWER Hypertrophic Cardiomyopathy Most common morbidity in children? - ANSWER Poisoning Obesity risk factors in children? - ANSWER Smoking during pregnancy Education for Adolescence? - ANSWER Avoid risky behavior What is important to ask about or screen at sports PE? - ANSWER any cardiac/family hx? If after returning activity with step up for concussion and sx return, what is done? - ANSWER Rest for 1-2 days then restart step up at previous step At what age does dtap STOP and tdap START? - ANSWER 7 How many mls in a tsp? - ANSWER 5 Risk-taking behaviors that lead to morbidity in adolescence? - ANSWER Tobacco, etoh, drugs When should referral be made after concussion? - ANSWER If symptoms continue after 7-14 days When does head lag disappear? - ANSWER 4 months Erickson Stages 0-12 - ANSWER Trust vs Mistrust "to get to give in return" Erickson stage 12-36 - ANSWER Autonomy vs shame "to hold on, to let go" Erickson stage 3-6yrs - ANSWER Initiative vs guilt "to make things, to play" Erickson stage 6-11 years - ANSWER Industry vs Inferiority "to make things, to complete" Erickson stage 12-17 years - ANSWER Identity vs role confusion " to be oneself, to share being oneself or not being oneself" Erickson 17-30 years - ANSWER Intimacy vs isolation At birth what vaccine do they get? - ANSWER HEP B Vaccines at 2 months: - ANSWER H,H, D, I, P, R (HEP B, HIB, DTAP, IPV, PCV, RV) Be DR HIP Vaccines at 4 months - ANSWER D,H,I,P,R ( DTAP, HIB, IPV, PCV, RV) DR. HIP Vaccines at 6 months - ANSWER H,D,H, I, P, R (Hep B, DTAP, HIB, IPV, PCV, RV) can start getting flu @ 6 months. Recommend in two doses 4 weeks apart if first time. Be DR. HIP IN 12 months vaccine - ANSWER MMR, Varicella, HEP A, DTAP, HIB, PCV, IPV Very MAD HIP-ster 4-6 years vaccines - ANSWER DTAP, IPV, MMR and Varicella 11-12 years - ANSWER TDAP Meningitis MCV4 (Men ACWY) 16-18 year vaccine - ANSWER MCV4 (MEN ACWY) MEN B followed by second MEN B in 6 mos HPV Vaccine - ANSWER -can start at age 11 -three doses after age 14 -two doses before age 14 Tanner Stage 1 Boy - ANSWER -pre puberty -scrotum and penis childhood size -no pubic hair Tanner Stage 2 boy - ANSWER -puberty -ages 11-13 -Increase testicular size -scrotum reddened and textured -scant, light pubic hair Tanner Stage 3 Boy - ANSWER -increase size of testicles -lengthening of penis