PEDS ATI NURSING CARE OF CHILDREN PROCTORED EXAM QUESTIONS WITH RATIONALES ALL PARTS COVERED LATEST UPDATE

PEDS ATI NURSING CARE OF CHILDREN PROCTORED EXAM QUESTIONS WITH RATIONALES ALL PARTS COVERED LATEST UPDATE Parenting styles: Dictatorial or authoritarian Super strict parents, it’s their way or the highway Parents try to control their child’s behaviors through unquestioned rules orexpectations Ex. the child is never allowed to watch tv on a school night Permissive Very laid back, allow children to set their rules Parents exert very little control over their child’s behaviors; consult the childwhen making decisions Ex. the child assists in deciding whether or not they can watch tv on aschool night Democratic or authoritative Right in the middle, not too strict but also not too permissive Parents direct the child’s behaviors by setting rules and explain the reasonbehind them Parents negatively reinforce deviations from the rules and may do so bytaking privileges away Ex. the child can watch tv for 1 hour on school nights as long as their homework is done Passive parents Do not care what is going on, don’t even consult with the children. lOMoARcPSD| Uninvolved, indifferent or emotionally removed Chapter 2 Physical Assessment Findings Pediatric vital signs differ from an adult’s, except for blood pressure. Temperature of a one year old is 99.9 degrees Not until 5 years old when they begin to have a normal temperature of 98.6 Pulse rate for an infant is 80-180 with respirations of 30-35 Infant bp systolic is between 65-80 and their diastolic is between 40 & 50 The fontanels* Should be flat and soft Posterior: closes between 6 & 8 weeks Anterior closes between 12 & 18 months Infant can have 6-8 teeth by one year of age ▪ There will be 20 deciduous teeth and 32 permeant teeth ▪ Reflexes* o Moro reflex: present from birth to four months. Allowing the head and trunk of the infant to fall backwards. The arms and legs symmetrically extend and abduct, and fingers form a C shape. o Rooting: stroking the infant’s cheek or edge of mouth causes the infant to turn their head to that side and suck. Birth to 4 months. o Palmar grasp: placing an object in the infant’s palm and the infant grasps the object. Birth to 3 months. o Plantar: by touching the sole of the infant’s foot the toes curl downward. Birth to 8 months. o Startle: by making a loud noise the infant abducts arms and hands remained clenched. Birth to 4 months. o Tonic neck: by turning the infants head to one side the infant will extend the arm and leg on that side and flex the opposite side. Birth to 3-4 months. o Babinski: by stroking the outer edge of the sole up toward the toes the infant will fan its toes upward and out. Birth to 1 year. o Stepping: by holding the infant upright with its feet touching the surface the infant will make stepping movements. Birth to 4 weeks. ▪ Cranial nerves o 1 is olfactory o 2 is optic o 3 oculomotor o 4 trochlear: ability of eye to look down and in o 5 trigeminal: have child close eye and they will detect you touching their face o 6 abducens: the ability to look laterally with the eyes o 7 facial: symmetry facial movements lOMoARcPSD| o 8 vestibulocochlear/acoustic: checking hearing o 9 glossopharyngeal: checking for intact gag reflex o 10 vagus: checking for swallowing o 11 spinal accessory: can move shoulders symmetrically o 12 hypoglossal: tongue is midline and can move in all directions Ooh ooh ooh to touch and feel very good velvet such heaven Some say marry money but my brother says big brains matter most Chapter 3 Physical Development: ▪ Doubles by 6 months; triples by 1 year* ▪ 2.5 cm (1 in) per month for the first 6 months ▪ Length increases by 50% by 12 months of age ▪ First teeth erupt between 6-10 months