ATI Nursing Care of Children Proctored exam A+ Graded 100% Verified

ATI Nursing Care of Children Proctored exam A+ Graded 100% Verified What is a dictorial or authoritarian parenting style? CORRECT ANSWER: parents try to control the child's behaviors and attitudes through unquestioned rules and expectations What is an authoriatitive parenting style? CORRECT ANSWER: also known as democratic, parents direct the child's behavior by setting rules and explaining the reson for each rule setting What is passive parenting? CORRECT ANSWER: parents are uninvolved, indifferent, and emotionally removed A nurse manager on a pediatric floor is preparing an education program on working with families for a group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory? A. describes that stress is inevitable B. emphasizes that change with one member affects the entire family C. provides guidance to assist families adapting to stress D. Defines consistencies in how families change CORRECT ANSWER: D A nurse is assisting a group of parents of adolescents to develop skills that will improve communication. The nurse heads one parent states "my son knows he better do what I say". Which of the parenting styles is he exhibiting? A. Authoritarian B. Permissive C. Authroitative D. Passive CORRECT ANSWER: A A nurse is performimg family assessment. Which of the following should the nurse include? (select all that apply) A. medical history B. parents' education level C. child's physical growth D. Support systems E. Stressors CORRECT ANSWER: A, B, D, E What is the expected pulse rate of a newborn? CORRECT ANSWER: 80 to 180/min What is the expected pulse of a baby 1 week to 3 months? CORRECT ANSWER: 12 to 180/min What is the expected pulse of a child 3 months to 2 years? CORRECT ANSWER: 70 to 150/min What is the expected pulse of a child 2 to 10 years? CORRECT ANSWER: 60 to 110/min What is the expected pulse of a child 10 years and older? CORRECT ANSWER: 50 to 90/min What are the expected respirations fo a newborn to one year? CORRECT ANSWER: 30 to 35/min What are the expected respirations of a 1 to 2 year old? CORRECT ANSWER: 25 to 30/min What are the expected respirations of a 2 to 6 year old? CORRECT ANSWER: 21 to 25/min What are the expected respirations of a child 6 to 12 years old? CORRECT ANSWER: 19 to 21/min What are the expected respirations of a 12 year old and older? CORRECT ANSWER: 16 to 19/min What are the normal vitals of an infant? CORRECT ANSWER: HR: 80-180 RR: 30-35 BP: 65-80/40-50 Fontanels CORRECT ANSWER: should be flat and soft, posterior closes between 6 and 8 weeks, anterior closes between 12 and 18 months Teeth CORRECT ANSWER: 6 to 8 teeth by 1 year of age, 20 baby teeth and 32 permanent teeth How long is the Moro reflex present? CORRECT ANSWER: until 4 months of age How long is the Tonic neck reflex present? CORRECT ANSWER: until 3 to 4 months of age How long does the Babinski reflex last? CORRECT ANSWER: usually until a year Expected findings of the olfactory (I) nerve in infants , children, and adolescents CORRECT ANSWER: Infants: difficult to test Children and Adolescents: indentifies smell through each nostril individually Expected findings of optic nerve (II)? CORRECT ANSWER: Infants: looks at face and tracks with eyes Children and adolescents: has intact visual acuity, peripheral vision, and color vision Expected findings for trigeminal nerve? CORRECT ANSWER: infants: has rooting and sucking relfex children and adolescents: is able to clencg teeth together and can detect touch on face with eyes closed A nurse is preparing to assess a preschool-age child. Which of the following is an appripirate action by the nurse to prepare the child? A. Allow the child to role play using miniature equipment B. use medical terminology to describe what will happen C. separate th child from her parents during examination D. keep medical equipment visible to the child CORRECT ANSWER: A A nurse is checking the vital signs of a 3-year-old during a well child visit, which of the following findings should the nurse report to the provider? A. temperature 37.2C (99.0F) B. Heart rate of 106/min C. Respirations 30/min D. Blood pressure 88/54 mmHg CORRECT ANSWER: C A nurse is assessing a child's ears. Which of the following is an expected finding? A. Light reflex is located at the 2 o clock position B. Tympanic membrane is red in color C. bone landmarks are not visible D. Cerumen is present bilaterally CORRECT ANSWER: D A nurse is assessing a 6-month-old infant. Which of the following reflexes shoudl the infant exhibit? A. Moro B. Plantar grasp C. Stepping D. Tonic necl CORRECT ANSWER: B A nurse is performing a neurological assessment on an adolescent. Which of the following is an appropriate reaction by the adolescent when the nurse checks the trigeminal cranial nerve? (select all that apply) A. clencing the teeth together tightly B. recognizing a sour tast C. identifying smells through each nostril D. detecing facial touches when eyes closed E. Looking down and in with the eyes CORRECT ANSWER: A, D What happens to a baby's birth weight? CORRECT ANSWER: it should double by 6 months and triple by 1 year How do infants grow? CORRECT ANSWER: 1 inch per month (2.5cm) for 6 months, then by 12 months, height/length should be doubled When do the first teeth arupt? CORRECT ANSWER: between 6 and 10 months Gross and fine motor by 3 months CORRECT ANSWER: only have slight head lag Gross and fine motor by 4 months CORRECT ANSWER: should be able to roll from back to side Gross and fine motor by 5 months CORRECT ANSWER: should be able to roll from front to back Gross and fine motor by 6 months CORRECT ANSWER: should be able to roll from back to fron and hold a bottle Gross and fine motor by 7 months CORRECT ANSWER: move object from hand to hand Gross and fine motor by 8 months CORRECT ANSWER: sit unsupported Gross and fine motor by 9 months CORRECT ANSWER: crude pincer grasp Gross and fine motor by 10 months CORRECT ANSWER: prone to sitting positiion and grasp a ratty by the handle Gross and fine motor by 11 months CORRECT ANSWER: puts objects into a container and have a neater pincer grasp Gross and fine motor by 12 months CORRECT ANSWER: tries to build a 2 block tower and won't succeed What Piaget congitive development stafe are infants in? CORRECT ANSWER: Sensorimotor stage, birth to 24 months, separation, object permanence around 9 months, mental representation How many words should the infant know? CORRECT ANSWER: 3-5 words and has concept of numbers by 1 year What is the Erikson's stage of development for infants? CORRECT ANSWER: Trust vs. Mistrust, birth to 1 year, caretake meeteing the needs of the infant When does separation anxiety begin to occur? CORRECT ANSWER: between 4 and 8 months When is there stranger fear in infants? CORRECT ANSWER: 6 to 8 months What toys should be used for an infant? CORRECT ANSWER: rattles, blocks, brightly colored toys, mirrors, patty cake Infant Immunizations CORRECT ANSWER: Birth: hep B 2 months: hep B, IPV, RV, PCV, dtap, HIB 4 months: all of the 2m, hep B 6 month: all the previous Flu shots: 6m to 1 year Infant Nutrition CORRECT ANSWER: breast milk first 6 months, solids 4 to 6 months and first solid is usually iron fortified rice ceral, no juice or water is needed for first year, foods introduced one at a time over 4-7 day period to monitor for allergies What are infant safety concers? CORRECT ANSWER: choking/aspiration (grapes, coins, candy) burns (sunscnreen, handles turned away from stove, electrical outlets are covered), drowning, rear facing care seat until 2 years, crib slats are no more than 6cm, no pillows, and sleep on back A nurse is assessing a 12 months old infant during a well-child visit. Which of the following findings should the nurse report to the provider? A. closed anterior fontanel B. eruption of 6 teeth C. Birth weight doubled D. Birth length increased by 50 % CORRECT ANSWER: C A nurse is performing a developmental screening of a 10-month old infant. Which of the following fine motor skills should the nurse expect to find? (select all that apply) A. grasp a raddle by the handle B. try building a two-block tower C. use a crude pincer grasp D. Place objects into a container E. Walkes with one hand held CORRECT ANSWER: A, C A nurse is conducting a well-baby visit with a 4 motnh old infant. Which of the following immunizations should the nurse plan to administer? (select all that apply) A. MMR B. IPV C. PCV D. varicella E. RV CORRECT ANSWER: B, C, E A nurse is providing education about introducing new foods to the parents of a 4 months old infant. The nurse should recommend that the parents introduce which of the following foods first? A. Strained yellow vegetables B. Iron fortified cereals C. Pureed foods D. Whole Milk CORRECT ANSWER: B