Pediatric Nursing Final with correct answers graded A+

Pediatric Nursing Final Appropriate discipline of children based on their age - correct answer Infancy: negative voice, stern eye contact, time-outs. Teach parents behavior is exploratory, not oppositional in infants. Fussy/irritable babies at risk for shaken baby syndrome. Children are spoiled when parents fail to enforce consistent, age appropriate limits. Normal wt gains through first year of life - correct answer Weight doubles at 5-6 months and triples at one year. Average weight at one year is 21 pounds. When to seek a referral based on pt assessment - correct answer If head lag is present at 6 months, need developmental/neuro evaluation. (Exam 2 pp p.3) School nurses should refer children with sore throat for strep test to prevent rheumatic fever. When to call MD for fever: child is < 3 months, fever is above 105, child is difficult to awaken, neck is stiff or cries when you touch him/her, breathing is difficult or child is unable to swallow, or child looks or acts very sick. (Exam 5 pp p.14) Hearing impairment affects speech development; important to discover within the first 6-12 months of life to prevent social, physical, and psychological damage to the child. - gw Nursing Alert: if a child fails to form syllables of "da", "na" and "yaya" (ie. Babbling) by 11 months of age the child should be referred immediately to have hearing tested. (page 841 of Wong's Nursing Care of Infants and Children, 10th ed., year 2015.) - gw If anyone has anything to add, please do. I've gone through the power points looking for any other specific assessment findings requiring a referral Types of play (identify what kind is being observed) - correct answer Parallel play: The child plays alongside but not with other children Associative play: group play without rigid organization pp pg 4 Onlooker play: do not want to participate Solitary play: play alone with own toys Cooperative play: loosely formed group with a leader (ex. Putting on a play) Steps of health assessment (adolescent - correct answer (Pre-teen, about ten on)