NUR 254 CHILD CARING EXAM 3
QUESTIONS AND ANSWERS 100%
CORRECT
pain scale= NIPS - ANSWER-used for 2 months or less
Pain scale= Flacc - ANSWER-used for more than 2 months old
Pain scale= Wong Baker - ANSWER-used for 3-4 year olds ( preschooler)
Pain scale =Numeric - ANSWER-used for 8 year old and up ( as young as 5 if the
understand value of numbers)
School age (6-12) nursing considerations - ANSWER-Ask why?; let them contribute;
they understand cause and effect; Don't need to be bribed
Adolescent nursing assessment finding (Erikson) - ANSWER-expected= they are finding
themselves; friends are very important; Confidentiality and privacy important
Erikson Adolescent - ANSWER-Age 12-18
Identity vs role confusion
Nutritional assessment of Adolescent - ANSWER-Ask Patient what they ate; also
assess weight
(body issues are common)
Erikson Preschooler - ANSWER-Age 3-6
Initiate vs guilt
Parallel play - ANSWER-Play side by side NOT with each other. (Toddlers 1-3)
Associative play - ANSWER-NO group goal ( preschooler 3-6) ; example kicking ball
around
Cooperative play - ANSWER-Sports; common goal ( School age 6-12)
Preparing School age patient for procedure - ANSWER-Age 6-12; Answer why
questions, allow them to contribute ; explain cause and effect
Appropriate skill set based on age= 6 months - ANSWER-should sit up unsupported;
tripod position
, Appropriate skill set based on age = 3 years old - ANSWER-should walk up stairs with
alternating feet
Appropriate primative reflex should disappear at= 3-4 MONTHS - ANSWER-Rooting,
sucking; Palmar; Tonic neck reflexes
Appropriate primative reflex should disappear at = 1 month - ANSWER-Stepping reflex
Appropiate primative reflex should disappear at= 6 MONTHS - ANSWER-Moro reflex
Appropriate primative reflex should disappearat= 8 MONTHS - ANSWER-Plantar reflex
Appropriate primative reflex should disappear at= 1 year - ANSWER-Babinski
Natural immunity - ANSWER-breast feeding / contact with virus
acquired immunity - ANSWER-vaccines
Assessment finding = Child with tet spell (Cyanosis) - ANSWER-1. Knee to chest
2. administer o2
3. Morphine
4. IV fluids
Assessment finding to tell HCP - ANSWER-Abnormal finding Tachycardia at rest
Assessment : child with dx of asthma hearing NO wheezing - ANSWER-Tell HCP;
Status asthmaticus; MEDICAL EMERGENCY
Assessment: Child dx with croup; Epiglottis - ANSWER-Tell HCP prepare trach and
intubation ; MEDICAL EMERGENCY
Intervention needed when observing: Patient with epiglottis = student nurse is taking
oral temperature - ANSWER-Nothing in Mouth ; NO oral temp, no tong blade; do not
visualize
PDA Patent Ductus arterioles S/S - ANSWER-Machine like murmur
bounding pulse
poor weight gain
tired after feeding
RSV Respiratory Syntactical Virus S/S - ANSWER-Rhinorrhea ( runny nose)
drainage from eyes & ears
Wheezing
fever
coughing
sneezing
QUESTIONS AND ANSWERS 100%
CORRECT
pain scale= NIPS - ANSWER-used for 2 months or less
Pain scale= Flacc - ANSWER-used for more than 2 months old
Pain scale= Wong Baker - ANSWER-used for 3-4 year olds ( preschooler)
Pain scale =Numeric - ANSWER-used for 8 year old and up ( as young as 5 if the
understand value of numbers)
School age (6-12) nursing considerations - ANSWER-Ask why?; let them contribute;
they understand cause and effect; Don't need to be bribed
Adolescent nursing assessment finding (Erikson) - ANSWER-expected= they are finding
themselves; friends are very important; Confidentiality and privacy important
Erikson Adolescent - ANSWER-Age 12-18
Identity vs role confusion
Nutritional assessment of Adolescent - ANSWER-Ask Patient what they ate; also
assess weight
(body issues are common)
Erikson Preschooler - ANSWER-Age 3-6
Initiate vs guilt
Parallel play - ANSWER-Play side by side NOT with each other. (Toddlers 1-3)
Associative play - ANSWER-NO group goal ( preschooler 3-6) ; example kicking ball
around
Cooperative play - ANSWER-Sports; common goal ( School age 6-12)
Preparing School age patient for procedure - ANSWER-Age 6-12; Answer why
questions, allow them to contribute ; explain cause and effect
Appropriate skill set based on age= 6 months - ANSWER-should sit up unsupported;
tripod position
, Appropriate skill set based on age = 3 years old - ANSWER-should walk up stairs with
alternating feet
Appropriate primative reflex should disappear at= 3-4 MONTHS - ANSWER-Rooting,
sucking; Palmar; Tonic neck reflexes
Appropriate primative reflex should disappear at = 1 month - ANSWER-Stepping reflex
Appropiate primative reflex should disappear at= 6 MONTHS - ANSWER-Moro reflex
Appropriate primative reflex should disappearat= 8 MONTHS - ANSWER-Plantar reflex
Appropriate primative reflex should disappear at= 1 year - ANSWER-Babinski
Natural immunity - ANSWER-breast feeding / contact with virus
acquired immunity - ANSWER-vaccines
Assessment finding = Child with tet spell (Cyanosis) - ANSWER-1. Knee to chest
2. administer o2
3. Morphine
4. IV fluids
Assessment finding to tell HCP - ANSWER-Abnormal finding Tachycardia at rest
Assessment : child with dx of asthma hearing NO wheezing - ANSWER-Tell HCP;
Status asthmaticus; MEDICAL EMERGENCY
Assessment: Child dx with croup; Epiglottis - ANSWER-Tell HCP prepare trach and
intubation ; MEDICAL EMERGENCY
Intervention needed when observing: Patient with epiglottis = student nurse is taking
oral temperature - ANSWER-Nothing in Mouth ; NO oral temp, no tong blade; do not
visualize
PDA Patent Ductus arterioles S/S - ANSWER-Machine like murmur
bounding pulse
poor weight gain
tired after feeding
RSV Respiratory Syntactical Virus S/S - ANSWER-Rhinorrhea ( runny nose)
drainage from eyes & ears
Wheezing
fever
coughing
sneezing
