NUR 254 Exam 3 Questions and Correct Solutions Latest Version 2025

NUR 254 Exam 3 Questions and Correct Solutions Latest Version 2025 Family Centered Care - Answers Aids in planning,delivery, & evaluation 1. Empowerment 2. Enabling Atraumatic Care - Answers Do no Harm 1.Prevent or Minimize Separation 2. Promote Sense of Control 3. Prevent or Minimize bodily injury or pain Role of pediatric Nurse - Answers Therapeutic relationship Family advocacy & caring Disease prevention & health promotion Health Teaching Injury Prevention Support & Counseling Coordination & Collaboration Ethical Decision Making Cephalocaudal - Answers head to tail; head grows before lower parts of body Infant controls head before trunk & extremities Proximodistal - Answers Near to far, midline to peripheral Infants control shoulders before hands Weight Should be.... - Answers 2x birth weight @ 6 months 3x birth weight @ 12 months Trust vs. Mistrust - Answers Birth to 1 year Cooing & crying, respond to nonverbal cues If not attended to mistrust develops Toys- rattle Autonomy vs Shame & Doubt - Answers 1-3 years Learn self control & willpower versus impulse Give choices Initiative vs. Guilt - Answers 3-6 years Direction & purpose Right vs. wrong- develop conscience Allow toddler to fully accomplish task Industry vs. Inferiority - Answers 6-12 years Why? Engage in task they can fully accomplish Understand cause & effect Identity vs role confusion - Answers 12-18 years Role confusion Confidentiality Functions of Play - Answers Sensorimotor & intellectual development Creativity Self awareness Therapeutic Value Morality Unoccupied Behavior - Answers No Purpose Focuses attention momentarily Onlooker Play (infant/toddler) - Answers Watching Solitary Play (Infant/Toddler) - Answers play alone with their interest centered on their own activity Parallel Play (Toddler 1 to 3) - Answers Play independently but next to each other Associative Play (Preschool 3 to 6) - Answers Children play together with no goal Children borrow or lend materials to play with Cooperative Play (School Age 6 to 12) - Answers Organized & in groups, have a goal Mark a sense of belonging or not Infant Communication - Answers Cooing & crying Responds to nonverbal cues Toddlers - Answers Egocentric Focus on communication on them School Age - Answers Wants reasons/explanations Why Cause & effect Adolescence - Answers Whether to talk to adolescence or parents Privacy Building foundation Communicate effectively Creative Communication - Answers Nurse will have to be creative when communicating with children Pain Scales - Answers NIP < 2months FLACC > 2 months to 7 years old Wong Baker- Faces- 3 to 4 years old Numeric Scales (0 to 10)- 8 years old to older Red Flags call HCP - Answers Posterior fontanelle open after 2 months Anterior fontanelle open after 18 months Weight Gain < 2x @ 6 months Weight gain <4x @ 12 months Should babble @ 9 months Fontanelle bulging or sunken in Pediatric Assessment - Answers Interact with parents Child sits on parents lap Equipment out of sight Invasive last (BP, temp, ear exam) Ear Assessment - Answers <3- pinna down and back >3- pinna up & back Infant Milestones - Answers 1 month: grasp reflex 2 months: posterior fontanelle closes 3 months- hold objects 4 months: roll front to back, smiles, Moro gone 6 months: roll back to front, first sounds, teeth erupt, solid foods introduced 8 months: sits unsupported 9-12 months: starting to walk Toddler Milestones - Answers 15 months- creeps upstairs 18 months- anterior fontanelle closes 24 months- parallel play, egocentric, runs well 30 months- jumps both feet, starts potty training Screening for Lead Poisoning - Answers Universal screening done at 1 & 2 years old Preschooler Developmental Milestones - Answers 3 years- rides tricycle, walks upstairs with alternate feet, parallel & associative play 4 years- hops on 1 foot, uses scissors 5 years- associative play Immunizations - Answers Minor illnesses (cold)- not contraindicated in vaccines For administration- consent signed & vaccine sheet provided to parent