“GOLDEN NOTES OF THE MUGWUMP” A CRASH BULLET REVIEW in PEDIATRIC NURSING Prepared by Prof. Brian YU, RN, USRN 1 2 3 4 5 6 Disproportionately represents most of the homeless people The racial group that has the highest infant mortality rate Majority of poor children in the United States are from which of the following group? Infancy Newborn Neonate Poverty rates are highest in which of the following types of families African Americans African Americans Caucasian Factor that increases the prevalence of illnesses such as asthma and anemia, as well as respiratory and gastrointestinal infections? Children who are at greatest risk of infant death are born Using the deficit-orientation model of chronic conditions, clinicians assessing the client would look for The deficit-orientation model of chronic conditions tends to see which of the following as the expert? The health-orientation model of disability tends to be critical of: poverty The ordinary model of chronic conditions differs from other models because in this model, people with chronic conditions view themselves as: The health-orientation model of chronic conditions portrays the relationship between client and professional as a: The nurse is working with a child who has been rewarded for inappropriate and unsafe sexual behavior. This child equates love and affection with sex. The nurse realizes the term for this is: Incest is most likely to occur between: Leading cause of injury-related death for children aged 1 to 4 years is: Leading cause of injury-related deaths in adolescents aged 14 to 19 is by: Atraumatic care refers to: leading ordinary lifestyles from birth to 12 months from birth to 4 months 1 to 28 days single-parent 7 8 9 10 11 into families in poverty abnormalities and problems the professional(s) professionals making negative appraisals 12 13 14 15 16 17 18 19 Best exemplifies atraumatic care 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 An appropriate method for teaching preschool children: Adolescents learn best when they: The character of a nursing unit is determined mainly by the: Discipline should not only include setting limits and punishing for wrongdoing but also help children learn: The consequences of discipline must have the following qualities: Most frequent cause of injury to children while at school? When the school nurse prepares sex education curricula, the primary goals are to increase knowledge and to: Before teaching students about contraception, the nurse most needs to be aware of: Infants start grasping with the whole hand, and as they develop they begin to use just the fingers. This development is an example of which of? In learning new developmental skills, the new skills: In the development of a number of children, which aspect shares a commomality? The child were demonstrating being in shame and doubt instead of having mastered autonomy? A nurse should provide a pacifier to a client in which of the following age groups? Corresponding stage of development of Erikson’s initiative versus guilt stage to Piaget is? A breastfed newborn has a baby’s stool which is golden yellow, is pasty instead of firm, and has a sour milk odor. The nurse is assessing a newborn and finds a rash that has a red macular base with a white vesicular center. The caregivers are instructed on how to transport a newborn in the car. Why infant is walking sideways while holding onto furniture. The best response by the nurse is: The very first sucking by an infant occurs because of: Playing peek-a-boo with a teaches a baby regarding Best describes object permanence Best and richest play for an infant is when: partnership traumatic sexualization siblings drowning motor vehicle occupant injuries a philosophy of providing health care that minimizes or eliminates physical or psychological distress for children and their families using a eutectic mixture of local anesthetics (EMLA) cream 1 hour before blood draws or the use of any needle imitation see an immediate personal benefit nurse manager rules, regulations, and goals of living in a world with others effective, constructive, and not unduly harsh falls encourage students to make positive health choices school district policies and community values proximodistal predominate over older skills basic sequence of changes dependency and constantly looking to others for approval birth to 1 year preoperational “This is a normal stool for a newborn that is breastfed. Do not change anything about your breastfeeding.” erythema toxicum The baby should be secured in a car seat in the rear facing backward. “Infants start walking sideways while holding onto furniture before they walk or stand alone.” an accidental reflex of rooting object permanence The infant realizes an object continues to exist even when out of sight. the caregiver is involved in the play and responds PREPARED BY: BRIAN YU... 0917-5262468 43 44 45 46 47 48 49 50 A family is planning to integrate solid foods into the infant’s diet. Which of the following foods would be recommended for an infant? Growth rate slows for toddlers due to which of the following causes In the toddler, the spinal cord ends at which of the following levels of the spine? All of a child’s deciduous teeth usually erupt by how many months of age? Until myelination of the spinal cord is completed, the child will: Most toddlers can climb stairs by how many months? Best help the toddler understand why he or she is being given cough syrup for his persistent cough This must develop prior to the beginning of bowel and bladder training? The recommended method in toilet-training? 51 52 53 54 The difference in vocabulary between the 3-year-old child and the 4-year-old child is: When a preschooler is watching a new show or a new video, the caregivers need to: An adolescent complaining of being lonely and having a lack of fulfillment in her life. This adolescent shies away from intimate relationships at times, yet at other times she appears promiscuous. The nurse will likely work with this adolescent most in which of the following areas, as it is at the center of the other problems? Caregiver responsiveness 55 56 57 58 Most important questions or statements during the health history interview of the family seeking care for a toddler? Child is allowed to fall asleep with bottle of milk or other liquid containing sugar? A 5-day old baby with jaundice. The most logical explanation of which is? What is one of the ways to assess for a child’s hydration? 59 60 61 In inspecting a child’s eyes, the nurse finds that a portion of the sclera can be seen above the iris. This is suggestive of what? In inspecting the eyes of a child, the nurse notes that there are some small white flecks around the perimeter of the iris. These white flecks are called: White flecks around the perimeter of the iris in children are: to the child Cereal decline in appetite and erratic eating habits L3-L4 30 have some difficulty in walking 18 “This medicine will help you feel better and will help your cough go away.” myelinization of the spinal cord Use a calm, relaxed approach, praise for success, and no punishment at all. 500 versus 1,500 words watch the new show or video with the child identity the degree to which caregivers respond to their children’s needs in an accepting, supportive manner “Tell me how you have childproofed your home.” Child can have cavities.” breast milk jaundice Pinches up a small section of the child’s skin between the thumb and forefinger, then quickly releases it. hydrocephalus Brushfield spots found in a child with Down syndrome 62 Low set ears, means: the finding is abnormal and may be a sign of renal anomalies or Down syndrome To look into the ear of a child younger than 3 years old, the nurse would position the ear by pulling the auricle: Patency of the nares must be determined at birth because: To assess for choanal atresia, the nurse would: down and out 63 64 65 66 67 68 69 70 71 The femoral pulses are weaker than brachial pulses when palpated simultaneously, the nurse realizes this is abnormal and occurs in which of the following conditions? The nurse finds a sausage-shaped mass that produces intermittent pain when palpated in the upper abdomen. Best arrangement for the parents of a hospitalized infant or young child? In the nursing mutual participation model of care (NMPMC), the nurse believes that: Which of the following questions by the nurse would best fit the philosophy of the nursing mutual participation model of care (NMPMC)? Reye’s syndrome 72 73 74 75 76 77 78 The nurse will most often find intertrigo in which of the following places Best defines autoimmunity Nociceptors are nerve receptors for: Giving the school-aged child an intramuscular injection Who is the best person to provide the most accurate measurement of a child’s pain? Most associated GOAL with good pain management newborns are nose breathers pass a 10-12 French catheter through the nasal passage and into the nasopharynx and repeat in the other nostril coarctation of the aorta intussusception rooming-in the presence and support of families is essential for optimal healing, recovery, and prevention of additional trauma to a child “How does your child look to you today?” a life-threatening condition following a mild viral illness, in which there is liver enlargement and cerebral edema the axillae, interdigital spaces, and the gluteal cleft identification of self as foreign and mounting of immune response pain apply a self-adhesive bandage the child him- or herself Maximize function (eating, walking, and PREPARED BY: BRIAN YU... 0917-5262468 79 80 81 82 83 84 The nurse is working with a child who is going to have a bone marrow aspirate. The physician orders TAC (tetracaine, adrenaline, and cocaine). Which of the following is the route of administration? Biotransformation is also called Most biotransformation of medications occurs in the: Primary goal of a hospice nurse caring for dying children. Pathological jaundice of the newborn occurs: A with baby with a dark-black tuft of hair and a dimple over the lumbosacral area, indicates: Atopic dermatitis is a skin lesion that is: 85 95 While palpating the outer layer of the cranial bones behind and above the ears, the nurse finds a softening of this area and has the sensation of pressing on a table-tennis ball when palpating the area. Cephalhematoma Swelling over the occipitoparietal region of the skull Frequent assessment of the adolescent’s pain level is necessary because adolescents tend to: How many hours is the gastric emptying time in neonates? What is parentification? Most common type of burn in children? Extent of burns in children Most common fluid replacement used in children with severe burns Best describes the term tolerance 96 97 Skin grafts made from cadaver skin? Why is it easy to palpate a full bladder on infants and children? 86 87 88 89 90 91 92 93 94 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 Why is it that the kidneys of a child are more susceptible to trauma compared to those of an adult? What is chordee, a condition that can be associated with hypospadias? Cryptorchidism Hydrocele What is the cause of primary nephrotic syndrome Types of acute renal failure What condition always precedes end-stage renal failure? Why small frequent feeding is indicated for newborns and infants? A parent tells the pediatric nurse about her baby spitting up. The nurse will explain that regurgitation by infants is: The pediatrician suspects that an infant has a malabsorption disorder or a biliary tract obstruction and orders a fecal fat test. The nurse realizes that this test involves: Infants can absorb the fat in breast milk more readily than fat in formula because human breast milk: Which is the initial symptom of hypertrophic pyloric stenosis? The infant with hypertrophic pyloric stenosis will eventually: How does examination of palate done in newborns? Most often the initial reaction of parents who have a baby with craniofacial anomalies? The ESSR method involves: When a caregiver has tried standard nipples, preemie nipples, and all kinds of special nipples without much success, the best plan is to teach feeding with which of the following types of equipment? Esophageal atresia is: 115 116 117 118 In newborn what INDICATES large amount of fine, frothy bubbles of mucus in the mouth, rattling sound to the respirations and has a choking episode and becomes a little cyanotic? Pre-operative focus prior to the surgical repair of an esophageal atresia with tracheoesophageal fistula Most frequent cause of intestinal obstruction in infants and young children? Best describes intussusception 119 120 121 122 123 3 classic signs and symptoms for intussusception will look for: colicky intermittent abdominal pain, vomiting, and which kind of stool? The treatment of choice and the safest treatment for intussusception is which of the following treatments? In Hirschsprung’s disease the normal portion of the bowel: Primary manifestation of Hirschsprung’s disease among newborns participating in the recovery process). application to the skin, covered with a dressing prior to the procedure metabolism liver keep the dying child pain free within the first 24 hours of life abnormal and may indicate spina bifida common and involves the epidermis and superficial dermis craniotabes swelling does not cross suture lines caput succedaneum deny their pain and hide it from caregivers 6-8 hours assuming the caregiver (parental) role thermal percentages of total body surface area (TBSA) lactated Ringer’s solution the need to use increasing doses of a medication over time to achieve the desired result Homografts Their bladders are closer to the anterior abdominal wall. The kidneys are less protected in the child due to unossified ribs and less fat padding. downward curvature of the penis and an incomplete foreskin failure of one or both of the testes to descend through the inguinal canal into the scrotum a collection of fluid in the scrotal sac glomerular disease of the kidney three types: prerenal, intrarenal, and postrenal Uremia a 10- to 20-milliliter stomach capacity at birth common because the lower esophageal sphincter tone is decreased collecting all stool for 72 hours under cool conditions contains lipase nonbilious vomiting starting between the 2nd and 4th week of life have projectile vomitus propelled up to several feet by palpation with a gloved finger shock enlarge, stimulate, swallow, and rest Asepto syringe with a rubber tip characterized by incomplete formation of the esophagus so it ends before it gets to the stomach esophageal atresia preventing aspiration pneumonia intussusception a condition in which one segment of the bowel telescopes into the lumen of an adjacent segment currant-jelly-like stools hydrostatic reduction with an air or a watersoluble contrast agent becomes hypertrophied and dilated failure to pass meconium during the first 24 to 48 PREPARED BY: BRIAN YU... 0917-5262468 124 The nurse assessing an older infant or child will suspect Hirschsprung’s disease when the child has a history of which of the following symptoms? Best defines gastroesophageal reflux 125 What causes frequent progression of appendicitis to perforation of the appendix among children? 126 127 128 129 130 131 132 133 134 135 136 137 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 What is one of the differences between Crohn’s disease and Ulcerative Colitis (both are types of inflammatory bowel disease) in terms of the bowel are involved? Typical stool of celiac disease The position for a child post-operatively? A child who is in the first postoperative day after a tonsillectomy starts to cough and wants to blow his nose. What is the action of the nurse? Earliest manifestation of bleeding in a child who has had a tonsillectomy? Which of the following outcomes is the most important for a child who has had a tonsillectomy? Otitis media can occur with or without an effusion. Which of the following best describes an effusion? The nurse is talking with parents about the prevention of otitis media. What are the preventive measures? What indicates a preverbal child who keeps pulling on his ear? Which of the following body structures is infected when a child has croup? The nurse is assessing a child with croup. Which of the following signs or symptoms would the nurse associate with croup and most expect to find? Specific therapy for respiratory syncytial virus (RSV) bronchiolitis? Contraindicated to ribavirin Heart size has a correlation that continues into adulthood. The heart is the size of the: After birth the pulmonary artery is the only artery in the body that: Which calculation determines cardiac output? What are factors determining stroke volume? The angle between the nail and the nail bed of a child has been lost and the fingertips are wider and rounder? Systolic murmurs are considered abnormal if they are: What is the primary focus of nursing intervention when the child has iron-deficiency anemia? Over 84% of newborn babies prenatally infected with human immunodeficiency virus (HIV) are of which of the following races? Classic sign of impetigo, which is typically used to diagnose this condition? Preventive measure of diaper dermatitis To prevent or alleviate diaper dermatitis Test for color-blindnesss Which of the following will the nurse teach the family of a child who has tonic/clonic seizures to do when their child begins to have a seizure? If you are walking with a child who begins to have a seizure, you will ease the child to the floor to prevent injury. What additional action will you most need to take? The noncommunicating or obstructive type is responsible for what percentage of occurrences of hydrocephalus in children? Older children and adolescents who develop hydrocephalus usually have hydrocephalus due to which of the following causes? hours after birth chronic constipation Stomach contents are put back into the lower esophagus through the lower esophageal sphincter. “Young children have a thinner appendiceal wall than adults, so they progress to perforation much quicker than adults.” ulcerative colitis involves the colon and rectum, whereas Crohn’s disease may affect the entire gastrointestinal tract bulky, putty colored, foul smelling, greasy, and likely to float on the abdomen or side Remind the child not to cough or blow his nose. frequent swallowing no postoperative bleeding accumulation of fluid such as in the middle ear or pleural cavity immunizations and breastfeeding Pain larynx, trachea, and large bronchi barklike cough, hoarseness, inspiratory stridor ribavirin (Virazole) pregnant health care workers Fist carries deoxygenated blood heart rate times stroke volume preload, afterload, and contractility Clubbing grade III or greater caregiver education African American and Hispanic honey-colored crusts on the skin absorbent disposable diapers frequency of the diaper changes the Ishihara color plates Perform a jaw thrust and, if available, administer oxygen. Place the child on his or her side. 99% intracranial tumors, fever, or injury 145 146 147 148 149 150 151 152 153 154 Which of the following signs and symptoms will the nurse most likely find when assessing an infant with Arnold-Chiari malformation? Post-operative position for a child who just returned from the placement of a shunt as a treatment for hydrocephalus. What do you expect to find during the initial assessment to a child with craniosynostosis? Among neonates, what are the signs of arteriovenous malformation? Medication to be given in the initial phase of increased intracranial pressure to shrink brain volume? Where is fat stored in bones? Where does hematopoiesis occur in bones? Growth hormone is produced in the: During the initial assessment of a child with Bryant’s traction the nurse will make certain that: difficulty swallowing, diminished or absent gag reflex, and respiratory distress flat and lying on the unoperated side hydrocephalus congestive heart failure, cardiomegaly, and a cerebral bruit mannitol (Osmitrol) in the yellow marrow of the medullary cavity in the red marrow of the medullary cavity of the bone anterior lobe of the pituitary the child’s buttocks are off the bed PREPARED BY: BRIAN YU... 0917-5262468 Focus of family therapy is: 155 Major focus of play therapy is to: 156 157 158 159 160 161 162 163 The school nurse observes parents interacting with a school-aged child and notices that they do not show any affection toward the child and there is no evidence of emotional support or supervision. Later the nurse learns from the child that he must take care of all his own hygiene tasks, has to find something to eat on his own, and his parents never say anything nice about him. The nurse at this point believes that the parents are engaging in: Majority of perpetrators of abuse to children are: Majority of child abuse victims fall into what age ranges Most common type of mistreatment of children In the sociological model of family violence, family violence is viewed as: The social-interactional systemic perspective of child abuse and neglect says that the legitimization of violence in the family is due to which of the following factors? According to the social-interactional systemic perspective of child abuse and neglect, four factors place the family members at risk for abuse. These risk factors are the family itself, the caregiver, the child, and: Best defines the term role reversal? 164 165 158 159 160 161 162 163 164 165 166 When a child has a single cigarette burn of partial thickness (second degree) this burn is probably: Flexion burns Characteristic pattern of the burn in a flexion burn? Most child abuse deaths occur for which reasons? Classic sign of shaken baby syndrome Best example of psychological abuse that is an act of commission? A teenage girl who has been having sex with an adult male constitutes: Acquaintance rape or date rape When the nurse treats families as context, the emphasis is on? Sociologists define the family as a group of people: The nuclear family consists of: 167 168 For the child in foster care, the nurse is aware that the primary goal is which of the following? The original role of the school nurse was: 169 170 Who is in the best position to teach anger management skills to schoolchildren? The school nurse’s main focus in child abuse or neglect issues is: 171 172 173 In the nature versus nurture controversy about human development, the nature view sees development as mainly influenced by? When a person is discussing the strong influences that childrearing methods have on the development of the child, this person is most probably coming from which of the following viewpoints or theories? The most popular theory of developmentalists today is that: 174 175 176 In human development, theorists who use discontinuity believe that: If you view a child’s development from a passivity theory, you would most probably believe that: The activity view of a child’s development would most believe which of the following statements? 177 178 It is documented that infants who lived in an impoverished orphanage and who were adopted into nurturing homes grew up without identifiable intellectual defects. This occurrence best supports what view of development? Context specificity suggests which of the following beliefs? 179 180 181 John Locke suggested that children are neither good nor bad but have inborn tendencies and are molded by life experiences. What do you call this doctrine? The assumptions about human nature that Jean Jacques Rousseau (1712-1778) proposed include a belief that children relationships and communication patterns among family members help the child reveal emotions, feelings, and problems psychological abuse parents under 6 years neglect a pattern of behavior that is passed from generation to generation society’s attitudes, beliefs, and values the presence of a family crisis The child assumes a caregiver role toward the caregiver. an accidental burn the body part immersed in hot liquids is held in a flexed position zebra pattern neurological injuries, with most of these being head injuries retinal hemorrhage, usually bilaterally with subdural or subarachnoid hemorrhages telling a child that he or she is dumb and will not amount to anything statutory rape sexual intercourse committed with force or the threat of force without a person’s consent individual who are living together husband, wife, and their natural and adoptive children to reunite the child with the birth parent(s) identifying, educating, and following up on communicable diseases the classroom teacher awareness: recognizing signs and symptoms and reporting to authorities Genetic nurture how biological and environmental factors interact is more important than the predominance of one over the other development is a series of discrete steps or stages children become delinquent because of association with an antisocial peer group An inquisitive, friendly, outgoing child may encourage the same behavior in indifferent and unfriendly people. sensitive period There are differences in child development related to cultural values, beliefs, and experiences. tabula rasa inherently good and born without a sense of right and wrong PREPARED BY: BRIAN YU... 0917-5262468 182 183 184 185 186 187 are: The psychoanalytic perspective of development proposes that each person: Freud developed the theory that the source of psychic energy that drives human behavior is: Best describes the ego, according to Freudian theory In Freudian theory the component of the personality that emerges when the child internalizes values, roles, and morals is called the: Freud believed that the most important life instinct was? Freud theorized that methods used to toilet-train children might have a lasting effect on their personality. Children who had rigid, severe toilet training would most likely show what behaviors later in life? What activities are most closely identified with the latency stage suggested by Freud? 188 189 190 191 When caring for a child between the ages of 1 and 3 years, it would be most important for you to ask the caregivers about: The behavioral theorists believe what factors most influence behavior? Piaget believed that interactions with the environment caused people to organize patterns of thought called: Piaget theorized that development moves from: 192 193 194 195 196 197 According to Piaget, the coordination of the secondary schemes phase of development (8 to 12 months) occurs when the infant: When children use language and have a growing understanding of the past, present, and future, they are in which stages or phases of a stage, according to Piaget? According to Piaget, a child whose thinking is characterized by systematic and abstract thinking and who is able to consider alternative solutions is in which stages? The first level of moral development according to Kohlberg, is called: During stage one of Kohlberg’s stages of moral development, the child conforms to rules: The nurse instructing the mother on how to care for the umbilical cord of the newborn would direct the mother to: 198 199 200 201 202 203 The nurse instructs the caregivers of a newborn to notch the diapers or fold them in such a way as to expose the cord. The major purpose of exposing the cord is to: The stomach capacity of the newborn is? The newborn is less capable of absorbing fat than older children and adults because of: The nurse assessing newborns finds that one of the babies has signs consistent with physiologic or normal jaundice. Which of the following signs did the nurse most likely find? The nurse is working with a newborn who has elevated bilirubin levels that are fast approaching the toxic level. The nurse is concerned of what condition to occur? Best describes the purpose of phototherapy? 204 205 206 207 208 209 210 211 212 213 The nurse administering phototherapy ordered by the primary care provider must take special safety precautions and? To best assess the effectiveness of the phototherapy treatment, the nurse will monitor which of the following? A collection of fluid between the parietal and visceral layers of the tunica vaginalis is called: Color of transitional stool of the newborn The nurse will assess the newborn for passage of stool and will expect the newborn to pass which of the following stools: Prior to discharge from the hospital, the newborn most often will receive a screening blood test to rule out which of the following conditions? The type of heat exchange that occurs between the newborn and water during a bath or when exposed to drafts is called: The usual recommended sleeping position for a normal newborn is which of the following positions? The current practice of feeding newborns is: How should a mother remove the newborn from the breast? 214 What specific teaching is given to a mother who is microwaving a bottle before feeding it to the newborn? 215 Best describes respiratory distress syndrome? 216 217 A neonate who is just an hour old has a dry, cracking skin, but no vernix or lanugo, and the skin appears greenish in color. What is the likely cause of these signs? has two basic biological instincts: life and death, which compete with each other the id, ego, and superego the rational and controlling part of the personality Superego sex meticulous and hypercritical The child increasingly identifies with the samesex parent and has intense involvement with same-sex peers. words and rituals used for elimination rewards and punishment schema simple to complex--begins with the concrete and proceeds to abstraction understands concepts of space and object permanence and anticipates actions of others preoperational stage formal operations stage preconventional due to fear of punishment apply 70% isopropyl alcohol or hydrogen peroxide to the base next to the skin and to the cord with each diaper change provide air circulation for the cord 60mL reduced bile salt secretion and less efficient pancreas jaundice in a 2-week-old premature baby Kernicterus reducing serum bilirubin level and preventing brain damage shield the baby’s eyes and protect the gonads serial serum bilirubin levels Hydrocele green brown-yellow brown a meconium stool by 24 hours phenylketonuria and hypothyroidism Convection supine an on-demand feed Place a finger in the side of the baby’s mouth and between the jaws to release suction. Microwave heating is uneven and poses the risk of severe burns to the newborn’s throat and mouth. inadequate production of surfactant with reduced surface tension of alveoli Postmaturity PREPARED BY: BRIAN YU... 0917-5262468 A mother asks the nurse when a soft spot on the baby’s head will close. The best response by the nurse is? 218 Gross motor development is best exemplified by the ability to: 219 In assessing the amount of head lag in an infant, the nurse will: 220 221 222 223 224 225 226 Infant head control is judged by the: Studies based on attention time given to an image have shown that infants prefer which images? To help prevent sudden infant death syndrome Infants at greatest risk of sudden infant death syndrome The nurse is assessing a toddler of 18 months to see what skills the child has for dressing himself. The nurse expects to find that a toddler of this age can do? Caregivers ask the nurse at what age their 1-year-old will be able to ride a tricycle. The most accurate response by the nurse would be which of the following? The usual eating patterns of toddlers is to: 227 Physiologic anorexia 228 Foods best for the toddler 229 230 231 232 233 234 235 236 237 238 To avoid overlooking food allergies in the toddler, the nurse would advise the caregivers to add new foods: Cause of potbelly appearance is because of underdeveloped abdominal muscles or: In teaching the caregivers about growth and development, the nurse provides information about the fact that depth perception is developing during the toddler years. Since their child is just entering the toddler stage, the caregivers will realize that developing depth perception will affect their child in which of the following ways? What behaviors by caregivers most helps a child internalize a specific gender? One of the three major psychosocial tasks of toddlerhood? The nurse is doing some teaching with a toddler, explaining that the child is to take medicine to help him get well and that it is taken once a day until the total amount prescribed is finished (7 days). The mother and the nurse agree that this medicine will be given in the early morning each day. Which of the following statements by the nurse will the toddler understand best? 34-month-old girl, begun to wet the bed and suck her thumb after being admitted to the hospital. This caregiver asks the nurse to explain why this is happening. Best initial approach when a child has shown signs of regression Toilet-training success depends on which of the following factors A father asks the nurse why his toddler engages in fantasy and make-believe in play. The best answer by the nurse is: 239 240 241 242 243 244 245 246 247 248 Caregivers have asked the nurse to suggest some activities they could do with their toddler that would help the child developmentally. Which of the following activities would the nurse recommend as most developmentally helpful for a toddler? Caregivers ask the nurse how they need to deal with their toddler who is a picky eater and eats very little at mealtime. In addition to telling the caregivers that this is not unusual behavior for a toddler, which of the following statements by the nurse would be most helpful? The grandparents are preparing to care for a toddler for the first time while the caregivers are away on a business trip. What information is the most important for the caregivers to provide the grandparents? Grandparents who are expecting a toddler to visit most need to do which of the following things in preparation for the visit? Caretakers of toddlers need to keep which of the following substances on hand to administer in an emergency under the direction of appropriate professionals? Type of balloon is safe for the toddler? A nurse is educating a family on the risk factors for urinary tract infections in the toddler. Which of the following statements made by the nurse would identify the key risk factor for the development of urinary tract infections in toddlers? To assess specifically for the evaluation of circulating blood volume? A nurse is providing education on the psychosocial milestones of the toddler. The nurse informs the parents that temper tantrums, “The soft spot you are talking about will close by 12 to 18 months of age. Another soft spot will close by 2 months.” maintain balance, postural control, and locomotion pull the infant up by the arms from a supine to a sitting position presence or absence of head lag the human face Have the baby sleep in a supine or side-lying position. male twin, premature, 4 months old remove his own shoes 24 months vary widely in amount eaten and in foods liked and disliked from day to day period of decreased appetite as a result of decreased caloric need sliced white turkey breast, green beans, and skim milk one at a time poor nutrition intake or constipation put the toddler at risk for frequent falls when learning to walk, run, and climb stairs continual rewards for responding in a manner consistent with a specific gender gaining self-control “You will be taking your medicine every morning after breakfast until it is gone.” “This behavior is a defense mechanism when normal routines are changed.” Ignore the regression, and compliment the child on positive attributes and behaviors. the readiness of both the child and the caregiver “Fantasy helps the toddler cope with caregiver expectations and helps the child conceptualize how he or she wishes the world to be.” making puppets and putting on a puppet show with some children of the same age “Offer smaller amounts of food to encourage the toddler to ask for more, and serve frequent nutritious snacks throughout the day.” a developmental-specific injury prevention list Lock up all medications and toxic substances. syrup of ipecac Mylar “Urethral structures are shorter in toddlers than in adults.” inspection of capillary refill 36 months PREPARED BY: BRIAN YU... 0917-5262468 249 250 251 252 253 254 255 256 negativism, and dawdling behaviors will subside at which of the following ages? The parents of a toddler who is a “picky eater” are seeking advice from the nurse. Which of the following suggestions made by the nurse would be considered the most accurate? A preschooler believes that objects such as rocks have human qualities. Type of thinking is: A child is talking to the pediatric nurse. This child answers his own question of “Why does the sun shine?” with the answer, “To see me when I play outside.” The nurse explains to the mother that this is an example of: The nurse is teaching a caregiver to select activities that will develop hand-eye-mouth coordination in a preschooler. Which of the following activities would indicate that this caregiver had learned to select well? When parents select or approve physical activities for their children, they most need to select activities according to the: Conservation is the ability to: When a school-aged child has a malocclusion, the parents need to: Latchkey children are most at risk for: Puberty is best defined as the: 257 258 Hormone causes breast changes, including enlargement and darkening of the nipple? During adolescence the heart will: 259 260 What ideal or model do adolescents compare themselves to when developing a sense of body image? In conflict management, the win-win approach occurs when: 261 262 263 264 When one person allows the conflict to be resolved at his or her own expense, this is referred to in conflict management as: Which of the following approaches has been recognized as most healing and capable of bridging communication gaps with children and families? Most effective method of communicating with older school-age children and adolescents? “Motherese” 265 Best describes a difference in communicating with school-age children versus toddlers? 266 267 268 269 270 271 272 273 274 275 276 277 Two-word utterances by a child become common around which of the following ages? Preschoolers are able to see things from which of the following perspectives? Adolescents most need people to: Rapid growth Cow’s milk is unacceptable until after the: The most reliable indicator of body fat is: Type of lighting best for the nurse to use during the pediatric physical assessment? When obtaining a child’s past health history, the nurse would ask questions aimed at getting pertinent information, beginning with the: The nurse is preparing to count the respirations of an infant. The nurse will count the respirations for: Best statement for the nurse to use with a small child when the nurse is preparing to obtain the child’s blood pressure reading? Head circumference is measured until Causes of microcephaly 278 279 280 281 282 283 284 The mother of a 9-month-old infant is concerned that the head circumference of her baby is greater than the chest circumference. The best response by the nurse is: The nurse is assessing a newborn for jaundice. The nurse knows that jaundice is easiest to detect in? 3 years old child with an open and wide anterior fontanel. The nurse is aware that an open anterior fontanel at this age most likely is: The nurse inspects a child’s red reflex with an ophthalmoscope and finds black spots or opacities within the red reflex. The nurse knows these findings: Child has stridor. The best course of action on the part of the nurse is to get prompt attention for the child to prevent which of the following problems? Urethral meatus located behind or along the ventral side of the “Provide a snack every 1 to 2 hours.” animism egocentrism bubbles and stickers abilities of the child recognize that a change in shape does not mean a change in amount take the child to an orthodontist physical and social problems and anxiety state of development when reproduction first is possible and the adolescent growth spurt starts estrogen almost double in weight and increase in size by about 1/2 culture both parties involved are committed to solving the conflict the lose-win approach humor written communication a type of speech using short, simple sentences in a high-pitched voice For toddlers, preparation for procedures is just before the procedure and much earlier for schoolaged children. 2 years only their own listen to them verbalize what the world should be like growth spurt baby’s first birthday skinfold thickness natural prenatal period 1 minute, watching the abdomen “I am going to hug your arm with this cuff.” 24 months uterine infections, drug or alcohol intake during pregnancy, and genetic defects “This is normal until the age of 1 year, when the chest will be greater.” on the tip of nose, external ear, lips, hands, and feet due to disease, such as rickets are abnormal and may indicate a cataract epiglottitis hypospadias PREPARED BY: BRIAN YU... 0917-5262468 285 286 287 288 289 290 291 292 293 penis, this condition is known as: Most susceptible to infections from staphylococci and Escherichia coli? The National Childhood Vaccine Injury Act of 1986 provides: Which of the following areas is most important for a pediatric unit to have for its hospitalized children to use? Best means of transporting a small child to surgery? When a child is ordered to have nothing by mouth (NPO) for surgery, it is best that the family Which of the following terms is preferred when referring to a child who has diabetes? Preschool children have special needs including: Meaning of red to children is: The deficit-orientation model of chronic conditions assumes that people with chronic conditions are: When caregivers of a child with a chronic health care condition look for meaning in their situation, they most often: 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 Nurses assessing families of children with chronic health conditions need to focus more on which of the following areas? DOB when receiving fentanyl due to Life-expectancy of a child with cystic fibrosis? A child who recently underwent a routine tonsillectomy. Which of the following assessment findings should the parents be encouraged to report immediately to the physician? Medications should be recommended for treating the common cold in the infant Purpose of the ductus arteriosus while the fetus is developing in utero? Two critical events differentiate fetal circulation from postnatal circulation? The nurse is assessing an infant with chronic heart failure. Which of the following symptoms would the nurse most likely find in this infant? Before giving the digoxin, you would first check the apical pulse, and you would also be most interested in making sure which of the following levels were within normal? Purpose of deep hypothermia during open-heart surgery? Heart defects increases pulmonary blood flow? A classic murmur found in which of the following cardiac defects? Treatment for moderate to severe valvular pulmonary stenosis? Surgery for tetralogy of Fallot Surgery for transposition of the great arteries (TGA)? Criteria for diagnosis of acute rheumatic fever Pathophysiology of Kawasaki disease Complication of Kawasaki disease Main therapeutic interventions for Kawasaki disease in the first 10 days of the disease? Client’s blood pressure is 120/76 in the right arm and 92/60 in the right leg, suspect for: Before digoxin therapy, evaluate which of the following labs The nurse assessing a child finds the classic symptoms of scabies, which are: 316 317 318 319 320 321 323 324 325 326 A teacher confers with the school psychologist and the school nurse about a child who has poor attention span, aggressive behaviors, delayed speech, and shyness, and who tends to withdraw. This child often falls asleep in class, saying he is not sleeping at night. Which of the following situations or conditions is most likely to cause or contribute to the behavior exhibited by this child? Psychological problems most often identified among homeless children are: Research has shown that the majority of the firearms used in suicide attempts and accidental shootings were acquired in: Infant mortality rate (IMR) is the number of infant deaths: Increases in numbers of low birth weight (LBW) babies born to Caucasian women in the past 10 years is attributable mainly to: Most common major neurological abnormality seen in low birth weight (LBW) infants is: Immunization rates should be at which of the following percentages to provide herd immunity? What percentage of states has immunization requirements for school entrance? Today, which of the following causes of death accounts for the majority of deaths in children ages 1 to 19? Newborns an alternative to civil litigation in which anyone who was injured or lost a family member due to a vaccine may seek compensation playroom a surgery stretcher refrain from oral intake in the presence of the child the child with diabetes being curious and wanting to know why hurting lacking important aspects of life find positive outcomes, such as family relationships being strengthened due to working together strengths of the family and child has chest wall rigidity as a side effect 30 years frequent swallowing nasal saline drops to divert blood from the fetal lungs to the fetal aorta interruption of the umbilical cord and spontaneous respiration diaphoresis during feeding potassium levels Doing so lowers the body’s metabolic rate and protects vital organs during cardiac bypass. patent ductus arteriosus atrial septal defect Balloon valvuloplasty Blalock-Taussig (BT) shunt or modified BT shunt arterial switch JONES criteria multisystem vasculitis that tends to affect the coronary arteries the formation of aneurysms intravenous immune globulin and aspirin possible coarctation of the aorta potassium nighttime itching and minute grayish-brown, threadlike burrow tracks with a black dot at the end of the track homelessness depression, anxiety, and behavioral problems the victim's home or the home of a friend or relative during the first year of life per 1,000 live births multiple births cerebral palsy 80 100% unintentional injuries PREPARED BY: BRIAN YU... 0917-5262468 327 328 For children under 1 year of age, what is the leading cause of unintentional injury-related deaths? In 1987, the Association for the Care of Children's Health (ACCH) stated that paramount in the concept of family-centered care is meeting the ever-changing needs of the: Differentiated practice 329 330 331 To be an effective educator, the nurse must initially have a knowledge of: Which of the following activities best exemplifies cognitive learning? Critical pathways are developed to guide a health care team through a client's course of therapy. Their major purpose is to: Suffocation family delineating a nurse's role and functions according to experience, competence, and education cognitive development describing or explaining something, or answering questions achieve specific client outcomes in a defined time frame 332 Critical pathways are designed to indicate: 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 Nursing interventions supportive of the philosophy of atraumatic care The drug most abused by children and adolescents is: Risk factors for shaken baby syndrome include: Osteomyelitis Fragile X syndrome occurs more often in: A definitive diagnosis of Down syndrome is based on: Which of the following factors is known to directly increase the incidence of Down syndrome? You are the nurse caring for a newborn infant who has a cleft lip and cleft palate and shows signs of mental retardation. Which of the following actions on your part would best support the parents? Which of the following classifications applies to the majority of children with mental retardation? Most common cause of cerebral palsy The majority of spinal cord injuries are a result of which of the following types of trauma Also known as primary and secondary head injuries? An infant’s brain is what portion of the weight of an adult’s brain? The legal definition of blindness is peripheral fields narrowed to an angle of 20 degrees or less, or which of the following visual acuities or less with correction? The major goal of the nurse using Neuman’s nursing theory would be to: King’s open systems theory viewed the family as: 349 350 Which of the following statements best represents a major belief in King’s open systems theory? The major goal of nursing in Roy’s adaptation model is to: 351 Cause of periorbital cellulitis 352 353 354 355 356 357 358 An alternative way aside from surgery that can correct strabismus and is successful in about 50% of clients. Structures of the ear equalizes pressure between the outer and middle ear? Structural differences between children and adults predisposes children to middle ear infections? If child was bitten by a black widow spider, the nurse should tell the mother what to do Cause of tinea infections Most common type of central nervous system tumor in children? Symptoms of Hodgkin’s disease in children 359 360 361 362 363 364 365 366 367 368 369 370 371 Most common presenting signs of acute lymphocytic leukemia (ALL) Most frequently used treatment in pediatric oncology The most common childhood malignancy A female can have hemophilia A or hemophilia B when: To increase absorption of iron, what foods should be included? Main function of platelets Where are blood cells produced during fetal development? 3 primary treatments for chronic heart failure: A child on diuretic and digoxin has bradycardia, ventricular arrhythmia, and is nauseated and wanting to vomit. The child maybe having a? The frequent benign major manifestation for a child with rheumatic fever? Most common cause of chronic heart failure in infants Most common cause of chronic heart failure in older children key events that must happen each day in order to achieve an acceptable length of stay freely administering analgesics for pain alcohol stressful life events an infection of an entire bone caused by a microorganism, which is usually bacterial but may be viral or fungal Males karyotyping age of mother Model love and acceptance of the infant, and convey how precious the infant is. mild premature birth or very low birth weight motor vehicle crashes coup and contra coup two-thirds 20/200 help keep the family structure stable within its environment a social system that influences the growth and development of individuals Nurses are partners with families. promote adaptation and minimize ineffective responses extension of infection from the sinuses, face, or ears; upper respiratory infections; insect bites; or trauma A treatment using the substance botulism toxin tympanic membrane (ear drum) Children have shorter, more horizontal, and more flaccid eustachian tubes. Call for emergency transport to the emergency room due to danger of cardiopulmonary collapse. dermatophytes astrocytomas painless enlarged lymph nodes in the cervical and supraclavicular areas fever, bone pain, pallor, and bruising chemotherapy leukemia both parents have the recessive gene for one of these disorders vitamin C rich foods to facilitate blood coagulation to control bleeding liver and spleen diuretics, afterload-reducing agents, inotropes digitalis toxicity polyarthritis congenital heart disease acquired heart disease PREPARED BY: BRIAN YU... 0917-5262468 372 373 374 375 Best describes the quality of an innocent murmur? The leading cause of infection-related death in the world? During the warm weather, the nurse will assess children with cystic fibrosis to see if they need which of the following supplements added to their diet? Leading cause of pediatric chronic illness? Best defines cystic fibrosis? 376 Pneumonia in children appears: 377 What is meant by the ventilation/perfusion ratio? 378 379 380 381 382 383 384 385 386 387 388 389 390 391 The treatment of pneumonia most depends on: Which of the following types of pneumonia would be treated with antibiotics? What medication should be avoided of children for several days to weeks who are going to be skin tested for allergies? An herbal substance that is mixed with water and taken orally to soothe and relax the airway and relieve cough? Pathogens causing bronchitis? Primary complication of otitis media? Which of the following makes children prone to tonsillitis and pharyngitis? Primary function of the respiratory tract? Other name for nasopharyngitis Major cause of nasopharyngitis Meckel’s diverticulum is usually asymptomatic but when it is symptomatic, the most common clinical manifestation is which of the following symptoms? An infant presents to the pediatric clinic following recent colic, intermittent vomiting, and jelly-like stools. Which of the following gastrointestinal alternations is likely given the clinical presentation? Which of the following anorectal malformations do not require surgery? Hirschsprung’s disease involves which of the following problems? 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 Which of the following is an early warning sign of hypertrophic pyloric stenosis? Diagnosis of hypertrophic pyloric stenosis can be made on history and what other finding? The infant who has had a pyloromyotomy may still vomit after surgery. The nurse will instruct the caregivers to notify the health care provider if vomiting persists for more than: The incidence of cleft lip or cleft palate is highest in Soft stools of infant is caused by: Which of the following causes is associated with hemolytic uremic syndrome? Signs and symptoms consistent with the diagnosis of acute glomerulonephritis? Child with nephrotic syndrome is characterized by massive proteinuria and hypoalbuminemia, which tells the nurse to assess for which of the following signs or symptoms? Most widely used form of treatment for enuresis? The majority of cases of acute gastroenteritis in children under 2 years old in the United States are caused by: The nurse is working with a child who has a drug overdose. Respirations are decreased and shallow. Arterial blood gases show the child’s pH is decreased and the pCO2 is elevated. The nurse realizes that this child is in: A substance that predominantly occupies extracellular fluid? According to Kubler-Ross, the first stage of the grieving process is: Parentification is common in children and adolescents who are 9 years old or older and is especially common in which of the following circumstances? What direction should you pull the pinna of a 2 year child? Preferred IM injection site for infant The gastric pH of the newborn is: A client with fourth-degree burns is going to require fluid resuscitation. The nurse is aware that the most typical fluid used for fluid resuscitation is which of the following? A child’s blood gas levels indicate a pH of 7.30, carbon-dioxide level of 47, and HCO3 level of 25 milliequivalents per liter. The PQRST pain assessment measures: Which of the following statements best reflects a major advantage soft, short, systolic, and vibratory tuberculosis Salt asthma an autosomal recessive disorder that mainly affects the exocrine glands and does multiple system damage as a primary disease or a complication of another disease the comparison of alveolar ventilation to capillary perfusion the presence or absence of fever bacterial Antihistamines mullein Viruses conductive hearing loss frequent upper respiratory tract infections and being around other children who may be infected facilitate gas exchange common cold viruses painless rectal bleeding Intussusception anal stenosis absence of parasympathetic ganglion cells in the large intestine the infant being hungry and wanting to feed again very soon after vomiting failure to gain weight 48 hours Asians having a totally liquid diet with no bulk or solids of any kind Escherichia coli and other pathogens hematuria, dependent edema, elevated serum sodium, diminished glomerular filtration rate, proteinuria edema and hyperlipidemia bed-wetting alarms Rotavirus respiratory acidosis Saline Denial (Remember DABDA) when daily activities of the home are neglected downward and back vastus lateralis more alkaline than the adult lactated Ringer’s respiratory acidosis presence, quality, radiation or location, severity, and timing of pain The child can immediately and independently PREPARED BY: BRIAN YU... 0917-5262468 414 415 416 of using a patient-controlled analgesia (PCA) system for a child? The Oucher pain assessment tool is for use with children of ages: The Oucher pain assessment tool is a scale with faces ranking pain from: The environment of the pediatric unit most needs to: Purpose of thimerosal 417 418 419 420 421 422 423 424 425 An expectant mother is found to have syphilis. What order do you expect? Adolescents who are addicted to crack cocaine are: The age that infants should double their weight If the nurse finds a yellowish or white light reflex (cat’s eye reflex) when inspecting the retina, he or she knows this may indicate: Erythema infectiosum, or fifth disease, has which of the following characteristics? The average birth weight of infants is how many pounds? When the nurse communicates with a preschool child, he or she should communicate with: The nurse is preparing to give the child an intramuscular injection. The nurse’s best approach would be to: Which of the following skills does the toddler master? 426 An example of empathy is: 427 428 429 430 431 432 433 434 435 436 437 Most communication is: The major components of the communication process are: Barriers to communication include: The school nurse is working with a 17-year-old student who has experienced a crisis period and has achieved a sense of commitment to resulting decisions. This teen is well adjusted, stable, and mature. The nurse, using Marcia’s theory that adolescents occupy one of four identity statuses, will find this student occupying which of the following identity statuses? An adolescent boy has developed gynecomastia. The nurse would share with the adolescent that this condition: Eccrine and apocrine glands mature during adolescence. These glands cause: Best method to help a child release his tension during a crisis mode? A behavior of a child showing positive self-esteem The factors that determine the rate at which children lose deciduous teeth during the school-age years? Which of the following adult behaviors would be most important for preschoolers to witness caregivers engaging in? Best way a caregiver should deal with child’s nightmares. 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 American Academy of Pediatrics suggests what caregivers should do regarding pysical activities for preschoolers? The period of toddlerhood is from 12 months to: Weight gain in toddler stage? A correct way that a caregiver can ask, when handling a 2-yearold’s negativism: According to Freud, toddlers are in which stage of development? Who is usually the first to notice that something is wrong with vision or hearing in an infant? The baby teeth or primary teeth of a baby are also called: The nutritional requirements of a newborn are how many kilocalories per kilogram per day? According to La Leche League International, what can happen if a pacifier is introduced before the nursing relationship has been established? The way a child behaviorally interacts with the surrounding environment is called as Locomotion, or the ability to move from place to place without assistance, is dependent on: Erikson’s psychosocial development of an infant is centered at: The age range for an infant: The most rapid growth period in a person’s life is during which of the following periods? In the first 6 months life how many POUNDS does a baby gain? In the first 6 months of life how many INCHES is the increase in height? The neonatal or newborn period of life is defined as the first: In fetal circulation, most blood will bypass the fetal lungs via the: Number of veins and arteries in umbilical cord: For a newborn with a hydrocele, the best response of a nurse to the caregivers is: Immediate care for newborns circumcised with a plastic bell: relieve pain. 3 to 12 years 0 to 100 be conducive to feelings of safety and security to reduce the risk of bacterial contamination in opened vaccine vials penicillin G benzathine IM two doses, 1 week apart more likely to have sex with several partners and be at risk for sexually transmitted diseases (STDs) 6 months retinoblastoma intensely red “slapped cheeks” appearance 6.5 honesty and concrete language say, “I am going to give you an injection that may hurt a little.” ability to participate in turn-taking rules of social communication The nurse gets down on the floor to see the world as a toddler sees it. nonverbal message, sender, channel, receiver, and feedback preconceived ideas identity achievement may occur normally in adolescence and the elderly male and is normally temporary increased amounts of, and a distinct odor to, perspiration Play initiating a conversation genetics and gender giving or receiving rewards for positive behavior comfort and reassure the child that nightmares are not real Encourage a variety of physical activities in a noncompetitive environment. 36 months 5 lbs/year “Do you want peanut butter or bologna for lunch?” Anal infant’s caregivers deciduous 120 kilocalories/kg/day nipple confusion or refusal to breastfeed temperament head control and sitting without support trust versus mistrust 1 month to 1 year Infancy 1-1/2 pounds per month 1 inch per month 28 days foramen ovale two arteries and one vein(AVA) reassure them that this usually disappears within the first year of life gently lift the ring and squeeze warm water from a PREPARED BY: BRIAN YU... 0917-5262468 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 An ability or behavior of the normal newborn that he/she uses to protect him- or herself from overstimulation and to free energy to meet physiologic demands? How to develop basic trust among newborns? To help prevent neonatal hypoglycemia in the baby born to a mother who is either insulin dependent or has gestational diabetes, the nurse will: A child who between ages 6 and 12 is going through which of the following stages? According to Freud the infant (birth to 1 yr of age) is in which of the following stage? Part of the body during phallic stage that a child’s energy is focused? What attachment of a girl to her father produces anxiety, which must be resolved and controlled. Maturation refers to changes that are due to: Cephalocaudal development proceeds in which direction Development that proceeds from the inside out In screening for vision and hearing, the nurse’s role ends in: Most common illness causing absence from school in USA? Best storage place for children’s medications at school To be effective, when is the best time for antismoking education to be done: Effect of alcohol and drug school performance? Major focus of the DEVELOPMENTAL THEORY of family is: General systems theory states that a SYSTEM: 476 What information does genogram records and maps: 477 478 The ideal place for family assessment to be conducted During the 1920s the school nurse role expanded to include: 479 Best describes a nurse with cultural sensitivity? 480 481 482 483 484 485 Best describes the Oedipus complex? Best describes habituation? Best describes the term parallel play? Best describes acute pain? Best describes croup? Standard of care 486 Ecomap 487 Cruising cotton ball onto the tip of the penis when changing the diaper Habituation Caregivers meeting the needs of the newborn start feedings early, monitor serum glucose, and discuss or anticipate orders for IV glucose solution as needed industry versus inferiority Oral Genitals Electra genetic inheritance head downward Proximodistal follow-up care Asthma (Asthma as in America) locked cabinet Before forming of smoking habits and are swayed by peers poor academic performance and often dropping out predictable stages with specific issues and tasks not the total sum of its parts but is characterized by wholeness and unity morbidity, mortality, and onset of illnesses of all family members, usually for three generations child’s home identification of physical defects in children and making referrals to correct the defects one who has awareness and appreciation of cultural influences on health care and respect for differences in cultural beliefs and values incestuous desire of a boy for his mother ability to decrease responses to disturbing stimuli playing alongside, but not with, other children discomfort lasting 3 to 5 days and due to a specific cause such as surgery or injury a life-threatening bacterial infection the accepted action expected of an individual who has a certain skill or knowledge level visual representation of a family in relation to the community deliberate steps while holding onto something 488 Herd immunity is a concept that refers to: 489 Smegma is: 490 491 What is term grieving? What is cardioplegia? 492 What is craniosynostosis? 493 What is dacryocystitis? 494 495 496 497 498 499 500 Best definition of child maltreatment Best definition of physical abuse Most common treatment for osteosarcoma today? Head injuries are categorized as primary or secondary in nature. Which of the following injuries is an example of both primary and secondary head injury? the major insult associated with near-drowning The nurse assessing a child or adolescent with a diagnosis of dysthymic disorder will find which symptoms using immunization to reduce the number of people susceptible to a particular communicable disease, thus preventing its spread a collection of cells that shed from the outer layer of skin and gathered under the foreskin an individual’s reaction to a loss the cessation of cardiac function following an injection of cold high-potassium solution into the heart premature ossification of suture lines resulting in early fusion of the bones of the skull an infection of the lacrimal sac due to the obstruction of the lacrimal duct intentional injury of a child bodily injury to a person that seems to have been inflicted by other than accidental means limb-sparing surgery using cadaver bone hitting the windshield of a car that was hit from behind Hypoxemia a depressed or irritable mood for most of the day, on most days, for 2 or more years and low energy or fatigue PREPARED BY: BRIAN YU... 0917-5262468