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ATI Peds proctored exam All chapters

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ATI Peds proctored exam All chapters ATI pediatrics proctored exam Chapter 1: Family centered nursing care 1. Parenting styles -Parents try tocontrolthe child’s behaviors and attitudes through unquestioned rules and expectations -Ex:the child is never allowed towatch television on schoo...

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  • March 7, 2021
  • 67
  • 2020/2021
  • Exam (elaborations)
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ATI pediatrics proctored exam
Chapter 1: Family centered nursing care
1. Parenting styles
-Dictatorial or authoritarian:
-Parents try tocontrolthe child’s behaviors and attitudes through
unquestioned rules and expectations
-Ex:the child is never allowed towatch television on school nights
-Permissive:
-Parents exert little or no control overthe child’s behaviors, and consultthe
child when making decisions
-Ex:the child assists with deciding whether he will watch television
-Democratic or authoritative:
-Parents directthe child’s behavior by setting rules and explainingthe reason
for each rule setting
-Ex:the child can watch television for 1 hr on school nights after
completing all of his homework and chores
-Parents negatively reinforce deviations formthe rules
-Ex:the privilege is taken away but later reinstated based on new
guidelines
Chapter 2: Physical assessment findings


1. Vital signs
-Usually vital signs are all high except for BP
-Temperature:
-3 – 6 months 99.5
-1 year 99.9
-3 year 99.0
-5 years 98.6
-7 years 98.2
-9 – 11 years 98.1

, -13 years 97.9
-Pulse:
-Newborn 80 – 180/min
-1 weeks – 3 months 80 – 220/min
-3 months – 2 years 70 – 150/min
-2 – 10 years 60 – 110/min
-10 years and older 50 – 90/min
-Respirations:
-Newborn – 1year 30 – 35/min
-1 – 2 years 25 – 30/min
-2 – 6 years 21 – 25/min
-6 – 12 years 19 – 21/min
-12 years and older 16 – 19/min
-Blood pressure:
-Low as a baby but increasesthe older they get
-Infants:
-Systolic: 65-78
-Diastolic: 41-52
2. Head
-Fontanels should be flat
-Posterior fontanel:
-Closes by 6-8 weeks
-Anterior fontanel:
-Closes by 12-18 months
3. Teeth
-Infants should have 6-8 teeth by 1 year old
-Children and adolescents should have teeth that are white and smooth, and begin
replacingthe 20 deciduous teeth with 32 permanent teeth
4. Infant Reflexes
Stepping Birth to4 weeks
Palmar Grasp Birth to3 months

, Tonic Neck Reflex (Fencer Position) Birth to3 – 4 months
Sucking and Rooting Reflex Birth to4 months
Moro Reflex (Fall backward) Birth to4 months
Startle Reflex (Loud Noise) Birth to4 months
Plantar Reflex Birth to8 months
Birth to1 year
Babinski Reflex



Chapter 3: Health promotion of infants (2 days to1 year)


1. Physical Development
-Weight:
-Doubled by 5 months
-Tripled by 12 months
-Quartered by 30 months
-Height:
-2.5 cm (1 in) per month forthe first 6 months
-Length:
-Increases by 50% by 12 months
-Dentition:
-First teeth erupt between 6-10 months
2. Motor skill development
 1 Month
o Head lag
o Strong grasp reflex
 2 Months
o Lifts head when prone
o Holds hand in open position | Grasp reflex fades
 3 Months
o Raises head and shoulders when prone | Slight head lag

, o No grasp reflex | Keeps hands loosely open
 4 Months
o Rolls from back toside
o Grasp objects with both hands
 5 Months
o Rolls from front toback
o Palmar grasp dominantly
 6 Months
o Rolls from back tofront
o Holds bottle
 7 Months
o Bears full weight on feet | Sits, leaning forward on both hands
o Moves objects from hand tohand
 8 Months
o Sits unsupported
o Pincer grasp
 9 Months
o Pulls toa standing position | Creeps on hands and knees instead of crawling
o Crude pincer grasp | Dominant hand is evident
 10 Months
o Prone tositting position
o Grasps rattle by its handle
 11 Months
o Walks while holding onto something | Walks with one hand held
o Places objects into a container | Neat pincer grasp
 12 Months
o Stands without support briefly | Sits from standing position without assistance
o Tries tobuild a two-block tower w/o success | Can turn pages in a book
3. Cognitive development
-Piaget: sensorimotor (birth to24 months)

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