Nursing of Children - NURS 345 Practice Questions and Correct Answers
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Course
NUR 345
Institution
NUR 345
Reasons to not give a vaccine 1. Fever 2. Wheezing 3. Indication of allergy Egg allergy [specifically for varicella]
Issues with staggering doses Development of mistrust/stress/fear for child with doctors because likelihood of injection at every appt
Controversy over administering Tylenol and Mot...
Nursing of Children - NURS 345 Practice
Questions and Correct Answers
Reasons to not give a vaccine ✅1. Fever
2. Wheezing
3. Indication of allergy
Egg allergy [specifically for varicella]
Issues with staggering doses ✅Development of mistrust/stress/fear for child with
doctors because likelihood of injection at every appt
Controversy over administering Tylenol and Motrin before vaccine ✅Some providers
believe it might decrease immunity
Cause of tetanus shot turning into TDAP ✅Pertussis (whooping cough) immunity
waning as we age; risk of passing it onto children
A red flag that something may be wrong after an infant receives a vaccine ✅Being
inconsolable; it is normal for infants to be fussy but consolable! If they are inconsolable,
they are telling us something is wrong with them.
Erikson's Stages OF ________________ ✅Development
Trust vs. Mistrust ✅1. Infant Erikson Stage (infant-2 years)
2. Infants will either be able to trust that their needs will be met
3. Mistrust occurs when gratification of needs is delayed (consistently) + fear
4. Social modifications: grasping and biting
5. Virtue Developed: Hope
What are the Erikson's Stages of Development? ✅1. Infancy: Trust vs. Mistrust
2. Toddler: Autonomy vs. Shame and Doubt
3. Preschool-age: Initiative vs. Guilt
4. School-age: Industry vs. Inferiority
5. Adolescence: Identity vs. Role confusion
Autonomy vs. Shame and Doubt ✅1. Toddler Erikson Stage (2-4 years)
2. Negativism
3. Ritualization, which provides sense of comfort
4. Id, ego, superego/conscience
5. "Me do it" stage; can experience doubt from parent saying "no" to every task they ask
to do -> let them pick out clothes and such to give them confidence
6. Virtue Developed: Will
, Intitiative vs. Guilt ✅1. Pre-school Erikson Stage (3-6 years)
2. Chief psychosocial task
3. Feelings of guilt, anxiety, and fear: may result from thoughts that differ from expected
behavior -> difficulty with speech, etc.
4. Development of superego (conscience)
5. learning right from wrong/moral development
6. Virtue Developed: Purpose
The only live vaccines ✅1. varicella
2. MMR
3. Nasal flu
Vaccines given to an infant ✅1. Polio
2. Pneumococcal
3. Hep A
4. Hep B
**All are inactive viruses
Industry vs. Inferiority ✅1. School-age Erikson Stage (5-13 years)
2. Industry: Stage of accomplishment, Eagerness to develop skills and participate in
meaningful and socially useful work, Acquisition of sense of personal and interpersonal
competence, Growing sense of independence, Peer approval: a strong motivator
3. Inferiority: feelings may derive from self or social environment, feelings may occur if
child is unable or unprepared to assume responsibilities associated with developing a
sense of accomplishment, all children feel some degree of inferiority regarding skill(s)
they cannot master
4. Virtue Developed: Competency
Identity vs. Confusion ✅1. Adolescence Erikson Stage (13-21 years)
2. Early adolescence: group identity vs. alienation
3. Development of personal identity vs. role diffusion
4. Sex role identity
5. Emotionality
6. Virtue Developed: Fidelity
Sensorimotor Stage ✅1. Birth-2 years Piaget Phase; understands the world through
senses and actions
2. Birth to age 1 month: use of reflexes
3. Ages 1-4 months: primary circular reactions
4. Ages 4-8 months: secondary circular reactions
5. Imitation, Play, Affect, Coordination of second schemas
6. ESSENTIALLY: coordination of senses with motor responses
What are the Piaget's stages of cognitive development? ✅Sensorimotor, Pre-
operational, concrete operational, formal operational
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