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NURS 371 Midterm Exam Questions And Correct Answers
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NURS 371 Midterm Exam Questions AndCorrect Answers
How to minimize uncertainty
provide information
answer parents questions and concerns, if cant answer find someone who can
be sensitive to disruption and inconvenice
address emotional, cultural and spiritual needs
why do we monitor growth and development
- to have earlier diagnoses and better outcomes
-to meet growth curve.
physical growth of a child is
1. quantitative measurement of change in size, length, or mass
2. continuous but uneven process
Physical growth is an indicator of
General health and nutrition
Shows deviation from growth curve that need further investigation
Development is
Qualitative
Increase in capacity to function
Includes development of new skills the child increasingly respond to environment
Types of growth measurements
,Length (infancy) or height (older children)
Weight (Kg n Lbs)
Head circumference (cm or inches)
When do infants re-attain birth weight
14 days
Head circumference (HC) reflects
Growth and differentiation of nervous system
How much does an infanta head growth per month
2 cms till about 3 months
from 4-6 m, how much does the HC grow per month
1 cm
from 6-12 m, how much does the HC grow per month
0.5 cm
when does the posterior fontanel close
2m
when is the anterior fontanel not palpable
after 18 m
with premies what is different about their head
Their heads can be different shapes and sizes
physical differences in children
-smaller body
,-sutures not fused
-immature motor development = no control over voluntary movement - infant reflexes
-eustachian tubes are shorter and straighter=more sensitive to sound
-heart grows slowly
-larynx/trachea very soft
-urethra is short=UTIs
-kidney cannot concentrate urine
-skin is half as thick as adults
-blood values are different
-The digestive tract is immature at birth n grows through adolescence
-mental and emotional differences
Physical development occurs in what fashion?
head to toe, center to periphery
-movement moves from reflexes to gross motor to fine motor
physical development 1 m
-turn head when prone; lifts head momentarily, cant hold head, head lag
-Hands predominantly closed w grasp reflex strong
-Hand clenches on contact with the rattle
, • Able to fixate on moving objects 8-10 inches away
-Quiets when hears a voice
-Cries to express displeasure, some noise
-Primitive reflexes present and strong
-Doll's eye reflex and dance reflex fading
-Obligatory nose breathing (most infants)
—sensorimotor =stage I, use of reflexes
physical development 2 m
-
Can hold head in same plane as rest of body
Posterior fontanel closed
Crawling reflex disappears
- follows dangling toy from side to point beyond midline
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