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NUR 431 Exam I Questions and Answers
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NUR 431 Exam I Questions and Answers
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NUR 431 Exam I Questions and AnswersChild Screenings
Ø Risk Assessment
Ø Universal
Ø Selective
Ø Specific Types - Answer-Ø Risk Assessment
§ The likelihood child will develop the condition
§ Includes objective and subjective data to determine the likelihood that the child will
develop a condition
Ø Universal
§ Done on everyone (newborn hearing test, metabolic test)
Ø Selective
§ Done when a risk assessment indicates the child has one or more risk factors for a
disorder
§ Risk factors for condition (ie cystic fibrosis)
Ø Specific Types
§ Metabolic
§ Hearing
§ Vision
§ Iron-deficiency anemia- one big cause is too much cow's milk
§ Lead
§ Hypertension- HTN screening start at AGE 3*,
§ Hyperlipidemia
Big cause of iron deficency anemia?
When does HTN screening start?
Can a child still gat a vaccine with a cold or low grade fever, minor respo illness? -
Answer-too much cows milk.
HTN screening start at AGE 3*,
Cold or low grade fever or minor respiratory illness, child can still get vaccines
Vaccine timing schedule for: MMR, Varicella, DTap/Tdap - Answer-Ø MMR: SubQ, 1
year, 4 -6 years
Ø Varicella: SubQ, 1 year and 4-6 years
Ø DTap: 2 mo, 4mo, 6mo (all <7years)
Ø Tdap: SubQ, ≥7 years
Difference in infants and todlers when taking vitals? - Answer-respirations are first, need
to get true resp rate, don't want anxiety or crying
HR 2nd - Sinus arrythmia- speeds up as the breath in and slows down as they breath
out.
Temp
v Normal HR and RR ranges for children - Answer-Ø Infant
, § HR: 80 - 150
§ RR: 25 - 55
Ø Toddler
§ HR: 70 - 120
§ RR: 20 - 30
Ø Preschooler
§ HR: 65 -110
§ RR: 20 - 25
Ø School-age
§ HR: 60 110
§ RR: 14- 26
Ø Adolescent
§ HR: 55 - 95
§ RR: 12 -20
Periodic breathing- fast, then slow breathing in infants, normal. Need full minute for
accurate rate.
HEENT assessment - Answer-***head, ears, eyes, nose, throat
●Head: Symmetry of skull and face, circumference, fontanels, hair distribution. ·
Anterior fontanel up to 18 months
●Neck: Structure, trachea, movement, vessels, lymph nodes
●Eyes: Vision, placement, pupils (typically see blue sclera, swelling). · Intermittent
strabismus up to 6 months
●Ears: Placement, Hearing (pinna retracts quickly)
●Nose: Patency (occlude each nostril), signs of distress, discharge
●Mouth: Lips, tongue, teeth, gums, odor
How long does the babinski last?
When do they get object permanance?
How long before provider needs to see infant if restrained? - Answer--Positive Babinski
reflex until 12 months
Object permeance after 4 months, which can cause separation anxiety
Provider need to see infant within 1 hour of restraint
v Intramuscular Injection Sites and needle sizes - Answer-Ø IM- immunizations. Less
than 7 months vastus laterals. Above 7 months using ventrogluteal. Never dorsal
gluteal. Deltoid in 3+
Vastus lateralis- all
Deltoid- no infants, 1 year+
Ventrogluteal- 7 months + at 0.5ml
all 5/8 - 1in, school age goes up to 1.5"
22 - 25 gague
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