what is important to consider when assessing growt
mcn 374 exam 1 questions and answers
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MCN 374 EXAM 1 QUESTIONS AND
ANSWERS.
Children grow within the context of their _________and _________. Exam -family and
culture
Name the two types of growth exhibited in infants. Exam -cephalocaudal and
proximodistal
What is important to consider when assessing growth charts? Exam -the trajectory of
growth, ex. a child may be growing normally even if he is at the 88th percentile as long
as he has been consistently around that number throughout his life; when the number
significantly increases or decreases is when further assessment is needed
A qualitative change that is characterized by an increase in competence and ability,
resulting in functioning at a higher level Exam -maturation
What are some nursing applications for infants, according to Erickson? Exam --hold the
hospitalized baby often
-offer comfort after painful procedures
-meet the baby's needs for food and hygiene
-encourage parents to room in
-manage pain effectively with use of pain medications and other non-medical measures
What are some nursing applications for toddlers, according to Erickson? Exam --accept
regression in toileting during illness or hospitalization
-have potty chairs available in hospital and childcare centers
-allow self-feeding opportunities
-encourage child to remove and put on own clothes, brush teeth, and assist with
hygiene
-if immobilization for a procedure is necessary, proceed quickly, providing explanations
and comfort
What are some nursing applications for preschoolers, according to Erickson? Exam --
encourage parental involvement in care
-plan for playtime and offer a variety of materials from which to choose
-offer medical equipment for play to lessen anxiety about strange objects
What are some nursing applications for school age children, according to Erickson?
Exam --explain treatments and procedures
-encourage the child to continue schoolwork while hospitalized
-encourage the child to bring favorite pastimes to the hospital
-help the child to adjust to limitations on favorite activities
,What are some nursing applications for adolescents, according to Erickson? Exam --
provide separate recreation room for hospitalized teens
-take health hx and perform exams without parents present
-introduce adolescent to other teens with similar health problems
What are some nursing applications for infants, according to Piaget? Exam --use crib
mobiles, manipulative toys, wall murals, and bright colors to provide interesting stimuli
and comfort
-use toys to distract the baby during procedures and assessments
What are some nursing applications for toddlers, according to Piaget? Exam --if
immobilization for procedure is necessary, proceed quickly, providing explanations and
comfort
-ensure safe surroundings to allow opportunities to manipulate objects
-name objects and give simple explanations
What are some nursing applications for preschoolers and early school-age children,
according to Piaget? Exam --assess child's concerns as expressed through their
drawings
-accept the child's choices and expressions of feelings
-offer explanations about all procedures and treatments
-clearly explain that the child is not responsible for causing an illness in self or family
member
What are some nursing applications for late school-age children, according to Piaget?
Exam --give clear instructions about details of treatment
-show the child equipment that will be used in treatment
What are some nursing applications for adolescents, according to Piaget? Exam --give
clear and complete information about health care and treatments
-offer both written and verbal instructions
-continue to provide education about the disease to the adolescent with a chronic
illness, because mature thought now leads to greater understanding
The _________ child displays irregular schedules for eating, sleeping and elimination;
adapts slowly to new situations and persons; and displays a predominantly negative
mood (10% of children) Exam -difficult
The ________ child has reactions of mild intensity and slow adaptability to new
situations; displays initial withdrawal followed by gradual, quiet, and slow interaction
with the environment (15% of children) Exam -slow-to-warm-up
The _______ child is generally moderate in activity; shows regularity in patterns of
eating, sleeping, and elimination; and is usually positive in mood and when subjected to
, new stimuli; adapts to new situations and is able to accept rules and work well with
others (35% of children) Exam -easy
At what age range should whole milk be given? Exam -birth-3 yo
Why is a diet higher in fat important to young children? Exam -it promotes proper brain
development
What is the connection between meconium and maternal drug use during pregnancy?
Exam -the meconium is similar to rings on a tree and can determine the stage of
pregnancy that drug use was present
What condition is a major concern for children that play tackle football or other intense
contact sports? Exam -chronic traumatic encephalopathy
What is important to know about screening? Exam -it identifies that there MIGHT be a
problem that should be further evaluated
Name one developmental screening tool that is used. Exam -Denver II
Name the 3 types of play. Exam --Recreational (child directed)
-Therapeutic (adult directed)
-Therapy (adult observation of play expressions and then interpretation)
Name the recommended toys for infants. Exam --mobiles
-moving toys
Name the recommended toys for toddlers. Exam --life like toys (phones, tools)
-transitional objects
-push/pull toys
-blocks
-large balls
Name the recommended toys for preschoolers. Exam --coloring books
-books
-videos
-things to encourage imagination
Name the recommended toys for school-age children. Exam --cards
-books
-puzzles (100+)
-games (video and board)
-crafts
Name the recommended toys for adolescents. Exam --radio or other music device
-video or computer games
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