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Nur 230/254 Growth and Development Galen OB/Peds Flashcards | StudBud
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Nur 230/254 Growth and Development Galen OB/Peds
Nur 230/254 Growth and Development Galen OB/Peds
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1
Which type of growth occurs when head develops first and have more control over head movements before trunk?
Near to far
Cephalocaudal
Head to toe direction
Proximodistal
2
While teaching a 10-year-old child about their impending heart surgery, the nurse should
Introduce the child to another child who had heart surgery three days ago
Provide a verbal explanation just prior to the surgery
Provide the child with a booklet to read about the surgery
Explain the surgery using a model of the heart
3
Your patient is 7-years-old. What stage of psychosocial development, according to Erikson, should this child be in?
Identify vs. Role Confusion
Industry vs. Inferiority
Initiative vs. Guilt
Autonomy vs. Shame and Doubt
4
According to Erikson's Stages of Development, what intervention below would help promote development in a 24 monther?
Take time to swaddle and rock the child when crying.
Give the child opportunities to make food and drink selections.
Thoroughly communicate the rules to the child.
Encourage the child to ask questions about care.
5
According to Erikson's Stages what is the outcome for 6-12yr child to obtain during this stage?
Accomplishment
Learn rules
Sense of Purpose
Ready to work and engage in tasks
6
What milestone would a nurse expect to see in a 15 month old patient?
Says 4-6 words
Talks incesantly
May be potty trained
Creeps upstairs
7
According to Piaget's your concrete operations stage patient whould show what in their development?
Understands time and quanitity
The child likes to play pretend
Concrete and systematic problem solving
Logical and coherent thoughts
8
Five year-old who has been placed in traction a femur fx. Which is an approriate learning activity for this child?
A radio
Crayons and coloring book
A sports video
Large picture books
9
Evaluating the developmental level of a 2 year old. Which of the following does the nurse expect to observe?
Uses a knife for cutting food
Runs fairly well
Parallel play
Pours own milk into a cup
10
A preschooler would struggle with which of the following issues during the hospitalization?
Loss of control
Loss of relationship with peers
Negativism
Separation anxiety
11
The nurse is assessing a six-month-old child. Which developmental skills are normal and should be expected?
Babbles one syllable
Imitates sounds, actions
Speaks in short sentences
Can feed self with a spoon
Sits alone
Holds bottle
12
What milestone would a nurse expect to see in a 4 year old patient?
Uses scissors
Birth length doubled
Throws/catches a ball
May cheat while playing
13
At what age is the child cruising/walks with both hand held, shakes head no, and has eruption of lower lateral incisors?
4 months
6 months
11 months
2 months
14
Your patient is 4yr. According to Erikson the child should develop what by the end of their developmental stage?
Competence
Trust
Purpose
Autonomy
15
Which pain scale would you use for a 3-4 year old?
Wong-Baker Faces
FLACC
NIPS
Numeric Scale
16
What observation found in a preschooler would demonstrate the child is in the protest phase of separation anxiety?
Crying quietly and acting out
Loud crying that is inconsolable
Happy and content
Withdrawn and sullen
17
The nurse is assessing a four-month-old infant. The nurse would anticipate finding that the infant would be able to
Rolls from back to side
Able to sit propped up
Almost no head lag
Move the small toy from one hand to another
Full head lag
Wave "bye-bye"
18
When considering Erikson's Stages for a 3-year-old which action below would potentially hinder a child's development?
Offering options of play that are imaginary
Giving the child freedom to try new things
Accepting reasonable choices made by the child
Making choices and decisions for the child
19
What milestone would a nurse expect to see in a 9 month old patient?
Walks with guidance
Sits steadily unsupported
Bounces
Pulls self to standing position
20
Which Erickson stage characterized by vigourous, intrusive behavior and outcome is direction and purpose?
Industry vs. inferiority
Trust vs Mistrust
Initiative vs guilt
Autonomy vs Shame
21
Which of the following is a change experienced by the school-aged group?
The child typically grows about 2 inches per year.
Growth decelerates in females
The child's weight increases by 2-6lbs per year
Anger more apt to be concealed
22
Your patient is 6-months-old. According to Erikson's Stage of Development, this patient is in what stage?
Initiative vs. Guilt
Identity vs. Role Confusion
Trust vs. Mistrust
Autonomy vs. Shame & Doubt
23
For a 2-month-old infant. Which finding below is a normal milestone that should be reached by this infant at this age?
The infant is afraid of strangers
Posterior fontanel closed
The infant can sit up with support
The infant holds a rattle
Social smile
Vocalized distinct from cyring
24
What age group is associated with Erickson's initiative vs guilt?
1-3 years
12-18 years
6-12 years
3-6 years
25
You're providing caring to a 2-year-old. Which would be the best response to the patient?
"Do you want to take your medicine now?"
"You can take your medicine in the blue or green cup."
"Can you take your medicine in a cup?"
"Are you ready for your medicine?"
26
The nurse is planning care for an 18 month-old child. Which of the following should be included in the child’s care?
Allow the child to walk independently on the nursing unit
Hold and cuddle the child often
Engage the child in games with other children
Encourage the child to feed himself finger food
27
What milestone would a nurse expect to see in a 7 month old patient?
Sits steadily unsupported
Sits, leaning forward on hands
Increasing stranger danger
Pulls up to standing position
28
You need to start an IV on a 4yr. Select the appropriate interventions to perform before starting the IV to help
Have a doll available that the child can start an IV on.
Encourage and answer all the child's questions before starting the IV.
Give the child privacy with parents out of the room while the IV is started
Let the child know that at 9:00 am you will be starting the IV.
Be honest with the child about what to expect with starting the IV.
29
According to Piaget's your formal operations stage patient whould show what in their development?
The child possesses abstract thinking
Adaptable and flexible
The child pretend plays
Thoughts become more logical and coherent
30
According to Piaget's Theory of Development, what stage would a 13 year old be in
Formal Operational
Concrete operational
Perioperational
Sensorimotor
31
Which type of growth occurs when nervous system develops more rapidly than muscle system. Fine motor skills develop.
Proximodistal
Cephalocaudal
Near to far
Head to toe direction
32
A 30 month old weighed 5 lbs. at birth. How much should the child weigh now?
14 lbs
20 lbs
21 lbs.
36 lbs.
33
Which are principles of atraumatic care?
Prevent separation
Promote sense of control
Pain control
Privacy
34
What milestone would a nurse expect to see in a 10 months old patient?
Bounces
Walks with both hands held
Develops object permanence
Birth weight tripled
35
What interventions below should the nurse implement to help the adolescent cope with prolonged hospitalization?
Restrict visitors to family members.
Reassure the patient that procedures are not meant as punishment.
Allow the patient to wear their own clothes.
Encourage the patient to participate in recreational room activities.
36
Which stage of development is
most
unstable and challenging regarding the development of personal identity?
Toddlerhood
Adolescence
Young Adulthood
Middle Childhood
37
A 16yr is admitted. Which of the following nursing interventions is most appropriate for normal growth and development?
Encourage the child to rest and read
Allow the family to bring in the child’s favorite computer games
Allow them to participate in activities with peers when condition permits
Encourage the parents to room-in with the child
38
A nurse should be aware that the major threat felt by the hospitalized adolescent as what?
Altered body image
Loss of bodily control
Fear of the unknown
Separation from family
39
Which pain scale would you use for neonate/infant?
NIPS
Numeric Scale
Wong-Baker Faces
FLACC
40
Two toddlers are playing with toys, but they are not playing together. This type of play is known as?
Solitary play
Associate play
Co-operative
Parallel play
41
The nurse is observing children playing in the hospital playroom. She would expect to see 5-year-old children playing:
Alone with handheld computer games
Associative play: play together with no group goal
Parallel play: play independently around each other
Building a tower out of blocks
42
According to Piaget's your perioperational stage patient whould show what in their development?
This concept of object permanence is not yet developed
Transdunctive reasoning
The child is egocentric
The child likes to play pretend
43
A potty trained 3yr old hospitalized is now wetting the bed. What should the nurse tell the parents
Reassure the parent that this is temporary and is because of hospitalizatio
Try potty training again while the child is hospitalized.
Have parent set limits and use discipline strategies for toilet accidents.
Avoids ritualistic routines until the child is not hospitalized.
44
According to Piaget's Theory of Development, what stage would a 14-month-old be in
Sensorimotor
Concrete operational
Formal Operational
Perioperational
45
At 8 months of age, what milestone should an infant be able to successfully perform?
Follow basic commands
Begin walking
Say several words like mama or dada
Sit without support
46
What milestone would a nurse expect to see in a 6 month old patient?
Rolls from abdomen to back
Teething: two lower central incisors
Babbles one syllable
Imitates sounds
47
A 12 month old: You're assessing the infant's developmental milestones. Which should the child be able to perform?
Says 3-5 words besides mama and dada
Birth weight tripled
Rides a tricycle
Draws a triangle
Walks with one hand held
Follows simple commands like "wave bye-bye"
48
What could a 10yr experience during a hospitalization?
Fear of pain/injury
Fear of strangers
Fear that the hospitalization is punishment for doing wrong
Invasion of privacy
49
According to Piaget's Theory of Development, what stage would a 10 year old be in
Sensorimotor
Perioperational
Concrete operational
Formal Operational
50
Which Erickson stage has an outcome of faith and optimism?
Industry vs. inferiority
Initiative vs guilt
Autonomy vs Shame
Trust vs Mistrust
51
According to Erikson the adolescent is in the ________ vs. __________ stage with a goal to develop ____________.
Identity vs. Role Confusion; devotion/fidelity
Initiative vs. Guilt; purpose
Industry vs. Inferiority; competence
Intimacy vs. Isolation; fidelity
52
A 25-month-old is in what stage of development according to Erikson's Stages of Development?
Industry vs. Inferiority
Trust vs. Mistrust
Initiative vs. Guilt
Autonomy vs. Shame and Doubt
53
According to Piaget's Theory of Development, what stage would a 5 year be in
Concrete operational
Sensorimotor
Formal Operational
Perioperational
54
The toddlers parents had to temp leave. The child was inconsolable and is now withdrawn. Which stage of sep anxiety now?
Denial
Protest
Despair
Detachment
55
Which pain scale would you use for a patient 8 years or older?
FLACC
Wong-Baker Faces
Numeric Scale
NIPS
56
Which interventions are appropriate for a toddler just admitted for gastroenteritis? Select all that apply.
Allow to bring his favorite pillow or provide activity e.g, blowing bubbles
Allow the child to hold the thermometer before getting the temperature
Inform the child of his scheduled ultrasound on day 5 of his stay
Limit parental presence to promote faster recovery
Provide an option between fruit cups and jellies for dessert.
57
What milestones would a nurse expect to see in a 4 month old patient?
Plays with hands
Rolls from back to side
Moro and rooting reflex is gone
Laughs
58
A infant is hospitalized. What nursing intervention will you include in their plan of care?
Separate the infant and parent during procedures
Maintain the infant's daily rituals and routines
Allow the infant to examine equipment before usage
Maintain the same nursing staff during each shift
59
A 5 month-old: The nurse determines that the infant is demonstrating the highest level of developmental achievement:
Makes consonant sounds
Coos when comforted
Uses monosyllabic babbling
Discovers body parts
Rapid mood swings
Uses simple words such as "Mama"
60
You're assessing a 10-month-old infant. You note on examination the anterior fontanelle is open. The nurse will:
Document a normal finding because this fontanelle closes at about 12 months
Document abnormal finding because this fontanelle should close at 2 months
Document a normal finding because this fontanelle closes at about 18 months
Document abnormal finding because this fontanelle should close at 6 months
61
A 2yr is having a temper tantrum. What actions below are not appropriate for dealing with this situation?
Attempt to stop the tantrum
Reason with the child
Be consistent with your approach
Protect the child from hurting themselves
Leave the child alone until the tantrum stops
Ignore the behavior
62
According to Piaget's your sensorimotor stage patient whould show what in their development?
Understands time and quantity
Likes to play pretend
Has abstract thinking
Problem solving through trial and error
63
Which Erickson stage is a period of rapid body changes, peers are important, and fidelity.
Trust vs Mistrust
Initiative vs guilt
Autonomy vs Shame
Identity vs. role confusion
64
A 16 year old boy is hospitalized, according to Erikson, what is an appropriate intervention?
Tell the friends to visit the patient
Ask the patient's girlfriend to visit
Encourage the boy to learn missed school lessons
Call the priest to intervene
65
The anal and urethral sphincter can be voluntarily controlled around _______________.
6-12 months
24-36 months
18-24 months
12-18 months
66
A plan of care for a 3yr include play activities. What type of play does a child participate in at this age?
Associative
Cooperative
Parallel
Solidary
67
The development of a 5yr: Which of the following are motor skills a child should be able to perform at this age?
Throw/catch a ball
Ride a tricycle
Walk backwards
Skip
Balance on one foot
Hop
68
Which of the following best describes the development of a school-age child. Select all that apply.
Same-sex peers are more important than family
School-age children are concerned about how they appear to others
Causes of injuries include bicycle crashes, head injuries, and sprains
Children enjoys playing board games and sports
Death has no meaning
69
What milestones would a nurse expect to see from a one month old patient?
Visually searching to locate sounds
Social smile
Flexed position
Turn head from side to side
70
Erickson’s stage of psychosocial development in which social relationships develop and productivity increases.
Industry vs inferiority
Initiative vs guilt
Identity vs. Confusion
Autonomy vs shame and doubt
71
Your patient is 5 mo. Which developmental milestone, if not performed by the infant, should be further investigated?
Grasp object voluntarily
Sitting without support
Crawling
Rolling over from back to tummy
72
Which Erickson stage is centered on a toddlers ability to control their body and enviorn. Good outcome is self control
Industry vs. inferiority
Autonomy vs Shame
Initiative vs guilt
Trust vs Mistrust
73
You see a group of children working together to build a sand castle. What type of play is this?
Cooperative
Solidary
Associative
Parallel
74
An infant weighed 8 lbs. at birth. How many lbs. should the infant weigh at 5 months?
32 lbs
16 lb
10 lbs
24 lbs
75
What milestones would a nurse expect to see in a three month old patient?
Coos, squeals to show pleasure
Turns head to follow sounds
Social smile
Holds objects but will not reach for them
76
Using Erikson’s psychosocial development theory, the nurse would instruct the mother of a newborn to
Allow the newborn infant to signal a need
Allow the infant to cry, once lessen, then attend to the infant
Avoid the newborn infant during the first 10 min of crying
Anticipate all of the needs of newborn infant