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Withdrawn and sullen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