peds development exam by me

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The nurse is assessing an 8-month-old child's gross motor development. Which action by the child indicates late development? 1 The child is unable to stand by holding onto furniture. 2 The child cannot change from a prone to a sitting position. 3 The child cannot sit down from a standing position without help. 4 The child cannot sit steadily on the floor for a prolonged period of time.

1 At 8 months of age the child should be able to stand by holding onto furniture, because the child readily bears weight on the legs when supported. When a child is 10 months old, the child can change from a prone to a sitting position. When a child is 12 months old, the child is able to sit down from a standing position without any help. When a child is at least 9 months old, the child can sit steadily on the floor for a prolonged period of time.

Which fine motor skill should the nurse expect when assessing the development of an infant between 10 and 12 months of age? 1 Holds a crayon 2 Walks with assistance 3 Stands independently 4 Sits from a standing position

1 The ability to hold a crayon is a fine motor skill that the nurse should expect when conducting a developmental assessment for an infant between 10 to 12 months of age. Walking with assistance, standing alone, and sitting from a standing position are all gross motor skills the nurse would anticipate for this infant.

When does the baby have increased anxiety over separation of the parent and object permanence (when objects still exist even when not observed)

8-12 months

When should the anterior fontanel close?

12-18 months

When can the toddler build a tower of 3-4 cubes?

18 months

When does the baby start to smile?

2 months

When can the toddler walk up and down stairs with 2 feet and turn the pages of a book?

2 years

When do females stop growing?

3 years after menarche

What gross motor skill is found in children between two to four months of age? 1 The child can creep on its hands and knees. 2 The child has predominant inborn reflexes. 3 The child can sit alone without any kind of support. 4 The child can bear weight on forearms when prone.

4

When should the posterior fontanel close?

6-8 weeks

A mother is bringing her 4-month-old infant into the clinic for a routine well-baby check. The mother is exclusively breastfeeding. There are no other liquids given to the infant. What vitamin does the nurse anticipate the provider will prescribe for this infant? A. Vitamin B B. Vitamin D C. Vitamin C D. Vitamin K

B. Vitamin D The American Academy of Pediatrics recommends that infants who are exclusively breastfed receive 200 IU of vitamin D daily by age 2 months to decrease vitamin D deficiency. Vitamin B is not needed. Vitamin C is not needed. Vitamin K is not needed

When does the length increase by 50%?

By 12 months

At what age would the nurse advise parents to expect their infant to be able to say "mama" and "dada" with meaning? A. 4 months B. 6 months C. 10 months D. 14 months

C. 10 months Consonants are added to infant vocalizations. Babbling resembles one-syllable sounds. At this age infants say sounds with meaning. This is late for the development of sounds with meaning.

The nurse in the pediatric clinic identifies which infants at risk for developing vitamin D-deficient rickets? A. Lacto-ovo vegetarians B. Those who are breastfed exclusively C. Those using yogurt as primary source of milk D. Those exposed to daily sunlight

C. Those using yogurt as primary source of milk Individuals who follow this diet include milk and its products in their diet. Breast milk has sufficient vitamin D if the mother is not deficient in this vitamin. Yogurt may not be supplemented with vitamin D. Lack of sunlight contributes to vitamin D-deficient rickets.

The nurse expects which characteristic of fine motor skills in a 5-month-old infant? A. Strong grasp reflex B. Neat pincer grasp C. Able to build a tower of two cubes D. Able to grasp object voluntarily

D. Able to grasp object voluntarily This is characteristic of a 1-month-old infant. This is characteristic of an 11-month-old infant. This is characteristic of a 15-month-old infant. This is appropriate for a 5-month-old infant

Adolescence changes- Girls

Girls- Breast growth and pubic hair 7-14 years. 10-16 for periods. No period by 17 they must have an endocrine testing because testicular feminization could occur.


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