Peds exam 1: Death and Dying / practice exam questions

Toddlers and dying: 1. How is it conceptualized? 2. How will they react to the hospital environment? 3. What is a special developmental stage consideration?

1. Little concept of death or its permanence 2. - Strong reaction to medical procedures. Fears PAIN - Clingy / emotionally needy - will reflect emotions of adults (anxiety, sadness, anger) - Aversion to strangers - Egocentric thinking 3.

1. What age do babies take their first steps? 2. What age are babies walking well by?

1. first steps between 9-12 months 2. walking well by 14-16 months

Infants and dying: 1. How is it conceptualized? 2. How will they react to the hospital environment? 3. What is a special developmental stage consideration?

1. they have no concept of death or dying 2. - the infant may have stranger anxiety (always a thing) - infant may have issues when separated from caretakers - They may be upset due to disturbance of routines 3. Their needs must consistently met to build TRUST!

Nurse Walter should expect a 3-year-old child to be able to perform which action? A. Ride a tricycle B. Tie the shoelaces C. Roller-skates D.Jump rope

At age 3, gross motor development and refinement in eye-hand coordination enable a child to ride a tricycle. The fine motor skills required to tie shoelaces and the gross motor skills requires for roller-skating and jumping rope develop around age 5.

When developing a plan care for a hospitalized child, nurse Mica knows that children in which age group are most likely to view illness as a punishment for misdeeds? A. Infant B. Preschool age C. School age D. Adolescence

B. Preschool Preschool-age children are most likely to view illness as a punishment for misdeeds. Separation anxiety, although seen in all age group, is most common in older infants. Fear of death is typical of older school-age children and adolescents. Adolescents also fear mutilation.

Nurse Sunshine suspects that a child, age 4, is being neglected physically. To best assess the child's nutritional status, the nurse should ask the parents which question? A. "Has your child always been so thin?" B."Is your child a picky eater?" C."What did your child eat for breakfast?" D. "Do you think your child eats enough?

C."What did your child eat for breakfast?" The nurse should obtain objective information about the child's nutritional intake, such as by asking about what the child ate for a specific meal. The other options ask for subjective replies that would be open to interpretation.