PEDS CH5: Health Promotion for an Infant
Time out should be ___ min for year of life
1
Age of success for toilet training is ___ __
27 months
The terrible 2's Slower growth: ___ lbs and __ inches
27, 34
Critical milestones 12 months: about __ inches in length and __ to __ head circumference
29 inches, 43 to 45 cm
Immunizations: After age 4 the child got: ___ TDAP ___ MMR __ IPV Check ___ and ____ and ____ required for school entry
5 2 4 HepA and varicella TST
Fluid intake: ___ wet diaper for 24 hours Introduce cup at __ months Limit juice to ___ oz a day Only milk in bottle
6 6 6
First teeth by ___ to ___ months 6 by ___ to ___ months 18 by ____ months
6 to 10 8 to 12 24
Clinical Milestones: 6 months Stranger anxiety starts from 6 to __ months
9
A nurse is cautioning the parents of an 4-month-old about safety? Which statement indicates an understanding of safety by the parents? A."Our baby loved to play with his crib gym, but we took it away from him." B."We just bought a soft mattress so our baby will sleep better." C."Our baby really likes sleeping on a fluffy pillow we just got for him." D.We just bought a child-safety gate that folds like an accordion."
A
An appropriate "finger food" for an 11-month-old infant is: A.Crackers. B.Raisins. C.Lollipops. D.Popcorn.
A
A nurse is talking to the parents of a 6-month-old about gross motor development. Which skills are expected findings in the next 3 months? (Select all that apply) A.Rolls from back to front. B.Bears weight on legs. C.Walks holding on to furniture. D.Sits unopposed. E.Sits down from standing position.
ABD
Use _______ for teething but be careful with swallowing Give fluoride up to __ years old
Ambesol 3
Symptoms of poisoning (answer the drug): NV, ringing in ears, lightheadedness
Aspirin
An 11-month-old infant enjoys picking up Cheerios one by one with the thumb and index finger and throwing them on the floor. This is an example of: A.Egocentrism. B.Pincer grasp C.Oral gratification D.Reflexive activity
B
The nurse is caring for an infant who will soon eat solid foods. The RN should inform the parent to introduce which foods first into the infant's diet? A. Stained yellow vegetables B. Iron-fortified cereals C. Pureed fruits D. Whole milk
B Milk never before 1 year old. Necessary for fat after that
A mother of an 8-month-old boy states that the family is vacationing at a beach house for the next 2 weeks. Which information should the nurse educate the mother about in relation to sun exposure? (Select all that apply) A. Reapply sun lotions to all exposed skin every 4 to 6 hours. B. Use sun lotions that protect against both UVA and UVB rays. C. Have the baby wear child-sized sunglasses whenever he is in the sun. D. Avoid exposing the child to the sun between the hours of 12 and 2 PM. E. Dress the child in light-weight clothing that covers the majority of his skin
BCE A: suppose to be every 2 hours D: suppose to be between 12 and 4
A 13-month-old toddler is being discharged from the hospital. Which potential health risks should the nurse address with the parents? (select all that apply) A. Elevated cholesterol levels B. Poisoning C. Peer pressure D. Burns E. Falls
BDE
Ms. Coleon gave a 24-hour recall for her 18-month-old son, Racy. As the nurse is alert to common causes of choking, she would consider which groups of foods as safest for toddlers like Racy. A.Apple quarters, green beans, chicken noodle casserole. B.Grapes, carrot strips, macaroni and cheese. C.Diced peaches, mashed potatoes, spaghetti. D.Watermelon chunks, cheese-stuffed celery, sliced hotdogs
C
Which statement indicates the parents of a toddler need more information about toddler safety? A."We always put her in her car seat, even if we only drive down the street." B."We never let her play outside alone." C."We always put our cleaning supplies on the shelves above the sink." D."One of us stays with her the entire time she is in the bathtub."
C
A nurse in a clinic would identify which infant as needing additional assessment of growth? A. Precious, 4-month-old girl, birth weight 7 lb. 6 oz.; present weight 14 lb. 14 oz. B. Ebony, 2 week-old boy, birth weight 6 lb. 10 oz.; present weight 6 lb. 11 oz. C. LaRon, 6-month-old boy, birth weight 8 lb. 8 oz.; present weight 14 lb. 8oz. D. Dionicia, 2-month-old girl, birth weight 7 lb. 2 oz.; present weight 9 lb. 10 oz.
C The question is asking which one is NOT normal and needs further assessment
A nurse is planning diversionary activities for children on an inpatient unit. Which play activities should be used? (Select all that apply) A.Building simple models. B.Working with clay. C.Filling and emptying containers. D.Playing with blocks. E. Looking at picture books.
CDE
____ rather than ____ helps the child learn
Consistency rather than severity
Critical milestones: 9 months ___ ____ grasp feeds ____ Dominant hand preference ____ ___ without support Pulls to ____
Crude pincer grasp self (finger foods) sits up standing
While a 5-year-old is hospitalized for an appendectomy, he tells the nurse that he is in the hospital because he was bad. The nurse should: A.Suspect child abuse and report it to the authorities. B.Question the parents about their discipline methods. C.Ignore the comment. D.Explain to the child why he is in the hospital.
D
Needs in the first year of life: _____ Warmth and comfort oral ______ environmental _____ Self-_____
Food gratification stimulation discovery
Screening for 9 and 12 months: __ and __ ___ screen questionaire
Hgb and Hct Lead
Symptoms of poisoning (answer the drug): Mental impairment and blindness
Lead
Potential dangers for toddlers: ____ _____ and ___ ___ ___
Light switches and dry cleaner bags
Symptoms of poisoning (answer the drug): Edema of lips, hemoptysis and drooling
Lysol
Major health concerns of infancy: General _______ ( ___) Physical activity (___ or ___ motor delays) ____ Health Developmental _____ _______
Measurements (percentile rank) gross or fine Oral (Calcium intake and tooth development) milestones imms
Physiological immaturity: At higher risk for 1- 2- 3-
Resp infection infection fluid and electrolyte imbalance
Most common drug for ingestion poisoning is
Tylenol
Symptoms of poisoning (answer the drug): Liver failure without treatment
Tylenol
Clinical Milestones: 4 months Rolls from ____ to ___ _____ a rattle Turns eyes and head towards ______
back to side grasps sound
Clinical Milestones: 6 months Rolls over in ____ ____ Palmar grasp in ____ ____ Holds ____ Begins to ____ ___
both direction dominant hand bottle sit up
Critical milestones 15-18: Holds up cup with __ ___ Build tower of __ to __ blocks Turns _____ of ___ Places block in cup Says ___ to __ single words ___ well and creeps up ___
both hands 3 to 4 pages of books 150 to 200 walks, stairs
Critical milestones 3 years: _____ ____ with help Puts on ____ ___ Draw ___ Good eye/hand coordination ____ identity
brushes teeth clothes jumps gender
Critical milestones 2 years: Removes one article of _____ Uses ___ or ___ ____ word vocabulary with __-__ word senctences ____, walks up/down steps ___/____ ball Tower of __ to __ blocks
clothing fork or spoon 400, 2-3 Runs Throws/kicks 6 to 7
Critical milestones: 12 months Places objects in ____ picks up 2 cubes but cant stack ___ and ___ specific __ to __ words specific sits from standing
containers mama and dada 2 to 3
Clinical Milestones: 4 months Stuff starts going into ____ Separation anxiety from starts between __ to __ months ____ reflex disappears
mouth 4 to 8 palmar
Critical milestones 4 to 5 years Skip, hop, jump rope and balance in __ ___ Walk ____ Know 2 ____ Balances in each foot for __ sec
one foot backwards adjectives 1
Critical milestones: By 10 months baby responds to ___ ___ and has object ______
own name, permance
Ways to support autonomy: Offer simple choices Encourage new ____ Simple and minimal ___ Reduce opportunities for __ answers
skills rules "no"
Clinical milestones: 2 months _____ spontaneously open ____ lifts ____ off mattress
smiles hands head