AZCN NUR336 Exam 1 Review
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Danielle LeachThis presentation covers pediatric care, focusing on developmental milestones, safe practices, psychosocial theories, health promotion, pain management, and support for vulnerable children.
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Slides (98)
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Which of the following reflexes are typically present in a newborn? (SATA)
1. Laughing reflex
2. Kicking reflex
3. Smiling reflex
4. Fencing reflex
5. Sucking
6. Rooting reflex
7. Babinski
8. Palmar Grasp
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Match how the fontanel assessment finding with its related cause:
1. Closed
- Over 18 months old
2. Sunken
- Dehydration
3. Bulging
- Increased Intracranial Pressure
4. Soft
- Normal
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What is the primary purpose of a well-child visit for an infant?
1. To perform invasive tests routinely
2. To discuss the family's financial situation
3. To schedule a follow-up for illness
4. To immediately administer all vaccines
5. To monitor physical development and growth milestones
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Which assessment findings in a 24 hour old newborn would require immediate attention? (SATA)
1. Heart murmur
2. Acrocyanosis
3. Sternal retractions
4. Bluish discoloration around the lips
5. Presence of a Mongolian spot
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Which assessment finding in a 9-month-old indicates a need for further evaluation?
1. The infant exhibits a lack of attachment to primary caregivers
2. The infant can sit without support
3. The infant is babbling consonant sounds
4. The infant shows curiosity by exploring the environment
5. The infant responds to their name being called
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Which signs, according to the FLACC scale, indicates pain in a nonverbal toddler? (SATA)
1. The child remarkably increases activity level.
2. The child is has their jaw clenched.
3. The child is smiling and laughing.
4. There is a constant frown and a quivering chin.
5. The child is playing quietly with toys.
6. The child's legs are drawn up to their abdomen.
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Which of the following findings in a 4-month-old infant indicates a need for further evaluation?
1. The infant babbles and coos while interacting
2. The infant has gained approximately double their birth weight
3. The infant is unable to hold head up when in a sitting position
4. The infant shows social smile and responds to caregiver's voice
5. The infant can roll from back to side
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Which of the following are common milestones for a 10-month-old infant? (SATA)
1. Climbing stairs unaided
2. Sitting without support
3. Walking independently
4. Throwing a ball overhand
5. Saying 'mama' or 'dada'
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What are signs that a pediatric client may be a human trafficking victim? (SATA)
1. Frequent STIs & UTIs
2. Multiple pregnancies
3. Suicide attempts
4. Unexplained injuries
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Which of the following statements about newborn screening are true? (SATA)
1. Screening can identify genetic conditions that require immediate intervention.
2. Newborn screening is only done if the infant shows symptoms.
3. All newborns are automatically screened unless parents refuse.
4. Parents must pay extra for newborn screening tests.
5. Newborn screening includes only vision and hearing tests.
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Categorize the following infant sleep descriptions as safe or not safe:
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Which of the following statements about newborn assessment is correct?
1. The heart rate should be between 120 to 160 bpm in a newborn.
2. The normal respiratory rate is 20 to 40 breaths per minute.
3. Newborns should not be assessed for primitive reflexes until they are 6 months old.
4. A temperature 36.3°C is normal for a newborn.
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Which of the following behaviors should a nurse encourage to promote healthy habits in adolescents? (SATA)
1. Focusing solely on academic success without social activities
2. Prioritizing sleep over extracurricular activities
3. Minimizing screen time before bed
4. Choosing fast food options for convenience
5. Engaging in regular physical activity
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The RN must obtain data for a routine assessment of a healthy 8 month old. Which of the following are part of that assessment? (SATA)
1. Head circumference
2. Assess for presence of palmar grasp
3. Immunization Record
4. Weight
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What is the main tenet of family centered care?
1. Staff autonomy
2. Patient empowerment
3. Family involvement
4. Parental authority
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A child's death is imminent. The RN should:
1. Inform the parents that religious ceremonies will disturb other patients
2. Allow the parents to stay with the child as long as they need
3. Allow the monitor to continue to sound so parents know the child has passed
4. Explain that the body will need to be taken to the morgue immediately
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The RN is preparing to perform an exam on a client who is 13. Which action by the RN will decrease the client's anxiety?
1. Verbalizing findings of physical abnormalities
2. Rush the process
3. Explain the exam and rationale.
4. Use medical jargon
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What would be most concerning after conducting a family assessment?
1. The family is homeless
2. Lack of insurance
3. Sibling rivalry
4. Poor time management
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Match each stage of Freud's Theory of Psychosexual Development to its correct age group:
1. Anal
- 1-3 years
2. Latency
- 6-12 years
3. Oral
- 0-1 year
4. Phallic
- 3-6 years
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How can a nurse help to minimize pain in a toddler? (SATA)
1. Use distraction
2. Medicate per orders
3. Ignore the pain
4. Restrict movement
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What care should the RN provide after a circumcision?
1. Medicate with morphine
2. Apply antibiotic ointment
3. Monitor for bleeding
4. Apply warm compresses
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Match the developmental milestones to either toddler or preschool age kids:
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An infant is admitted and the mother is worried about the child's sleep and feeding schedules. The RN should:
1. Inform the mother that such a highly rigorous schedule is not healthy
2. Inform the mother of the times you plan on being in the room
3. Tell the mother you are sorry but you have a job to do that is important
4. Attempt to plan care around the family's schedule as much as possible
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A child who is not speaking or imitating sound by 12 months old should first be referred to:
1. Psychologist
2. Feeding clinic
3. Speech Therapist
4. Audiology
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Leaderboard
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When should this reflex disappear?
5 months
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When should this reflex disappear?
6 months
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A minor's health information may be discussed with any member of his/her family.
1. False
2. True
3. Only guardians
4. Only parents
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When conducting a spiritual family assessment, the RN should: (SATA)
1. Ask a coworker who is the same religion what they believe
2. Provide advice on spiritual guidance
3. Acknowledge that every client and family is different
4. Ask what role religion plays in the family's life
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How can we attempt to gain cooperation from a toddler or preschooler? (SATA)
1. Give praise and rewards
2. Use negative reinforcement
3. Punish them
4. Offer choices when appropriate
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The RN is assessing an infant who is 7 months old for developmental milestones. Which findings are of greatest concern? (SATA)
1. Cannot roll from tummy to back
2. No cruising
3. Cannot pull self to standing
4. No babbling
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On a 12 hr old newborn assessment, which of the following would be alarming?
1.
2.
3.
4.
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Which are appropriate pain scales for a toddler? (SATA)
1. Numeric
2. Wong-Baker Faces
3. NIPS
4. FLACC
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As a pediatric patient nears death (anticipated), we should expect to see: (SATA)
1. Increased apnea
2. Rapid weight gain
3. Improved appetite
4. Decreased urine output
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A 14 month old who drinks 1 gallon of cow's milk daily is at risk of:
Iron deficiency anemia
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A mother of a 9-month-old infant asks the RN about what toys are age appropriate. Which toy does the RN recommend?
1. Play-doh
2. Rattle
3. Building blocks
4. Marbles
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How is EMLA cream applied prior to a procedure?
1. Orally
2. Apply to diaper area
3. Glob it on the site
4. Rub into skin over site
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Match the characteristics to each disorder:
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What is a Mongolian spot?
1. Infection
2. Bruise
3. Birthmark
4. Tattoo
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What is not a part of hospice care?
1. Pain management
2. At home
3. Cure
4. Emotional support
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When does the anterior fontanel close?
1. 18-24 months
2. 9-12 months
3. 6-9 months
4. 12-18 months
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A client is 28 kg and voided 550 mL of urine in your 12 hr shift. What is the urine output in mL/kg/hr? Round to tenths place.
1.6
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Which of the following cognitive developmental milestones should the nurse include as expected of a preschooler?
1. Knows their address
2. Role-playing
3. Requests privacy
4. Abstract thinking
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You are reviewing a growth chart for a 2 year old. Their weight percentile has dropped from 25% to 10% over the last year. What should you do next?
1. The child is only 2 so it is not important at this time
2. Conduct a thorough assessment
3. Wait for next checkup and re-evaluate
4. Change diet to high fat immediately
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Select which items would be related or not related to hyperbilirubinemia?
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Match the stages of Erikson's Theory of Psychosocial Development with the correct age range:
1. Industry vs Inferiority
- 6-12 years
2. Trust vs Mistrust
- 0-1 year
3. Autonomy vs Shame
- 1-3 years
4. Identity vs Role Confusion
- 12-18 years
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In which situations should you collaborate with a child life specialist? (SATA)
1. For a younger sibling of a hospitalized patient
2. To double check an insulin dosage
3. During a pediatric code
4. During IV insertion
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What are signs of puberty in a female? (SATA)
1. Breast Development
2. Decreased adipose tissue
3. Axillary Hair
4. Hair Loss
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What health promotion and education information should we provide to adolescents?
1. Sexual health information
2. All of the above
3. Mental health resources
4. Nutrition and exercise
5. Substance abuse prevention
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Spin the Wheel!
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