AZCN NUR336 Exam 1 Review
This 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)
1 - Freestyle
2 - Pick Answer Which of the following reflexes are typically present in a newborn? (SATA)
1. Fencing reflex2. Kicking reflex3. Sucking4. Smiling reflex5. Laughing reflex6. Babinski7. Palmar Grasp8. Rooting reflex3 - Leaderboard
4 - Pick Answer Match how the fontanel assessment finding with its related cause:
1. Bulging - Increased Intracranial Pressure2. Sunken - Dehydration3. Closed - Over 18 months old4. Soft - Normal5 - Leaderboard
6 - Pick Answer What is the primary purpose of a well-child visit for an infant?
1. To immediately administer all vaccines2. To perform invasive tests routinely3. To schedule a follow-up for illness4. To monitor physical development and growth milestones5. To discuss the family's financial situation7 - Leaderboard
8 - Pick Answer Which assessment findings in a 24 hour old newborn would require immediate attention? (SATA)
1. Presence of a Mongolian spot2. Heart murmur3. Sternal retractions4. Acrocyanosis5. Bluish discoloration around the lips9 - Leaderboard
10 - Pick Answer Which assessment finding in a 9-month-old indicates a need for further evaluation?
1. The infant is babbling consonant sounds2. The infant can sit without support3. The infant responds to their name being called4. The infant exhibits a lack of attachment to primary caregivers5. The infant shows curiosity by exploring the environment11 - Leaderboard
12 - Pick Answer Which signs, according to the FLACC scale, indicates pain in a nonverbal toddler? (SATA)
1. The child is smiling and laughing.2. There is a constant frown and a quivering chin.3. The child is has their jaw clenched.4. The child is playing quietly with toys.5. The child's legs are drawn up to their abdomen.6. The child remarkably increases activity level.13 - Leaderboard
14 - Pick Answer Which of the following findings in a 4-month-old infant indicates a need for further evaluation?
1. The infant babbles and coos while interacting2. The infant can roll from back to side3. The infant is unable to hold head up when in a sitting position4. The infant has gained approximately double their birth weight5. The infant shows social smile and responds to caregiver's voice15 - Leaderboard
16 - Pick Answer Which of the following are common milestones for a 10-month-old infant? (SATA)
1. Sitting without support2. Saying 'mama' or 'dada'3. Walking independently4. Throwing a ball overhand5. Climbing stairs unaided17 - Leaderboard
18 - Pick Answer What are signs that a pediatric client may be a human trafficking victim? (SATA)
1. Suicide attempts2. Multiple pregnancies3. Unexplained injuries4. Frequent STIs & UTIs19 - Leaderboard
20 - Pick Answer Which of the following statements about newborn screening are true? (SATA)
1. Parents must pay extra for newborn screening tests.2. Newborn screening is only done if the infant shows symptoms.3. Newborn screening includes only vision and hearing tests.4. All newborns are automatically screened unless parents refuse.5. Screening can identify genetic conditions that require immediate intervention.21 - Leaderboard
22 - Pick Answer Categorize the following infant sleep descriptions as safe or not safe:
23 - Leaderboard
24 - Pick Answer Which of the following statements about newborn assessment is correct?
1. Newborns should not be assessed for primitive reflexes until they are 6 months old.2. A temperature 36.3°C is normal for a newborn.3. The heart rate should be between 120 to 160 bpm in a newborn.4. The normal respiratory rate is 20 to 40 breaths per minute.25 - Leaderboard
26 - Pick Answer Which of the following behaviors should a nurse encourage to promote healthy habits in adolescents? (SATA)
1. Engaging in regular physical activity2. Prioritizing sleep over extracurricular activities3. Minimizing screen time before bed4. Choosing fast food options for convenience5. Focusing solely on academic success without social activities27 - Leaderboard
28 - Pick Answer 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. Assess for presence of palmar grasp2. Immunization Record3. Head circumference4. Weight29 - Leaderboard
30 - Pick Answer What is the main tenet of family centered care?
1. Parental authority2. Patient empowerment3. Family involvement4. Staff autonomy31 - Leaderboard
32 - Pick Answer A child's death is imminent. The RN should:
1. Allow the parents to stay with the child as long as they need2. Inform the parents that religious ceremonies will disturb other patients3. Explain that the body will need to be taken to the morgue immediately4. Allow the monitor to continue to sound so parents know the child has passed33 - Leaderboard
34 - Pick Answer 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. Use medical jargon2. Explain the exam and rationale.3. Rush the process4. Verbalizing findings of physical abnormalities35 - Leaderboard
36 - Pick Answer What would be most concerning after conducting a family assessment?
1. Sibling rivalry2. Lack of insurance3. The family is homeless4. Poor time management37 - Leaderboard
38 - Pick Answer Match each stage of Freud's Theory of Psychosexual Development to its correct age group:
1. Oral - 0-1 year2. Latency - 6-12 years3. Phallic - 3-6 years4. Anal - 1-3 years39 - Leaderboard
40 - Pick Answer How can a nurse help to minimize pain in a toddler? (SATA)
1. Medicate per orders2. Use distraction3. Restrict movement4. Ignore the pain41 - Leaderboard
42 - Pick Answer What care should the RN provide after a circumcision?
1. Monitor for bleeding2. Apply antibiotic ointment3. Medicate with morphine4. Apply warm compresses43 - Leaderboard
44 - Pick Answer Match the developmental milestones to either toddler or preschool age kids:
45 - Leaderboard
46 - Pick Answer An infant is admitted and the mother is worried about the child's sleep and feeding schedules. The RN should:
1. Tell the mother you are sorry but you have a job to do that is important2. Inform the mother that such a highly rigorous schedule is not healthy3. Attempt to plan care around the family's schedule as much as possible4. Inform the mother of the times you plan on being in the room47 - Leaderboard
48 - Pick Answer A child who is not speaking or imitating sound by 12 months old should first be referred to:
1. Speech Therapist2. Psychologist3. Audiology4. Feeding clinic49 - Leaderboard Leaderboard
50 - Pick Answer When should this reflex disappear?
5 months51 - Leaderboard
52 - Pick Answer When should this reflex disappear?
6 months53 - Leaderboard
54 - Pick Answer A minor's health information may be discussed with any member of his/her family.
1. True2. Only parents3. Only guardians4. False55 - Leaderboard
56 - Pick Answer When conducting a spiritual family assessment, the RN should: (SATA)
1. Provide advice on spiritual guidance2. Acknowledge that every client and family is different3. Ask a coworker who is the same religion what they believe4. Ask what role religion plays in the family's life57 - Leaderboard
58 - Pick Answer How can we attempt to gain cooperation from a toddler or preschooler? (SATA)
1. Offer choices when appropriate2. Punish them3. Give praise and rewards4. Use negative reinforcement59 - Leaderboard
60 - Pick Answer The RN is assessing an infant who is 7 months old for developmental milestones. Which findings are of greatest concern? (SATA)
1. No babbling2. Cannot roll from tummy to back3. Cannot pull self to standing4. No cruising61 - Leaderboard
62 - Pick Answer On a 12 hr old newborn assessment, which of the following would be alarming?
1.2.3.4.63 - Leaderboard
64 - Pick Answer Which are appropriate pain scales for a toddler? (SATA)
1. NIPS2. Wong-Baker Faces3. Numeric4. FLACC65 - Leaderboard
66 - Pick Answer As a pediatric patient nears death (anticipated), we should expect to see: (SATA)
1. Improved appetite2. Rapid weight gain3. Increased apnea4. Decreased urine output67 - Leaderboard
68 - Pick Answer A 14 month old who drinks 1 gallon of cow's milk daily is at risk of:
Iron deficiency anemia69 - Leaderboard
70 - Pick Answer A mother of a 9-month-old infant asks the RN about what toys are age appropriate. Which toy does the RN recommend?
1. Building blocks2. Rattle3. Marbles4. Play-doh71 - Leaderboard
72 - Pick Answer How is EMLA cream applied prior to a procedure?
1. Glob it on the site2. Apply to diaper area3. Rub into skin over site4. Orally73 - Leaderboard
74 - Pick Answer Match the characteristics to each disorder:
75 - Leaderboard
76 - Pick Answer What is a Mongolian spot?
1. Birthmark2. Bruise3. Infection4. Tattoo77 - Leaderboard
78 - Pick Answer What is not a part of hospice care?
1. At home2. Cure3. Pain management4. Emotional support79 - Leaderboard
80 - Pick Answer When does the anterior fontanel close?
1. 18-24 months2. 12-18 months3. 6-9 months4. 9-12 months81 - Leaderboard
82 - Pick Answer 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.
1.683 - Leaderboard
84 - Pick Answer Which of the following cognitive developmental milestones should the nurse include as expected of a preschooler?
1. Abstract thinking2. Requests privacy3. Role-playing4. Knows their address85 - Leaderboard
86 - Pick Answer 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. Wait for next checkup and re-evaluate2. Conduct a thorough assessment3. The child is only 2 so it is not important at this time4. Change diet to high fat immediately87 - Leaderboard
88 - Pick Answer Select which items would be related or not related to hyperbilirubinemia?
89 - Leaderboard
90 - Pick Answer Match the stages of Erikson's Theory of Psychosocial Development with the correct age range:
1. Identity vs Role Confusion - 12-18 years2. Autonomy vs Shame - 1-3 years3. Industry vs Inferiority - 6-12 years4. Trust vs Mistrust - 0-1 year91 - Leaderboard
92 - Pick Answer In which situations should you collaborate with a child life specialist? (SATA)
1. For a younger sibling of a hospitalized patient2. To double check an insulin dosage3. During IV insertion4. During a pediatric code93 - Leaderboard
94 - Pick Answer What are signs of puberty in a female? (SATA)
1. Breast Development2. Decreased adipose tissue3. Axillary Hair4. Hair Loss95 - Leaderboard
96 - Pick Answer What health promotion and education information should we provide to adolescents?
1. Mental health resources2. All of the above3. Sexual health information4. Nutrition and exercise5. Substance abuse prevention97 - Spinner Wheel Spin the Wheel!
98 - Leaderboard
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