HESI PN PEDIATRICS PROCTORED EXAM

HESI PN PEDIATRICS PROCTORED EXAM

VERSION 6

HESI PEDIATRICS REVIEW

Chapter 5: Health Promotion of Preschoolers (3-6 years)

Gross motor skills by age

3- year-old: rides a tricycle*, jumps off bottom step, stands on one food for

a few seconds

4- year-old: skips and hops on one foot, throws ball overhead, catches ball

Reliably

5- year-old: jumps rope, walks backward with heel to toe, throws and catches

a ball with ease

 Erickson: Initiative vs. guilt

 Piaget: preoperative phase

o Magical thinking: thoughts are all powerful and cause events to occur

o Animism: ascribing lifelike qualities to inanimate objects.

 Pretend play is healthy and allows preschoolers to determine the difference between reality and fantasy  Nutrition: recommended that preschoolers have 5 servings of fruits and vegetables per day. and 1 hour of physical activity a day  Sleep: keep a consistent bedtime routine and need about 12 hours of sleep per day

Chapter 6: Health Promotion of School Age Children (6-12)

 Weight: school age children will gain about 4.4-6.6 lb per year

 Height: children will grow about 2 inches per year 1 / 2

 Erickson: Industry vs. Inferiority

• A sense of industry is achieved through the development of skills and acknowledge

that allows the child to provide meaningful contributions to society. Age appropriate activities: play simple board and number games, play hopscotch, jump rope, collect rocks, stamps etc., ride bicycles, build simple models, join organized sports  *Health Screenings: Scoliosis- school aged children should be screened for scoliosis by examining for a lateral curvature of the spine before and during growth spurts. Screening can take place at schools or at health care facilities

 Poisoning/substance abuse:

• Cleaners and chemicals should be kept in locked cabinets or out of reach of younger

children. Motor Vehicle: children should use an approved care restraint system until the achieved height of 4’, 9”.

Chapter 7: Health Promotion of Adolescent (12-20)

 Boys stop growing around 18-20 years of age  Girls stop growing at about 2 to 2.5 years after the onset of menarche  Boys sexual maturation occurs in the following order

• Testicular enlargement
• Pubic hair growth
• Penile enlargement
• Growth of axillary hair
• Facial hair growth
• Vocal changes

 Girls sexual maturation occurs in the following order

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