NUR 330 Pediatrics Exam 1

NUR 330 Pediatrics Exam 1

• When are hearing screenings done?

Answer should be before discharge if the parent defers, must be done before 1 month old

• Health provider visit schedule

Answer Birth

• month
• months
• months
• months
• months

12 months 15 months 18 months

• years

2.5 years

• years

• What vaccinations are administered IM

Answer DTaP, DT, Tdap Hep A and B

Hib Influenza (RIV, IIV) Pneumoccocal (PCV) HPV

MCV 4 IPV

• Which vaccines are given subQ

Answer

IPV MMR 1 / 4

Varicella MPSV4

• Which vaccine is given intranasal?

Answer Influenza (LAIV)

• Adjusted age

Answer adjustment made in age of child if born prematurely

Subtract number of weeks premature from the infants chronological age

• Most common cause of acute illnesses in childhood

Answer Respiratory illnesses Unintentional illnesses infections and parasitic disease

• What increases risk for mortality?

Answer Chronic illnesses homelessness

low birth weight poverty adoption from foreign country time spent in day care centers

• What are the leading causes of death in children

Answer

• Motor vehicle accidents (accidental injuries)

• suicide

• What pattern do infants grow in?

Answer 2 / 4

Cephalocaudal pattern

Answer motor control of head before trunk and legs

• What pattern do skills develop in?

Answer Proximodistal pattern gross motor skills before fine motor skills

• Infant changes in height

Answer Increase 2.5cm (1in) per month until 6 months Rate slows during 6-12 months (grows in spurts) By age 1, birth length increases by 50% but most of this length is in the trunk not legs

• Infant changes in weight

Answer Gain 5-6 oz per week in the first 5-6 months

should double birth weight by 6 months Should triple birth weight by 1 year

• Infant head growth changes

Answer 1-6 months the head grows aprox 1.5cm a month 6-12 months the head grows 0.5cm a month Head circumference at birth is 2-3cm bigger than chest circumference By age 1 chest and head circumference are equal

• What were growth charts originally designed for?

What are they used for now? 3 / 4

Answer These were originally designed to identify kids failure to thrive

Now they are used to track kids growth trends (not used as a grade) This identifies if kids are getting enough nourishment and if they are growing appropriately

• What pain scale is used in infants up to 1 year

Answer Nonverbal pain scales like NIPS or FLACC

• FLACC scale

Answer face, legs, activity, cry, consolability rated 0-2. Higher score means more pain

• NIPS scale

Answer Facial expression, cry, breathing pattern, arms, legs, and state of arousal are scored.

Scale of 0 to 1 for all except cry, which is scored 0 to 2. higher score indicates more pain.

• What should the nurse assess for until 3 months?

Answer hip displasia

• Infant vision

Answer •At birth focus on objects 8-10 inches away

• 20/400 vision at birth • Recognizes shapes that are black/white • No color vision until 7 months of age

• / 4