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Galen College of Nursing NURSING NUR 254Exam 3 Review

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GROWTH & DEVELOPMENT MILESTONES At what age do infants double & triple in weight?  Double= 6 months  Triples = 1 year What age do infants roll over?  4 month What age do infants sit up ... unsupported?  8-9 months  Stranger anxiety What age do you the child’s height to determine an estimate of their adult height?  2 years of age The posterior and anterior fontanels close at what age?  Posterior = 3 months  Anterior = 9-18 months By this age the child should have their first tooth?  By 1 yr. What are the 5 psychosocial developmental stages Erikson came up with?  Trust (Infant=Birth-1st yr) o It’s from birth to first year o Establish trust by feeding, changing the diaper, holding the baby. 1  Autonomy (Toddler=1-3yrs) o Occurs from 1-3 yrs. o Begins when the child is walking and ends when they are toilet trained o Their favorite word during this time is NO!!.... they’re becoming independent and this is there control over the world.  Initiative (Preschooler=4-5yrs) o It’s the preschooler age 4-5yrs o They are learning to cooperate, to take initiative in the things they’re doing, and beginning to draw.  Industry (School age=6-12yrs) o This is your school age 6-12 yrs. o They’re very involved in learning everything.  Identity (Adolescent/Teenager=12yrs and older) o Adolescent 12 and up According to Erikson’s 5 psychosocial developmental theory for each age group what type of play/appropriate toys are expected for each group?  Babies like rattlers and mobiles….they are doing onlooker play/solitary play rather than interactive play  Toddlers are more into parallel play…..they aren’t playing with the other child but playing alongside each other o They enjoy things that make noise, push-pull toys bc they are walking.  Preschool age children (3-6 yrs.) are into associative play ….imitative and dramatic type play o They imitate same sex roles o Play w/ tricycle, clay, paints, swings, sliding board  School age children (6-12yrs.) are into cooperative play…… they like games with rules and collecting things.  Adolescents/Teenagers (12yrs. & older) enjoys sports, school activities, and peer group activities What do you do for discipline for children? 2  All children need limits and discipline….so you still want to set limits w/them even though they may have a chronic or acute serious illness. How do you assess pain for children?  Wong-baker faces scale….so they can point out the face that correlates to their pain level Nonpharmacological & pharmacological treatment How do you treat each group to make them comfortable if they were hospitalized?  Trust (Infant=Birth-1st yr)….how do you establish trust?  If possible you still continue to hold and feed them.  If unable to eat you’ll do things like non-nutritive suck….like giving them a pacifier….particularly if they have a TE fistula then they would need that non-nutritive sucking.  Autonomy (Toddler=1-3yrs) you want to try a maintain rituals with them….they are very set in there rituals…..so you want to continue doing the same things they do at home  If there is a certain book or stuffed animal with them…..they like going to bed at the same time and eating at the same time.  May also have toddler and older child regression bc it’s their way to deal with the stress of the situation and the changes and anxiety in their life.  Initiative (Preschooler=3-6yrs) is where they are into imitating (mom/dad)….they enjoy playing with puppets, dress up, changing their clothes frequently.  Preparing them for hospitalization they can have more explanations.  Industry (School age=6-12yrs)  You’ll prepare them even more by giving them more information  They will also try to negotiate with you by saying a few more minutes, I’m not ready yet, give me thirty more minutes…..and you have to establish a time with them.  Identity (Adolescents/Teenager=12yrs & older)  The main thing they want are they’re peers there….they’ll be eager to have their peers come and visit. 3 NUTRITIONAL A [Show More]

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by renurse · 2 years ago

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