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NUR 166 ACTUAL FINAL EXAM 2025 SUMMER-
FALL EXAM GRADED A (ANSWERED) ALL
TERMS 300 QUESTIONS
What type of games should a 7- 10 year Old be interested in playing? Competitive games such as baseball When should the posterior fontanel close by? 2 months When should the anterior fontanel close by? 12 - 18 months When does teething usually begin? Around 6 months When does the iron begin to diminish in a baby? Around 6 months
What does the Denver II test for? Social, fine motor, adaptive, language, gross motor skills (usually done from birth-6 years) What is the proper placement for a carseat? Rear-facing in the back seat, center. 2 years and 22 lbs What age group grows mostly in their legs and doubles by the age of 5? Pre-schooler age 3- 5 What type of toy is important to never give to a patient on oxygen? A toy that could create friction or spark (such as a teddy bear) Erikson-Infant Trust VS Mistrust Erikson-Toddler
Freud-Preschooler Phallic/oedipal Freud-School-Age Latency Freud-Adolescent Gentality Piaget 0- 2 Sensorimotor Piaget 2- 7 Pre-operational Piaget 7- 11 Concrete operations
Piaget 11- 16 Formal operations What should you do if you find the fundus to be boggy? Vigorous massage Where should the fundus be 2 days post delivery? 2 Finger breadths When should you instruct a postpartum patient to use peri-care? Every time they use the restroom When should a breastfeeding mother expect to see her menstrual cycle return? 8 weeks When should a bottle-feeding mother expect to see her menstrual cycle return? 5 weeks
Frustration What is the leading cause of death in infants? Accidents, because they are low to the ground When should you discipline a child? As soon as it happens How do firm decisions make children feel? Safe and secure, prevents injuries, removes pressure from the child that they are too young for. What should you do if you notice a mongolian spot? Document it thoroughly to ensure other's in the newborn's healthcare team do not mistake for abuse. What should the newborn's heart rate be? 110 - 160
What should the newborn's respirations be? 30 - 60 What should the blood pressure of a newborn be? 65 - 90/30- 60 What should the temperature of a newborn be? 97.7-98.6 (taken auxiliary) What should do you if you have a toddler who won't (or can't) eat vegetables? Use supplements What does connective tissue turn into? Cartilage (while in utero) What is important when it comes to nutrition in children? Make sure it is consistent
What should you do if you suspect a speech delay? Talk to the PCP about it at the well-care visit What are the 3 stages of separation anxiety? Protest, despair, detachment. What are some important ways to keep your child safe from animals? Do not allow strays, make sure the child is not abusive towards the animal, always be observant when child is with animals. What should you advise to do to help prevent constipation in a postpartum mother? Walk, drink plenty of fluids, high fiber, stool softners as last resort. What are some factors that influence a child's development? Gender, environment, birth ordinal position, herediary traits, nationality, race. Does introducing food before the age of 4-6 months have any nutritional value to the child? No
What happens when the nervous system matures? There is an increase in coordination skills and behaviors, newborn reflexes disappear. How often should a breastfed baby be fed? Every 2-3 hours How often should a bottle-fed baby be fed? Every 3-4 hours How often should you change your toothbrush? Every 3 months At what age should a child be able to follow simple commands? 12 - 16 months At what age will a child use parallel play?
When a child is a vegetarian, what nutrient would they likely lack? Protein What age is concrete operations-abstract thinkers? 12 What stage, according to Erickson is an adolescent in? Identity What is the #1 type of accident that adolescents are in? Automobile What happens to growth during school-age years? Slow and steady until puberty Lumbar puncture on an infant, what is the correct position? Sitting position
What is the best position for infant during immunization? In parent's arms What is the best way to assess the fundus for postpartum patient? 2 hands- one above the pubic bone, and one palpating the uterus What does the H stand for in BUBBLEHE? Homans's- assessed by dorsal flexion in foot What is assessed with the APGAR scale? Heart rate, respiratory rate, color, muscle tone. What is the best way to administer oral medication to an infant? Syringe in cheek of mouth What is beta-methizone used for in pregnancy?
What medications are given to all newborns after birth? Vitamin K, Erythromycin (eye ointment) What can a school nurse do? Administer medication, perform health assessment, educate. What is the proper way to administer ear drops in a child? Up and back When can a pregnant mother begin pushing? 10 CM dialated When measuring contraction timing, what should you count? The beginning of one to the beginning of the next. Why is insulin preferred over oral medications for pregnant patients? Insulin does not cross over the placental barrier.
What is the kick count?
of kicks per hour- should be 3 per hour or 10 in 12 hours
What is the most important nursing intervention to promote a positive hospital experience for a 1 - month-old infant? Provision of consistent caregivers What are the best foods for the nurse to recommend for a 2-year-old child diagnosed with mild constipation? Shredded wheat and cooked prunes A group of children are observed playing house. Each child is assigned a specific role as mommy, daddy, or child. At what age does this type of play typically begin? Between 3 and 5 years old For how many weeks will the infant experience passive immunity from his or her mother? 12 months
HEIGHT: Directional patterns of growth are cephalocaudal(head to foot)and proximodistal (midline to periphery)Length of infant increases about 1 inch first 6 months, by age 1 the birth length increases by 50% WEIGHT: Infant regains body weight by 14 days (some chapters say 10 to 12 days.) Baby weight doubles by 5 to 6 months and triples by age 1. Tappers off to 4 to 6 pounds a year until puberty. PAGE 353 Nursing care for the child practicing a specialized diet Assuming this is talking about vegetarian diets. PAGE 371 High fiber foods cause increased losses of calcium, zinc, magnesium, and iron in the stool. May necessitate a need for supplements. Toddler weight/height Toddler gains 4 to 6 lbs per year. Birth weight has quadrupled by 2.5 years. Will grow 4 inches per year. How do toddlers see binocular vision 20/ When is bowl and bladder control complete by 2.5 to 3 years Vital signs for a toddler
BP 90/56 Resp. 25 (abdominal) Pulse 70/ egocentric play Play about themselves How would you educate to a parent about toys for toddlers Objects that can be pushed or pulled are preferred. Toddlers prefer pots and pans, supervised water play, dancing, and coloring. Page 418 What should you do with a speech development with a toddler? Rule out lead poisoning and hearing deficits What period should 20/20 vision occur by school age Page 420 Preschool vital signs Pulse 90 to 110 Resp. 20 BP 85 to 90/ 60
