NURS 211L ATI Peds Proctored Exam 2024

NURS 211L ATI Peds Proctored Exam 2024 ATI pediatrics proctored exam Chapter 1: Family centered nursing care 1. Parenting styles -Dictatorial or authoritarian: -Parents try to control the child’s behaviors and attitudes through unquestioned rules and expectations -Ex: The child is never allowed to watch television on school nights -Permissive: -Parents exert little or no control over the child’s behaviors, and consult the child when making decisions -Ex: The child assists with deciding whether he will watch television -Democratic or authoritative: -Parents direct the child’s behavior by setting rules and explaining the reason for each rule setting -Ex: The child can watch television for 1 hr on school nights after completing all of his homework and chores -Parents negatively reinforce deviations form the rules -Ex: The privilege is taken away but later reinstated based on new guidelines Chapter 2: Physical assessment findings 1. Vital signs -Usually vital signs are all high except for BP -Temperature: -3 – 6 months 99.5 -1 year 99.9 -3 year 99.0 -5 years 98.6 -7 years 98.2 -9 – 11 years 98.1 -13 years 97.9 -Pulse: -Newborn 80 – 180/min -1 weeks – 3 months 80 – 220/min -3 months – 2 years 70 – 150/min -2 – 10 years 60 – 110/min -10 years and older 50 – 90/min -Respirations: -Newborn – 1year 30 – 35/min -1 – 2 years 25 – 30/min -2 – 6 years 21 – 25/min -6 – 12 years 19 – 21/min -12 years and older 16 – 19/min o Holds hand in open position | Grasp reflex fades  3 Months o Raises head and shoulders when prone | Slight head lag o No grasp reflex | Keeps hands loosely open  4 Months o Rolls from back to side o Grasp objects with both hands  5 Months o Rolls from front to back o Palmar grasp dominantly  6 Months o Rolls from back to front o Holds bottle  7 Months o Bears full weight on feet | Sits, leaning forward on both hands o Moves objects from hand to hand  8 Months o Sits unsupported o Pincer grasp  9 Months o Pulls to a standing position | Creeps on hands and knees instead of crawling o Crude pincer grasp | Dominant hand is evident  10 Months o Prone to sitting position o Grasps rattle by its handle  11 Months o Walks while holding onto something | Walks with one hand held o Places objects into a container | Neat pincer grasp  12 Months o Stands without support briefly | Sits from standing position without assistance o Tries to build a two-block tower w/o success | Can turn pages in a book 3. Cognitive development -Piaget: sensorimotor (birth to 24 months) -Object Permanence: objects still exists when it is out of view -Occurs at 9-10 months 4. Language development -3-5 words by the age of 1 year 5. Psychosocial development -Erikson: Trust vs. Mistrust: - Learn delayed gratification -Trust is developed by meeting comfort, feeding, simulation, and caring needs -Mistrust develops if needs are inadequately or inconsistently met or if needs are continuously met before being vocalized by the infant -Pubic hair growth -Axillary hair growth -Menstruation -In boys, sexual maturation occurs in the following order: -Testicular enlargement -Pubic hair growth -Penile enlargement -Growth of axillary hair -Facial hair growth -Vocal changes 2. Cognitive development -Piaget: Formal operations -Increasingly capable of using formal logic to make decisions 3. Psychosocial development -Erikson: Identity vs. role confusion -Adolescents develop a sense of personal identity and to come to view themselves as unique individuals 4. Age-appropriate activities -Nonviolent videogames -Nonviolent music -Sports -Caring for a pet -Reading Chapter 8: Safe Medication Administration 1. Oral -This route of medication administration is preferred for children -Avoid mixing medication with formula or putting it in a bottle of formula because the infant might not take the entire feeding, and the medication can alter the taste of the formula -Use the smallest measuring liquid medication for doses of liquid medication -Avoid measuring liquid medication in a tsp. or tbsp. -Administer the medication in the side of the mouth in small amounts -Stroke the infant under the chin to promote swallowing while holding the cheeks together 2. Otic -Children younger than years: -Pull the pinna downward and straight back -Children older than 3 years: -Pull the pinna upward and back 3. Intramuscular -Use a 22-25 gauge, 1/2-1 inch needle -Vastus lateralis is the recommended site in infants and small children -Other sites: -Ventrogluteal and deltoid