Peds Nursing Care For Children Study Guide Graded A+

Phys Assessment: Lymph Nodes {Ans: Should be nonpalpable, but nodes that are small, palpable, nontender, and mobile may still be considered normal.}Phys Assessment: Corneal light reflex {Ans: Corneal light reflex should be symmetric. Cover/uncover test should demonstrate equal movement of the eyes, presence of strabismus should be further evaluated in children between 4 and 6 years of age.}3 month Gross & Fine Motor Skills {Ans: Gross Motor: raises head and shoulders off mattress Fine Motor: No longer has grasp reflex, keeps hands loosely open}Phys Assessment: Color vision {Ans: Assessed using the Ishihara color test to correctly identify shapes.}Toddler: Cognitive Development {Ans: [Piaget] Transitions from sensory stage to pre-operatonal stage (object permanence fully developed, demonstrates memory, domestic mimicry, imitates activities but does not understand other view points) Language: increases about 400 words with 2-3 sentence phrases.}Preschooler: Psychosocial Development {Ans: Initiative versus guilt [Erikson] Understands socially acceptable morals, may regress to immature behaviors or habits under stress or insecurity. Fears of bodily harms and sex-role identification is occurring. Less separation anxiety.}