Pediatric Hesi Study

Front 1

When does birth length double

Back 1

4 years

Front 2

When does the child sit unsupported

Back 2

8 months

Front 3

When does a child achieve 50% of adult height

Back 3

2 years

Front 4

When does a child throw a ball overhand

Back 4

18 months

Front 5

When does a child speak two to three word sentences

Back 5

2 years

Front 6

When does a child use scissors

Back 6

4 years

Front 7

When does a child tie his or her shoes

Back 7

5 years

Front 8

Which gender's growth spurt occurs first?

Back 8

Girls: as early as 10 years of age

Front 9

What kind of behavior is considered common in the toddler?

Back 9

Temper tantrum

Front 10

When does a child form his or her identify?

Back 10

Adolescence

Front 11

Rebellion against family values is common for which age group?

Back 11

Adolescence

Front 12

Concepts of bodily injury: Infants

Back 12

After 6 months, their coginitive development alows them to remember pain

Front 13

Concepts of bodily injury: toddlers

Back 13

They fear intrusive procedures

Front 14

Concepts of bodily injury: Preschoolers

Back 14

They fear body mutilation

Front 15

Concepts of bodily injury: School age children

Back 15

Fear loss of control of their bodies

Front 16

Concepts of bodily injury: Adolescents

Back 16

Major concern is a change in body image

Front 17

What is a major cause of death in children and adolescents?

Back 17

Accidents

Front 18

What kind of children pose a serious threat to their unborn siblings?

Back 18

Children with German measles

Front 19

What kind of hx should be obtained prior to administration of DPAT?

Back 19

Hx of reactions, sz, nerologic symtptoms after previous vaccine, systematic alergic reactions

Front 20

What kind of hx should be obtain prior to the administration of MMR?

Back 20

Hx of anaphylactic reactions to eggs, or neomycin

Front 21

Pertussus fatalities continue to occurr in which group in the US?

Back 21

Nonimmunized infants

Front 22

Which type of administration method invalidates the mantoux test?

Back 22

subQ rather than ID

Front 23

Is the common cold a contraindication for immunization?

Back 23

No

Front 24

What type of teaching should be provided following immunization?

Back 24

Irritability
Fever (<102)
Redness and soreness at injection site for 2-3 days are normal for DTaP and IPV
Call HCP if seizures, high fever, or high pitched crying occurs
Warm washcloth on thigh injection site and bicycling the legs with each diaper change decreases soreness
Tylenol is administered every 4-6 hrs (10-15mg/kg)

Front 25

Where should milk be stored?

Back 25

In an opaque container

Front 26

How do you cook vegetables to preserve potency?

Back 26

Cook in a small amount of liquid

Front 27

Is it recomended to induce vomiting in children?

Back 27

No, it may cause more damage

Front 28

Should you examine the throat of a child with epiglottitis?

Back 28

No, there is the risk of completely blocking the airway

Front 29

Which is the priority of care regarless of age?

Back 29

Patent airway!

Front 30

Prior to tonsillectomy, which labs should be known

Back 30

PT/PTT: in addition to this, its important to know if there is a hx of bleeding, prolonged or excessive, and whether there is a hx of any bleeding disorders in the family

Front 31

With cyanotic defects, what condition is common

Back 31

polycythemia

Front 32

What is the difference between acyanotic and cyanotic?

Back 32

Acyanotic: abnormal circulation but all blood entering the systemic circulation is oxygenated

Cyanotic: abnormal circulation with unoxygenated blood entering the systemic circulation

Front 33

Are acyanotic or cyanotic defects more common with CHF children

Back 33

Acyanotic

Front 34

To conserve energy in children with heart defects, what may be necessary to conserve energy?

Back 34

Tube feedings

Front 35

What are two objectives of tx CHF?

Back 35

Reduce the workload of the heart and increase CO

Front 36

What should be consistent when frequently weighing a child?

Back 36

Weighing the child on the same scale at the same time of day so accurate comparisons can be made

Front 37

When feeding a child with cerebral palsy, what nursing interventions should be implemented

Back 37

Preventing aspiration:
Position child upright and supporting the lower jaw

Front 38

What is the nursing goal in caring for a down syndrome child?

Back 38

Help the child reach his or her optimal level of functioning

Front 39

What are the s/sx of IICP?

Back 39

Opposite of shock:
Decreased pulse, decreased blood pressure

Front 40

What is essential so changed associated with IICP can be detected early?

Back 40

Baseline of child's behavior and level of development

Front 41

Should a shunt be pumped?

Back 41

No, the shunt has delicate valves and pumping can change pressures within the ventricles

Front 42

What is the most common cause of increased seizure activity?

Back 42

Medication noncomplicance

Front 43

What should the nurse monitor carefully with meningitis?

Back 43

Hydration status and IV therapy.

With meningitis, there may be inappropriate ADH secretions causing cerebral edema and dilutional hyponatremia

Front 44

What is the most common presenting symptom with a brain tumor?

Back 44

Headache

Front 45

How should post-op patients with infratentorial tumors be positioned?

Back 45

Patients should be flat or turned to either side, a large tumor may require a child not be turned to the operative side

Front 46

What is the first sign of renal failure

Back 46

Decreased urinary output

Front 47

When is the correction of hypospadias done?

Back 47

It is usually done before preschool years to allow for the achievement of sexual identity, to avoid castration anxiety, and to facilitate toilet training

Front 48

What are typical patient and family reactions to a child with a malformation?

Back 48

Guilt
Disappointment
Grief
Sense of loss
Anger

Front 49

What is an important nursing diagnosis r/t cleft lip/palate & pyloric stenosis?

Back 49

Alternation in nutrition: less than body requirements

Cleft lip/palate: r/t decreased ability to suck
Pyloric Stenosis: r/t frequent vomiting

Front 50

What are big problems for children with GI problems?

Back 50

Nutrition needs & electrolyte balance

Younger children are more vulnerable to these problems

Front 51

Where should you take the temp of a child with megacolon?

Back 51

Axillary temp

Front 52

What are the Hgb norms for a:
Newborn
Infant
Child

Back 52

Newborn: 14-24
Infant: 10-15
Child: 11-16

Front 53

What are teaching point of administering iron?

Back 53

1. Give on an empty stomach
2. Give with citrus juice
3. Use dropper or straw to avoid discoloring teeth
4. Stools will be tarry
5. Iron can be fatal in severe doses
6. Do not give with dairy products

Front 54

What supplement is not given to sickle cell anemia?

Back 54

Supplemental Iron; instead folic acid is given to stimulate RBC synthesis

Front 55

What needs to be available when administering l-asparaginase?

Back 55

Epi and O2 to treat anaphylaxis

Front 56

What is used to reduce the mitosis of lymphocytes?

Back 56

Prednisone is frequently used in combination with antineoplastic drugs

Front 57

What is used to prevent renal damage?

Back 57

Allopurinol - an xanthineoxidase inhibitor

Front 58

How can you describe an infant with hypothyroidism?

Back 58

Good, quiet baby

Front 59

How should insulin be administered when a child is in DKA?

Back 59

Administer it in normal saline

Front 60

What type of fractures are related to child abuse?

Back 60

Spiral fractures

Front 61

What type of fractures put limb growth at risk?

Back 61

Fractures involving the epiphyseal plate

Front 62

What do you want to monitor with pin sites?

Back 62

s/sx of infection

Front 63

Does a brace correct or slow the progression of scoliosis?

Back 63

It slows the progression