Examl 1:l NRl 328l NR328l Latestl 2026l

Examl 1:l NRl 328/l NR328l (Latestl 2026/l

2027l Update)l Pediatricl Nursingl Review|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain

Q:l Whyl isl anl infant’sl skulll notl fusedl togetherl rightl away?l Whenl dol thel anteriorl andl posteriorl fontanelsl fuse?

Answer:

Tol allowl forl brainl growth

Anteriorl fontanel:l 12–18l months

Posteriorl fontanel:l 2–3l months

Q:l Whatl isl al normall findingl forl thel posteriorl andl anteriorl fontanels?

Answer:

Softl andl flat Bulgingl =l ICPl (increasedl intracraniall pressure) Sunkenl =l Dehydration

Q:l Whenl dol babiesl startl tol makel tears?

Answer:

2l months.l Ifl theyl arel dehydrated,l nol tearsl willl bel produced.

Q:l Whenl dol babiesl startl tol smile?

Answer:

2–3l months

Q:l innatel (natural)l reflexes 1 / 4

Answer:

Whenl dol theyl disappear?l l Tonicl neckl "fencing"l -->l 3-4l months Palmarl graspl -->l 4l monthsl Babinskil -->l 12l monthsl Rootingl -->l 4-6l months Plantarl graspl -->l 8l months Morol -->l 3-4l months

Q:l finel motorl skillsl vsl grossl motorl skillsl

Answer:

finel =l usingl handsl andl fingersl tol controll smalll objects grossl =l usingl largel musclesl tol makel largel movements

Q:l Whenl dol babiesl startl tol rolll over?

Answer:

Aroundl 4l months..l headl lagl shouldl bel gonel aroundl thisl time.l Atl 6l months,l babiesl canl rolll everyl direction.

Q:l Whenl shouldl babiesl startl walkingl by?

Answer:

Theyl willl startl creepingl (holdingl onl tol furniturel andl walking)l atl 10l monthsl andl byl 11l monthsl theyl shouldl bel walkingl withl onel handl held.

Q:l toddler

Answer:

Agel 1-3 Autonomyl vsl shamel -l wantl tol dol everythingl themselves

HR:l 90-160

RR:l 30-60 2 / 4

BP:l 65-78/41-52

-l rituals/schedulesl arel veryl important..l ifl thrownl off,l tantruml mayl happen -l egocentricl -l playl timel isl important -l regressivel behaviorl duringl stressfull situationsl -l pottyl trainingl startsl atl agel 2 -l coordinationl increases -l pickyl eatersl -l bel cautiousl ofl aspirationl andl chokingl -->l softl foodsl arel best -l minimuml ofl spfl 15l whenl outsidel -l 1l wordl sentencel byl 1l year,l 2l wordl sentencel byl 2l yearsl -l growsl 3l inchesl perl year -l headl andl chestl circumferencel shouldl bel equall byl 1l orl 2l yearsl ofl age -l atl 30l months,l theyl willl bel 4xl birthl weight

Pain:

-l harsh,l tense,l loudl cryl orl screamingl -l "ouch"l "no"l "itl hurts" -l flinchingl andl thrashingl ofl extremitiesl -l pointsl tol painl -l clingy

Q:l Whatl arel signsl thatl al toddlerl isl readyl tol pottyl train?

Answer:

-l wakingl upl froml nights/napl timel dry -l showingl interestl inl usingl thel toilet

Q:l Whatl isl anticipatoryl guidance?

Answer:

thisl isl warningl thel parentsl aboutl whatl isl tol comel inl theirl growingl child

Q:l preschooler

Answer:

Agel 3-5 Initiativel vsl guilt 3 / 4

-l accomplishmentl andl satisfactionl inl theirl activities..l neverl makel theml feell likel whatl theyl didl orl theirl decisionl isl notl goodl enoughl

HR:l 80-140

RR:l 25-30

BP:l 83-114/38-67

-l magicall thinkingl -l veryl autonomousl -l increasedl socialization -l "why"l stagel -l typicallyl whenl onel canl realizel al childl mayl havel autisml -l 3.5-6.5lbsl gainedl eachl yearl froml 3-6l -l veryl importantl tol gainl theirl trustl -l thinksl ofl sicknessl asl al forml ofl punishmentl

Healthl promotion:

-l 12l hoursl ofl sleepl needed -l inconsistentl napsl -l 1l hourl physicall activityl perl day,l lessl thanl 2l hoursl screenl timel -l streetl safetyl andl injuryl preventionl -->l wearl helmet,l lookl bothl ways

Screenings:

-l byl 5,l shouldl havel beenl testedl forl leadl poisoning -l byl 3,l theyl shouldl havel beenl seenl byl thel dentistl -l obesity

Q:l schooll aged

Answer:

Agel 5/6-12 Industryl vsl shamel -l figuringl outl whatl they'rel goodl atl -l comparesl themselvesl tol otherl peersl

HR:l 60-110

RR:l 19-21

BP:l 91-125/54-84

-l friendsl arel mostlyl thel samel gender -l bullingl starts -l lessl egocentricl -->l startsl tol seel others'l perspectivesl -l babyl teethl falll outl andl permanentl teethl eruptl byl 6l -l understandsl conceptl ofl time -l pubertyl betweenl 9-12

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