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Growth, Development, and Nutrition

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Question
Answer
Which statement explains child growth and development? A. Proceeds at a predictable rate. B. Predictable sequence of developmental milestones. C. Growth rates are consistent among children. D. With rapid growth, there is accelerated development.   show
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A nurse is discussing development with a parent. Which will foster the achievement of autonomy in a toddler? A. Help complete tasksB. Provide play with other childrenC. Help learn the difference of right and wrongD. Encourage to do things for self   show
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show A. Progression from reflex to imitative behavior  
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According to Piaget, at what stage of development do children typically solve problems through trial and error? A. Sensorimotor B. Preoperational C. Formal operational D. Concrete operational   show
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The nurse observes that adolescents are skeptical of their parents' religious practices. This is: A. Normal B. Abnormal C. Related to illness D. Related to the parent's inability to explain their practices   show
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show D. Some children are more vulnerable to stress than others.  
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show ninth gestational week to birth  
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show birth to 4 weeks  
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show 4 weeks to 1 year  
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What is the age of a toddler?   show
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show 3 to 6 years  
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What is the age of a school-ager?   show
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show 12-18 years  
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show the process by which a child who has been sick or malnourished and whose growth has slowed or stopped experiences a more rapid period of growth after recovery as the body attempts to compensate  
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Sense of Initiative versus Guilt age   show
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show Older Adult: Age 65 and older  
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Sense of Identity vs. Role Confusion age   show
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show Adult: Age 45 to 65  
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Sense of intimacy vs. Isolation age   show
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Sense of Industry vs. Inferiority age   show
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show Infant : Birth to age 1 year  
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Sense of Autonomy vs. Shame and Doubt age   show
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show Industry vs. Inferiority  
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Erickson's developmental stage for an Infant believes that his parents will feed him.   show
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Erickson's developmental stage for a 22 year old woman picks a circle of friends with whom she spends her free time.   show
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Erickson's developmental stage for a 13 y.o. girl fights with her mother about appropriate dress.   show
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show Ego Integrity vs. Despair  
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show Identity vs. Role Confusion  
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show Generativity vs. Stagnation  
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show Initiative vs.Guilt  
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Erickson's developmental stage for a 2 year old boy expresses interest in dressing himself.   show
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show Generativitiy vs. Stagnation  
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adolescent   show
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cephalocaudal   show
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cognition   show
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community   show
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show (378) play with structured rules and highly interactive physical activity  
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show (378) children play with each other, each taking specific roles  
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deciduous   show
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show (354) does not provide for optimal physical, psychological, and emotional health of the children  
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show (362) states various tasks must be mastered by a certain age to achieve optimum maturity  
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show (353) grandparents, parents, children  
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show (376) mottled teeth  
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show (347) increase in physical size – measured in inches and pounds  
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height   show
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show (347) 4 weeks to 1 year  
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show (355) childhood theorist who suggested that moral development in children is sequential  
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show (348) measurement in recumbent position  
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Maslow   show
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show (347) total way in which a person grows and develops, as dictated by inheritance  
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metabolic rate   show
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show (347) birth to 4 weeks  
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show (353) biological family  
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nursing caries   show
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parallel play   show
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show (355) unique characteristic organization determining the individual’s typical or recurrent pattern of behavior  
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Piaget   show
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show (348) from midline to periphery  
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therapeutic play   show
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toddler   show
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How is caring for a child different than caring for an adult   show
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How can the growth and development of a child be best described   show
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When does the most notable growth spurt take place   show
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How is the growth of a child studied   show
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How are the acute care units of a hospital different for an adult and a pediatric patient   show
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What impacts the child’s response to illness and the approach a nurse must take to develop a plan of care   show
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show choose the right words to explain what will happen to them based on their ability to understand and phase of development  
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Define development   show
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What might be different from adults for children due to the difference in anatomy and physiology   show
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show obtain height and weight, plot standard growth chart, record developmental milestones achieved related to age, observe infant; interview parents  
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show determine appropriate nursing diagnosis related to parenting, coping skills, and unmet developmental needs  
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What is done in the planning phase of applying the nursing process to pediatric care   show
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show interventions that foster G&D in the hospital setting  
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show age-appropriate self-care, anticipatory guidance may be given to parents so they understand changes in behavior/eating habits/play for the growing child  
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What is done in the evaluation phase of applying the nursing process to pediatric care   show
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What is cephalocaudal development   show
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show Development that proceeds bilaterally from midline to periphery  
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show Infants grasp with their hands before pinching with their fingers  
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What is linear growth caused by   show
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show When maturity is reached  
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show Height  
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What determines how tall someone will be   show
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show 1 inch/month for the first 6 month, 50% increase by age 1 year  
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How is length measured for infants from birth to 2 years of age   show
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How is height measured for children ages 2 to 18   show
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What is instrumental in promoting linear growth   show
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What are the two rapid growing periods   show
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show 6 to 9 pounds  
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show 5 to 10%  
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When does the infant regain initial lost weight   show
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What should the infant’s weight be by 5 to 6 months of age   show
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What should the infant’s weight be by 1 year of age   show
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Why does the infant initially loose between 5 and 10% of its birth weight in the first 3 or 4 days of life   show
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After tripling the birth weight at 1 year, what is the normal increase in a child’s weight   show
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show Water  
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What is the percentage of extracellular fluid in relation to body weight in a newborn   show
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What is the percentage of extracellular fluid in relation to body weight in an adult   show
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Every infant must be closely monitored for ________ because of the higher proportion of extracellular fluid in the body   show
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show The head  
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What is the fastest growing part of the body during infancy   show
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What is the fastest growing part of the body during childhood   show
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show Characteristic male and female proportions develop as childhood fat disappears  
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Other than height and weight, what measurements are routinely taken as an indicator of health   show
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Who has the higher metabolic rate, adults or children   show
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Higher metabolic rates in children are accompanied by an increased production of ___ and ____.   show
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The body surface area in relation to body weight is (less or greater) in children than adults.   show
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show Pulmonary and Integumentary  
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show They are irregular and abdominal  
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What are the dangers of a small infant’s airways respirations   show
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show Pressure on the chest that interferes with respiratory efforts  
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What is the physical composition of the neonate’s heart   show
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show Cardiac output – heart rate  
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What contributes to the need for a higher cardiac output in infants   show
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show Disappearance of fetal hemoglobin along with loss of maternal iron stores  
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show Ones to which the mother was exposed  
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When are adult levels of immunoglobin produced   show
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show Nosocomial infection and exposure to pathogens  
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show End of the second year of life  
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What are the dangers of the immature kidney function of children under 2   show
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What happens to the primitive reflexes of infants as they mature   show
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Head circumferences increases at what rate for the first 6 months of life - second 6 months   show
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What determines if a toy is age appropriate for an infant/child   show
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How much does a neonate sleep per night   show
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How much does a neonate sleep per day   show
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show 10 hours  
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show One short nap  
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show 8 to 8 ½ hours at night  
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What may alter sleep patterns   show
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show Israeli kibbutzim  
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show Bone growth  
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How can bone age be determined   show
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What are a fetus’s bones first made of   show
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What is a fetus’s connective tissue converted to   show
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The process of cartilage converting to bone is called   show
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show When epipehyseal fusion occurs  
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When is bone synthesized and reabsorbed   show
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show Synthesis  
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What mineral is stored in the ends of long bones   show
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What vitamins and nutrients are necessary for the growth and development of skeletal and soft tissue   show
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show In preparation for learning a more complex one  
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How is growth measured   show
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Why have growth standards been developed   show
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show Growth chart  
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Children in good health tend to follow what pattern of growth   show
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show Any age  
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show 7  
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If a growth chart contains a 97th percentile, what other percentiles are labeled   show
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If a growth chart does not contain a 97th percentile, what percentiles are labeled   show
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show No, there are separate charts for boys and girls  
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Which percentile level is designated by a solid black line in all growth charts   show
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show The extent to which a child’s measurements deviate from the 50th percentile  
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show One  
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show One  
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show A difference of 2 or more percentile levels between height and weight  
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show Deviations of 2 or more percentile levels from an established growth pattern  
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show Denver II/Denver Developmental Screening Test  
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What does the Denver II Developmental Screening Test assess   show
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What categories of development does the Denver II Developmental Screening Test assess   show
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Is the Denver II Developmental Screening test an intelligence test   show
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show A need for further evaluation  
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show A more rapid period of growth in which the body attempts to compensate in children whose growth has been delayed or stopped due to illness, malnourishment, or other reasons  
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show Heredity traits, nationality and race, ordinal position within the family, gender, environment, the family  
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When are ancestral physical characteristics determined and by what   show
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show Deoxyribonucleic acid (DNA)  
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What are examples of inherited traits   show
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What areas do ethnic (nationality and race) differences extend into   show
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How does ordinal position affect the youngest and middle children in the family   show
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In what areas do older and only children tend to excel and why   show
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show First or only  
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show males weigh more and are longer than females  
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What, other than physical size, influences the differences in the type of development in male and female children   show
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show Prenatal environment, mother’s preconception and uterine health, mother’s diet during pregnancy  
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What areas of a child’s heath can be influenced by the financial status and education of the family   show
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Nuclear family =   show
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Extended family =   show
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Single parent =   show
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show Good, affordable childcare  
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Blended family =   show
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Alternative family =   show
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Dual career =   show
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Polygamous =   show
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Homosexual =   show
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show hetero or homo sexual couples who live together but remain unmarried  
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Dysfunctional family =   show
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show The families interactions with each other  
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show A tool used to assess family function  
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show Adaptation, Partnership, Growth, Affection, Resolve  
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With the family apgar, what is the adaptation assessing   show
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With the family apgar, what is partnership assessing   show
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With the family apgar, what is growth assessing   show
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With the family apgar, what is affection assessing   show
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show how time, money, and space are allocated to prevent and solve problems  
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What is the goal in family assessment   show
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show Community  
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Why is community assessment an important factor to consider in creating discharge plans for families of various cultures   show
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show housing, access to public transportation, city services, safety, health care delivery system  
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show lacking support system and financial resources, limited health care  
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show community referrals for food housing education and financial assistance  
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show unique organizations of characteristics that determine the individual’s typical or recurrent pattern of behavior  
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What creates personality   show
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Which group of theories explains all human behavior   show
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show everyone in the family or system is affected by each of its members – focuses on interrelatedness of various persons rather than individuals  
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show Caring for the child by caring for the whole family, see family as protector, educator, resource, and health provider, see child’s health as having impact on each member of the family as a whole  
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What is Maslow’s theory   show
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show Self actualization  
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show State of becoming a complete person, filling one’s greatest potential  
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show Physiological, activity, safety and protection, love and belonging, esteem, self actualization  
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Physiological needs, according to Maslow   show
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Activity needs, according to Maslow   show
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show Safety and protection from harm  
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Love and belonging needs, according to Maslow   show
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show Need to respect oneself and to be respected by others  
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What is cognition   show
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According to Piaget, what does intelligence consist of   show
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show Reflex response  
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show Use of symbolism, particularly language  
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According to Piaget, what is it called when children develop a here and now orientation   show
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According to Piaget, what is it called when children develop a fully abstract comprehension of the world   show
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According to Piaget, what are the four orderly and distinct stages of development   show
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According to Piaget, what is the age range for sensorimotor   show
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According to Piaget, what is the age range for preoperational   show
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show 7 to 11 years  
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According to Piaget, what is the age range for formal operation   show
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show Development is sequential, three levels with two stages each and emphasis on the conscience and the importance of rules with changing them to meet the needs of a culture considered  
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show Preconventional (4 – 7), Conventional (7 – 11), Postconventional (12 +)  
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What is Kohlberg’s stage of preconventional development   show
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show Conformity & loyalty – children focus on obeying rules, rules are created for the benefit of all and adhering to them is the right thing to do  
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show Moral values/Principled morality – acceptance of right or wrong based on own perceptions of the world and personal conscience  
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show various tasks must be mastered at each age to achieve optimum maturity – stages build on each other – achievement does not occur in isolation – parents must interact appropriately to assist the child  
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show help deal with success/failure, provide acceptable frustration outlet-parent task= provide child with skills and tools appropriate for each level to deal with current events  
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According to Erikson, what stage of development is an infant in, and what occurs in this stage   show
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According to Erikson, what stage of development is a Toddler in, and what occurs in this stage   show
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According to Erikson, what stage of development is a preschooler in, and what occurs in this stage   show
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show Industry/inferiority = learning to recognition by producing things, exploring, collecting, learning to relate to own sex  
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show Identity/role diffusion = moving towards heterosexuality, selecting vocation, beginning separation from family, integrating personality (e.g. altruism)  
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According to Erikson, what are a parent’s tasks during the first trimester of pregnancy   show
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show Develop positive attitude in both parents concerning expected birth of child. Use referrals and agencies as needed  
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According to Erikson, what are the parent’s tasks during the 2nd trimester of pregnancy   show
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show Parents’ focus is on child care and needs and providing physical environment for expected infant. Therefore information concerning care of the newborn should be given at this time  
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show Mother feels large. Attention focuses on how fetus is going to get out  
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According to Erikson, what are the nursing interventions during the 3rd trimester of pregnancy   show
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show Growth  
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According to Erikson, what is the newborn’s task at birth   show
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show Get positive responses from child and meet child’s need for food and closeness. If parents receive only negative responses (e.g., sleepy infant, crying infant, difficult feeder, congenital anomaly), development of the parent will be inhibited  
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show Encourage early touch, feeding, and other practices. Explain behavior and appearance to allay fears. Help identify positive responses. (Use infant’s reflexe to identify a positive response by placing mother’s finger into infant’s hand.)  
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show Trust vs. Mistrust stage – develop trust  
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According to Erikson, what are the parent’s tasks during infancy   show
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According to Erikson, what are the nursing interventions during infancy   show
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According to Erikson, what are a toddler’s tasks   show
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show Try to accept the pattern of growth and development. Accept some loss of control but maintain limits for safety  
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show Help parents cope with transient independence of child (e.g., allow child to go on tricycle but don’t yell “Don’t fall” or anxiety will be radiated).  
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According to Erikson, what is the preschool child’s task   show
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According to Erikson, what are the parent’s tasks during the preschool years   show
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show Industry vs. Inferiority – develop industry  
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According to Erikson, what are the parent’s tasks during the school age years   show
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According to Erikson, what are the nursing interventions during the school age years   show
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According to Erikson, what are the tasks of the adolescent   show
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According to Erikson, what are the tasks of an adolescent’s parents   show
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show Help parents adjust to changing role and relationship with adolescent. Expose child to varied career fields and life experiences. Help child to understand emerging emotions and feelings brought about by puberty  
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show Progression is from newborn with automatic reflexes to intentional interaction with the environment and the beginning use of symbols  
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What does Piaget’s sensorimotor stage (birth – 2) indicate for feeding and nutrition   show
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show Thought processes become internalized, are unsystematic and intuitive, symbol use increases, reasoning based on appearance, world viewed egocentrically  
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show Eating less important than social, language, and cognitive growth. Food described by color, shape, quantity. Limited ability to classify into groups. Tends to be classified as likes/dislikes, can identify as good for you but knows not why  
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show Can focus on situation aspects simultaneously, cause-effect reasoning becomes more rational and systematic, decrease egocentrism permits other’s view  
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show Realizes nutritious food has positive effects on G&D with limited understanding of how or why, mealtimes have social significance, peer influence on food choices rise  
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show hypothetic and abstract thought expand, understanding of scientific and theoretic processes deepens  
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What does Piaget’s formal operations stage (11 to 16) indicate for feeding and nutrition   show
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show To help Americans make informed decisions about what they eat  
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What kinds of foods do children with vegetarian diets often consume   show
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What foods contain water soluble fiber   show
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show It delays intestinal transit and decreases serum cholesterol levels  
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show Whole grain breads, wheat bran, and some cereals  
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show It accelerates intestinal transit and slows starch digestion  
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What does a well balanced diet supply   show
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What is food made of   show
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show 50  
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show gallbladder  
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show Absorbs vitamin A, vitamin B, iron, calcium, glycerol, fatty acids, and monodisaccharides  
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What role does the ascending colon play in nutrition   show
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What role does the jejunum play in nutrition   show
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show They are growing and developing  
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show Amount – size  
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How much fiber is recommended by the American academy of pediatrics   show
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Where can a nutritional care plan be used   show
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show provides information and stores it in one place  
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How long is the digestive system of the newborn immature and minimally fuctioning   show
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show Minimal saliva, deficient amylase and lipase = no effective complex carb or fat digestion, limited liver function, no teeth  
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show Physiology of the digestive tract  
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What is the food of choice for the first year of life   show
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Foods containing essential minerals such as iron, zinc, and calcium should be combined with what to enhance absorption   show
🗑
show Duodenum – Jejunum  
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show Large intestine  
🗑
show Exercise, fresh fruits and vegetables instead of junk, low fat foods, vegetable oil sprays, bake & broil, visit nutritionist, check cholesterol if history of heart disease  
🗑
show Starting healthy dietary patterns in childhood  
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Why are fat and cholesterol needed in a child’s diet   show
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Why has the sodium content of baby food been reduced   show
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What should be minimized in the child’s diet   show
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When should height and weight be plotted on a growth chart   show
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show > 85%, < 3%  
🗑
show Mixture of electrolytes, glucose, and water – acute diarrhea in 3rd world countries, for dehydration in any child  
🗑
Why should a nursing mother avoid becoming fatigued   show
🗑
show Soybean mixtures = ProSobee, Isomil  
🗑
show Rice cereal @ 6 months  
🗑
What are the symptoms that indicate underfeeding   show
🗑
show Regurgitation, mild diarrhea, too rapid weight gain  
🗑
show Delayed gastric emptying, abdominal distention, constipation  
🗑
What effects do high carb diets have on the digestive system   show
🗑
show Too much fat or protein, not enough bulk  
🗑
What should be done for the constipated child   show
🗑
What foods should not be pureed for children in the home, and why   show
🗑
Why should overblending of home made infant food be avoided   show
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How long can home prepared foods be stored in the refrigerator   show
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How long can home prepared foods be stored in the freezer   show
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What are the benefits of home prepared foods   show
🗑
show By the first birthday  
🗑
When should whole and non-fat milk be introduced to a child   show
🗑
show Finger foods  
🗑
show Protein, calcium, vitamin A, ascorbic acid  
🗑
show Stress how important nutrition is to physical appearance and fitness  
🗑
show Anemia  
🗑
What might an adolescent female take that increases the requirements for folic acid, vitamin B6, and ascorbic acid   show
🗑
show Adolescents and children over 2  
🗑
show Less than 10% of total calories  
🗑
show Less than 300mg/day  
🗑
In what stage of a dietary plan can parents help children follow the NCEP guidelines   show
🗑
What can schools do to help children follow the NCEP guidelines   show
🗑
What can health care clinics do to help children follow the NCEP guidelines   show
🗑
show mandate improvement of food labeling  
🗑
What can the food industry do to help children follow the NCEP guidelines   show
🗑
Who does NCEP recommend for blood cholesterol screening   show
🗑
What is an acceptable level of total cholesterol   show
🗑
show 170 – 199 mg/dl  
🗑
What is a high level of total cholesterol   show
🗑
What is an acceptable level of LDL cholesterol   show
🗑
show 110 – 129 mg/dl  
🗑
show > 129 mg/dl  
🗑
At what rate should new foods be added to a child’s diet   show
🗑
How many US children are overweight   show
🗑
show 15%  
🗑
show Increased cholesterol, orthopedic problems, sleep apnea, high blood pressure, diabetes, social isolation (that can lead to depression)  
🗑
show (weight in pounds / height in inches) X 705 = BMI  
🗑
show > 18  
🗑
show > 22 to 24  
🗑
What are the characteristics of a well nourished child   show
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What can cause the hospitalized child to have a poor appetite   show
🗑
show Appropriate consistency, serving sizes, proper utelsils  
🗑
show Warm with sufficient time to eat  
🗑
How much food should be served to a child   show
🗑
What treatment should not be scheduled immediately after a meal   show
🗑
show A pacifier for nonnutritive sucking  
🗑
show Drug/drug interactions, drug/environment interactions, drug/food interactions  
🗑
What must a nurse have knowledge of to be able to monitor drug/drug interactions   show
🗑
What do drug/environment interactions involve   show
🗑
show Photosensitivity  
🗑
show when taking Coumadin  
🗑
What is the formula to assess how many teeth a child under 2 should have   show
🗑
What does good dental care begin with   show
🗑
What essential elements does milk contain that promote dental health   show
🗑
show D  
🗑
Which vitamin is found in citrus fruits   show
🗑
show Fermentable carbs, sticky foods - sugared gum, dried fruits, sugared soft drinks, cake, and candy  
🗑
show =cheese, milk, sugarless gum, raw vegetables  
🗑
What is milk caries   show
🗑
Why are teeth more vulnerable to decay during sleep   show
🗑
show PO fluoride after 6 months of age  
🗑
How long can supplemental systemic fluoride be offered   show
🗑
What may too much fluoride cause   show
🗑
show Applied directly to the teeth by a dentist  
🗑
show Between 18 months and 3 years  
🗑
What may untreated dental caries or malpositioning of teeth cause   show
🗑
show Endocrine disorders or other pathological conditions  
🗑
show At tooth eruption  
🗑
show Replace every 3 months and after illness, avoid rinsing in hot water, do not use a closed container for storage, avoid sharing  
🗑
show Size of a pencil eraser  
🗑
What motion should be used for flossing   show
🗑
What should be done if a primary/deciduous tooth is avulsed   show
🗑
show It should be placed in milk and brought with the child to the dentist for immediate care  
🗑
show Tetanus prophylaxis or antibiotics  
🗑
What are some dental problems that occur with adolescence   show
🗑
At what platelet count should children receiving chemotherapy or radiation replace a toothbrush with moist gauze for oral care   show
🗑
show Chlorhexidine  
🗑
show Sucrose content of medication can cause decay  
🗑
show can cause oral bleeding, impaired healing  
🗑
show causes decreased saliva, gingival overgrowth (use of diphenylhydantoin)  
🗑
show decrease salivary flow, increasing susceptibility to dental caries  
🗑
show sucrose containing medications increase risk of cavities  
🗑
show erosion of teeth caused by acid contact during vomiting episodes  
🗑
What effect can chemotherapy have on teeth   show
🗑
show fluorosis (mottling)  
🗑
What is the work/business of children   show
🗑
show children who do not have a communicable illness, such as measles or a draining wound  
🗑
What form of play allows for creative expression   show
🗑
show Computer games  
🗑
show encouraging optimal play activities that are age appropriate, helping parents select age and illness appropriate toys  
🗑
An asthmatic child should not be given a _________ to play with.   show
🗑
show exploring, imitating  
🗑
What type of play engages children ages 1 to 2 years   show
🗑
show cooperative, creative play  
🗑
What type of play engages children ages 5 to 7 years   show
🗑
What type of play engages children ages 7 to 10   show
🗑
What type of play engages children ages 10 to 13 years   show
🗑
show fantasy play, cliques  
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show Visual and touch stimulation  
🗑
show Toys that reflect ADLs  
🗑
show Role play  
🗑
show Secret codes, knock knock jokes, rhymes  
🗑
show Competitive games with structured rules and physical activity  
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show Monitored internet use  
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What are suggested play activities for children ages 13 to 18   show
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At what age do children play with each other, taking a specific role, and what is this type of play called   show
🗑
show 1 to 2 – parallel play  
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show 7 to 10 – competitive play  
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What age group needs visual stimulus   show
🗑
What age group needs touch stimulus   show
🗑
show 1 year olds  
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show 3 to 5  
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show 10 to 13  
🗑
What age group is most likely to play with toys that reflect activities of daily living   show
🗑
What is therapeutic play   show
🗑


   

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