Jeopardy Physical

Assessment

Growth and development

Infant

Growth and Development

Toddler

Growth and Development Of a School Aged Child

Lead Poisoning

Q $100

Q $200

Q $300

Q $400

Q $500

Q $100 Q $100Q $100 Q $100

Q $200 Q $200 Q $200 Q $200

Q $300 Q $300 Q $300 Q $300

Q $400 Q $400 Q $400 Q $400

Q $500 Q $500 Q $500 Q $500

Final Jeopardy

$100 Question from H1Which milestone is developmentally appropriate for a 2-month-old infant?•A)Pulled to a sitting position, head lag is absent. •B)Pulled to a sitting position, the infant is able to support the head when the trunk is lifted. •C)The infant can lift his or her head from the prone position and briefly hold the head erect. •D)In the prone position, the infant is fully able to support and hold the head in a straight line.

$100 Answer from H1

C)The infant can lift his or her head from the prone position and briefly hold the head erect.

$200 Question from H1Approximately how much would a newborn who weighed 7 pounds 6 ounces at birth weigh at 1 year of age?A)14 3/4 lb B)22 1/8 lb C)29 1/2 lb D)Unable to estimate weigh at 1 year

$200 Answer from H1

B) 22 1/8 lb

$300 Question from H1The nurse advises the mother of a 3-month-old exclusively breastfed infant to:A) Start giving the infant a vitamin D supplement. B)Start using an infant feeder and add rice cereal to the formula. C)Start feeding the infant rice cereal with a spoon at the evening feeding. D)Continue breastfeeding without any supplements.

$300 Answer from H1

A) Start giving the infant a vitamin D supplement.

$400 Question from H1

In terms of fine motor development, what should the 7-month-old infant be able to do?A)Transfer objects from one hand to the other. B)Use thumb and index finger in crude pincer grasp. C)Hold crayon and make a mark on paper. D)Release cubes into a cup.

$400 Answer from H1

A)Transfer objects from one hand to the other

$500 Question from H1

In terms of gross motor development, what would the nurse expect a 5-month-old infant to do?A) Roll from abdomen to back. B)Roll from back to abdomen. C)Sit erect without support. D)Move from prone to sitting position

$500 Answer from H1

A)Roll from abdomen to back.

$100 Question from H2

What is the primary purpose of a transitional object?A)It helps the parents deal with the guilt they feel when they leave the child. B)It keeps the child quiet at bedtime. C) It is effective in decreasing anxiety in the toddler. D)It decreases negativism and tantrums in the toddle

$100 Answer from H2

C)It is effective in decreasing anxiety in the toddler

$200 Question from H2

What milestone is appropriate for a two year old child?a)may begin to put two words together can point to familiar objectsb)has a vocabulary of 30 wordsc)understands cause and effect d)asks how and why questions

$200 Answer from H2

c)understands cause and effect

$300 Question from H2

The most fatal type of burn in the toddler age-group isA)Flame burn from playing with matches B)Scald burn from high-temperature tap water C)Hot object burn from cigarettes or irons D)Electric burn from electrical outlets

$300 Answer from H2

A)Flame burn from playing with matches

$400 Question from H2

Which of the following is a developmentally appropriate milestone for a three year old?a)two word sentencesb)begins problem solvingc)can speak 1500 wordsd)asks how and why questions

$400 Answer from H2

d)asks how and why questions

$500 Question from H2Which of the following is true regarding Car Safety?a)Infants should be restrained upright and forward facing until they outgrow the manufacturer’s weight or height recommendationsb)Children under 9 should not ride in a front seat that is equipped with air bagc) Children between the ages of one and four and weighing between 20 and 40 pounds can be in a forward-facing, forward-facing only, or convertible child safety seat, or a high-back booster or harness, installed in the back seat of the vehicle.c)Booster seat with lap and shoulder belt is needed for child weighing more than 20 lb, until they reach 3’9” in height and are 6-8 years old

$500 Answer from H2

c)Children between the ages of one and four and weighing between 20 and 40 pounds can be in a forward-facing, forward-facing only, or convertible child safety seat, or a high-back booster or harness, installed in the back seat of the vehicle

$100 Question from H3Which are appropriate in developing self-esteem in children?a)Provide opportunities for assuming responsibility and following rulesb)Provide opportunities for making responsible choices and solving problemsc)Give praise, encouragement, and positive feedbackD)Allow child to make mistakes and take responsibility for consequencese)All of the above

$100 Answer from H3

e) All of the above

$200 Question from H3

Which of the following milestones are appropriate for a 6-8 year old child?a) fine motor control approximates adultsb) peer group primary socializing forcec)Hand-eye coordination fully developedd)clubs and secret rituals are at peak

$200 Answer from H3

b) peer group primary socializing force

$300 Question from H3What important physical changes occur in the school-age group? Important physical changes in the school-age group include the following:a)Heart doubles in size, HR decreases, BP increasesb)GI tract’s ability to digest and absorb fat does reaches adult levels c)Renal glomerular filtration rate remains low and kidney is not an effective filtration organd)As the immune system develops, the child begins to produce antibodies and antigens.

$300 Answer from H3

d)As the immune system develops, the child begins to produce antibodies and antigens.

$400 Question from H3What Developmental Milestone is true of the 9-11 year old child?a) strong sense of fairness-uses rules to define cooperative relationshipsb) peers opinions become more important than parentsc) organizes concepts in several different waysd) Develops positive self esteem through skill acquisition and task completion

$400 Answer from H3

b) peers opinions become more important than parents

$500 Question from H3Which of the following regarding Erickson’s Developmental Theories apply to the school aged child?a)They are experiencing the “initiative vs guilt” stageb)They are experiencing the “industry vs inferiority” stagec)They are experiencing the “intimacy vs isolation” staged) They are experiencing the “identity vs confusion” stage

$500 Answer from H3

b)They are experiencing the industry vs inferiority stage

$100 Question from H4

Which of the following symptoms are true regarding symptoms of lead poisoning?a)Sluggishness and fatigueb)Abdominal painC)Vomiting and constipationd)All of the above

$100 Answer from H4

d)All of the above

$200 Question from H4

Which of the following statements regarding lead poisoning are true?a)Chelation therapy can be expected to improve cognitive and developmental scoresb)Only at risk children in WEST VIRGINIA need to be screenedc)Rates of lead poisoning are higher in Medicaid eligible childrend)If caught early, low lead level exposure and treatment does not lead to significant delays

$200 Answer from H4

c)Rates of lead poisoning are higher in Medicaid eligible children

$300 Question from H4A nurse is beginning chelation therapy on a child for lead poisoning. Which intervention should the nurse implement during the time the child is receiving chelation therapy?a)Calorie counts b)Strict intake and output c)Telemetry monitoring d)Contact isolation

$300 Answer from H4

b)Strict I&O’s

$400 Question from H4Which of the following treatment guidelines regarding lead blood levels is correct?a)15-19 ug/dl- provide lead education, proceed according to actions for 20–44 μg/dL if A follow-up blood lead concentration is in this range at least 3 months after initial venous test; or blood lead concentration increasesb)20-44 ug/dl- Complete history and physical examination; lab work including iron, Hemoglobin or hematocrit; Neurodevelopmental monitoring; Abdominal radiography (if particulate lead ingestion is suspected) with bowel decontamination if indicatedc)45-69 ug/dl- all of b and outpatient Chelation therapy with close monitoring of symptomsd) All of the above

$400 Answer from H4

d)All of the above

$500 Question from H4The pediatric nurse needs to administer chelation therapy. What are some side effects of chelation therapy that need to be monitored? Chose the correct answer:a)In EDTA monitor closely for abdominal distress, transient rash, elevated hepatocellular enzyme concentrations, and neutropenia.b)CaEDTA is difficult to administer because of a strong rotten egg Odorc) EDTA leaches toxic and heavy metals out of the bloodstream. Montior closely for signs for anemia and hypocalcemiad)Succimer dosing is based on body surface area or weight. In children Less than 5, follow weight guidelines

$500 Answer from H4

c) EDTA leaches toxic and heavy metals out of the bloodstream. Montior closely for signs for anemia and hypocalcemia

$100 Question from H5The nurse is performing a comprehensive physical examination on a young child in the hospital. At what age can the nurse expect a child’s head and chest circumferences to be almost equal?

a)Birthb)1 yearc)6 monthsd)3 years

$100 Answer from H5

b)Head and chest measurements are almost equal at 1 year of age

$200 Question from H5The nurse’s aide reports to the registered nurse (RN) a low blood pressure she obtained on a toddler. The RN knows that to obtain an accurate measurement of a child’s blood pressure, the cuff should cover which portion of the child’s upper arm?a)Two thirdsb)Three fourthsc)One halfd)One third

$200 Answer from H5

a)The blood pressure cuff should cover two thirds of the child’s upper arm to obtain an accurate reading.

$300 Question from H5What term would be used in the nurse’s documentation to describe auscultation of breath sounds that are short, popping, and discontinuous on inspiration?a)Pleural friction rubb)Cracklesc)Bronchovesicular soundsd)Wheeze

$300 Answer from H5

b)Crackles are short, popping, discontinuous sounds heard on inspiration.

$400 Question from H5

Which assessment finding is considered a neurologic soft sign in a 7-year-old child?a)Plantar reflexb)Stereognostic functionc)Poor muscle coordinationd)Graphesthesia

$400 Answer from H5

B)Poor muscle coordination is a neurologic soft sign

$500 Question from H5Which cranial nerve is assessed when the child is asked to imitate the examiner’s wrinkled frown, wrinkled forehead, smile, and raised eyebrow?a)Accessoryb)Trigeminalc)Hypoglossald) Facial

$500 Answer from H5

d)The facial nerve is assessed as described in the question

Final JeopardyThe nurse is assessing a 4-year-old child’s visual acuity. He is planning to attend preschool next week. The results indicate a visual acuity of 20/40 in both eyes. The child’s father asks the nurse about his son’s results. Which response, if made by the nurse, would be correct?a.“Your child will need a referral to the ophthalmologist before he can attend preschool next week.”b.“Your child’s visual acuity is normal for his age.”c.“The results of this test indicate your child may be color blind.”d.“Your child did not pass the screening test. He will need to return within the next few weeks to be reevaluated.”

Final Jeopardy Answer

B) This is the correct response