CORPUZ, KIMBERLYN D.

DL MCN 202
NURSING CARE OF CHILDREN

MODULE (1) TEST

A.
1. Maturation of Structures
2. growth
3. maturation
4. psychological development
5. b. anal stage-toddler-1-3y/o
c. phallic stage-pre-schooler-3-6y/o
d. latent stage - school age - 6-12y/o
e. genital stage - adolescent - 13-20y/o
6. a. toddler
b. adolscent
c. school age child
d. infant
e. pre-school
7. 18-24 mos.
8. 2-7 y/o
9. 12-18 mow.
10. 2-3 (stage 1)
11. 10-12 (stage 4)

MODULE (2) TEST

A.
Set A.
1. 3
2. 2
3. 4
4. 1
5. 3
Set B.
1. 2
2. 4
3. 3
4. 1
B.
1. school age, inspiration, expiration
2. a. INTRODUCTION and EXPLANATION
b. DEMOGRAPHIC DATA
c. CHIEF CONCERN
d. HISTORY OF CHIEF CONCERN
e. HEALTH AND FAMILY PROFILE
f. DAY HISTORY
g. PAST HEALTH HISTORY INCLUDING PREGNANCY HISTORY
h.FAMILY HEALTH HISTORY
i. REVIEW OF SYSTEMS
3. Failure to thrive in infants have a height, weight and head circumference that do not
match standard growth chart. The chid’s weight is 20% or third percentile below the ideal height.
4. Ocular alignment or Focus test - movement, focus and unity of the eye
Cover/Uncover test - asses the deviation or movement of the eyes
5. Choanal atresia assessment - unable to insert nasal catheter to one or both nostrils
- continous stream of mucus draining from nostrils
 - cyanosis in infant while breastfeeding
- Diagnostic Procedure: confirmed by CT-Scan
6. Chronic Serous media or otitis media - collection of non - infected fluid in the middle ear
space. It is also called serious or secretory otitis media.
- as a result of cold, sore throat or URTI
- prominent features: tympanic membrane maybe
retracted, malleus is extremely prominent and the cone of light is missing

C. 1. B
2. B
3. B
4. A
5. C
6. B
7. B
8. A
9. C
10.C
11. C
12. A

MODULE (3) TEST

A. 1. F
2. H
3. D
4. B
5. C
6.H
7.I
8.E
9.C
10.A
11.E
12.F
13.I
14.G
15.I

B. 1. - dental impaction, delayed eruption or octopic eruption, overcrowding and formation of

follicular cyst are the most serious complication if infants with supernumerary teeth
2. * prone position - head is turned to one side
- pelvis is raised off the surface by excessive hip flexion
- knees flexed and drawn up under abdomen
* ventral suspension - heads flop down completely
- back is rounded
* supine position- less flexed as gravity tends to favour extension
- shudders are less protracted
- arm are more abducted
- hips are less flexed
* supine and pull to sit - head completely lags behind shoulder
- back is rounded
* sitting - when the NB infant are place in sitting, physiologic flexion, joint immobility and
decreased flexibility of soft tissue allow them to maintain position briefly
- “flopping like a rag doll”
 * vertical suspension - automatic suspension result observed
- legs flex and extend reciprocally
3. Benefits : promote bonding and comfort, observe infants condition
4. 3 ways to prevent dermatitis : change diapers often, rinse you baby’s bottom with lukewarm
water as part of each diaper change, gently pat the skin dry with clean towel or let it air dry
5. 3 factors in infant w/ diarrhea - signs of DHN - stuporous child
- poor skin turgor
- sunken eyeballs
- dry lips and tongue
- thirst
- sunken anterior fontanelle

MODULE (4) TEST

A.
1. A
2. A
3. B
4. C
5. D
6. C
7. C
8. A
9. C
10. C
11. D
12. B
13. B
14. C
15. A
16. D
17. A
18. A
19. C
20. C

B.
1. B
2. D
3. H
4. C
5. F
6. E
7. J
8. I
9. A
10. G

C. CASE STUDY
1. Fall and fracture is common to 1 yr old. Parents should encourage to watch out their child.
2. health history is necessary in assessment this would be the basis in rendering care and
management of future illness to the child.
3. health history is vital part in administering care to the child, there might be medications or food
allergy of the child. A history of asthma, the completion of vaccinations, and other illness that
might hinder/alter the present treatment of the child.
4. Safety Guidelines:
- encourage the child to use helmet, knee and elbow pads
- hold the hand of the child while crossing the street
- keep away poisonous substance that out of reach
- put a board to stairs to prevent from climbing/going down without supervision
5. Outcomes:
- parents should know on how to manage safety rules at home
- able to determine the developmental milestone of their child
- can do basic life support/ emergency care to a toddler

MODULE (5) TEST

A.
1. E
2. C
3. A
4. B
5. D
B.
1. a. Endomorphic - the body contour become large
2. b. ectomorphic - the body contour become slim
3. c. genu galvus - conditio in which the knees angle in and touch each other when the legs are
straight
4. d. bruxism - involuntary habitual grinding of the teeth typically during sleep
5. e. broken fluency - is the repetition and the prolongation of sounds, syllables and words, also
called secondary stuttering
6. oedipus refers to the strong emotional attachment of a boy to her mother
electra complex refers to the emotional attachment of a girl to his father
7. * re-assure child they are safe
* monitor the stimuli their children are exposed to such as watching violent and morbid television
shows before bedtime
* provide lamp shade or light on their room
8. encourage vocabulary development
- read bedtime stories
- answer their questions of “how and why”
- let them watch kids show with clear and child friendly vocabulary
- guide child through their struggles without discouraging them of their opinion.
- parents/guardians may use “time out”
9. Milestone of child (3-5 years old)
traits 3 yrs old 4 yrs old 5 yrs old

movement walk on tip toes run in tip toes can use toilet on his/her
catch a ball hop on one foot own
build towers of 6-9 gallop swings and climb
blocks throw a ball overhand walk, run, hops

language/intellectual can communicate their can use 4 prepositions can count to ten
needs, ideas and enjoy serious discussion speech - mostly
questions language includes silly grammatically correct
attention span is little and profane words says name, age, address
longer classification skills and tell a simple short story
they can learn by doing reasoning ability in full sentences
vocabulary - 900-1000 talks a lot and repeat
words often
 emotional/social dramatic play active imaginations wants to make friends
learn to share having imaginary friend and please friends
clear and consistent need to feel important More likely to agree with
rules and worthwhile rules
emotions are extreme appreciate praise for Likes to sing, dance, and
and short-lived their achievement act
pretending to be adult Is aware of gender
(mother,father,doctor,nur Can tell what’s real and
se,police) what’s make-
believe
Shows more
independence
(for example,
may visit a next-
door neighbor by
himself [adult
supervision is
still needed])
Is sometimes demanding
and sometimes
very cooperative

10. Home safety measurements

vehicular accidents wear safety gears, child lock cars, teach to wear
seatbelts

falls teach in safe heights climb and jump

poison never teach child that medication is candy

teach child on poisonous labels/drawings
store substances/hazardous liquids out of reach

animal bite make sure animals are clean, has anti-rabies

injection

drowning teach child how to swim, put/give floaters to the

child

MODULE (6) TEST

A.
1. G
2. E
3. F
4. C
5. B
6. A
B.
1. D
2. C
3. C
4. C
5. A
C.
1. breast development; underarm and pubic hair growth of testicles and penis

2. Gonadotropic Hormones
3. Compare and contrast the accomplishment/failure of industry vs. inferiority

Accomplished Failed

it leads to an ability that contributes to lifelong
well-being.
Through proficiency at play and schoolwork,
children are able to develop a sense of
competence and pride in their abilities. By
feeling competent and capable, children are
able to also form a strong self-concept.
can result in social and emotional struggles that
last a lifetime.
- result in feelings of inadequacy.
Children who struggle with schoolwork may
have a harder time developing these feelings of
sureness. Instead, they may be left with
feelings of inadequacy and inferiority.

they strive to master new skills. Children who Those who receive little or no encouragement
are encouraged and commended by parents from parents, teachers, or peers will doubt their
and teachers develop a feeling of competence ability to be successful.
and belief in their abilities.

4. * Decenter ( decentration) - refer to the ability to consider multiple aspects of a situation

* Accommodation - the process of creating a new scheme/idea/experience
* conservation - the ability to know that certain properties of objects like number, mass,
volume, or area do not change even if there is a change in appearance
* class inclusion - refers to the ability to classify objects into two or more categories
simultaneously

5. To improve/increase/encourage reading
- create a reading area, study table and books
- set as example
- make connections between reading and real life
- expose the child in different book genre and literacy

6. School Phobia / School refusal / School Avoidance

- is a form of severe anxiety associated with going to school
- *why?
- bullying/shame at school
- death in the family
- divorce/marital struggles between parents
- move/change of school
- fear of imperfection (performance anxiety)
- problem socialising in school
- *ways
- have a non-threatening conversation
- practice relaxation exercises (music, books, guided meditation before school)
- establish a routine - to get enough rest at night and morning routine
- communicate with teachers and administrators of the school
7. a. drowning - make sure that the child knows how to swim, if not put floaters
b. motor vehicle crash - put safety gears, teach to put seatbelt
c. sports injuries - teach the child proper sports postures, gears and mechanics of the sports
d. community - teach the child of safety street signs, encourage the child to obey traffic or street
rules
e. firearms - put dangerous weapons or any sharp objects like knife out of reach
8. school aged are prone to appendicitis because of the blockage of stool or parasite. it can also
cause my nose/mouth mucus. Twisting or bending of the appendix may also one factor.
9. sinus headache occurs to school age because of their changing environment, like having a lot of
school activities (academic and extra curricular activities such as sports). the diet of the child is
also a factor, inadequate nutrition may cause headache.
10. supernumerary nipples (polythesia) and supernumerary breast (polymastia) - can respond to
hormonal changes similar to a normal breast including enlargement during puberty and milk
production after pregnancy
11. Nocturnal Emission (wet dreams) - marks at the beginning of puberty in boys
- starts between ages 13 and 17 with an average age of about 14 and half years old
12. concrete operational stage
13. Kholberg’s Conventional Morality
14. Yes . the child will refuse to eat spinach
15. if the child accumulate candies often, parents/guardians should encourage them to brush their
teeth, visit dentist as much as possible to prevent carries. Parents can also show images to the
child of what will happen to the teeth if not taking care of properly.

MODULE (7) TEST

A.
a. 1
b. 5
c. 9
b. 10
a. 3
c. 4
d. 6
e. 8
f. 7
g. 2
B.
1.
2. 10 AND 14, 12 AND 18, 18 AND 20
3. Formal operations; 11 or 15
4. pimple, scarring, oil
5. substance abuse
6. a. the adolescent learn to speak directly to the health professional
b. to have the terms of confidentiality explained and to increase trust in the health care
professional
c. his/her concerns will “really” be heard
7. 3 common factors why adolescent suffer fatigue
a. problem at home
b. strained peer relationship
c. school related difficulties
8. major task of adolescent:
a. sense of intimacy (intimacy vs. isolation) - maintaining successful relationship with others
b. emancipation from parents - achieving emotional independence from parents and other adults
- must re-aline their sources of personal strength and more toward self-reliance
c. value system - acquiring a set of values and an ethical system as a guide to behaviour,
developing an ideology
- adolescent gain the ability to think abstractly and to visualise possible situations
- the adolescent is able to develop his/her own sets of values and beliefs
9. common social behaviours at age:
*13 - seeking more independence
- trying to become more grown up
- may rebel against bedtime rules
*14 - need plenty of guidance to prevent from straying down the wrong path
* 15 - will want to make her own decisions
* 16 - experimenting more with bigger responsibilities, may land first job
* 17 - need more of a guide that disciplinarian, make sure mistakes become learning
opportunities
- will do recreation activities like sports, dance, music, painting
10. danger signs suicide
a. ideation - talking/writing about death, dying,suicide
- threatening/talking about of wanted to hurt/kill self
b. purposelessness - no perceived reason of living
c. anxiety - agitation, unable to sleep/sleeping all the time
d. substance abuse
e. talking about feeling of hopelessness/despair
f. feeling trapped (like there is no way out/ solution)
g. withdrawal from friends, family and society
h. anger, rage/uncontrolled anger, seeking revenge
i. acting reckless and taking risk
j. dramatic mood change
k. giving prized possessions away

MODULE (8) TEST

A.
1. E
2. F
3. D
4. K
5. P
6. Q
7. L
8. C
9. I
10. R
11. J
12. G
13. A
14. B
15. H
16. N
17. O
B.
 3.

Prone position
4. the child will require clear intermittent catherization (CIC)along with anti-cholinergic therapy

END OF MODULE TEST

DL MCN 202