NUR323
Terms
undefined, object
copy deck
- Type of play when children play independently but among other children
- parallel play
- When does separation anxiety peak
- 12-18 months
- When can an infant feed themselves
- 7 1/2 months
- An attempt to control or change the situation, resisting another's attempt to control you, cooperating or complying with demands are examples of
- active coping
- What are stratefies to prevent or minimize separation
- rooming in and use of an attachment object
- Should be obtained for children over 7 who are not of majority
- assent
- What are the stages of separation anxiety
- protest, despair, detachment
- For a child over the age of three, you do this to assess the ear
- pull pinna up and back
- Breast bud stage-small area of elevation around papilla; enlargement of areolar diameter; sparse growth of hair extending along the labia
- Tanner stage 2
- Further enlargement of breast and areola with no separation of their contours; darker hair spread over entire pubis in triangle
- Tanner stage 3
- Projection of areola abd papilla to form a secondary mound; denser hair and adult distribution, but still restricted to pubic area
- Tanner stage 4
- mature breast configuration projection of papilla; hair adult in quantity etc. spreading to aspect of thighs
- Tanner stage 5
- Initial enlargement of scrotum and testes; reddening of skin, growth of long hair on base of penis
- Tanner stage 2
- Initial enlargement of penis; hair spread further over entire pubis
- Tanner stage 3
- Increased size of penis and glands; hair more abundant but restricted to pubic area
- Tanner stage 4
- Testes, scrotum and penis adult size, hair spreading to inner surface of thigh
- Tanner stage 5
- Where do you assess heart rate on an infant
- apical pulse
- What should never be assessed on a young child without the parent present
- genitalia
- Pain scales to measure pain in nonverbal children
- FLAAC, Oucher, NIPS, Wongs Face scale
- Disease that is teratogenic to the infant
- rubella
- What is the incubation period for mumps?
- 14-21 days
- How are pertussis and chicken pox transmitted?
- droplets
- A disease that has been eradicated from the world by immunizations
- polio
- What is the chain of infection
- pathogenic microorganisms, reservoir, means of escape, mode of transmission, means of entry, and host susceptibility
- Refers to an addition or increase in structure or change in quantity
- growth
- A process of strategies or flexible approaches for dealing with stressors
- coping
- What are S&S of poor nutrition
- low weight, pallor, lethargy, dry skin, listless eyes
- What are items a child can use for gratification and active coping
- mom/dad, play, pacifier, blanket
- When are polio immunizations given
- 2 mo., 4 mo., 6-18 mo., usually at 12-15 motnhs
- What are teo immunizations that require 3 series of shots?
- Hep B and HPV
- Three new vaccines recommended for 2007
- rotavirus, HPV and TDAP
- What is documented for a vaccine?
- route, site, date, VIS given, parental consent, vaccine lot #, manufacturer, signature of who gave it
- What is the immunization recommended for children who are 2-23 months
- pneumococcal
- Language for birth to 18 months
-
Sound
Coos
Monosyllables
Words - What is the extent of a 12 month old speech
- 2 syllables and three words
- Gross Motor for birth -18 months
-
Lift head
Rollover
Sit
Crawl
Stand
Walk - age of crawling
- 9 months
- age of standing holding
- 9 months
- age to stand alone
- 14 months
- age to stoop and recover
- 14 months
- age to walk well by
- 15 months
- Fine Motor for birth- 18 months
-
follows with eyes
grasp
bang 2 cubes
put block in cup
build tower of blocks
scribbles
imitates line
copy picture - Social skills for birth-18 months
-
Smile
Recognize caregiver
stranger anxiety
work for toy
feed self
drink form cup
separation anxiety
use silverware - Toddler Social stage
- shame and doubt versus autonomy
- Types of play for children
-
onlooker
solitary
parallel
associative
cooperative - Refers to an increase complexity or specificity related to functioning; qualitative change
- development
- Causes of developmental delays
-
transient (illness)
prematurity
CNS - developmental directional trends
-
cephalocaudal
proximodistal
differentiation(simple to complex)
sensitive periods - What are the most important determinants of height and weight
- genetica and nutrition
-
weight of average child doubles by:
triples by:
quadruples by: - 6 mo.; 1 year; 2 1/2 years
- How far away should you hold object for baby to see?
- 18 inches
- Erikson social for infant
- trust vs mistrust
- Erikson social for preschooler
- initiative vs guilt
- Erikson social for school age
- industry vs inferiority
- Erikson social for adolescence
- identity vs role confusion
- Cognitive development stages of Piagets
-
sensorimotor
preoperational
concrete operations
formal operations - What is the developmental assessment chart called
- Denver II
- vitals for 1-3 days old
-
65/41
100-180
35 - vitals for 1-3 month old
-
95/58
100-220
25-30 - vitals for 3mo-2 year old
-
95/58
80-150
25-30 - vitals for 2-5 year old
-
101/57
70-110
21-25 - vitals for 10 years and above
-
120/80
55-90
16-19 - What do you assess first on a newborn?
- heart sounds and heart rate
- Would you want to complete the assessment before doing vital signs?
- yes
- How do you approach a two year old?
- down to eye level, and quickly
- Orientation of 2 year old
- Ax1
- orientation of 4 year old
- Ax2
- orientation of 9 year old
- Ax3
- How do you chart the narrative assessment of a newborn?
- alert, awake, crying, no hgih pitch squeel, fontanelle
- How do you chart the narrative assessment of an asthma patient?
- lung quality, adventitious noises, accessory muscle use
- National Cholesterol Program recommends no more than __ calories form fat
- 30%
- Signs of Anorexia or Bulimia
-
calluses on knuckles
cessation of menses
dull thinning hair - What is the only vaccine that may be given before 6 weeks of age?
- Hep B
- What is considered to be a possible side effect of immunizations?
- autism
- Preschool immunization requirements
-
5 DTAP
3 HepB
HIB
2 MMR
3 Polio
Rotovirus - School immunization requirements
-
5 DTAP
3 HepB
2 MMR
5 Polio
Varicella - When do you not give a vaccine
-
no consent
acute illness with high fever - Where are most immunizations given
- anteriolateral thigh
- Which vaccines are given subQ?
- IPV, MMR, Varicella
- Vaccine recommended in certain states; spreads in areas where poor sanitary conditions or good hygiene not observed
- Hepatitis A
- How are measles transmitted?
- droplets
- symptoms of measles
- cold symtoms, fever, spots inside mouth, encephalitis, pneumonia, otitis media
- Icubation period for measles
- 10-20 days
- Infection period of measles
- 4 days before-5 days afer rash starts
- How is rubella transmitted
- direct contact
- what is the incubation period for rubella
- 14-21 days
- what is the infection period for rubella
- 7 days before- 5 days after rash
- Infants with congenital rubella are at risk for
- mental retardation, deafness, blindness, and heart disease
- How are mumps transmitted
- direct contact
- What is the infection period for mumps
- day before and day after neck edema
- Complications of mumps include
- unilateral deafness, encephalitis, myocarditis, arthritis
- What is aka whooping cough
- pertussis
- incubation period for pertussis
- 7-10 days
- how long does pertussis last?
- 1-2 weeks
- How is diptheria transmitted
- direct contact
- what is the incubation period for diptheria
- 2-5 days
- what is the infection period for diptheria
- 2-4 weeks
- Complications of diptheria
- swelling of lymph nodes in neck, cold symptoms, fever, white membrane on back of tonsil
- what is aka lock jaw
- tetanus
- how is tetanus transmitted
- bacteria spores through open wounds/direct contact with blood stream
- What is HIb
- septicemia causing vasculitis and gangrene
- How is varicella transmitted
- oral, cutaneous, or anal involvement. Droplet contact with lesion
- What is aka chickenpox
- varicella
- Are varicella scabs contagious?
- no
- What is the incubation period for varicella?
- 13-17 days
- What is the infection period for varicella
- 1 day before-6 days after (crusted over)
- What is important to know about varicella in adults?
- Can lead to varicella zoster in immunosuppressed, leading to shingles
- Can you get shingles form varicella?
- no
- Can you get varicella from shinglea?
- yes
- What vaccines are eradicated thorugh vaccines?
- smallpox, polio, and nearly rubella
- What is the leading cause of bacterial meningitis, bacteremia, and acute otis media in children?
- pneumococcal
- First time receiving influeza vaccine
- 6 mo-9 years; give 2 doses seperated by 4-6 weeks
- When is influenza vaccine contraindicated?
- if severly ill or allergic to eggs
- What is rotavirus?
- A virus causing vomiitng and diarrhea>> dehydration in infants
- Rotavirus vaccine series
- 2m, 4m, and 6m.
- Vaccines for adolescents
- meningococcal and HPV
- Approaches to prevention of injury
-
education
enforcement
engineering - Normal temperature for newborn
- 36.1-37.7 C
- Norm temp for 1 year old
- 37.7 C
- Norm temp for 2 year old
- 37.2
- Normal temp for 6 year and bove
- 37.0 C
-
Temp conversion
F= - F= (C x1.8)+32
-
Temp conversion
C= - C= 0.556 x (F-32)
- Fluid requirements for neonate (<72 hours)
- 60-100ml/kg
- Fluid requirements for 0-10 kg
- 1000 ml/kg
- Fluid requirements for 11-20 kg
- 1000 ml for first 10 kg+ 50 ml per additional kg
- Fluid requirments for 21-30 kg
- 1500 ml for first 20 kg+ 25 ml per additional kg
- high risk neonate caloric requirements
- 120-150 cal/kg
- infant caloric requirement
- 100-120 cal/kg
- 1-2 year caloric requirement
- 90-100 cal/kg
- 2-6 year caloric requirement
- 80-90 cal/kg
- 7-9 year caloric requirement
- 70-80 cal/kg
- 10-12 year caloric requirment
- 50-60 cal./kg
- Who needs airborne isolation?
- measles and varicella
- who needs special airborne isolation
- tuberculosis
- Who needs contact isolation?
- rotovirus and RSV
- Who needs droplet isolation?
- influenza and pertussis
- Immunizations at birth
- Hepatitis
- Immunizations at 4 months
- RDHPI
- Immunizations at 6 months
- Hepatitis and RDHP (no I)
- 12-15 month vaccinations
- HPIMV
- 15-18 month vaccinations
- DTaP
- Immunizations at 2 months
- Hepatitis and RDHPI
- All children at what age and weight must ride in a car seat?
- under 4 years old and under 40 lbs
- All children at what age and weight must ride in a rear-facing car seat?
- under 1 year old and under 20 pounds