Exam 1 Pediatric and Hospice Nursing Review

Comprehensive practice flashcards covering pediatric milestones, nursing assessments, hospice care eligibility, and safety protocols based on the provided lecture transcript.

Hospice management for lung cancer

The hospice team helps the client manage shortness of breath.

Hospice eligibility (Breast cancer)

Clients with breast cancer who have $3$ months to live.

Hospice eligibility (Lung cancer)

Clients with terminal lung cancer who have stopped treatment.

Hospice eligibility (Kidney disease)

Clients with end stage kidney disease who have stopped dialysis.

Transdermal patches teaching

Clean the area and rotate the site.

Penicillin IM injection angle

$90^\text{o}$ for an adult.

PKU (phenylketonuria) actions

Include a low protein diet in the plan of care.

Autism spectrum characteristic

Repetitive movements.

Infant pain indication ($6$ months)

Furrowed brow.

Anterior fontanel closure

Occurs at $18$ months.

Posterior fontanel closure

Occurs at $2$ months.

12-month-old weight milestone

Birth weight will triple at $12$ months.

Child ear assessment

The light reflex will be in the $7 \text{ o'clock}$ position.

11-year-old well child vaccine

Tdap.

MMR vaccine contraindication ($15 \text{ months}$)

The baby is immunocompromised.

Medication strategy ($4 \text{-year-old}$)

Offering some juice or water if the child is resistant.

Preschooler vaccination needle size

$1.8 \text{ mm} / 0.5 \text{ inches}$.

Preschooler vaccination location

Deltoid muscle.

Jaundice prevention ($4 \text{ hours after birth}$)

Frequent feeding.

Spina bifida environment

Latex free environment.

College student immunization

Meningitis.

Failure to thrive risk

Low birth weight.

Hospice care restriction

Restricted for clients who are terminally ill.

Newborn RR (Respiratory Rate)

$30$ to $60$.

Newborn apnea reporting

Apnea over $20 \text{ seconds}$ should be reported.

Newborn respiratory distress sign: Retractions

A physical sign of breathing difficulty that should be reported.

Newborn respiratory distress sign: Grunting

An audible sign of breathing difficulty that should be reported.

Newborn respiratory distress sign: Nasal flaring

An observable sign of breathing difficulty that should be reported.

Car seat safety orientation

The car seat should be rear facing until age $2$.

Car seat strap placement

Straps should be snug and flat.

Car seat buckle level

Buckle should be at the armpit level.

Car seat clothing rule

No bulky clothing.

Car seat warmth adjustment

Place a blanket over the harness if needed.

Doll's eye reflex

Disappears as the neurological system matures.

Crawl reflex disappearance

Disappears around $6 \text{ weeks}$.

Babinski reflex

The big toe goes up and toes fan outward.

Modified head-to-toe approach

Do least invasive to most invasive assessments.

ENT and BP assessment timing

These are performed last during a modified head-to-toe exam.

Painful area assessment timing

Assess painful areas last.

Infant Temperature range

$97.7$ to $99.3 \text{ degrees}$.

Infant fever evaluation

Fever over $100.4$ requires evaluation.

Infant HR (Heart Rate)

$109$ to $164$.

Infant Respiratory Rate range

$30$ to $60$.

Normal brief apnea (Infant)

Brief apnea under $10 \text{ seconds}$ is normal.

Infant BP (Blood Pressure)

$64/41$ (not usually measured).

Infant O2

$95$ to $100$.

Axillary temperature location

The armpit; the most common site for toddlers.

Temporal temperature location

The forehead.

Tympanic temperature location

The ear.

Rectal temperature risk

Considered the most dangerous site.

Fever/Hypothermia assessment sites

Tympanic or temporal sites are used for febrile or hypothermic states.

Toddler fever threshold

Over $100.4$ is a fever.

3-month-old milestones ($3$ items)

Lifts head, coos, and displays a social smile.

6-month-old milestones ($2$ items)

Rolls over and sits with support.

8-9 month milestones (Mobility)

Crawls.

8-9 month milestones (Fine motor)

Grabs objects and starts the pincer grasp.

12-month-old milestones (Mobility)

Walks with support.

12-month-old milestones (Speech)

Says $1 \text{ to } 3$ words.

15-month-old milestones (Mobility)

Walks independently.

15-month-old milestones (Fine motor)

Stacking $2$ small objects.

18-month-old milestones (Speech)

Speaks $5$ or more words.

18-month-old milestones (Activity)

Climb on and off furniture and scribbles.

18-month-old speech structure

Uses $2$ syllable words.

2-year-old milestones (Gross motor)

Runs and kicks a ball.

2-year-old milestones (Gestures)

Blowing a kiss or waving.

2-year-old sentence structure

$2$ word sentences.

2.5-year-old milestones (Literacy)

Can turn $1$ page at a time when reading a book.

2.5-year-old milestones (Gross motor)

Jump with both feet.

2.5-year-old milestones (Fine motor)

Twist a doorknob.

3-year-old milestones (Social)

Engages in play with other children.

3-year-old milestones (Activity)

Ride a tricycle.

3-year-old milestones (Independence)

Puts on clothes independently.

3-year-old sentence structure

$3$ word sentences.

4-year-old milestones (Gross motor)

Hops on one foot.

4-year-old milestones (Speech)

Speaks clearly.

Vaccines for 4-year-old age group

Tdap, IPV, MMR, and varicella.

Erik Erikson stage (Toddler $1 \text{-} 3$ years)

Autonomy vs shame and doubt.

Toddler psychosocial characteristic

Wants independence, expressed as 'me do it'.

Strategy for offering toddler choices

Asking 'do you want the red cup or blue cup?'.

FLACC scale

A pain assessment scale used for infants.

FLACC: F

Face.

FLACC: L

Legs.

FLACC: A

Activity.

FLACC: C (First)

Cry.

FLACC: C (Second)

Consolability.

Faces scale

A pain assessment scale used for older children.

Hospice eligibility (Short-term)

Client expected to live $2 \text{-} 3$ months.

Failure to thrive indicators

Poor weight gain, delayed development, and lack of growth.

SIDS sleep position

Sleep on back.

SIDS crib safety

No pillows, blankets, or stuffed animals.

SIDS lifestyle safety

No smoke exposure.

SIDS mattress safety

Firm mattress.

Infant nutrition (First year)

Breast milk or formula.

Infant solid food introduction

Introduction of solids around $6 \text{ months}$.

Infant daily milk/formula volume

$24$ to $32 \text{ oz a day}$.

Toddler nutrition items

Quality foods, small portions, and finger foods.

Scoliosis

Sideways curve of the spine.

Lordosis

Inward lumbar curve of the spine.

15-month-old toddler reporting

Report any abnormalities.

Failure to Thrice definition

Includes poor weight gain and lack of growth.