Nursing/maternal newborn ATI

blood pressure range

1-3: 80/120

6-10: 90/130

16-up: 108/145

average temperature range

Birth to one (axillary) 97-98 36-37

1-12 years: 98-99

12-up: 97-98

heart rate

1 wk-3months; 100-220

3months- 2yrs; 80-150

2-12 yrs: 70-110

12-up; 70-110

Respiratory rate

1-2; 25-30

2-6: 21-24

6-12; 19-21

12-up; 16-18

Pain assessment

2monts-7yrs: FLACC

3yr- up; FACES

3-13yr: oucher

5-up; numeric scale

3-18yrs: non-communicating

Infant stressors & behavior

Stress- interrupted routine, parental separation, lack of stimulation

Behaviors- poor feedings, irritability/crying, altered sleep patterns

Toddler stressors & brhavior

Stressors- interrupted routines, separation from parents, loss of control, fear of being hurt

Behaviors-protest stage(crying, fighting, tantrums) this pair stage, develop regression, refusal to eat sleep pattern disturbance

preschooler, stressors and behaviors

Stressors-pain/bodily injury, separation from parents, loss of control

Behaviors-passiveness, withdraw, poor appetite, sleep disturbance, magical thinking, bed wedding

school age behavior& stressors

Stressors-guilty feelings, fear of pain, loss of control, body image changes, failing behind in school missing school friends

Behavior-decrease self-esteem, anxiety, fearfulness, stalling bargain boredom, withdrawal, sleep disturbance, stoicism, acting out anger, crying

Adolescents stressors & behaviors

stressors- body image changes, self concept, disturbance, social isolation, person identity issues

behaviors-anger, aggression, demanding frustration withdrawal

infant stage of development

Erickson: psychosocial, stage trust vs. mistress

Freud: psychosocial, stage is oral

Piaget: cognitive, stage is sensorimotor

toddler stage of development

Erickson: psychosocial, stage is autonomy vs. Shame

Freud: psychosocial, stage is anal

Piaget: cognitive, stage is sensory motor transition to preoperational

preschool stage of development

initiative vs. guilt

Phallic

Preoperational

school age stages of the development

Industry vs. Inferiority

Latency

Concrete operations

Adolescents stage of development

Identity vs. role confusion

Genital

Formal operations

nursing assistance task

Taking vital signs ranges of motion, exercise, bathing bed, making obtaining urine, specimen, enemas, but glucose monitoring

PN nursing task

Manage under the supervision of our RN