Pediatric Nursing Flashcards

Comprehensive practice flashcards covering pediatric vital signs, developmental milestones, vaccinations, and nursing assessments based on the lecture transcript.

MMR

A vaccine administered to a one year old child.

Varicella

One of the vaccines selected for administration to a one year old.

Ddap

The vaccine acronym used for 'small' children, distinct from Tdap for 'tall' children.

Monster in the closet

A common belief of a child; the recommended intervention is to keep a night light on.

Night light

A tool used to help a child who believes there are monsters in the closet.

Hospital sleeping trouble

A condition in children that should be managed by maintaining a routine.

Routine

The intervention used when a kid has trouble sleeping while in the hospital.

Apex of the heart

The specific location where vital signs for a child should be assessed pulse-wise.

One minute

The specific duration required for measuring the heart rate at the apex.

Ericsson

The theorist associated with the psychosocial developmental stage of a toddler.

Autonomy and shame

The psychosocial developmental conflict identified by Ericsson for toddlers.

Moro reflex

A reflex that should end between $3$ to $4$ months; persistence at $9$ months requires further investigation.

Positive Moro reflex at 9 months

A finding during an infant assessment that requires further looking into.

Six months

The age at which an infant's weight usually doubles.

Twelve months

The age at which an infant's birth weight typically triples.

Weight doubling

A standard development milestone reached by an infant at $6$ months.

Weight tripling

A standard development milestone reached by an infant at $12$ months.

Car seat safety

The requirement that a child car seat must be anchored.

Authoritarian

A parenting style characterized by the phrase, 'my child knows she better do what I say.'

Penis enlargement

The first sign of sexual maturation in boys according to the health program for puberty.

Puberty changes in boys

Includes growth spurts, height increases, voice changes, pubic hair, and enlarged testes.

Animism

A characteristic of preschooler development where a child believes a doll is scared of the dark.

Anticipatory grieving

The type of grieving associated with a diagnosis of metastatic liver cancer.

Anterior fontanel

The soft spot on an infant's head that closes at $18$ months.

Posterior fontanel

The soft spot on an infant's head that closes at $2$ months.

Tdap

The vaccine administered to an $11$ year old; remember 'T' is for 'tall.'

Medication resistance

A behavior in children that can be managed by offering juice and water during administration.

Scoliosis

A curvature of the spine monitored in adolescents.

Immunocompromised

A specific contraindication for administering the MMR vaccine to a $15$ old.

Preschooler needle size

$1.8/0.5$ inches.

Deltoid muscle

The specific location for administering vaccine injections to preschoolers.

Furrowed brow

A physical sign in a $6$ month old that indicates the child is in pain.

Dyspnea

Shortness of breath that should be managed as part of correct hospital care understanding.

Hospice eligibility (Breast Cancer)

One of the terminal conditions eligible for hospice care services.

Hospice eligibility (Lung Cancer)

Terminal lung cancer qualifies a client for hospice care.

Hospice eligibility (Kidney Disease)

End stage kidney disease is a qualifying condition for hospice care.

Transdermal patches

Medication delivery systems that require cleaning the area before application at home.

Penicillin IM injection angle

$90$ degrees.

PKU (Phenylketonuria)

A new diagnosis for a newborn that requires a low protein diet in the plan of care.

Low protein diet

The nutritional requirement included in the plan of care for a newborn with PKU.

Autism spectrum

A diagnosis characterized by repetitive movements.

Repetitive movements

A behavior often assessed in children on the autism spectrum.

Light reflex position

$07:00$ position when assessing the child's ears.

Jaundice prevention

Feeding the infant $4$ hours after birth helps prevent this condition.

Spina bifida

A diagnosis that necessitates a latex free environment.

Latex free environment

A critical environmental precaution for a child with spina bifida.

Meningitis vaccine

The immunization recommended for college students.

Failure to thrive

A condition often associated with low birth weight in newborns.

Newborn respiratory rate

$30$ to $60$ breaths per minute.

Newborn apnea

A pause in breathing that should be reported if it lasts over $20$ seconds.

Respiratory distress signs

Clinical indicators including retractions, grunting, and nasal flaring.

Infant temperature range

$97.7$ to $99.3$ degrees.

Fever threshold

An evaluation is required if the temperature is over $100.4$ degrees.

Infant heart rate

$109$ to $164$ beats per minute.

Normal brief apnea

Breath pauses under $10$ seconds in an infant.

Infant blood pressure

$64/41$.

Infant O2 saturation

$95$ to $100$ percent.

Axillary temperature

The most common site (armpit) for measuring a toddler's temperature.

Hep B

The vaccine a baby needs before leaving the hospital.

Growth spurts

A physical change in pubertal school age boys involving height.

Voice changes

A sign of puberty in boys to be included in health program teaching.

Enlarged testes

A physical development sign in school age boys during puberty.

15 old

The patient age mentioned regarding MMR contraindication (specifically immunocompromised).

Retractions

A clinical sign of newborn respiratory issues to be reported.

Grunting

A sound made by a newborn indicating respiratory distress.

Nasal flaring

A visible sign in a newborn's nostrils indicating breathing difficulty.

11 years old

The age at which a well child visit includes the administration of Tdap.

4 hours after birth

The timing for feeding to help prevent jaundice.

90 degrees

The angle at which an intramuscular penicillin injection is performed.

18 months

The specific age for the closure of the anterior fontanel.

2 months

The specific age for the closure of the posterior fontanel.

Autonomy

One half of the toddler psychosocial stage according to Ericsson.

Shame

The negative counterpart to autonomy in toddler psychosocial development.

3 to 4 months

The age range when the Maral (Moro) reflex expectedly ends.

100.4

The numeric temperature at which fever is evaluated in infants.

Tdap for tall

The mnemonic for differentiating the vaccine for older children/adolescents.

Ddap for small

The mnemonic for differentiating the vaccine for younger children.

64 over 41

The specific blood pressure measurement cited for an infant.

95 to 100

The normal range for oxygen saturation (O2) in an infant.

Low birth weight

A factor contributing to 'failure to thrive' in infants.

Meningitis

The specific immunization provided to students entering college.

Latex free

The required status of the room environment for spina bifida patients.

7:00 position

The expected location of the light reflex during a pediatric ear assessment.

Low protein

The specific dietary restriction required for PKU diagnosis.

Repetitive

The type of movements associated with the autism spectrum.

Juice and water

Liquids offered to encourage a child to take resisting medication.

Scoliosis screening

The assessment for curvature of the spine in adolescents.

Immunocompromised

The condition that makes the MMR vaccine contraindicated.

Armpit

The common name for the axillary site used for toddler temperatures.

109 to 164

The numeric range for a normal infant heart rate.

Under 10 seconds

The duration characteristic of brief, normal apnea in an infant.

30 to 60

The normal breaths per minute range for a newborn.

Over 20 seconds

The apnea duration in a newborn that must be reported.

97.7 to 99.3

The infant temperature range provided in the clinical data.

Anterior

The fontanel that closes at $18$ months.

Posterior

The fontanel that closes at $2$ months.

1.8 / 0.5 inches

The needle size specifications for preschooler immunizations.

Anchored

How a car seat should be secured in a vehicle.

Anticipatory Grieving

The nurse identifies this for a family facing metastatic liver cancer.

Apex

The location for taking an infant's pulse for a full minute.