Pediatric Nursing and Development Practice Flashcards

Practice flashcards covering pediatric developmental milestones, car seat safety, vital signs, vaccine schedules, Erkinson's psychosocial stages, and pain assessment scales based on lecture notes.

Car seat orientation

Should be rear facing until age $2$.

Car seat harness buckled level

The buckle should be placed at the armpit level.

Car seat strap quality

Straps must be snug and flat.

Infant clothing in car seats

Bulky clothing should not be worn under the harness.

Blanket placement in car seats

Should be placed over the harness if needed.

9 month old Doll's eye reflex

Disappears as the neurological system matures.

9 month old Crawl reflex

Disappears around $6$ weeks.

Babinksy reflex (toe direction)

The big toe goes up.

Babinksy reflex (toes other than the big toe)

Toes fan outward.

Modified head to toe approach

Do least invasive to most invasive assessments.

ENT and BP assessment timing

Should be performed last in the assessment sequence.

Painful areas assessment timing

Assess these areas last.

Lower limit of normal infant temperature

$$97.7$$

Upper limit of normal infant temperature

$$99.3$$

Infant fever threshold for evaluation

Fever over $100.4$

Normal infant heart rate (HR) range

$109-164$ beats per minute.

Normal infant respiratory rate (RR) range

$30-60$ breaths per minute.

Normal infant brief apnea duration

Under $10$ seconds.

Typical infant blood pressure (BP)

$64/41$ (though not usually measured).

Normal infant oxygen saturation (O2)

$$95-100$$

Axillary temperature site

The armpit; the most common route for toddlers.

Temporal temperature site

The forehead.

Tympanic temperature site

The ear.

Rectal temperature

The most dangerous temperature measurement route.

Preferred temperature routes for febrile state

Tympanic or temporal.

Preferred temperature routes for hypothermic state

Tympanic or temporal.

Toddler fever criteria

Over $100.4$

3 month milestone: Head mobility

Lifts head.

3 month milestone: Vocalization

Coos.

3 month milestone: Behavioral response

Social smile.

6 month milestone: Mobility

Rolls over.

6 month milestone: Positioning

Sits with support.

8-9 month milestone: Mobility

Crawls.

8-9 month milestone: Object manipulation

Grabs objects.

8-9 month milestone: Fine motor skill starting

Pincer grasp starting.

12 month milestone: Mobility

Walks with support.

12 month milestone: Speech quantity

Says $1-3$ words.

15 month milestone: Mobility

Walks independently.

15 month milestone: Fine motor manipulation

Stacking $2$ small objects.

18 month milestone: Speech quantity

Speaks $5$ or more words.

18 month milestone: Furniture mobility

Climb on and off furniture.

18 month milestone: Fine motor creativity

Scribbles.

18 month milestone: Speech structure

Uses $2$ syllable words.

2 year milestone: Mobility

Runs.

2 year milestone: Play skill

Kick a ball.

2 year milestone: Representative gestures

Blowing kiss or waving.

2 year milestone: Speech structure

$2$ word sentences.

2.5 year milestone: Reading interaction

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

2.5 year milestone: Mobility

Jump with both feet.

2.5 year milestone: Dexterity

Twist doorknob.

3 year milestone: Socialization

Engages play with other children.

3 year milestone: Mobility

Ride tricycle.

3 year milestone: Self-care

Puts on clothes independently.

3 year milestone: Speech structure

$3$ word sentences.

4 year milestone: Mobility

Hops on one foot.

4 year milestone: Speech quality

Speaks clearly.

4 year old vaccine: Pertussis component

tdap

4 year old vaccine: Polio component

IPV

4 year old vaccine: Viral group

MMR

4 year old vaccine: Chickenpox protection

varicella

Erik Erikson's toddler stage (1-3 years)

Autonomy vs shame and doubt.

Toddler goal for psychosocial development

Wants independence ("me do it").

Clinical method for toddler autonomy

Offer choices to the child.

Standard choice options for a toddler

Do you want the red cup or blue cup?

FLACC scale: "F"

Face.

FLACC scale: "L"

Legs.

FLACC scale: "A"

Activity.

FLACC scale: First "C"

Cry.

FLACC scale: Second "C"

Consolability.

FLACC scale population

For infants.

Faces scale population

For older children.

Hospice care eligibility

Restricted for clients who are terminally ill.

Hospice client life expectancy

Expected to live $2-3$ months.

Hospice criteria (Lung Cancer)

Terminal lung cancer and discontinued all treatment.

Hospice criteria (Kidney Disease)

End stage kidney disease and who has stopped dialysis.

Failure to thrive (weight)

Characterized by poor weight gain.

Failure to thrive (development)

Characterized by delayed development.

Failure to thrive (growth)

Characterized by a lack of growth.

Infant oxygen saturation threshold (low)

$$95$$

Infant oxygen saturation threshold (high)

$$100$$

Infant fever (numeric limit)

$$100.4$$

Toddler temperature route (temporal)

Taken at the forehead.

Toddler temperature route (tympanic)

Taken in the ear.

Erikson stage age range

$1-3$ years for autonomy vs shame and doubt.

Number of word sentences for a 2 year old

$2$ word sentences.

Number of word sentences for a 3 year old

$3$ word sentences.

Syllable milestone for 18 month old

Uses $2$ syllable words.

15 month stacking milestone

Stacking $2$ small objects.

18 month speech volume

$5$ or more words.

12 month speech volume

$1-3$ words.

Brief infant apnea normal limit

Under $10$ seconds.

Infant heart rate minimum

$$109$$

Infant heart rate maximum

$$164$$

Infant respiratory rate minimum

$$30$$

Infant respiratory rate maximum

$$60$$

Babinksy reflex fan movement

Toes fan outward.

Crawl reflex disappearance age

Around $6$ weeks.

Most invasive assessments

ENT and BP (performed last).

Sequence for pediatric assessment

Least invasive to most invasive.

Failure to Thrive growth definition

Lack of growth, poor weight gain, and delayed development.