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What are the organic and inorganic factors that influence growth and development?
Genetics, culture, health status, social factors.
Why is it important to understand typical growth and development?
Recognize alterations, guide nursing care, intervene early, prevent injuries, provide anticipatory guidance.
What is a screening tool?
Looking to see if milestones are being met.
What is a diagnostic tool?
Will diagnose a child with some sort of disorder or disability.
What is used in assessing physical growth?
Monitors growth of child, important to look at trends over time.
What percentage of kids have to be doing something in order for milestones to be met?
75%
Newborn age range
First month.
Infant age range
1 month - 12 months
Toddler age range
1 year - 3 years
Preschool age range
3 - 6 years
Adolescent age range
13-17 years
What happens to the heart rate as children grow?
decreases
What happens to the respiratory rate as children grow?
decreases
What happens to the blood pressure as children grow?
increases
What happens to the hemoglobin as children grow?
increases
What happens to ability to concentrate urine as children grow?
increases
What is the infant's urine output?
1-3ml/kg/hr
Why can babies not drink water?
Glomerular filtration rate is not matured yet.
How is the breathing pattern in infants?
Irregular
We worry if apnea is greater than how many seconds in infants?
10
What is the heart rate for infants (1m-12m)?
90-160
Maternal iron stores only last for how long?
5-6 months
Furosemide dosing ranges are 1mg – 2mg/kg per dose , patient weighs 9 kgs. What are the safe dosing ranges of furosemide for this child?
9mg – 18mg per dose
Weight doubles by?
5-6 months
Weight triples by?
6-12 months
Weight quadruples by?
2-3 yrs
Length increases by 50% by?
12 months
12 months
Head and chest are approx. the same at what age?
Cephalocaudal
Heads to toes progression?
Proximal Distal
Gross motor before fine motor
When do they start to have a social smile?
2-4 months
When do the two fontanelle close by?
Posterior (2-3months) anterior (12-18months)
6 months
Say dada and mama by what age?
9-10 months
Understand NO by what age?
What are the cognitive/psychosocial stages of an infant?
Erikson: Trust vs. Mistrust, Piaget: Sensorimotor
What are the stages of toddlerhood?
Erikson: Autonomy vs. Shame and Doubt, Piaget: Preoperational Stage
What are the stages of a preschooler?
Erikson: Initiative vs. Guilt, Piaget: Preoperational Stage
What are the stages of a school-age child?
Erikson: Industry vs. Inferiority , Piaget: Concrete Operational Stage
What are the stages of an adolescent?
Erikson: Identity vs. Role Confusion, Piaget: Formal Operational Stage
What is head lag?
Cannot hold head up
What is raking grasp?
Use their hand like a rake and cannot really grab easily
What is crude grasp?
Grab food with their whole fist
Furosemide 15 mg IV x1 ordered, furosemide comes in vials of 20mg/2mLs How much should the nurse prepare in the syringe to administer?
11 Units
Current blood glucose: 250mg/ dL Target Blood glucose: 100mg/dL Insulin sensitivity factor: 25 Planned carbohydrate intake: 75 grams, Insulin to carb ratio: 1:15. This gives what units?
This child is in 60% for height. What does this mean?
This child is taller or same as 60 % of other girls her age.