NURS 325 test 4 (not finished)

what is a major goal of pediatric nursing

improve quality of health care for the patient and the family

why is family centered care important

kids dont care for themselves, the caregiver needs to also be involved in the care

what are health care priorities for american children

poverty, lack of insurance, environmental health, nutrition, firearm death/injury, mental health, racial disparities, immigration

why is mental health a priority for american children

lack of help for kids and teens, more crisis

what are some issues with environmental health for kids

pollution, radiation, lead paint, secondary smoke, urban vs suburban

what may lead to kids living in places with worse environments

lower socioeconomic status

what is health promotion

teaching good habits for everyone to achieve the fullest health potential

what is a health disparity

something that sets you apart - closly linked with socioeconomic status

what is health equity

attainment of the highest level of health for all people

what is health literacy

patients understanding of the health teachings

what is organizational health literacy

hospitals responsibility to provide info at a good level

what are the bright future goals

specific goals for peds populations written by the american academy of peds

what are some of the bright future goals

family support, child dvlp, mental health, healthy nutrition/weight, physical activity, oral health, healthy sexual dvlp, safety, importance of relationships

what are some childhood health problems

obesity, type 2 diabetes, childhood injury, violence, vaping, mental health problems

what is the BMI/percentile for obesity

BMI over the 95th percentile

what is the BMI/percentile for overweight

BMI between the 85th and 95th percentile

why is childhood obesity/diabetes an issue

decreased playing outside, sedentary lifestyle, fast food, decreased after school activities, unsafe public spaces

what are cardiometabolic changes in childhood obesity

HTN, glucose metabolism altered, dyslipidemia, abdominal obesity

why is childhood violence a rising issue

violence on the internet/video games, mass media, mentally unstable parent or family, desensitized to violence

what does childhood violence do to risk of homicide and suicide

increases the risk

what are some common childhood mental health issues

anxiety, adhd, OCD

when is neonate mortality

less then 28 days of life

when is postnatal mortality

28 days to 11 months

what is a major determinant of neonatal death

birth weight

leading causes of neonatal/postnatal death

congenital abnormalities, short gestation/LBW, maternal preg complications, SIDS, accidents, placental complications

are death risk for children under 1 year less or more then infants

more

what is the leading cause of death in every age group

injury

what are specific childhood groups that have increased morbidity

homeless, living in poverty, low birth weight, chronic illness, forgin born children, children in day care centers

what accounts for 50% of acute conditions

resp illness

what accounts for 11% of acute conditions

infection

what accounts for 15% of acute conditions

injuries

what are risk factors for childhood injuries

sex, temperament, stress, alc/drug use, hx of previous injury, developmental characteristics, cognitive characteristics, anatomic characteristics

what are some cognitive characteristics

early puberty, challenge rules/asert themselves, looking for peer approval

what is a large developmental advancement in infants

sensory motor - putting in mouth

what is a large developmental advancement in toddlers

object perminance - looking for something they have seen

what is a large developmental advancement in schoolage kids

may attempt dangerous acts without a plan or safety

what is a large developmental advancement in adolescence

here/now - thinking about what people think not worried about the consequences

what is enabling

create opportunities and means for all family members to help with care and future care - show what they know and teach

what is empowering

help families maintain a sense of control over family life - help educate and make feel more comfortable

what is atraumatic care

care that minimized distress

parts of atraumatic care

therapeutic care, settings, personnel, interventions, reduce psychological distress, minimize physical distress, do no harm

how to reduce psychological distress during child care

use distraction, relate as individual, explain on their level, treatment room, play therapy

how to minimize physical distress during child care

buzzy for shots, parents can hold/comfort, if parents overreact kids will too, rewards, med prep away from kid

the three steps of do no harm

prevent/minimize separation, promote sense of control, minimize/prevent bodily injury/pain

what are the roles of the pediatric nurse

therapeutic relationship, family advocacy and caring, disease prevention and health promotion, health teaching, injury prevention, support, coordination of care, ethical decisions, research, EBP

what is anticipatory guidance

health teaching based on anticipating what comes next

what is the definition of family

different for everyone, whatever the individual decides it is

what is a consanguineous relationship

a blood relationship

what is a affinal relationship

a marital relationship

what is a family of orgin

the family someone is born into

what may be a better term then family to use

household

what is the family systems theory

a change in one part of the family system affects all other parts

what is the family stress theory

an event (even if positive) can be stressful for the fmaily

what is the development theory

families develop and change over time in similar and consistent ways

what is anticipatory guidence

education for possible future events so the person knows what to expect

what is duvalls developmental stages based off of

the oldest child

what is stage one in duvalls developmental stages

marriage and an independent home

what is stage two in duvalls developmental stages

fmailies with infants

what is stage three in duvalls developmental stages

families with preschoolers

what is stage four in duvalls developmental stages

families with school children

what is stage five in duvalls developmental stages

families with teenagers

what is stage six in duvalls developmental stages

families as launching centers

what is stage seven in duvalls developmental stages

middle aged families

what is stage eight in duvalls developmental stages

aging families

how should parents be used in the hospital

as the experts of their childs conditions and "normals"

what is a traditional nuclear family

mom and dad with the biological children - kids with both parents and full siblings

what is a nuclear family

mom and dad with kids - can be biologic, step, adopted, or foster

what is a blended family

blending of multiple households - 1 step parent or sibling

what is an extended family

living with a grandparent or other family member - 1 parent, 1 kid, 1 other member

what is a single parent family

only one parent caring for 1 or more kids

what is a binuclear family

parents continuing the parenting role with spouse even after divorce - spend time with mom and dad spereatly

what is a communal family

making own family

what are charecteristics of a strong family

commitment, apprechation, encouragement, time, communication

what is family roles

every person of the family have a role

what happens when family roles are not completes

others take on responsibility, decreased school preformance

what is role learning

having parents or siblings as role models

what is an authoritarian parenting style

becasue i say so - parents control kids behaviors

what is a permissive parenting style

anything goes - little control over kids actions

what is an authroitative parenting style

knowing when rules are needed and not

what is disapline goal

teaching a set of rules that govern conduct

what are reasons for misbehaving

learned behavior, not knowing how to communicate feelings, learning to challenge bounderies, attention seeking

types of punishment

positive reinforcement, reasoning, taking away things, physical, rewards, negative talk, ignoring, timeout

differences when parenting an adopted child

fewer support, less time to prepare

what is the impact of divorce on infants

dont know the difference

what is the impact of divorce on early preschool

blame themselves, fear of abandonment, regression

what is the impact of divorce on later childhood

blame self, fear of abandonment, act out

what is the impact of divorce on early schoolage

appetite and sleep changes, anxiety, agression, depression

what is the impact of divorce on middle school age

deprivation, loss of secure future

what is the impact of divorce on later school age

realistic understanging, anger to parents

what is the impact of divorce on teenager

able to disengage from parental conflict, more distractions

how to tell kids about divorce

both parents, siblings involves, follow up with individual discussions

what is divided custody

each parent gets some kids

what is joint custody

either alternalte homes or stay with each parents parts of year

problems in single parenting

mothers raising sone, finances, childcare struggles

problems with single fathers

cant relate to daughters, not used to hommaking

problems in reconstituted families

hate to new step family, not listening to step parents, new family roles

problems in duel earner families

less time with kids, work vs home life, childcare

problems with working mothers

fathers resenting being stay at home dads, shifting house roles, maternal guilt, society standards

outside influences on kids

schools, peers, community, social media, mass media

what is nonpaternlistic

we are not always the experts