Exam 1 Peds

Economic Stability

The ability of an individual or family to afford basic necessities and manage financial stressors.

Education Access and Quality

The focus on educational attainment, early childhood development, and the quality of schooling available.

Health Care Access and Quality

The availability and timely access to necessary medical services and high-quality care.

Neighborhood and Built Environment

The physical conditions of a neighborhood, including safety, housing quality, and environmental factors.

Social and Community Context

the quality of relationships and interactions with family, friends, co-workers, and community members

why is early identification important

helps spot delays early to improve longtearm outcomes

In family care what is the definiton of Enable

Creating an oportunitiy for family to display things they know and learn new things

In family care what is the definition of Empower

Giving the parents a sense of confidence like they know what they are doing

What does Atramatic care mean

Do no harm

What is the goal of preventing separation

Keeping child and family together as much as possible

What is the goal with promote control

Allowing and giving the child/family choices

What is the goal with prevent pain

Using interventions to minimize pain

What is something imporant that nurses should not say to the children

Tell them lies

What is the age range for Infants

Birth-12mo (1yr)

What is the Erikson stage for infants

Trust vs Mistrust

What is the definition of trust

Childs physical and emotional needs are met

What is the definition of mistrust

Needs are ignored and not met

What happens when an infant does not learn delay gratification

It can lead to mistrust

what is delay gratificatoin

The ability to resist the temptation for an immediate reward and wait for a later reward. It is crucial for emotional and social development in children.

What are the stages in sensorimotor

Object permance

Mental repisentation

Seperation

Object peremence

The understanding that objects continue to exist even when they cannot be seen or heard

Seperation

Able to seperate themselves from objects and enviorment

Mental reprisentation

Recognize and use symbols

How much does an infant gain weight at 6 months

It doubles

How much does an infant gain weight at 12 months

It triples

What is the recommended nurtition for an infant

Brestmilk

Formula

Vitamin D

Till when is brestmilk given

6 months

Why is vitamin D given to infants

Prevents rickets

What are some foods that should not be given to infants

Cow milk

Water

Juice

When can juice and water be given

4 and 6 months

When can solid foods be introduced

6 months

How should solid foods be introduced

One single ingredient at a time and new food evert 3-5 days

When is the postieror fontanelle expected to close

2 months

When is the anterior fontanelle expected to close

12-18 months

When does stanger anxity begin

6-8 months

When does speration anxiety begin

4-8 months

When do infants get their first tooth

6-10 months

What are some symptoms of teething

Sucking

Biting fingers or objects

Drooling

Difficulty sleeping, feeding

Ear rubbing

What are some options for teething discomfort

Teeth rings, Ice cubes with cloths, teething gel

How can SIDS be prevented

Firm bedding

Sleep on back

Dont sleep with baby

Nothing in crib

Avoid smoking

What are approriete activites

Rattles

Teething toys

Pat-a-Cake

Read book

Play ball

Blocks

Bright toys

What is the age group of toddler stage

12-36 months (1-3 yrs)

What is Eriksons developmental stage for toddlers

Autonomy vs Shame and Doubt

What is the goal for autonomy

Getting the toddler to be independent and encourage them

What is the Piaget stage for toddlers

Sensorimotor→Preoperational stage

What is the goal with sensorimotor

Repetative behavior

Curiosity

Permanece

How many pounds to toddlers gain each year

4-6 pounds

How many inches do toddlers grow per year

2-3 inches

What is parallel play

When toddlers play near or alongside but not with eachother

When can whole milk be initiated

12 months

What is the max number of ounces of milk a toddler should drink per day

16-24 ounces

When is a toddler ready to potty train

18-24 months

Children age of 0-2 should be put into what type of automobile safety

Rear-facing seat

Children age of 3-4 sound be put into what type of automobile safety

Forward-facing seat with 5 point harness

Children at the school age (6-12yrs) should be put into what type of automobile safety

Booster seat until 4’9 in height or 8-12

When educating family members on gun safty we should include

Keep guns locks and away from children

What is a key education point for avoiding burns

Keeping hot liquids out of reach, wear sunscreen

What are some ways parents can avoid accidental drownings

Never leave children unattended around water

Give 100% attention near water

Avoid cell phones

Lifejackets

Parent CPR

What are the warning signs of suicide?  

Distance, energy/happy, letters,thoughts,giving things away

What is something required on admissions when asking about suicidal thoughts

Ask privete and take time to ask the question

What age group is greatest risk for poisoning

Toddlers

What is the first thing a parent should do if the child is experiencing a poisioning

Call poision control

Why do we not want to make the child throw up after a poisioning

Risk for asperation, if its something that burns,

What do we treat when a poisoning happen

Treat the child

What are some signs of early Acetaminophen Poisoning

N/V, sweating, and pallor

What are some signs of late Acetaminophen Poisoning

pain in RUQ, jaundice, vomiting, confusion, and coagulation issues effect liver

What are some early signs of Acetylsalicylic Acid Poisoning

N/V, hyperventilation, and tinnitus

What are some early signs of Acetylsalicylic Acid Poisoning

hyperactivity, fever, confusion, seizures, renal failure, and respiratory failure

What are some treatments for Acetylsalicylic Acid Poisoning

Activated charcoal

Sodium Bicarb

Anticonvulsants  for sezuires

Vitamin K clotting

IVF? Depends on severity

Hemodialysis? Depends on severity, monitor UO, BUN, CRE

What are S/S of lead posioning

Neurological

Renal

Hematologic

Oftentimes no symptoms

What treament do you give paients if lead levels are <5-

Education

What treament do you give paients if lead levels are 20-44

Education, surveillance, chelation therapy

What treament do you give paients if lead levels are >70

Initiate chelation therapy

What is the correct assesment squence

Least invasive first and BP last

Age of preschoolers

3-5 years

Preschool Erikson stage

initiative vs guilt

Preschoolers Piaget stage

preoperational

What does initiative mean?

The ability to take action independently and make choices.

what is associative play

group play in similar or idential activites w/ organization or rules

how much weight do preschoolers gain per year

4-6 lbs

how many inches do preschoolers grow per year

2.5-3.5 inches

what is the daily calorie intake required for preschoolers

1200-1400

when do preschoolers start using sissors

age 4

when do preschoolers begin riding tricycles

age 3

when do preschoolers tie shoelaces

age 5

when do preschoolers have a vocab of 2100 words or more

age 5

What is the age range od school age

6-12 yrs

What is eriksons developmental stage

industry vs inferiory

what is the pidget stage

concreate

what is coperative play

play with others and have complete drive

how much weight do school agers gaain per year

2-3 kg

how many inches do school agers grow

5cm

what is school agers consept of time

learning time

what is the age group for adolecents

12-18 yrs

what is adolecents erikson developmental stage

identity vs role confusion

what is piaget stage for adolescents

formal operation