NUR 3 test 2
Card Set Information
NUR 3 test 2
peds pregs perineums
Units 1, 3, 4
How do you take tempanic temp on infant?
Down and back (Chil
D = D
-Development proceeds from head downward.
-i.e., Hold up head early in development, learn to walk late in infancy.
-First able to control the trunk, then the arms; fingers
General to Specific development
– Screaming/crying (can’t explain what they like or don’t like);
eventually can be specific about where they hurt, can localize the problem
Factors affecting growth and development:
c. Health Status
d. Nutrition- what parents know/believe about nutrition.
Growth and development for 2-3 months
Turns head side to side;
follows objects (mobiles in cribs).
Growth and development for 4-5 months
Rolls over from
front to back
grasps objects and switches from hand to hand (
enjoys social interaction;
aware of surroundings;
begins to show memory
Growth and development for 6-7 months
sits with support
doubles birth weight
rolls over from
back to front
holds arms out,
Toys that use sense and baby can minipulate
Growth and development for 8-9 months
Sits alone without support;
stands while holding on
Growth and development for 10-11 months
Pulls self to standing
walks holding on to furniture;
stranger anxiety increasing;
understands object permanence (
mirrors, push/pull toys
Growth and development for 12-13 months
Walks with one hand held;
triples birth weight;
has 6 teeth;
drinks from cup;
can take a few steps w/o falling. (
large safety risk
Growth and development for 14-15 months
shows emotions such as anger, affection;
explores away from mother in familiar setting.
toys with pieces/parts
Expected outcomes for 2 yo
Runs, jumps, walks up steps;
changes toys often,
enjoys push-pull toys; builds small tower of blocks; “NO”
Expected outcomes for 3 yo
Hops on one foot,
rides a tricycle;
Expected outcomes for 4 yo
Dresses self without help
Choose toys/puzzles with fine motor development; uses scissors
Erickson's Stage for birth - one year (Infancy)
Trust vs. Mistrust
Attachment to mother
Erickson's Stage for 1-3 yo (Toddler)
Autonomy vs. Shame/Doubt
Gaining control over self and environment
Erickson's Stage for 3-6 yo (Preschool)
Initiative vs. Guilt
Becoming purposeful and directive
Erickson's Stage for 6-12 yo (School-age)
Industry vs. Inferiority
Developing skills to "be a worker"
Erickson's Stage for 12-20 (Adolescence)
Identity vs. Role Confusion
Appearances & peers important
Reasons for regression in a child's development
Any time there is a stressor (starting school, new baby in home, change in environment, etc)
Denver Developmental Screening Test (DDST)
-This test identifies how a child is developing in comparison to peer group from birth to age 6
- Four main categories:
Gross motor skills
Types of play: Newborn
-The child is relatively stationary and appears to be performing random movements with no apparent purpose.
-A relatively infrequent style of play (except for the infant…where this is the normal play until they can actively participate and interact
Types of play: Infant - Toddler
SOLITARY-PARALLEL (side by side)
-The child is completely engrossed in playing and does not seem to notice other children.
-Most often seen in children between 2 and 3 years-old.
Types of play: Preschooler
-More interested in each other than the toys they
This is the first category that involves strong social interaction between the children while they play
Types of play: School-age
-Some organization enters children's play, for example
the playing has some goal
-Children often adopt roles and act as a group.
-Change rules so they can win
Types of play: Adolescent
-Child takes an interest in other children's play but
does not join in.
-May ask questions or just talk to other children,
-but the main activity is simply to watch
When does separation anxiety peak
Separation anxiety peaks at 9 months
What are the three stages of separation anxiety?
Which is the healthiest?
a) Protest- scream, complain, cry when caregiver leaves (most healthyerest)
b) Despair- Sad but doesn't expend energy on expressing it
c) Denial- connect to staff and no longer attached to caregiver
What is normal respiratory rate of newborn?
Proper med aministration techniques for: Infant
Have help to retrain
Cuddle and comfort before/after
Proper med aministration techniques for: Toddler
Restrain as little as possible
Give praise and rewards
Proper med aministration techniques for: Preschooler
Give as much control as possible
Proper med aministration techniques for: School-age
Provide choices and explainations
Provide distraction & support
Proper med aministration techniques for: Adolescent
Expalin and allow them to participate in decisions
Provide outlet for frustration
-May increase potassium and sodium levels. (watch lvls)
-Instruct parents not to give with juices, cola, or caffeine (may decrease effectiveness)
- Do not give with acidic fruit juices and milk
products (may decrease effectiveness)
-Encourage patient to increase intake of protein & decrease intake of sugars.
-Vitamin D and oral calcium may be ordered to decrease risk of osteoporosis later on in life
-Do not take within one hour of antacids.
-Do not eat foods that may irritate GI tract
-Do not take with acidic fruit juices.
- Diet of high calories, high protein, and low fat is recommended.
-Alkaline foods are contraindicated with enteric coated pills
Take with food or milk to prevent GI irritation.
Do not take foods that cause GI irritation
-Should not be taken with anything that
is hard on the liver.
-Decrease intake of pickled foods