NUR 3 test 2

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fisheatflies
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102222
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NUR 3 test 2
Updated:
2011-09-16 22:49:30
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peds pregs perineums
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Units 1, 3, 4
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  1. How do you take tempanic temp on infant?
    Down and back (ChilD = Down)
  2. Cephalocaudal development
    • -Development proceeds from head downward.
    • -i.e., Hold up head early in development, learn to walk late in infancy.
  3. Proximodistal development
    -First able to control the trunk, then the arms; fingers
  4. 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
  5. Factors affecting growth and development:
    • a. Genetics
    • b. Environment
    • c. Health Status
    • d. Nutrition- what parents know/believe about nutrition.
    • e.Culture
    • f. Family-
  6. Growth and development for 2-3 months
    • Turns head side to side;
    • smiles,
    • cries;
    • follows objects (mobiles in cribs).
  7. Growth and development for 4-5 months
    • Rolls over from front to back;
    • grasps objects and switches from hand to hand (holds rattle);
    • enjoys social interaction;
    • aware of surroundings;
    • begins to show memory
  8. Growth and development for 6-7 months
    • Creeps; sits with support;
    • doubles birth weight;
    • rolls over from back to front;
    • holds arms out,
    • waves bye-bye;
    • mood swings.
    • Toys that use sense and baby can minipulate
  9. Growth and development for 8-9 months
    • Sits alone without support;
    • crawls,
    • stands while holding on;
    • babbles
  10. Growth and development for 10-11 months
    • Pulls self to standing;
    • walks holding on to furniture;
    • stranger anxiety increasing;
    • understands object permanence (peek-a-boo,
    • mirrors, push/pull toys
  11. Growth and development for 12-13 months
    • Walks with one hand held;
    • stands alone;
    • triples birth weight;
    • has 6 teeth;
    • drinks from cup;
    • can take a few steps w/o falling. (large safety risk)
  12. Growth and development for 14-15 months
    • Walks alone;
    • shows emotions such as anger, affection;
    • explores away from mother in familiar setting.
    • toys with pieces/parts)
  13. Expected outcomes for 2 yo
    • Runs, jumps, walks up steps;
    • parallel play
    • changes toys often,
    • enjoys push-pull toys; builds small tower of blocks; “NO”
  14. Expected outcomes for 3 yo
    • Hops on one foot,
    • walks backwards;
    • rides a tricycle;
    • Potty trained.
    • Brushes teeth.
  15. Expected outcomes for 4 yo
    • Dresses self without help;
    • understands sharing,
    • needs socialization.
    • Choose toys/puzzles with fine motor development; uses scissors
  16. Erickson's Stage for birth - one year (Infancy)
    • Trust vs. Mistrust
    • Attachment to mother
  17. Erickson's Stage for 1-3 yo (Toddler)
    • Autonomy vs. Shame/Doubt
    • Gaining control over self and environment
  18. Erickson's Stage for 3-6 yo (Preschool)
    • Initiative vs. Guilt
    • Becoming purposeful and directive
  19. Erickson's Stage for 6-12 yo (School-age)
    • Industry vs. Inferiority
    • Developing skills to "be a worker"
  20. Erickson's Stage for 12-20 (Adolescence)
    • Identity vs. Role Confusion
    • Appearances & peers important
  21. Reasons for regression in a child's development
    Any time there is a stressor (starting school, new baby in home, change in environment, etc)
  22. 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:
    • Personal social
    • Fine motor-adaptive
    • Language
    • Gross motor skills
  23. Types of play: Newborn
    • Observation:
    • -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
  24. 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.
  25. Types of play: Preschooler
    • Associative:
    • -More interested in each other than the toys they
    • are using.
    • This is the first category that involves strong social interaction between the children while they play
  26. Types of play: School-age
    • Cooperative:
    • -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
  27. Types of play: Adolescent
    • On-looker:
    • -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
  28. When does separation anxiety peak
    Separation anxiety peaks at 9 months
  29. 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
  30. What is normal respiratory rate of newborn?
    30-60 breaths/min
  31. Proper med aministration techniques for: Infant
    • Have help to retrain
    • Cuddle and comfort before/after
  32. Proper med aministration techniques for: Toddler
    • Use play
    • Restrain as little as possible
    • Give praise and rewards
  33. Proper med aministration techniques for: Preschooler
    • Give as much control as possible
    • Offer choices
    • Give bandaid
  34. Proper med aministration techniques for: School-age
    • Provide choices and explainations
    • Provide distraction & support
  35. Proper med aministration techniques for: Adolescent
    • Expalin and allow them to participate in decisions
    • Praise cooperation
    • Provide outlet for frustration
  36. Amoxicillin
    • -May increase potassium and sodium levels. (watch lvls)
    • -Instruct parents not to give with juices, cola, or caffeine (may decrease effectiveness)
  37. Erythromycin
    • - Do not give with acidic fruit juices and milk
    • products (may decrease effectiveness)
  38. Prednisone
    • -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
  39. Tagamet
    • -Do not take within one hour of antacids.
    • -Do not eat foods that may irritate GI tract
  40. Pancrease MT
    • -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
  41. Motrin
    • Take with food or milk to prevent GI irritation.
    • Do not take foods that cause GI irritation
  42. Tylenol
    • -Should not be taken with anything that
    • is hard on the liver.
    • -Decrease intake of pickled foods

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