peds

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carolyn
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102779
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peds
Updated:
2011-09-19 12:42:01
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peds ppt
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  1. goals of nursing care of children
    promote, maintain, and restore the health child and family
  2. family is ____- in a childs life inclusion of them is _____ for family centered care
    • constant
    • essential
  3. how are children different
    • Physically
    • Emotionally
    • Cognitively
  4. nursing care should be based on child's _________
    developmental level
  5. stages of development

    Neonate
    Infant
    Toddler
    Preschool
    School Age
    Preadolescence
    Adolescence
    • Neonate Birth – 28 days
    • Infant 1month – 12 mos
    • Toddler 12 mos – 3 yrs
    • Preschool 3 yrs – 6 yrs
    • School Age 6 yrs– 10 yrs
    • Preadolescence 10 – 12 yrs
    • Adolescence 13 – 20 yrs
  6. Moral development

    Acceptance of the values and rules of
    society in such a way that shapes behavior

    Sequential series of levels and behaviors

    But DO NOT always go from one stage
    to another
    lawrence kohlberg
  7. Cognitive acts which the mind organizes
    and adapts to its environment

    Schema, schemata, assimilation,
    accommodation
    jean piaget
  8. Psychosocial tasks that are accomplished
    through the life cycle
    erik erikson
  9. How can nurses maximize client/family
    nurse contact?
    • Initial assessment determines NEED
    • for immediate care
    • -Stabilization
    • -Comfort

    • Assessment of their psychosocial /
    • developmental level
    • -Proper interventions based on your
    • physical findings, vs’s, nutrition, skills, play and safety



    • Allow the child to feel comfortable with
    • the nurse

    Communicate through the use of objects

    • Allow the child the express fears and
    • concerns

    • Speak clearly and in a quiet, unhurried
    • voice

    Offer choices when possible

    Be honest with the child

    Set limits with the child as appropriate
  10. what do children require more of when doing procedures or obtaining labs
    • Children require more specific
    • explanations and directions in an age appropriate format
  11. client needs to be ______ if a CC or culture is needed
    toilet trained
  12. where can blood specimen be obtained for children
    • Hand
    • ac
    • heel
    • femoral
    • jugular,
    • (feet, scalp)
  13. chlora prep cannot be used on
    infants
  14. ns flush with additives is contraindicated in _____ because ______
    • infants
    • it can KILL them
  15. what does a lumbar puncture for children test for
    • Usually to test for meningitis
    • (bacterial)

    *client in fetal position, held still
  16. signs of seperation anxiety for the hospitalized infant or toddler
    • Protest – verbal /physical attacks,
    • crying, searching for parent

    Despair – withdrawn, depressed

    Detachment- uncommon

    • Fearof Injury and Pain
    • --Affected by previous experiences, sep from parents and preparation forexperience

    • Loss of Control
    • --Change in routine, rituals…..regression
  17. should a nurse accept regressive behavior from children
    YES
  18. the hospitalized preschooler will have what type of seperation anxiety
    • A Less obvious and serious anxiety
    • But does worsen w/ stress
  19. an infants height increases ______-
    3/4 each month
  20. infants weight ____ by 3 months and ______ 6 months
    • doubles
    • triples
  21. Anterior fontanel (N=soft, flat) is
    closed by ____

    Posterior “” closes by end of _____
    • 12- 18 months
    • 2nd month
  22. Nutrition (Breast or bottle)

    Human is preferred form of nutrients x ___ mos

    Human or fortified x ____ year

    Birth Iron stores depleted by ______
    • 6
    • 1
    • 4 months
  23. how should solid foods be given and when
    Solid foods by 5-6 mos…one at a time to id allergens(over 4-5 days)
  24. sequence of nutrition:
    • Rice cereal
    • Fruits and veggies (yellow then green)
    • Meats
    • Eggs
  25. avoid solid foods such as _______ because of choking hazard
    • Nuts
    • raisins
    • popcorn
    • hot dogs
    • grapes
  26. honey hould not be given ______ because ______
    <2 years bc of botulism
  27. Skills 2-3mos
    smiles

    turns head to side

    cries

    follows objects

    holds head in midline
  28. Skills 4-5 months
    grasps objects

    switches object from hands

    rolls over for 1st time

    enjoys social interaction

    begins to show memory

    aware of unfamiliar surroundings
  29. Skills 6-7 months
    • creeps
    • sits w/ support
    • imitates
    • exhibits fear of strangers
    • holds arms out
    • frequent mood swings
    • waves bye-bye
  30. Skills 8 – 9 months
    • sits steadily unsupported
    • crawls
    • may stand while holding on
    • begins to stand without help
  31. when should a child see a dentist
    when the first teeth erupt
  32. is lordosis normal in an infant
    yes
  33. when should a limited number of foods be offered to toddlers
    at any one time
  34. a toddler has a vocabulary of ____ at age 2
    300

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