NCLEX PEDS

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Author:
Carla
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142976
Filename:
NCLEX PEDS
Updated:
2012-03-21 21:19:34
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NCLEX PEDS
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NCLEX PEDS
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  1. Moro Reflex
    • When support for the neck and head is removed, arms thrust out and then seem to embrace as fingers curl
    • Gone by 2 months
  2. Palmer Grasp
    • When hand is touched, fingers curl around and cling
    • Gone by 5 – 6 months
  3. Plantar grasp (Babinski)
    • When foot is touched, toes spread out and foot twists inwards
    • Gone by 9 – 12 months
  4. Sucking
    • When an object is placed in mouth, rhythmic sucking occurs
    • Replaced by voluntary sucking at 2 months
  5. Rooting
    • When stroked on cheek, head turns toward hand in search for food
    • Gone by 4 months
  6. Stepping/Walking
    • When held upright and feet are touching a flat surface, places one foot in front of other
    • Gone by 2 – 4 months
  7. Placing
    • When surface touches top of foot, foot lifts
    • Gone by 4 months
  8. Tonic Neck (Fencing)
    • When a baby's head is turned to one side, the arm on that side stretches out and the opposite arm bends up at the elbow
    • Gone by 6 – 7 months
  9. Hepatitis B
    Given at 0-2 months & 2 – 4 months
  10. DTaP
    Given at 2, 4, & 6 months
  11. Hib
    Given at 2, 4, & 6 (12 – 15 months* catch up administration)
  12. Varicella Zoster
    Given at 12 to 18 months
  13. MMR
    • Measles, Mumps, Rubella
    • Given at 12 to 15 months & 4 – 6 years
  14. Know that the Denver II Tests rate:
    Gross Motor, Language, Fine Motor (Adaptive), & Personal (Social)
  15. Solitary Play
    The 1st year of life
  16. Music, mobile, large soft toys are appropriate for
    0 - 6 months
  17. Parallel Play
    1 to 3 years
  18. Push pull toys, wagons, toys that develop large muscles are appropriate for
    1 to 3 year olds
  19. Cooperative Play
    3 – 6 year olds
  20. When a child develops fine motor skill, cut and paste, crayons and paper, and jumping balance activities are appropriate for
    3 – 6 year olds
  21. Creative and collection activities are appropriate for
    7 – 11 year olds
  22. Peer acceptance and the telephone are important to the
    12 – 18 year old
  23. The Toy Safety 3 No-no’s are:
    • No small toys that a child could stuff in a cast or swallow for 4 and under
    • No toys or items that produce static electricity in a oxygen enriched environment such as nylon blankets, electric toys, & metal toys
    • No stuffed animals in the hospital because they harbor germs
  24. Newborn VS
    • P = 120 – 160; 180 if crying
    • R = 30 – 60; irregular is OMG!
  25. Babies 1 – 3 years old VS
    • P = 100
    • R = 40
  26. 3 – 6 years old VS
    • P = 100
    • R = 20
  27. 6 – 12 years old VS
    • P = 80 – 90
    • R = 16 – 20
  28. KNOW that for Newborns:
    • Only 1 BP is done to check for cardiac anomaly and is should be WNL
    • If the BP is higher in the right arm and lower in the lower extremities this is BAD = Coarctation!!!
    • APGAR Scores are based on: heart rate, resp. effort, muscle tone, reflex irritability, and color
  29. At birth there is the closure of the:
    • Ductus Arteriosus
    • Foramen Ovale
    • Ductus Venosus
  30. Know that babies lose heat by:
    • Evaporation – moisture from skin and lungs
    • Convection – body heat to cool air flow
    • Conduction – body heat to blankets, etc.
    • Radiation – heat loss to cool temps.
  31. By 2 yrs old
    Understanding of time is limited, use activity reference such as, after lunch. Attention span is two minutes, Speaks 300 words
  32. By 3 yrs old
    Speaks betwen 300 and 900 words, attention span is 10 minutes, builds a tower of 10 blocks, rides a tricycle, jumps, walks up and down steps using alternating feet
  33. By 4 yrs old
    • walks u and down steps without holding on
    • Righ or left handedness is established
    • Dresses self
    • Attention span is 20 minutes
    • Completes a 8 - 10 piece puzzle
    • Speaks in 5 word sentences
    • Knows day of week
    • Stutterin is common
    • Throws ball overhand
    • Hops
  34. By 5 yrs old
    Speaks 2100 words

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