Fn2 test2[1].txt

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Fn2 test2[1].txt
2012-05-01 09:04:42
FN2 38 39 40

ch 38, 39, 40
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  1. Pre-school age
    3-5 year
  2. Promoting optimal G&D for preschool age
    • Preparation for most significant lifestyle change-going to school
    • Experience brief an dprolonged separation
    • Use language for mental symbolization
    • Increased attention span and memory
  3. Groos motor pre-school
    • Walking
    • Running
    • Climbing
    • Jumping
  4. Fine motor pre-school
    • Refinement in eye-hand and muscle coordination
    • Drawing
    • Artwork
    • Skillful manipulation
  5. Coping with concerns pre-school
    • Preschool and kindergartn
    • --developmental screening tool to assess readiness for school
    • --importance of infection control in school setting
    • --intro of child to school
  6. Sex education for preschool
    • Find out what children know and think
    • Be honest
    • Avoid "over-answering" question
    • Sexual exploration/sexual curiosity
  7. Fears of pre-school
    • Dark
    • Being left alone
    • Animals
    • Ghosts
    • Sexual matters
    • Objects or people associated with pain
  8. Stress for pre-school
    • Minimum amounts of stress can be beneficial
    • Parental awareness of signs of stess in child's life
    • Prevention of stress
    • Schedule adequate rest
    • Prepare child for upcoming changes to maximize coping strategies
  9. Aaggession for pre-school
    • Behavior that attempts to hurt person or destroy propertymay be influenced by bilogic, sociocultural, and familiar variables
    • Factors that increase aggressive behavior: gender, frustration, modeling, and reinforcement
  10. Speech problems pre-school
    • Stuttering
    • Stammering
    • Dysfluency
    • Denver articulation screening examination as tool for assessing speech problems
  11. Nutrition for pre-school
    • 90kcal/kg
    • 100ml/kg, depending on activity and climate
    • Food fads, strong tastes common
  12. Sleep and activity for pre-school
    • 12hrs of sleep per night, infrequent naps
    • Free play encouraged
    • Emphasis on fun and safety
  13. Sleep problems pre-school
    • Thorough assessment of sleep problems
    • Nightmare
    • Sleep terrors
    • Encourage consistent bedtime routine
  14. Dental health pre-school
    • eruption of decidous teeth is complete
    • Professional care and prophylaxis
    • Fluoride supplements
  15. Injury prevention pre-school
    • Safety education
    • Pedestrian motor vehicle accidents increase
    • Development of long-term safety behaviors---bike helmets
  16. Anticipatory guidance preschool
    • Child care focus shifts from protection to education
    • Children begin questioning previou teachings of parents
    • Children being to prefer companionship of peers
  17. Communicable disease in pre-school
    • Incidence has declined with increase of immunizations
    • Complications decreased with use of antibiotics and antitoxins
  18. Nurses important to assess
    • Recent exposure to infectious agents
    • Prodromal symptoms
    • Immunizations history
    • History of having disease
  19. Prevent spread of disease pre-school
    • Preimary prevention of disease
    • --immunization
    • Control spread of disease to othhers
    • --reduse risk of cross transmission of organism
    • --infection control policies
    • --handwashing
  20. children with immunodeficiency
    • Receiving steroid therapy
    • Other immunosuppressive therapies
    • Generalized malignancies
    • Immunologic disorder
  21. School age
    6-12 years
  22. Promoting optimal g&D school age
    • Physiologically begins with shedding of first deciduous teeth; ends at puberty with acquisition of final permanent teeth
    • Gradual growth and development
    • Progree with physical and emotional maturity
  23. Coping concerns--school experience
    • Second only to the family socializing agent
    • Transmission of values of society
    • Peer relationships become increasingly important
    • Teachers
    • Parents
    • Latchkey children
    • Limit setting and discipline
    • Dishonest behavior
    • Stress and fear
  24. Nutrition school age
    • Importance of balanced diet to promote growth
    • Quality of diet related to familys pattern of eating
    • Fast-ffod concerns
  25. Sleep and rest school age
    • Average 9.5hrs/night-individualized
    • May resist going to bed at ages 8-11
    • 12yrs and up generally less resistand to bedtimes
  26. Sports school age
    • Controversy regarding early participation in competitive sports
    • Concerns with pphysical and emotional maturity on competitive environment
  27. Dental health school age
    • Eruption of permanent teeth
    • Good dental hygiene
    • Prevention of dental caries
    • Periodontal disease
    • Maloccluion
    • Dental injury
    • Dental avulsion-replacement/reattachmen
  28. Sex education school age
    • Sex play as part of normal curiosity during preadolescence
    • Middle childhood is ideal time for formal sex education
    • --lifespan approach
    • --information on sexual maturity and process of reporduction
    • --effective communication with parents
  29. Nurses role in sex educcation
    • Treat sex as normal part of g&D
    • Questions and answers
    • Diffrentiation between sex and sexuality
    • Values, problem solving skills
    • Open for communication with parents
  30. Injury prevention school age
    • Most common cause of severe injury and death in school age children is motor vehicle crashes - pedestrian and passenger
    • Bicycle injuries - benefits of bike helmets
    • Appropriate safety equipement for all sports
  31. Anticipatory guidace school age
    • Parents adjust to child increasing independence
    • Parents provide support as unobtrusively as possible
    • Child moves from narrow family relationships to broader world of relationships
  32. School phobia
    • Extreme reluctance to attend school for a sustained period of time as a result of severe anxiety or fear of school related experiences
    • Also called "school refusal" and "school avoidance"
    • Most common older than 10
  33. Symptoms school phobia
    • Physical symptoms--leg or stomach pain, loss appetite, low grade fever, headache
    • Symptoms subside after staying at home
    • No symptoms on weekends, holidays, etc
    • *get child back to school asap*
  34. Childhood depression
    • Temporary: acute depression precipitated by a traumatic event
    • Chronic: may accompany chronic illness or diability; familial circumstances
  35. Adolescent age
    12-18/20 y/o
  36. Promoting optimum g&D adolescence
    • Transition between childhood and adulthood
    • Rapid physical, cognitive, social, and emotional maturation
    • Generally defined as beginning with onset of puberty and ending with cessation of body growth at 18-20yrs
  37. Promote health in adolescence
    • Immunization
    • Nutrition
    • Eating habits
    • Sleep and rest
    • Exercise
    • Dental health
    • Personal care
    • Vision, hearing
    • Posture
    • Body art
    • Tanning
    • Stress reduction
  38. Sexuality education and guidance adolescence
    • Media influences
    • Knowledge often inaccurate
    • Need for factual information, presentation based on developmental maturity
    • Sexual aspects of interpersonal relationships become important
  39. Injury prevention adolescence
    • Vehicle related injuries
    • Nonautomotive vehicle injuries
    • Firearms
    • Nonpowder firearms
    • Sports injuries
  40. Anticipatory guidance adolescence
    • Parents need for support and guidance
    • Information needs regarding developmental changes and process of gaining independence
    • Special health problems