Level I W2013

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Author:
amelia.m.norton
ID:
204291
Filename:
Level I W2013
Updated:
2013-03-02 17:37:03
Tags:
Care Child
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Description:
WWCC Level I 2013 Care of Child
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  1. Nurse's Role in Health Care of Children
    • Family advocate
    • Health promoter
    • Health teacher
  2. Family Centered Care
    • Family structure: nuclear/extended
    • Parent's energy & coping
    • Parenting behavior: partying/level of control
    • Family support system
    • Cultural & religious beliefs
  3. Immunization Nursing Intervention
    • acetaminophen/motrin immediately q4h
    • apply cool washcloth to site to reduce swelling
    • monitor child's behavior for abnormals
  4. Problems Associated w/ not immunizing
    death, blindness, brain damage, paralysis, heart problems
  5. Growth & Development Pattern
    • Cephalocaudal: head to toe
    • Proximodistal: center to extremities
    • Mass-to-specific: simple to complex
    • Height, Weight, dentition, level of functioning
  6. Developmental theories focused on
    • Erikson's theory of psychosocial development
    • -crisis confronted: learning of new skill
    • Piaget's theory of cognitive development
    • -4 stages of developmental logical thinking
  7. Erikson's Theory of personality
    • Infant: birth to 1 year
    • -trust/mistrust
    • Toddler: 1-3yr
    • -autonomy/shame & doubt
    • Pre-Schooler: 4-6yr
    • -initiative/guilt
    • School-age: 7-12yr
    • -industry/inferiority
    • Adolescent: 13-18yr
    • -identity/role confusion
  8. Piaget's Theory of cognitive development
    • Birth to 2yrs: sensorimotor
    • -automatic: intentional action
    • 2-7yrs: pre-operational
    • -egocentrism: appearnace/happenstance
    • 7-12yrs: concrete operations
    • -decrease in ego, consider another point of view
    • 13yr+: formal operational stage
    • -hypothesized & abstract thought; scientific/theoretical process
  9. Infant
    • double birth weight @ 6months
    • triple birth weight @ 1 year
    • Communication: crying, smiles, cooing, gurgling, babbling, words
    • Motor: unsupported @ 6 months, crawling 8 months, cruising 10 months,walking 12 months
    • Food: solids @ four months, whole milk 12 months, stranger anxiety 6-9months
    • Play: colorful, tactile, auditory, mirrors, no small objects
  10. Parent learning for Infants
    • Infant CPR
    • immunizations
    • rear facing infant car seat until age 1 or over 20lbs
    • don't leave unattended
    • baby proof
  11. Assessment of Infant
    • allow parent to remain as much as possible
    • use observation for much of info
    • occipital-frontal-circumference to 2 yrs
    • Talk softly
    • keep warm
  12. Care in hospital
    • anticipate needs
    • soothing
    • provide quiet soothing environment
    • consistency of caregivers
  13. Autonomy
    • Egocentric
    • Growth & development: communication @ 12 months, 3-4 word sentences 2-3 yrs, protruding abdomen, lordosis of spine, broad gait, toilet learning
    • Play: bright objects, music, rhythm, pictures, turn pages, push-pull toys
  14. Parent learning for Toddlers
    • safety
    • helmets for tricycle
    • forward facing car seat 20-40lbs
    • toddler proofing: explores environment w/o fear, small objects into mouth, keeep meds out of reach, gates at top of stairs, window guards
  15. Assessment of Toddler
    • involve parents
    • approach indirectly, talk to parents
    • least intrusive parts of exam first
    • be creative, use toys
    • allow them to help
    • pinwheel, bubbles, balls for treatment
  16. Care in Hospital of Toddler
    • follow home routines
    • provide rooming in
    • expect regression
    • encourage independence: feeding, potty
    • provide pain relief prior to painful procedure
    • SAFETY items from home
  17. Pre-Schooler
    • hop, skip, run more smoothly
    • 2.5-3 in./yr, 5lbs/yr
    • fussy eater, lose teeth, learn manners of eating
    • 11-13hr of sleep
    • magical thinking: all powerful
    • sleeping problems: nightmares
    • fears: body mutilation, pain, unpleasantness
    • Play: toys w/ imagination, puzzles, crayons, paints, songs, rhythms, riddles
  18. Parent/child learning pre-schoolers
    • Parents: immunizations, car seats/boosters, bicycle helmets, meds & weapons out of reach, expect regression
    • Child learning needs: not all powerful - didn't cause someones illness or death, use puppets and dolls to demonstrate procedures, tell of upcoming procedure close to event, not in advance
  19. Assessment of Pre-schooler
    • take time to communicate with concrete explanations
    • encourage to participate in exam
    • fear of mutilation & intrusive exam
  20. Hospital care of pre-schoolers
    • encourage independence: feeding, toileting, dressing
    • provide safe & secure environment: objects from home, nightlight, no painful procedures in room
    • set limits: crying ok, just don't move
    • involve parents
  21. School-age child
    • secondary sex characteristics begin
    • graceful, coordinate movements
    •  3 r's
    • can see another person's point of view
    • Poor eating habits: obesity
    • Play: arts, crafts, board games, video/computer games, athletic activities
  22. Parent/Child learning School age
    • Parents: promote helmets, store weapons, watch for s/s drug or alcohol use, healthy living at home
    • Child: explain procedures w/ medical terms & diagrams, correct misconceptions, healthy eating & exercise, helmets, sex ed. if appropriate
  23. Assessment School-age
    • explain procedures & allow for questions
    • provide privacy
    • allow to participate in trtmt
  24. Hospital Care school-age
    • allow control over bodily functions
    • provide time & encourage verbalization
    • promote achievement of tasks & decision making; involve in care decisions
    • primary defense mechanisms is reaction formation
    • encourage child to contact peers
    • allow to continue school work if able
    • ok to cry
  25. Adolescent
    • puberty boys - 9-16yrs complete by 18-19, girls - 8-14yrs complete in 3 years
    • Menarche 2.5yrs after puberty
    • sex characteristics growth
    • Sweat glands active
    • acne
    • anorexia
    • need for more protein & calcium
    • increase sleep
    • sexual intimacy dependent on peer vs family
    • Fears: relationships, homosexual tendencies, ability to assume adult roles
  26. Adolescent Play
    sports, telephones, videos/video games/computers, "hanging out"
  27. Parent/child learning of Adolescent
    • Parent: firm but reasonable, limit setting, how to talk about sex and substance abuse, need for privacy
    • Child: invulnerable, vehicle safety, prevention of pregnancy & STDs, drug & alcohol prevention, good nutrition
  28. Assessment of Adolescent
    be genuine, relate to them on their level, respect privacy, questions & teaching away from parents for truths
  29. Care of Adolescent in Hospital
    • respect privacy
    • listen to concerns & encourage open communication, set limits, encourage participation in health care goals & teaching, promote peer contact, encourage them to keep up school work
  30. Hepatitis viruses
    • Hep B vaccine @ birth in case of mother to child
    • causes liver failure, liver cancer & death
  31. Diphtheria toxin
    • breathing, swallowing difficultins
    • Membrane forms in throat
    • croup- bark cough
  32. Pertussis
    • uncontrollable coughing
    • airway obstruction to gagging to throwing up
  33. Tetanus
    • toxin releasing bacteria lives in soil
    • need to have boosters every 10 years
  34. Measles Rubeola
    • fever, cough, koplik spots on cheeks - small white forming full body rash
    • Nursing Interventions: care for symptoms, & meticulous oral care to avoid systemic disorder
  35. Mumps
    • swelling of salivary glands
    • before vaccine caused meningitis causing brain damage
  36. German Measles "Rubella"
    • mild fever, rash, enlarged lymph glands
    • birth defects
  37. Polio enterovirus
    paralysis caused by polio occurs when virus attacks the nervous system, highly contagious
  38. Chickenpox
    • highly contagious, mild with pruritic rash
    • complications: meningitis, pneumonia, birth defects
  39. Heamophilus influenzae type B
    meningitis, sepsis, epiglottis, meningitis
  40. Meningococcal meningitis
    inflammation of brain, sepsis, rash
  41. Roavirus
    high fever, severe vomiting and diarrhea
  42. HPV
    • virus infects skin, genital area, lining of the cervix
    • only cause of cervical cancer
  43. Infant VS
    • Pulse 100-160/min
    • RR 25-60/min
    • Sys: 65-100
    • Dia: 45-65
  44. Toddler VS
    • Pulse 70-110/min
    • RR 20-30/min
    • Sys: 90-105
    • Dia: 55-70
  45. Pre-Schooler VS
    • Pulse 65-110/min
    • RR 20-25/min
    • Sys: 95-110
    • Dia: 60-75
  46. School Age VS
    • Pulse 60-95/min
    • RR 14-22/min
    • Sys: 100-120
    • Dia: 60-75
  47. Adolescent VS
    • Pulse 55-85/min
    • RR 12-18/min
    • Sys: 110-135
    • Dia: 65-85

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