PEDS

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Author:
strawberrymacarons
ID:
88020
Filename:
PEDS
Updated:
2011-05-27 15:20:02
Tags:
test
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Description:
foundation, growth & development
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  1. What is the language of a 4 mos old like?
    What would be a red flag?
    1. squealing & yelling. Mamama, dadada WITHOUT MEANING.

    2. No sound at 4 mos is a red flag. Assess hearing
  2. Spitting up is usually a result of overfeeding. This is a common concern for most parents of infants. What are some advices to parents?
    • 1. Frequent burping helps: 2-3x/meal.
    • 2. If reflux, sit them upright for 30 min after feeding
  3. 1. When should we start iron-fortified cereal in an infant?
    2. When should we introduce cups in an infant?
    3. What do we introduce next after iron-fortified cereal?
    4. What is one important rule about introducing different type of foods to an infant?
    • 1. 4-6 mos
    • 2. 6 mos
    • 3. Pureed, vegetables, fruits
    • 4. Introduce one food at a time for 4 days before introducing another item
  4. What are some fine motor skills a 3 y.o can do? (4)
    • Undresses self
    • Copies circle/uninterrupted motion
    • Builds tower of 9 or 10 cubes
    • Holds a pencile in writing position
  5. How's the language of a 3 y.o like?
    • 1. Over 900 words, so ENCOURAGE TO READ & TALK.
    • 2. CAn say name, age, gender,
    • 3. 3-4 word sentences
    • 4. Speech is usually understood by those who know the child, about half understood by those outside family
  6. What are some gross motor skills a 3 y.o can do? (5)
    • 1. climbs well
    • 2. pedals tricycle
    • 3. runs easily
    • 4. walks up & down stairs w/ alternate feet
    • 5. bends over easily w/o falling
  7. What are some gross motor skills a 24 m.o can do? (5)
    • 1. Runs
    • 2. Kicks balls
    • 3. Stands on tiptoe
    • 4. Carries several toys, or large toy while walking
    • 5. Climbs up & down from furniture W/O assistance
  8. What are some fine motor skills a 24 m.o can do? (5)
    • 1. builds tower of 6 or 7 cubes
    • 2. right or left-handed
    • 3. imitates circular & verticle strokes
    • 4. scribbles & paints
    • 5. puts round pegs into holes
  9. How many hours of sleep & rest should a toddler gets?
    14 hrs of sleep a day or 2-3 short naps/day
  10. Toddlers are toilet training age. Always bowel train before bladder train. Don't force the child because this could delay toileting more.

    What are some signs of readiness?
    • 1. Going w/o wetting in between
    • 2. Ask to go poo-poo
    • 3. Pulling pants up & down
  11. What are some gross & fine motors that an 18 m.o can do?
    • 1. Climbs stairs w/ assistance. Pulls toys while walking
    • 2. Remove shoes & socks. Stack 4 cubes
  12. What is the car safety for preschool?
    2 y.o + or less than 40 lbs: forth facing car seat w/ harness

    40-80 lbs: should ride in a booster seat that uses both the lap & shoulder belts
  13. What are some motor skills a 5y.o can do?
    • 1. stands on one foot 10 sec or longer
    • 2. swings & climbs well
    • 3. may skip
    • 4. somersaults
    • 5. may learn to skate & swim
  14. How is the concept of self developed in a school age child?
    Since school age children are interested in peer's view & acceptance of their body, concept of self is shaped by relationships with otheres.
  15. At what age group do kids start to form clubs & groups?
    School age
  16. Should a school age child sit in front of seat of a vehicle w/ an airbag?
    No, any children under 12 y.o should not ride in the front seat of a vehicle w/ an airbag
  17. Early development in school age (prepubescence in both boys & girls) can lead to what kind of problems?

    What should the nurse do in dealing with girls experiencing early development & boys experiencing delayed development?
    Risk taking behaviors

    Nurse should try to decrease anxiety & promote comfort with these changes in body
  18. What is menarche?
    initial appearance of mestrauation approximately 2 YEARS AFTER FIRST PUBESCENT CHANGES
  19. What are some ways to minimize loss of control in a hospitalized child?
    • 1. Promoting ability to be mobile
    • 2. Maintain chilld's routine
    • 3. Give child an opportunity to participate in their own health care decisions. INDEPENDENCE

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