Assisting in Pediatrics Flashcards
What do pediatricians do?
- children doctor (up to age 18 or 21)
- monitors development
- immunization schedules
- parent education
What are some examples of developmental milestones to look out for?
- physical development
- intellectual-cognitive development
- social development
What is Erikson’s stages of psychosocial development?
- 8 stages
- positive or negative outcome for personality development
What is trust?
successful outcome
What is mistrust?
unsuccessful outcome (needs not met)
What happens from birth to 18 months?
- trust vs. mistrust
- suspicious and struggle with interpersonal relationships
- form attachments to mother
- fine motor skills are learned
What happens from ages 2-3?
- autonomy
- shame
- doubt
What is autonomy?
develop sense of independence and self-control (run, throw ball, scribble with crayons)
- acquire language skills
What is shame and doubt?
lack of self-confidence
- no sense of pride in ability to perform tasks
What happens from ages 3-6?
- initiative vs guilt
What is initiative?
- look for new experiences
- active imagination, trying new things
- make friends
- results in assertiveness, dependability, creativity
What is guilt?
- parents restrict from trying new things
- feelings of inadequacy, defeat, guilt
What happens at age 7-12?
industry vs inferiority
What is industry?
- need to receive recognition for accomplishments
- results in competence, self-satisfaction, trustworthiness
What is inferiority?
- no recognition
- feelings of inadequacy, inability to compromise or cooperate with others
What happens at age 12-20?
identity vs role confusion
What is identity?
- trying to figure out where they fit in
- results in emotional stability, forming committed relationship, sound decision making
What is role confusion?
- not fitting in with groups
- lack of personal goals, self-consciousness, lack of self-confidence
What happens at age 20-35?
intimacy vs isolation
What is intimacy?
- begin to think about partnerships, marriage, family, and career
- results in mutual self-respect, love, intimacy, commitment to others, and a career
What is isolation?
leads to social isolation, job changes, lack of productivity, inability to form long-term, intimate relationships
What happens at age 35-65?
generativity vs stagnation
What is generativity?
- adults raise children and become grandparents
- help to mold future generation by teaching, coaching
- results in professional and personal achievements, serving the community and society
What is stagnation?
leads no capacity to give and share with others
What happens at ages 65 and older?
ego integrity vs despair
What is ego integrity?
- adults retire, children no longer live close
- volunteer to retain feeling of usefulness
- loved ones die, health changes
- understanding of changes results in wisdom, self-acceptance, sense of worth
What is despair?
leads dissatisfaction with life, depression, anger, inability to accept death
What vitals are taken in an infant physical exam?
- height/length
- weight
- head/chest circumference
- temperature, pulse
- ear exams
- blood pressure (over 3)
When are well child exams for infants?
- 2 weeks
- 1 month
- 2 months
- 4 months
- 6 months
- 9 months
- 1 year
When are well child exams for children age 2-3?
- 15 months
- 18 months
- 24 months
- 30 months
- annually after age 3
What is the task of a MA during well child exams?
- remove all clothing except diaper, cover baby until physician arrives
- temperature can be elevated if baby cries
How should you measure temperature of kids?
tympanic, temporal, rectal, axillary
- no oral temperature if they’re less than 5
How do you take blood pressure of kids?
small cuff size
- don’t use palpatory method
What vitals do you take for kids?
- temperature
- pulse
- weight
- length/height
- head circumference
What do growth charts record?
- height
- weight
What is failure to thrive?
infant or child under the third percentile of stanardized growth charts
What is the most important thing to do before giving immunizations?
check for contraindications
What is the big e chart called?
snellen test
What is the general ear exam?
same as adult test
- check for response to sounds
What are some common diseases and disorders in kids?
- common cold
- influenza
- otitis media (middle ear infection)
- bronchitis: produce mucus in the lungs
- respiratory syncytial virus (RSV): mild cold-like symptoms
- hand, foot, mouth disease: very contagious with skin rash
- conjunctivitis: pink eye
- gastroenteritis: stomach flu
- sinusitis: sinus infection
- strep throat: sore throat, fever, swollen tonsils
- impetigo: skin infection with crusting
- ringworm
