ATI PEDS Flashcards
Age Ranges (Infant, Toddler, Pre-School, School Age, Adolescent (5*)
1 - 12 months, 1 - 3 years, 3 - 6 years, 6 - 12 years, 12 - 20 years
Eriksons Stages of Development (5*)
Trust v. Mistrust, Shame vs. Doubt, Initiative vs. Guilt, Industry vs. Inferiority, Identify vs. Role Confusion
Infant: ounces consumed per day between 6 - 12 months
24 oz/day
Infant: solid food order introduction (start + 4)
START 4 - 6 months, iron cereal 4, veggies/fruits 6, meats/eggs, 6, table foods, 9
Infant: Anterior vs. Posterior close times
12 - 18 months
2 - 3 months
Infant Development: 1 - 4 months (4)
- head lag/+grasp
- head life/open
- head/shoulder lift, recognize self
- back to side, hold block
Infant Development: 5 - 9 months (5)
- front to back
- back to front, hold bottle
- item hand to hand
- sits w/out support
- stands, pincer grasp
Infant Development: 10 - 12 months (3)
- prone to sitting
- walks w/ item, place in container
- stand to sit
Infant +Height/Weight
+1 inch/month (+50% by 12 months)
+150 - 210kg/month/6months (x3 by 12 months)
Infant sleep pattern
Established in 3 - 4 months
Infant teeth development (2) and tx for pain
8 months = 2 teeth
12 months = 6 teeth
COLD fluid ring/wetcloth
Infant Play
Solitary
Toddler +Height/Weight
+3 inch/year
x4 by 30 months
Toddler Development 15, 18 mo, 2yrs, 2.5yrs
- walk + cup well
- ball + pageturn, spoon rotate
- 6 - 8 block tower and stairs
- jump/draw
Toddler Nutrition (juice, milk, fruit, serving sizes)
4 - 6 oz
24 - 30 oz
1 cup
1 tbsp
Toddler Play
Parallel
Toddler behavior (2)
Egocentric, rigid/boss to separate
PreSchool +Height/Weight
+2.5 - 3.5 inch/year
+2 - 3 kg (4.5 - 6.5 lbs) a year
PreSchool Development (3, 4, 5 yrs)
- tricycle/1 foot stand
- skip/throw overhead, 1 foot HOP, button shirt
- jump rope, walk backwards, catch ball
PreSchool Nutrition (protein, cal/day)
13 - 19g protein
1800 cal/day
Toddler, screen for…?
Lead poisoning
Toddler Sleep Schedule
11 - 12 hrs a day
Toddler when to start potty training
When they wake up dry
PreSchool Sleep Schedule
12 hrs/day
PreSchool Play
Associative
PreSchool (Magical Thinking, Animism, Centraiton)
magic cause, inanimate alive things, one aspect vs whole
PreSchool Regression how to Tx
Allow it
PreSchool describing procedure strategy
Use dolls/play RIGHT BEFORE PROCEDURE
School Age screen for…?
Scoliosis
School Age +Height/Weight
+2 inches/year
+2 - 3 kg/year
School Age Nutrition
Like an adult (afternoon snacks ok)
School Age Sleep Schedule
9 - 12 hrs
School Age and Accidents
Misinterpret as punishments
School Age describing procedure strategy
9 year old can cognitively understand disease process
School Age Play
Cooperative
School Age Development (4 expectations)
Collections are important!
Cut meat on plate
Comb own hair
Chapter books
Adolescent Behavior
Invincible/Risky
Adolescent Nutrition
↑ caloric intake due to high demands
Adolescent +Height/Weight
♂ 4 - 12 inch/♀ 2 - 8 inch (stops 2 yrs post menarche)
♂ 7 - 30kg (25 if ♀)
Adolescent Sleep Schedule
▲’ing
Adolescent ♂ puberty order (4)
Testicles enlarge, pubic hair, facial hair, vocal changes
Adolescent ♀ puberty order (4)
Breast development, pubic hair, axillary hair, menstruation
Socialization and nutrition
It promotes it!
Odd question with very different questions and “notify provider”.
Probably gonna be notify provider
Edema and skin
Requires meticulous care b/c r/o breaks/infections
Knee-Chest
For poor O2 r/t CARDIAC issues, contrary to Semi-Fowlers which is for RESPIRATORY
How to Tx a Cancer extravasation (4)
Stop line, elevate, notify, remove IV
Bili Artresia S/S (3)
yellow sclerae, ab distention, dark urine
Selecting Room for child, priority consideration (2)
Developmental Stage and Age
Juvenile Rheumatoid Arthritis Opiods and Morning Recommendations
Ø opiods
Stretch in the morning
Child is refusing/withdrawn about procedure?
Ask what they like/dislike about subject
DKA treatment what to monitor and why?
♥ due to ▲ in K levels
Kawasaki Disease expected S/S (3), Vaccines? and to monitor?
Irritable Peeling Skin Joint stiffness Delay vaccines only 11 months Temperature
What to do with possible precautions in poop?
CONTACT
CHF Infant feedings (4)
30 minutes only
Gavage if bpm ↑80
↑caloric density/time
Soft preemie nipple/slit regular nipple
Impetigo tx (4)
topical antibiotic
remove crust w/ burrows/warm h2o
compress
trim nails
Dictorial/AuthoritaRIAN and Permissive Parenting
unquestioned control vs. little/no control
Democratic/AuthoritaTIVE and Passive Parenting
direct w/ rules vs. NOT EVEN THERE
Traditional, Nuclear, Single Parent family
married w/ biological, 2 parents w/ children (non-bio), 1 parent w/ children
Blended, Extended, Gay/Lesbian family
+1 step, +related people, gay
Binuclear and communal family
divorced by keep parenting, share ownership but not $$$$
Infant Temperature TREND and expected @ 1 year - 13 years
Decreases w/ age
1 = 37.5º - 13 = 36.8º
Infant Pulse TREND and expected @ 1 year - 13 years
Decreases w/ age
80 - 180bpm -> 50 - 90bpm
Infant Respirations TREND and expected @ 1 year - 13 years
Decreases w/ age
30 - 35/min - 15 - 30/min
Infant Reflexes UP TO 4 months (5)
Rooting, moro, startle, tonic neck, stepping
Infant Reflexes 3, 8, and 12 months
Palmar, Plantar, Babinski
Cranial Nerves 1 - 10
OOOTTA FAGV
Olfactory, Optic, Oculomotor, Trochlear, Trigeminal, Abducens…. Facial, Acoustic, Glossopharyngeal, Vagus
OOOTTA Functions
Olfactory = smell, Optic = vision, Oculomotor = visual acuity, Trochlear = eye movement ↑↓, Trigeminal = clench,face sense
FAGC Functions
Facial = asymmetric, salt/sweet (front), Acoustic (hearing), Glossopharyngeal = gag, sour (back), Vagus = speech/swallow
HepB START and 2 timings
ALLERGY?
BIRTH, 2 mo, 6 mo
Baker’s Yeast
Rotavirus START and 1 timing
ALLERGY?
6 WEEKS, 4 months
Intussception/Immunocompromised
DTaP START and 3 timings
ALLERGY?
6 WEEKS, 4 mo, 6 mo, 15 mo
Encephalopathy, seizures, crying +3 hrs
HiB and Pneumo (PCV) START and 2 timings
6 WEEKS, 4 mo, 15 mo
Inactivated Polio (IPV) START and 3 timings ALLERGY?
6 WEEKS, 4 mo, 16 mo, 4 years
Neomycin
Influenza (TIV) START and timings (general)
ALLERGY?
> 2 years and then YEARLY
eggs
MMR START and 1 timing
12 MONTHS, 4 years
VAR START and 1 timing
ALLERGY?
12 MONTHS, 4 years
Corticosteroids
HepA START and 1 timing
12 MONTHS, 2 years
Meningococcal (MCV4) START
9 MONTHS
Human Pap (HPV) START and 2 timings ALLERGY?
9 YEARS, 2 months, 6 months
Yeast