ATI Unit 1 (Josh) Flashcards
Kids can say — to — words and comprehend the word — by age 1
3 to 5
‘no’
When should EMLA cream be used?
60 mins before superficial puncture
2.5 hrs before deep puncture
When is erect head posture expected?
after 4 mths
Birth weight — by 6 mths and — by 12 mths
doubles
triples
Types of thinking characteristic of Preschoolers
Magical Thinking
Animism
Centration
Expected reflexes at 3 mths?
Palmar grasp
Tonic Neck (Fencer)
Immunizations 3 - 6 yrs
DIMv Flu
4-6 yrs: DTaP, IPV, MMR, varicella
3-6 yrs: annual flu
Face of an infant in pain
- eyes:
- mouth:
- eyebrows:
eyes TIGHTLY CLOSED
mouth OPEN IN SQUARISH SHAPE
eyebrows LOW and DRAWN TOGETHER
Expected reflexes at 4 mths?
Sucking/Rooting
Moro
Startle
How many teeth by age 1?
6-8
Expected reflexes at 4 wks?
Stepping
Expected reflexes at 1 yr?
Babinski
Object Permanence occurs at what age?
~ 9 mths
Physical manifestation of death I didn’t know about:
sensation of heat when body feels cool
Give what for teething pain?
acetaminophen and/or ibuprofen
- note: ibuprofen only over 6 mths
- note: don’t use longer than 3 days
Car restraint system until —
4ft 9in
Expected reflexes at 8 mths?
Plantar grasp
Treatment for respiratory depression from opioids?
naloxone
Order of Sexual Maturation in Boys
Testical enlargement
Pubic Hair
Facial Hair
Voice changes
Intranasal meds are not recommended for children younger than –
18
Immunization less than 12 months
Hip
DR Iggy Plays Hip Hop
DR Iggy Plays Hip
DR Iggy Plays Hip Hop
Birth: Hep B 2 mths: DTap, RV, IPV, PCV, Hib, Hep B 4 mths: DTap, RV IPV PCV, Hib 6 mths: DTap, RV, IPV, PCV, Hib, Hep B 6-12 mths: flu
Complicated grief extends for more than — following a loss.
a year
During preschool years, which type of play?
associative play (not highly organized)
Order of Sexual Maturation in Girls
Breasts
Pubic Hair
Axillary Hair
Menstruation
Preschoolers need how many calories?
half of adults (1800)
also, 13-19 g/day of protein
Nonpharmacological Measures for Pain
Distraction
Relaxation (if age appropriate)
Guided Imagery (if age appropriate)
Positive Self Talk
Behavioral Contracting (sticker for good behavior)
Swaddling
Pacifier
Kangaroo Care
Meds for pain:
mild to moderate:
moderate to severe:
mild to moderate: acetaminophen and NSAIDS
moderate to severe: Opioids (oxycodone, morphin sulfate, fentanyl)
RR in Peds
0 - 1 yr: 30-35 1-2 yr: 25-30 2-6 yr: 21-25 6-12 yr: 19-21 12 and up: 16-19
Immunizations 12 mths - 3 yrs
HIP M V
Hep
DTap
Flu
12-15 mths: Hib, IPV, PCV, MMR, varicella
12-23 mths: Hep A
15-18 mths: DTaP
12-36 mths: annual flu
Bowel sounds should be heard every —
5-30 secs
Ibuprofen should be used —
only over 6 mths
- don’t use longer than 3 days
Pulse Rate in Peds
Newborn: 80-180 1 wk - 3 mths: 80-220 3mths - 2 yrs: 70-150 2 - 10 yrs: 60-110 10 and up: 50-90
How do we know that the white coating is milk and not oral candidiasis?
milk can be easily removed but oral candidiasis cannot
Toddlers use which type of play?
parallel play
Birth length — by 12 months
increases by 50%
When does separation anxiety begin?
4-8 mths
- stranger fear begins 6-8 mths
Fruit juice should be limited to —
4-6 oz/day