ch 11 health problems of infant Flashcards
common feeding difficulties infants
-regurgitation/spitting up
-reflux/GERD
-colic (paroxysmal abdominal pain)
S+S colic
-abdominal pain/cramping
-loud crying
-drawing legs up to stomach
-cries >3 hrs/day for 3+ days/week for 3+ weeks
-affects infants <3 months old
S+S failure to thrive (FTT)
-weight less than 5th percentile
-height normal
organic causes failure to thrive (4)
-inadequate caloric intake
-inadequate absorption (CF/celiac)
-increased metabolism
-defective utilization (genetic/metabolic disorder)
babies that are high risk for shaken baby syndrome
colic babies
nonorganic causes failure to thrive
(no medical reason)
-emotional deprivation
-child abuse/neglect
3 types dermatitis in infant
-diaper rash
-seborrheic
-atopic
seborrheic dermatitis on scalp
cradle cap
seborrheic dermatitis on eyelids
blepharitis
S+S atopic dermatitis in infants
-eczema
-pruritic
-associated with allergy
-hereditary tendency
Tx dermatitis (order of care)
-hydrate skin
-relieve itching (benadryl, oatmeal bath, hydrocortisone cream)
-reduce inflammation
-prevent and control secondary infection
-nursing considerations
Tx diaper rash
-nystatin cream (if yeast infection)
-zinc cream (for barrier protection)
2 types dyssomnia
-trouble falling asleep/staying asleep
-difficulty staying awake during day
advise for parents with kids experiencing dyssomnia/parasomnia
regular bedtime routine and timing
examples parasomnias
-confusional arousals
-sleepwalking
-sleep terrors
-nightmares
-rhythmic movement disorders
2 examples disorders of unknown etiology
-sudden infant death syndrome (SIDS)
-apparent life-threatening events (ALTEs)
risk factors for SIDS
-siblings of 2+ SIDS victims
-h/o central hypoventilation
-preterm infant experiencing apnea at time of discharge
-infants with 1+ sever ALTEs requiring CPR/vigorous stimulation
-low birth weight
-low apgar scores
-recent viral illness
-male sex
-infants native american/african american
plagiocephaly
malformed head
occurs from laying on back a lot
practices that can reduce risk of SIDS
-avoid smoking during pregnancy or near infant
-supine sleeping position
-breastfeeding
-firm mattress
-nothing in crib
-avoid bed sharing
-avoid overheating during sleep
(+vary infant head position to prevent plagiocephaly)
how to reduce risk/prevent plagiocephaly
-tummy time during waking hours
-vary infant head position
unexplained resp pause lasting 20+ secs
(or less than 20 secs accompanied by pallor, cyanosis, bradycardia, hypoTN)
apnea of infancy
ALTE
apparent life threatening event
