ch 18: toddler (12mo-3yrs) Flashcards

1
Q

erikson’s psychosocial dev for toddlers

A

autonomy vs shame and doubt
- need to explore world and gain independence (guidance from parents)

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2
Q

piaget’s cognitive dev for toddlers

A

sensorimotor, preoperational
- egocentrism, object permanence

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3
Q

role of the nurse with toddler

A

education on changes for family and toddler
screening activities
routine health exams, vaccines
educate, advocate, plannin

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4
Q

toddlers grow _____inches in height per year
toddler gain _____lbs in weight per year

A

2-4in height/yr
4-6lbs weight/yr

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5
Q

what does the toddler gait/abdominal structure look like

A

protuberant abdomen, lumbar lordosis

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6
Q

changes with toddler kidneys

A

specific grav = adult
voluntary control of urine

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7
Q

changes with toddler GI

A

more frequent meals/snacks
functional maturity

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8
Q

changes with toddler respiratory

A

lung capacity inc
RR dec
potential for airway obstruction

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9
Q

why are toddlers susceptible to choking/airway obs

A

smaller upper resp tract diameter

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10
Q

what ear infection are toddlers at risk for/leading cause of hearing loss in toddlers

A

otitis media

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11
Q

changes with toddler circulatory

A

BP inc
HR dec
effective thermoregulation

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12
Q

changes with toddler immunity

A

active immunity by 18months
build immunity with exposure to more organisms

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13
Q

changes with toddler teeth
- when should all primary teeth erupt

A

end of toddler hood= all primary teeth
immature swallowing pattern

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14
Q

changes with toddler musculoskeletal

A

inc size/strength of muscle fibers
better motor skills

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15
Q

piaget’s cognitive dev for toddlers

A

sensorimotor, preoperational
- egocentrism, object permanence

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16
Q

at what age is the toddler typically ready for toilet training

17
Q

how many hours of sleep does a toddler need
- how to have healthy sleep-rest pattern

A

12hrs with 1-2 naps
- schedule to avoid over fatigue

18
Q

what should a parent do if a child is having night terrors

A

speak soothingly, make sure child is safe, do not wake child

19
Q

amblyopia:

A

diminished/loss of vision, brain favors normal eye

20
Q

strabismus

A

deviation in line of vision

21
Q

red flags of toddler vision problems

A

rubs eyes excessively
shuts one eye, tilt head with sideways gaze
blinks, frowns, squints
recurrent styes
red encrusted/swollen eyes

22
Q

what age is the child at highest risk for drowning

23
Q

what can lead poisoning/plumbism lead to

A

neurological and intellectual damage

24
Q

how much should blood levels of lead be

A

<5-10 mcg, or none at all rly lmao

25
test/screen for lead - what route
BLL = blood lead levels, fingerstick
26
what are some sources of lead
homes built before 1978, old water pipes contaminated soil, ceramics, stained glass
27
c/m of lead poisoning
anemia, pallor, fatigue, lead line on teeth and bones, joint pain, proteinuria, behavioral changes, HA, convulsions, irritability
28
long term effects of lead poisoning behavioral vs neuro effects
BEHAVIOR: aggression, impulsivity, delinquency NEURO: dev delay, language difficulties, learning delay, reading deficits