ch 26, 27, 28: intro to peds Flashcards
EXAM 1 content - excludes Freud, Erikson, & Piaget
what is the main goal of pediatric nursing?
improve quality of healthcare of children & their families
what types of kids haven’t seen a doctor in awhile?
immigrants
health behaviors = ?
health promotion
what are health promotion topics for infants, toddlers, & adolescents?
- infants: sleep safety
- toddlers: car safety
- adolescents: substance abuse
what are social determinants of health?
- economic stability
- education access & quality
- healthcare access and quality
- neighborhood & environment
- social & community content
what should we educate to the parents that should educate their babies, adolescents, & older teens?
- babies: infections
- adolescent: motor vehicles & guns
- older teens: mental health
why is health weight a big goal?
children are getting more obese
- sitting all the time
- laptops & phones
what are big childhood healthcare problems?
- obesity
- T2DM
- injuries
- violence
- vaping
- mental health problems
what is LBW?
low birth weight, a major determinant of neonatal death
what is considered LBW?
< 2500 g or 5.5 lbs
what is the age range of the lowest death rate?
5 -14 yo
which groups of children have an increased morbidity?
- homeless
- poverty
- LBW
- chronic illness
- foreign born adopted
- children in day care
what is family centered care?
- knowing family is a constant in child’s life
- family needs to support, respect, encourage & enhance strength of family
- the needs of all the family members should be addressed
what is atraumatic care?
giving the most effective care in the least traumatic way
- therapeutic care
- setting & personnel
- interventions
- reducing psychological distress
- minimize physical distress
what are the different types of family structures?
- traditional & nuclear
- blended
- extended
- single parent
- bi-nuclear
- polygamous
- communal
- lgbt
what is a blended family?
a family where two people come together and add their children from the previous families
what is a bi-nuclear family?
a postdivorce family where the family is divided into two - one is lead by mom and one is lead by dad
what is a communal family?
a family where they share possessions, resources & property. children are raised by multiple parents
how can the nurse help the family in order to help the child?
use their strengths & styles to meet the patient’s needs
how should the parents, parent?
always positive reinforcement
- limit setting & discipline
- minimize misbehavior
- have guidelines for discipline
what are some potential problems for the child if they were adopted?
- issues of origin
- problems going into adolescence
- cross-racial & international adoptions
what are some potential problems for the child if their parents divorced?
- negative impact on children
- hard to tell the children about divorce
- custody b/w parents: divided & joint custody
how do you gain consent from divorced parents for their child?
you need to get consent from both/all parties that have custody
if you are caring for a child from a different culture, what would you do for them & make sure you are considering their culture?
- being understanding: social, cultural & religion
- know their surrounding environment: schools, peers, community, social media
- understand general things about their race & ethnicity
- if they are in poverty
- give parental education
- land of origin & immigration status
- good resource: cultural humility & healthcare providers’ contribution
what is the number one leading cause of children mortality?
firearms
what is the second most leading cause of children mortality?
vehicle crashes
what does growth mean?
increase in number and size of cells - quantitative
what does developmental mean?
gradual change and expansion in complexity - qualitative
what does maturation mean?
increase in competence and adaptability
what does differentiation mean?
cells and structures are modified and altered
what is the single most important influence on growth?
nutrition
why is play so important?
- sensorimotor development
- intellectual development
- socialization
- creativity
- self awareness
- therapeutic value
- morality
what type of assessments are important?
- screenings
- objective measurements
- assessments for children w/ disabilities
what types of genetic factors influence development?
- congenital anomalies
- intrauterine environment, includes bad nutrition
- genetic disorders
what is the role of the nurse when it comes to genetic factors influencing development?
- assessing: knowing if it is a genetic abnormality or if the parents are ugly
- document but wait until they are 48 hours old until you want to investigate more
- identify & referral
- educate, care & support
why is self concept development so important?
- children have negative thoughts of their body image –> which is why positive reinforcement is important
- self esteem changes: competence, self control, moral worth, worthiness of love and acceptance
