Chapter 18 Lecture 3 PART I Flashcards

Toddler

1
Q

The toddler stage is what years?

A

1-2 years

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2
Q

What do toddlers begin to develop?

A

A sense of self

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3
Q

Toddler behavior is often what to parents?

A

Frustrating

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4
Q

There are many kinds of changes in this stage, what types of changes are they?

A

physical and developmental

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5
Q

What do toddlers delight in?

A

their emerging achievements and competence

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6
Q

There are fewer contacts with who, and for what during the toddler stage?

A

-Healthcare providers
-for routine preventative care

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7
Q

BIOLOGY AND GENETICS:
-Growth rates (speed up/slow) signficantly?
-Why?

A

-slow
-the increasingly active toddler begins the process of shedding baby fat & straightening his or her posture

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8
Q

BIOLOGY AND GENETICS:
-What kind of abdomen does a toddler have?
-What about their feet?

A

-protuberant abdomen

-they have a characteristic gait
-this means that their feet are planted wide apart and appear flat (due to balance)

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9
Q

BIOLOGY AND GENETICS:
-How many inches do toddlers grow per year?
-At 2 years old, their height is ___% of final adult height
-How many pounds do they gain per year?

A

-2-4 inches per year
-50
-4-6 pounds her year

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10
Q

BIOLOGY AND GENETICS:
-WHO charts are used until what age?
-CDC charts are used for what ages?
-What do they meansure?

A

-2 years
-2-20
-standing position for stature, weight, and measure head circumference (for toddlers)

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11
Q

TODDLER BODY SYSTEMS: Kidneys
-What kind of control do they have?

A

-they begin to have voluntary control

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12
Q

TODDLER BODY SYSTEMS: Gastrointestinal
-They reach functional _____. What does this mean?
-What do they need more of?
-What can they control and what does it accomplish?

A

-maturity, which means that they can digest more complex foods
-frequent meals/snacks
-internal/external anal sphincters, which accomplishes successful bowel training

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13
Q

TODDLER BODY SYSTEMS: Respiratory
-Lung capacity (increases/decreases)?

A

increases

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14
Q

TODDLER BODY SYSTEMS: Immunity
-By 18 months what should they have?
-How is immunity built?

A

-Active immunity/immunizations
-Exposure to new/different organisms

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14
Q

TODDLER BODY SYSTEMS: Respiratory
-respiratory rate (increases/decreases)
-What is a newborn’s respiratory rate?

A

-decrease
-30-60 breaths per minute

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14
Q

TODDLER BODY SYSTEMS: Respiratory
-They have a (larger/smaller) upper respiratory tract diameter
-What can this potentially cause?
-What happens when their nose is obstructed with mucus?
-What are they more prone to?

A

-smaller
-airway obstruction
-mouth breathing
-respiratory infections

14
Q

TODDLER BODY SYSTEMS: Circulatory
-Blood pressure (increases/decreases)?

14
Q

TODDLER BODY SYSTEMS: Circulatory
-Heart rate (increases/decreases)?
-What is the heart rate of a newborn?

A

-decreases
-110-160 beats per minute

14
Q

TODDLER BODY SYSTEMS: EENT
-What does it stand for?
-These stuctures are most similar to that of….?
-What is there a continued risk for?

A

-Ear, esutachian, nasal pharynx, tonsils
-infant
-otitis media

14
Q

TODDLER BODY SYSTEMS: Circulatory
-They have more effective what?
-Why?

A

-Thermoregulation
-Capillary beds gradually increase their capacity to respond to heat and cold in the environment

14
Q

TODDLER BODY SYSTEMS: Teeth
-How many primary teeth erupt by the end of toddlerhood?

15
Q

TODDLER BODY SYSTEMS: Teeth
-They are still at risk for what? Why?

A

-Choking due to immature swallowing pattern

16
Q

TODDLER BODY SYSTEMS: Musculoskeletal
-They have (increased/decreased) size/strength of what?

A

-increased, muscle fibers

17
Q

TODDLER BODY SYSTEMS: Musculoskeletal
-Describe the motor movements in toddlers

A

Voluntary motor mvoements are often accompanied with involuntary movement on the other side of the body

18
ELIMATION PATTERN: TOILET TRAINING -What is this for parents during toddlerhood? -The toddler should be what? By when does this usually happen
-a major parental concern -emotionally and physically ready, 18 months or older
19
ELIMATION PATTERN: TOILET TRAINING -The nurse provides anticipatory guidance to parents on what three things?
1. Developmental readiness of child 2. Parental attitudes 3. The process of toilet training
20
ELIMATION PATTERN: TOILET TRAINING -What should exist when toilet training?
-consistency
21
ACTIVITY-EXCERCISE PATTERN: -Toddlers are always what?
busy and exploring
22
ACTIVITY-EXCERCISE PATTERN: -What do toddlers waste most of their waking hours doing? Examples?
-playing -exploring, imitating, creating rituals (sleeping, eating)
23
ACTIVITY-EXCERCISE PATTERN: -What is there a risk for and what can occur
-injuries -tantrums are well known to occur
24
ACTIVITY-EXCERCISE PATTERN: -What is parallel play?
-side-by-side play, but independent play (no interaction)
25
ACTIVITY-EXCERCISE PATTERN: -Sharing and cooperation don't develop until what age?
-preschool age
26
ACTIVITY-EXCERCISE PATTERN: -What should you create?
a safety net of rutals around daily routines
27
ACTIVITY-EXCERCISE PATTERN: Anticipatory guidance -What should nurses tell the parents in regards to play?
-give them appropriate toys -opportunities for learning and social encounters -limit TV time to 1 hour a day
28
SLEEP-REST PATTERN: -How many hours of sleep do they need a day? -How has it changed from before
-12 to 13 hours a day -one to two naps -during infancy, they need 16 hours every day
29
SLEEP-REST PATTERN: -What do schedules help avoid? -If a toddler is overtired and unable to sleep, they will become...
-overfatigue -"cranky"
30
SLEEP-REST PATTERN: -What kind of rituals should they have? -Changes in ritual can be what? -What can be helpful?
-nap and bed rituals -upsetting -security objects (stuffed animal)
31
SLEEP-REST PATTERN: -What should exist when the toddler tries to delay sleep -Is it a common behavior
-firm and consistency in parenting -Yes