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community > child and adolescent health > Flashcards

child and adolescent health Flashcards

1
Q

nursing role in pop. focused health (2 pts)

A
  1. providing direct services to children and families
  2. Assessment of the community and the establishment of programs to ensure a healthy environment for this pop.
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2
Q

CDC defines obesity, overweight

A

obesity: >95th percentile
overweight: 85-95th percentile

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3
Q

Keep: Built environment effect on obesity: micro environment

A

home food environment: availability to fruits and veggies at home, parent-role modeling, child feeding practices, general parenting style

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4
Q

Keep: Built environment effect on obesity: macro environment

A

convenience foods and fast foods: larger food portions, food landscape, food deserts

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5
Q

Keep: prevention strategies for obesity

A

*healthy schools
*access to affordable and healthy foods
*raising children’s physical activity levels
*empowering families to make healthy choices
*promoting good nutrition

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6
Q

CDC recommended activity level

A

60 minutes daily

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7
Q

what is CHIP, who does it help

A

covers children and families that earn too much money to qualify for medicaid but cannot afford private insurance.

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8
Q

Keep: leading cause of death from 1-19 yrs

A

unintentional injuries (MVAs highest cause)

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9
Q

how to implement strategies to prevent injuries and accidents

MVAs, falls, suffocation, drowning, poinsoning,

A

*MVAs -> always wear seat belts, safety seats, using safe driving practices

*falls -> soft landing surfaces, protective gear, protective safety rails

*suffocation -> infants sleep alone and on backs, crib safety measures, avoid loose bedding/toys

*drowning -> learn to swim, 4-sided fence, watching kids closely

*poisoning -> keeping meds locked away, toxic solutions out of easy reach

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10
Q

examples of risky behaviors (4 pts)

adolencents

A

*texting while driving, not wearing seat belt, intoxicated driving
*ENDS: electronic nicotine delivery system
*substance abuse
*unsafe sexual activity

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11
Q

keep: factors associated w/ increased risk-taking (5pts)

the poors

A

*poor academic performance
*poor parental role models
*poor self-esteem
* poor supportive social environment
*poverty (poor)

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12
Q

lowering risk taking behavior (4 pts)

adolecents and school-age

A
  1. individual assessment of risk-taking behaviors for focus
  2. providing after school extracurricular activities
  3. positive adult role model
  4. engaging teens in support systems to build self esteem
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13
Q

characteristics of injuries significant to each age-group: infants

A

motor skill developments

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14
Q

characteristics of injuries significant to each age-group: toddlers/preschoolers

A

more mobile and have poor judgement

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15
Q

characteristics of injuries significant to each age-group: school age

A

Peer pressure and lack of parental role modeling often inhibits the use of protective devices

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16
Q

characteristics of injuries significant to each age-group: adolescents

A

injuries and violence. Poor social adjustment, psychiatric problems, and family disorganization

17
Q

best practice to prevent sports injuries

A

*Children should be grouped according to weight, size, maturation, and skill level.
*Qualified and competent persons should be available for supervision during games and practices.
*Adequate and appropriate-size equipment should be available.
*Goals should be developmentally and physically appropriate for the child.

18
Q

SAFE model

A
  • supervision
  • age-appropriate equipment
  • fall surfacing
  • equipment maintenance
19
Q

who is at the highest risk for child maltreatment

A

children under 4 and those with special needs

20
Q

common parental characteristics that impact child maltreatment (7)

A

*poor understanding of child development and needs
*hx of abuse in family of origin
*substance abuse
*nonbiological transient caregivers in home
*domestic violence
*social isolation
*parenting stress

21
Q

strategies nurses can employ to prevent child maltreatment (6)

A

*educate parents prenatally
*recognize high risk families early
*educate ppl in the community who work with children to identify at risk families
*home visiting program
*peer mentoring
*preschool and head start program

22
Q

Keep: family centered medical home

A

partnership between the child, family, and pediatric team overseeing child’s health. community based system and provided uninterrupted care to promote optimal health outcomes

23
Q

Keep: how do nurses participate in family centered medical homes

A

identifying resources for families and referring families to a medical home

24
Q

Keep: What are the 2 major roles that population-focused nurses have in the area of child and adolescent health?

A
  1. the nurse provides direct services to children and their families: assessing, managing, educating, and counseling
  2. nurses are involved in the assessment of the community and the establishment of programs to ensure a healthy environment for this population.
25
Q

Keep: What insurance options are available in the US for children?

A

*medicaid
*children’s health insurance plan (CHIP)

26
Q

What strategies can be used by the nurse to prevent child maltreatment and AHT?

A

*home visits
*peer mentoring programs
*preschool and Head Start programs
*PH centers to identify at-risk families and provide support and education

27
Q

Keep: What are the guidelines for safe playgrounds published by the US Consumer Product Safety Commission?

A

*playgrounds surrounded by barrier
*distribution of activity centers to avoid over crowding
*surfaces finished with substances the don’t contain lead
*durable materials
*sand, gravel, wood chips, and wood mulch used to limit shock falls
*equipment inspected regularly
*multi-occupancy swings are not recommended

28
Q

Keep: Which age group has the lowest injury death rate?

A

school age children

29
Q

Keep: leading cause of unintentional death: 0-1yrs

A

Suffocation

30
Q

Keep: leading cause of unintentional death: 1-4 yrs

A

Drowning

31
Q

Keep: leading cause of unintentional death: 5-9 yrs

A

MVT-related

32
Q

Keep: leading cause of unintentional death: 10-14yrs

A

MVT-related

33
Q

Keep: leading cause of unintentional death: 15-19 yrs

A

MVT-related

34
Q

Keep: How to prevent SIDS

A

*supine position only for infants
*no smoking during pregnancy or in home after birth
*use firm sleep surface
*offer pacifier at nap time and bedtime
*avoid overheating and over bundling
*continue “Back to Sleep” campaign

35
Q

Keep: What is the level for lead poisoning? What is the peak age for lead poisoning and at what age is universal screening recommended?

A

*children <5 yr old most at risk
*level: >10 units/dL
*universal screening age: 1 and 2 y.o.

36
Q

Keep: What is ETS and what is its effect on Children?

A

*Environmental tobacco smoke
*increased episodes of middle ear infections, asthma, upper respiratory tract infections, and more missed school days.

37
Q

Keep: What is a medical home?

A

*incorporates preventive, acute, and chronic care from birth through transition to adulthood.
*emphasizes an integrated health system with collaboration of care from an interprofessional team of primary care physicians, specialists and sub-specialists, other health professionals, hospitals and health care facilities, public health, and the community working with children and families

38
Q

Keep: What are the characteristics of motivational interviewing?

A

focused communication strategy in which the parents are encouraged to set goals, identify personal barriers, and identify potential mechanisms to over- come the barriers to make safety and health promotion changes for their child.

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