CPN Flashcards

1
Q

Growth refers to:

A

Increase in SIZE

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2
Q

Development refers to:

A

The maturation of structures and includes growth

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3
Q

Cephalocaudally

A

From head to toe…head control, then sitting, then walking

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4
Q

Proximodistally

A

Truck to tips of extremities…move legs before wiggle toes

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5
Q

Chronologic age

A

Years or months since birth

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6
Q

Mental age

A

Level of cognitive function

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7
Q

Bone age

A

Determined by X-RAY of tarsals and carpals

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8
Q

Adjusted or corrected age

A

Chronologic age MINUS # of weeks born prematurely. Used for first 2 years of life

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9
Q

Weight at 6 months

A

Minimally DOUBLE birth weight

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10
Q

Weight at 1 year

A

Minimally TRIPLE birth weight

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11
Q

Average birth length

A

20 inches

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12
Q

How many inches will a child grow in 1 year?

A

10 inches

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13
Q

How many inches will a child grow in the 2nd year of life?

A

5 inches

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14
Q

How many inches will a child grow from 3 years to puberty?

A

2.5 inches per year

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15
Q

Birth length doubles when?

A

4 years

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16
Q

Baby laughs at what month

A

4 months

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17
Q

Baby has stranger anxiety when?

A

4-6 months

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18
Q

Baby likes mirrors and peek a boo when?

A

7-9 months

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19
Q

Baby claps and waves bye bye when?

A

10-12 months

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20
Q

Baby understands cause and effect when?

A

7-9 months

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21
Q

Baby points to objects and knows 5 words when?

A

10-12 months

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22
Q

Baby lifts head when

A

2 months

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23
Q

Posterior fontanel closes when?

A

2 months

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24
Q

Baby notices hands when?

A

3 months

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25
Q

Baby rakes objects when?

A

4 months

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26
Q

Baby rolls back to front when?

A

5-6 months

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27
Q

Baby transfers objects between hands when?

A

5-6 months

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28
Q

Highest risk behaviors for teens are related to:

A

Motor vehicles

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29
Q

What aged child can sit front seat?

A

14 years

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30
Q

If a child ingests something at home, what do you instruct family to do?

A

Call poison control and DO NOT induce vomiting

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31
Q

Prevent burns by setting water heater to?

A

120F

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32
Q

What age does baby teethe?

A

3-4 months

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33
Q

First tooth when?

A

6 months

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34
Q

How many baby teeth by what year?

A

20 deciduous teeth by 3 years

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35
Q

What age to start seeing dentist

A

1 year

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36
Q

What year is first tooth lost

A

6 years

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37
Q

How many teeth lost per year

A

4 teeth yearly

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38
Q

Transgender diagnostic criteria (4)

A
  1. Post puberty
  2. Present x2 years
  3. Not a symptom of genetic, intersex, chromosomal abnorm.
  4. Persistent
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39
Q

FLACC to be used for

A

Infant, toddler, preschooler

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40
Q

Wong-Baker

A

4-8 years

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41
Q

Numeric pain scale

A

8+ years

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42
Q

Who needs iron supplement and when?

A

Breast fed infants 4 months old until solids

43
Q

Whole milk when

A

1-2 years

44
Q

Lower fat content milk when?

A

2+ years

45
Q

When to introduce purée foods

A

4 months

46
Q

Pincer grasp develops when?

A

9 months

47
Q

Baby pulls to stand when?

A

10-12 months

48
Q

When should infant reflexes disappear? (Rooting, Moro, parachute, tonic neck, Babinski)

A

Present at birth

Disappear by 4 months

49
Q

Which age group is egocentric

A

Toddler (1-2years)

50
Q

What age has separation anxiety?

A

Toddler

51
Q

How many words can a 12 month old say?

A

5

52
Q

How many words can an 18 month old say?

A

50

53
Q

How many words can a 24 month old say?

A

400

Also used 2-3 word phrases

54
Q

Anterior fontanel closes when?

A

12-18 months

55
Q

What age walks?

A

12-16 months

56
Q

What age climbs stairs?

A

21 months

57
Q

What age runs & jumps?

A

24 months

58
Q

What age has nighttime dryness (no bed wetting)

A

3-5 years

59
Q

What age has daytime dryness? (No pants wetting)

A

2-3 years

60
Q

Infant

A

0-12 months

61
Q

Toddler

A

1-2 years

62
Q

Preschooler

A

3-5 years

63
Q

School aged

A

6-12 years

64
Q

Adolescent

A

13-18 years

65
Q

What age group develops a conscience?

A

Preschool

66
Q

3 year old uses how many word phrases

A

3-4 word phrases

67
Q

4 year old uses how many word phrases

A

4-5 word phrases

68
Q

5 year old uses how many word phrases

A

5-6 word phrases

69
Q

What age builds a tower of 6+ blocks

A

3 years

70
Q

What age throws ball overhead

A

4 years

71
Q

What is the greatest influence of a school aged child

A

Parent

72
Q

What age group is prone to bone fractures

A

School aged
Child is limber
Bones grow faster than their muscles

73
Q

Breast development/testicular enlargement at what age (1st sign of puberty)

A

~10 years old females

11 years males

74
Q

Pubic hair at what age (2nd sign of puberty)

A

~11 years old females, 12 years males

75
Q

Height spurt at what age (3rd sign of puberty)

A

~12 years old females, 14 years males

76
Q

Menarche at what age (last sign of puberty)

A

~13 years old

77
Q

Precocious puberty means what

A

1st sign of puberty at <9 years old

78
Q

Focus is TRUST in what age group

A

Infant

79
Q

Focus is AUTONOMY in what age group

A

Toddler

80
Q

Focus is INITIATIVE in what age group

A

Preschool

81
Q

Focus is ACHIEVEMENT in what age group

A

School aged

82
Q

Focus is IDENTITY DEVELOPMENT in what age group

A

Adolescent

83
Q

Thinking is non-logical and non-linear in what age group

A

Preschool

84
Q

Thinking is logical, linear and concrete in what age group

A

School aged

85
Q

Thinking is adaptable, flexible and abstract in what age group

A

Adolescent

86
Q

How to discipline toddler

A

Distract & redirect
Positive reinforcement
Consistency

87
Q

How to discipline preschooler

A

Ignore bad, reward good…remember they’re people pleasers

88
Q

How to discipline school aged

A

Give independence
Encourage personal responsibility
Discuss consequences of actions

89
Q

How to discipline adolescent

A

Promote & reinforce good

Save battles for important things

90
Q

What age can you vision screen with the Sloan letters chart

A

> 6 years

91
Q

Cisgender

A

Sex assigned at birth based on anatomy and chromosomes

92
Q

Gender dysphasia

A

The distress and unease experienced if gender identity and sex are not congruent

93
Q

Gender role

A

Behaviors, attitudes & personality traits that a society designates male or female

94
Q

Sexual orientation

A

Whom one is attracted to sexually

Who you love

95
Q

Gender identity

A

A persons fundamental sense of being a man, woman or non-binary

It’s who you are

96
Q

Transsexual or transgender

A

Desire to live and be accepted opposite of what assigned at birth

97
Q

Transgender man

A

Female to male

98
Q

Transgender woman

A

Male to female

99
Q

Most common cause of diarrhea/gastroenteritis

A

Rotavirus

100
Q

C-difficle symptoms / complications / how to prevent

A

Symptoms: Bloody diarrhea, fever, abdominal pain

Complications: dehydration & metabolic acidosis

Prevent: Rotavirus vaccine

101
Q

Vomiting complications

A

Complications: dehydration, metabolic alkalosis, aspiration

102
Q

Pyloric stenosis (what, what age, symptoms/assessment, complications, fix)

A

Thickening of abdominal muscle around pyloric muscle causing obstruction.

Olive like mass in abdomen

1-3 months old

Projectile vomiting (May + heme, NO BILE)

Complications: dehydration, metabolic alkalosis

Correct with pyloromyotomy

103
Q

Gastroesophageal Reflux (GER) (what, how to Dx, interventions)

A

Poorly developed or incompetent lower esophageal sphincter

Dx: swallow study, upper GI, pH probe

Intervention: small and more frequent feeds, thickened formula, upright 30m after feed, antacids/PPI

*surgery (missed fundoplication if necessary)

104
Q

Necrotizing enterocolitis (what, what age, s/s, complications, interventions)

A

Common in premise during neonatal period

Blood flow to GI tract compromised, becomes necrotic-bacteria invades necrotic tissue

S/s: abdominal distention, increased gastric residual volumes, vomiting, glucose + stool, bradycardia, temperature instability, bloody stool, lethargy, hypotension

Tx: bowel rest, TPN, NG LIS, manage body temp

Complications: colostomy, perforation