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Nursing 3800: Pediatrics > Exam 1: Parenting > Flashcards

Exam 1: Parenting Flashcards

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1
Q

With the Newborn infant what are some social and emotional concerns?

A

interactions with caregiver, stranger anxiety, & separation anxiety.

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2
Q

With the Newborn/infant what are some important things in promoting growth and development? Potential concerns?

A

play, early learning, safety, nutrition, sleep/rest, healthy teeth and gums; colic, spitting up, thumb sucking/pacifier.

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3
Q

What are some important factors in toddlers dealing with social and emotional development?

A

separation, very egocentric(“mine, me do”), parallel play

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4
Q

What are some potential concerns with toddlers?

A

toilet training, negativism, tempers, thumb sucking, sibling rivalry, regression.

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5
Q

True or False: Preschoolers begin to interact with each other not just along side, but may show stranger anxiety.

A

true

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6
Q

What is important in preschoolers to promote growth and development?

A

language development

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7
Q

What are some potential concerns with school age children?

A

tv and video games, school phobia, latchkey children, stealing, lying, cheating, bullying, tobacco and alcohol education.

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8
Q

When is the peak of parental conflicts? age?

A

middle adolescence 14-17

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9
Q

True or False during early adolescence (11-13) children have lack of impulse control.

A

true

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10
Q

What stages are parents most concerned about their children?

A

baby, toddler, and adolescence

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11
Q

What is binge eating?

A

eating large amounts of food when not hungry, usually seen in adolescence female.

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12
Q

What is it called when you eat in response to stress?

A

emotional eating

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13
Q

What do maladaptive eating patterns lead to?

A

obesity

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14
Q

What is it called when you awaken from REM sleep with a scary dream?

A

nightmares

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15
Q

what are some risk factors of nightmares?

A

fear of sleeping alone, family upsets, change of school/routine, emotional disturbances, scary costumes, movies, etc.

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16
Q

How do you manage nightmares?

A

accept fear, comfort child, discuss nightmare in daylight, use night lights, monster spray.

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17
Q

What are night terrors?

A

partial awakening from non-REM sleep, usually 20-90 after fall asleep, peak 3-5 years

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18
Q

What are some autonomic signs of night terrors?

A

rapid pulse, increased RR, sweating, glassy look, cry, yell for 5-20 mins.

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19
Q

What are some management for night terrors?

A

do not awaken, protect child, keep diary

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20
Q

True or False The more the parents are stressed the more stressed the children will be.

A

true

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21
Q

What are some signs of a stressed child?

A

stomachache, HA, poor school performance.

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22
Q

What are some ways parents can respond to stressors?

A

home rules/expectations, goal setting with charts, play & work together, share visits with relatives, positive experiences of love, concern, & pride, communication skills, conflict resolution/anger management.

23
Q

True or False childhood fears are more common in girls and if parents are fearful/anxious.

A

true

24
Q

Name some common childhood fears for the age groups:

1-2, 2-3, 2-6, 3-5, 9, 10-12, 12

A 
1-2: falling, separation, toilets, animals
2-3: loud noises
2-6: darkness
3-5: monsters/ghost
9: new situations
10-12: war
12: burglars
25
Q

True or False it is important parents don’t overreact or dismiss childhood fears, try to come up with a solution.

A

true

26
Q

What are some things stranger anxiety is influenced by?

A

temperament, presence of illness or fatigue, the way the stranger approaches.

27
Q

When does stranger anxiety begin to appear?

A

3-9 months

28
Q

When is the second peak of stranger anxiety?

A

18-20 months

29
Q

True or False a good way to deal with stranger anxiety is to sneak away from your kid when you leave them.

A

false

30
Q

What are some ways to deal with school phobia?

A

support parents, notify school.

31
Q

What are temper tantrums influenced by?

A

fatigue, overcrowding, stress, parental depression

32
Q

True or False Temper tantrums are related to gender or social class and can be a genetic predisposition.

A

false

33
Q

True or False during temper tantrums you should try to ignore it.

A

true

34
Q

When you discipline your child it is important that you focus on what?

A

the behavior, not the child

35
Q

What is the timeout rule?

A

1 minute for age of child.

36
Q

What are some parent risk factors for abuse?

A

poverty, childhood hx, social isolation, young parent, unrealistic developmental expectations, poor impulse control, substance abuse, mental illness, stress

37
Q

What are some child risk factors of abuse?

A

prematurity, developmental delays, congenital abnormalities, behavior problems, childhood stress

38
Q

When does sibling rivalry peak?

A

1-3 yrs, usually same sex that are close in age

39
Q

True or False in order to help sibling rivalry children should share the same bedrooms.

A

false

40
Q

During sibling rivalry when should a parent intervene if the children are fighting?

A

only if it gets too loud and physical

41
Q

When is toilet training usually completed?

A

by age 4, but 40% still aren’t at age 4 and 30% still aren’t at age 5.

42
Q

What are physical skills that your child is ready for toilet training?

A

voluntary sphincter control, stays dry for 2 hrs, wakes up dry from nap, able to sit, walk, squat, assists in dressing self.

43
Q

What are two interpersonal skills child must have to toilet train?

A

desire to please and be dry, curious about use of toilet.

44
Q

What are 3 cognitive skills for toilet readiness?

A

understands meaning of words for potty, follows directions, communicates needs.

45
Q

What are the parental skills needed for potty training?

A

desires to assist child w training, recognizes cues of child, no factors that may interfere.

46
Q

What is the visit schedule for infants?

A

14 days, 30 days, 2, 4, 6, 9, 12, 15, 18, 24 months

47
Q

How often should a toddler go to doctor after 2 yrs?

A

every year

48
Q

How often should you brush child’s teeth before 12 months?

A

twice a day

49
Q

When should you try to prevent a toddler from thumb sucking or pacifier? age?

A

4-6 yrs

50
Q

When does thumb sucking / pacifier usually peak?

A

18- 20 months

51
Q

Describe the traditional role of a grandparent?

A

supportive, assisting, part time child care or limited, advising.

52
Q

Describe a grandparent that has an evolving role?

A

child care provider full time, primary custodial parent for the grandchild.

53
Q

If the grandparent is a financial provider, disciplinarian, or has an evolving role what kind of issues can arise?

A

legal & custody issues, housing issues, severed relationships, changing generational values & trends, physical health issues related to stress, social isolation & inadequate support, dealing with grandchildren exposed to trauma, loss, abuse or neglect.

Nursing 3800: Pediatrics (14 decks)

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