Exam 3 Flashcards
What are we concerned about when the physeal plate (growth plate) breaks?
Growth restriction
What is a priority for when a child has a Bryant traction for a broken femur
Make sure buttock is off of bed
What are the discharge instructions for a child going home on an antibiotic
Finish the medication
How to take it
What it is for
Adverse reactions
What are the normal eating habits of a preschooler
Picky eaters
Educate parents on that they are still eating and it is normal
They are still getting proper consumption
At what age does birth weight double
6 months
At what age does birth triple
12 months
At what age does weight quadruple
3 years old
At what age is a child able to walk down the stairs
3
What is the leading cause of death in infants
Congenital anomalies
Can happen in womb or during birth
Examples- CP, SIDS, clef palate
Health promotion of toddlers
Tantrums
Dental
Health promotion of adolescents
Sleep more
Hygiene
What is the psychosocial development of a toddler
Autonomy
What is another word for pertussis
Whooping cough
Where do you assess a newborns HR
Apex of the heart
What are signs of puberty in a school age boy
Pubic, arm pit, and leg hair
Testicular enlargement
Voice changes
Heigh spikes at end of puberty
What is normal lead value in a one year old
4 mcg or lower
Test in a year
What should a parent do if a toddler says there are monsters under there bed
Put a night light
Ease the fear
What age should a toddler say a two word phrase “go-bye”
30 months
Pre college vaccine
Meningococcal
What are some findings that can be seen at a 6 month well check that requires intervention
Posterior fontanel lower
Helmet needed if not closing
What reaction will a 18 month old have in the hospital without a parent
Anxiety
Scared
What is it when a toddler starts to wet the bed in the hospital but was potty trained
Regression
Tell parents it is completely normal
How do you assess the abdomen of a child
Without tenderness no guarding
Symmetric shape
Infants- rounded
Bowel sound every 5-30 seconds
What is needed to be done with a patient with spina bifida
Cath every 4 hours
When should you assess the ears at a well child visit
Last
What are signs of an ear infection
Tugging of the ears
When a child has a cleft palate repair how do you soothe them After surgery
Hold and rock them
What vaccines does a 12 month old receive
MMR and varicella
What symptom occur with sudden rupture of membrane
Sudden relief of pain
What side should a patient be put on with a VP shunt
Unoperated
What assessment findings can be found with ICP
Bulging fontanelles
High pitched cry
Flexed position
What age should an infant be able to stand alone without support
12 months
When should an infant be able to raise head when laying on stomach
3 months
What medication should be used for JIA (arthritis)
Steroids
What position should a 5 month old be put in for a lumbar puncture
Knee-chest
What type of toy can be given to a two year old in a hospital when having a tantrum
Something to pound on (hammer)
What type of toy is appropriate for a 12 month old
Blocks
What finding will you find with a 6 month old in pain
Furrow brow
What is a normal finding of a 3 year old at a well check
Standing on one foot
What is the normal iron level
10-30
Nursing priority for suspected meningitis
Precautions
What are some signs a preschooler might need speech therapy
Stuttering
Mispronounced words
Speaking in a nasally tone
What are nursing intervention for a school aged kid in the hospital
Homework
Games
Personal clothes
Favorite meals/snacks
What is a normal behavior from a 10 year old about to get an IV
Stalling
Gain control
What are some intervention for a blind patient
Keep things in same place
Identify loud noises
Who can you refer a child to when there is speech concern besides speech therapy
Hearing specialist
What do you do for amblyopia
Place patch on good eye
What is the proper teaching for pink eye
Finish eye drops
Inner canthus to outer canthus
Wash hands
Keep eye clean
What is it called when you can’t see distance (nearsightedness)
Myopia
What is the best way to teach a child to read lips
Speak at an even rate
What is the reason for well visits
Early detection
What is a neural tube defect
Spina bifida
What is a sign a 11 month old is having a CNS infection
Bulging fontanelles
How can you help an 8 month old with CP sit
Prop with pillows
When taking a toddlers vitals what should you do
Tell them what you are doing
What is a spina bifida patient allergic too
Latex (strawberry and banana)
How would you take the temp of a patient with a myelomenigocele
Axillary
What actions should be taken for a seizure
Place them on there side
Remove hazards
Airway
What teaching should be done for iron deficiency medication
Do not take with milk
Take with orange juice
What is the risk for low platelet count
Bleeding
What are interventions for a 3 year old receiving surgery
Have parent stay with them
Keep you
Perform quickly
What is the goal for the plan of care for a hemi pelagic patient
Safety
What should be included in the plan of care for a 6 year old with bacterial meningitis
Semi Fowlers
Neuro/seizure precaution
Precautions
Antibiotics
What is the pain scale for a 2-6 month old
FLACC
Newborn pain scale
NIPS
What deficiency is most worried about in toddlers
Iron deficiency
What is normal behavior from adolescents receiving surgery
Concerned about body image
What can you advocate for when a big surgery is happening
PCA pump
Trust vs mistrust
Birth- 1 year
Autonomy vs shame
1-3 years
Initiative vs guilt
3-6
Industry vs inferiority
6-12
Identity be role confusion
12-20
Restraint for a 2 year old
Elbow
Signs and symptoms of ICP
Sleepy
