Final Flashcards
Infant Dehydration s/s
Sunken Fontanelles Sunken Eyes & Cheeks Sunken abdomen Pale or mottled skin Few or no tears Dry mouth and tongue
Child Dehydration s/s
Tachycardia
Hypotension
Tachypnea
Infant Gross Motor Skills
2-3 mo.: Raises Head/Chest, Slight head lag pulling to sitting
4-5 mo.: Roll over
6 mo.: Rolls both ways, sits w/o support, responds to name, explores toys with hands and mouth
9 mo.: Crawl
10 mo.: Pull to Stand
12 mo: sit from stand, walk
Toddler Gross Motor Skills
12-15 mos: Walk independently, feed self finger foods
18 mos: Climbs stairs, stacks blocks, removes shoes and socks
24 mos: Runs, kicks balls, carries several toys, climbs on furniture
36 mos: Pedals tricycle
School Age Behaviors
Group Play, Team Sports Associative Play Less fearful of harm to body, still scared of kidnapping and surgery Praise and accomplishment Rewards Sticker Chart Can teach self-injection of insulin
Infant, Toddler, Preschool, School Aged types of Medical Play
Infant: Solitary
Toddler: Parallel
Preschool: Associative, Domestic Mimicry
School Aged: Associative
Infant signs of Increased Intracranial Pressure
Head Enlargement Tense, Bulging Anterior Fontanelle Bossing Frontal Bone Setting-Sun eyes Scalp Veins Dialated Cranial Sutures Separated
Older Child signs of increased Intracranial Pressure
Headache/Nausea/Vomiting
Ataxia (Lack of Voluntary Muscle Movement)
Strabismus (rapid, side to side eye movement)
Diplopia (double vision)
Pupil response - sluggish or unequal
Changed LOC
Seizure
Post Febrile-Seizure Teaching
Stems from rapid rise in core temp Generalized seizure lasting up to 15 min Treat Symptoms Not Life Threatening Identify cause of high temp and treat Safety is priority Can send rectal diazepam home for high risk children or anxious parents
Trisomy 21 Physical Traits
Smaller nasal passages
Protruding tongue, often-open mouth
Dry muscous membranes make eating and babbling/talking a challenge
Otitis Media Complications
Hearing loss
expressive speech delay,
perf. of tympanic membrane
meningitis (extreme case)
Otitis Media Treatment
Antibiotics (and must finish treatment)
ADHD Support
Advocacy in school (IEP)
Behavioral Techniques - Positive reinforcement, quiet place to regroup, understanding peers/teachers
Stimulant meds
Short and Long term goals
Failure to thrive interventions
No distractions, provide meal times, structure
Appendicitis Nursing Management
Observe for sudden relief of pain Monitor Temp Keep NPO for surgery Administer IV pain meds Post-op may include antibiotics
Bronchiolitis Nursing Considerations
Isolation Suction Elevate HOB Do not feed if Resps > 60 Secondary to RSV
Ideopathic Thrombocytopenic Purpura (ITP) Education
Increased risk of bleeding Falls, Head Bleeds Padding Furniture, Crib Helmet No NSaids
Sickle Cell Crisis Summary
Anemia from sickling
Tissue Hypoxia
Pain, most often in joints
Acute Chest - Clumping in lungs, hypoxia, med emergency
Stroke
Stress - trauma, infection, fever, exertion, cold exposure
Iron Def. Anemia Family Teaching
Taking Iron can cause dark green stools
Cows Milk Too Early can cause. Should not be only source
Red Meat, Tuna, Salmon, Eggs, Tofu, Enriched Grains, Beans and Peas, Fruit, Leafy Green Veggies
Generic Cancer Presentation
Bruising Pale Bleeding Lethargy Infection Swelling
