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Childrens-Redman > final exam pt 2 > Flashcards

final exam pt 2 Flashcards

1
Q

how should food be served to a toddler to promote nutrition?

A
  • at/near room temp
  • soft foods
  • cut into small, bit-size pieces
  • finger foods preferred (autonomy)
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2
Q

why does physiologic anorexia occur in toddlers?

A

growth rate slows, decreasing need for calories/protein/fluid as compared to infancy

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3
Q

what are food jags? what intervention should be taken?

A

toddler prefers certain foods for a time period
do not giver/offer junk food

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4
Q

what should the nurse note when they recognize a toddler is adamant about using the same dish, cup, spoon for meals?

A

ritualism

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5
Q

which of the following is greater in toddlers, receptive language or expressive language?

A

receptive (can comprehend more than they can say)

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6
Q

how many words are expected by 2 yr?

A

50-300

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7
Q

what age group may echolalia be present in?

A

toddlers

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8
Q

what age group is telegraphic speech common in?

A

toddlers

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9
Q

at what age can a child begin to sit forward-acing in a car seat?

A

> 2yr

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10
Q

what age is solitary play seen in?

A

infant

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11
Q

what age is parallel play seen in?

A

toddlers

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12
Q

what age is associative play seen in?

A

pre-schooler

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13
Q

what age is cooperative play seen in?

A

school-age

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14
Q

what age group would benefit from mobiles, noise-makers, soft toys and large blocks?

A

infants

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15
Q

what age group would benefit from push-pull toys, lg-piece puzzles and balls?

A

toddlers

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16
Q

what age group would benefit from board games, action figures, models and video games?

A

school-age

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17
Q

what age group would benefit from arts/crafts, playing pretend and books?

A

pre-schoolers

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18
Q

what age group would benefit from reading, listening to music and peer time?

A

adolescent

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19
Q

which age would benefit from calming tone, therapeutic hugging and soothing music?

A

infant

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20
Q

which age group would benefit from approaching carefully, use toys/books to distract and parallel play?

A

toddler

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21
Q

what age group would benefit from puppets, play, touching equipment, allowing choices, simple terms, counting aloud and pretending to give their bear a shot?

A

pre- schooler

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22
Q

what age would benefit from encouraging questions, using diagrams and illustrations?

A

school-age

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23
Q

how much should birth weight increase by 5m?

A

doubles

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24
Q

how much should birth weight increase by 1 yr?

A

triples

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25
Q

how much should height increase by 6m?

A

1in/month

26
Q

how much does birth length increase by 12m?

A

50%

27
Q

what age are rolling from back to side, grasping objects with both hands and head control expected?

A

4m

28
Q

what age are rolling back to front and holding bottle expected?

A

6m

29
Q

what age are crude pincer, creeping and unsupported sitting expected?

A

9m

30
Q

what age are self feeding, simple marks, 2 block tower, walking w/hand and sitting from standing expected?

A

12 m

31
Q

what nutritional intervention is recommended for a breastfeeding-only infant after 4m?

A

iron supplementation

32
Q

what nutrition is recommended for the first 6 m?

A

breastfeeding

33
Q

how many calories should formulas provide?

A

20 cal/oz

34
Q

how much iron/liter is indicated in formulas?

A

10-12 mg/Liter

35
Q

which pre-school trait is characterized by the belief that thoughts are all powerful and an ability to satisfy curiosity through make-believe?

A

magical thinking

36
Q

which pre-school trait is characterized by the ability to understand the sequence of daily events in relation to the other events?

A

time

37
Q

what are common fears for pre-schooler?

A

loud noises
dark
hospitalization
body mutilation

38
Q

which age is imaginative and dramatic play most helpful for?

A

pre-school

39
Q

which condition causes dry, itchy, inflamed skin in response to environmental factors, temp changes and sweating?

A

atopic dermatitis

40
Q

what may assist with itching for atopic dermatitis?

A

antihistamines at HS

41
Q

what behavior modification techniques can be used during the waking hours for atopic dermatitis?

A
  • clickers
  • distractions
  • rewards
42
Q

what type of linens should be used with eczema?

A

100% cotton

43
Q

what type of material should be avoided for eczema?

A

synthetics and wool

44
Q

what meds are used for eczema?

A

topical corticosteroids
tacrolimus (immune modulators)

45
Q

what is indicated by elevated neutrophils?

A

acute bacterial
severe stressor

46
Q

what is indicated by elevated eosinophils?

A

allergic reactions

47
Q

what is indicated by elevated lymphocytes (B &T cells)?

A

viral infections
chronic bacterial

48
Q

what are the 2 inflammatory markers?

A

ESR and CRP

49
Q

which immunoglobulin crosses the placenta and breastmilk and protects against viruses, bacteria and toxins?

A

IgG

50
Q

which immunoglobulin is the defense against resp, GI and GU pathogens?

A

IgA

51
Q

which immunoglobulin indicates an active infection?

A

IgM

52
Q

which immunoglobulin increases during allergic states and parasitic infections?

A

IgE

53
Q

what is indicated by an elevated complement C3?

A

active immune system from injury or infection

54
Q

which formula is used to calculate fluid administration based on TBSA burned?

A

parkland formula

55
Q

what chart is used to calculate TBSA?

A

Lund and Browder chart

56
Q

which condition is characterized by muscle/joint pain, mild neck stiffness, malaise, fever and erythema migrans?

A

lyme disease

57
Q

how long is abx therapy for lyme?

A

14-28 disease

58
Q

what 2 abx for lyme?

A

doxycycline >8
amoxicillin < 8

59
Q

how often should temp be assessed for fever management?

A

4-6 h

60
Q

how soon after antipyretic admin should temp be assessed?

A

30-60 mins

61
Q

how long does abx therapy last for acute OM?

A

10-14 days

62
Q
A

Childrens-Redman (7 decks)

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