Health promotion of infant and toddler Flashcards
research shows involving ______in care is something they expect and desire and helps with outcomes
family
Give Equal ______ to the different parenting styles regardless of your personal opinions and beliefs
respect
parenting style:
– do what I say you’re going to do, has rules and they’re going to be followed
authoritarian
parenting style:
– have no control, pretty much let the kid decide, let the child regulate whatever they want to do,
permissive
Parenting style:
–is a combo of authoritarian/permissive, have boundaries and standards that they want the kid to follow, is not about control with the kid but is on being able to focus on action to get the kid to comply with what is going on
authoritative
kids are like a _____ –too much pressure or too little pressure is not good
spring
What are the three parenting styles?
authoritarian
permissive
authoritative
–explaining why it is right or wrong, works when they can see the world from outside, doesn’t happen until 4th or 5 th grade
Reasoning
–can be in extremes and can take connotation of shame and criticism, is more so if youre saying youre a bad boy for breaking that toy, be mindful of how you word things
Scolding
– rewards, research shows it works really well.
Behavioral Modification
– MUST BE CONSISTENT, can work but you have to be consistent
Ignoring
t/f: all discipline has its place
true
Time-out
general rule for time-outs are??
one minute per year of age
– it teaches that violence is acceptable, if the parent is upset they can end up harming the child, kids also develop a tolerance to the spanking (if theyre not here I don’t have to worry about it)
Corporal/physical punishment
–works sometimes by taking away certain things
Loss or removal of privileges
Schools
Peer groups
Local community
Race and ethnicity
Social class – wealth vs. poverty
Mass media influences – advertisements, association to obesity
two hours total/day beginning at two years of age
Religious and traditional influences
sociocultural influences
___ is the primary source of strength and support for the child
Family
Family centered care
Stressors
Fear of bodily injury and pain
Separation from parents and loved ones
Fear of the unknown
Loss of control and autonomy
Stressors of Hospitalization
What are the phases of separation anxiety?
protest phase
Despair phase
detachment phase
stards at 6 months and lasts until 30 months
Cry and scream, cling to parent
protest phase
–get a little depressed, less activity than expected, get them something familiar
Crying stops, evidence of depression, regression
despair phase
very extreme long term, happens when parents run out of FMLA, look like theyre going back to normal, can happen with long extended stay, they recover from it and learn new skills, overcome different stressors in life, no long term issues usually
Denial, resignation; not contentment
detachment phase
Promote freedom of movement
Maintain child’s routine, if possible
Self-care (age-appropriate)
Wearing street clothes
Making food choices
Schoolwork
Friends and visitors
normalizing environment for children
______ _____ _________can help with procedures – sometimes have animal therapy, collab with them, right before the procedure is the best time
child life specialist
What level are these toys appropriate for?
toddler
What level are these crayons appropriate for?
older child
focus on maintaining health with preventions
community health concepts
Are PSA type stuff
primordial
immunizations are an example of what level of prevention?
primary
screening for exposure is?
secondary prevention
include optimizing programs such as rehab
tertiary
Active immunity can be gained from?
natural immunity from contracting the disease
artificial immunity from receiving a vaccination
Passive immunity can come from?
Natural immunity conveyed from mom to neonate
Artificial immunity from immunoglobulin administration
______ is the act of introducing antigen
vaccination
______ is something that gets developed as far as the immune system (sometimes over time)
immunity
Diphtheria
Tetanus
Pertussis
Poliomyelitis
Measles
Mumps
Rubella
Haemophilus influenzae Type b
Hepatitis A
Hepatitis B
Influenza
Pneumonia
Varicella (chickenpox)
Rotavirus
Human papillomaviruses
Meningitis
Zoster (shingles)
vaccine preventable diseases
Be familiar with the schedule – updated annually
Be aware of contraindications and precautions
Provide information and anticipatory guidance
Be prepared for adverse reactions
Ensure parental consent prior to administration
Provide safe administration
Ensure documentation is complete
role in immunizations
you dont have to memorize about when certain vaccines are given, but you do need to understand that different vaccines are given at _______
different ages
its ok to give a vaccine when a child has a low grade fever, but not a severe one
if they have a severe fever, the vaccine will be _______ ________
less effective
If the patient is immunocompromised or has had a recent blood transfusion, which type of vaccines should you not give?
life attenuated vaccines
if the patient has had a recent blood transfusion, how long should you want before giving their vaccine?
3-5 months
If an individual is pregnant, which type of vaccines cannot be given?
live vaccines
severe febrile illness and immunoglobulin administration are?
contraindications for vaccine administration
military, marriage, pregnancy, STDs, mental health
conditions for medical emancipation
Appropriate needle length
______ for infants < 28 days old; 1 inch for infants 1 month and older
5/8 inch
Appropriate anatomical site – IM – 22-25 gauge
<12 months old – ______
>12 months old – may use deltoid muscle if enough muscle mass exists
vastus lateralus
Appropriate anatomical site – _____ – 5/8-inch, 23-25 gauge
<12 months old – outer thigh
>12 months old – upper-outer triceps
Subcut
If multiple vaccines – space an_______ apart
inch
best position to administer vaccines for child or infant
Inject rapidly without aspiration
Inject vaccines that cause most pain last
Distraction – blowing bubbles
Encourage a comforting hold
Breastfeeding or sweet-tasting solution for <2-year-olds
Tactile stimulation
Use a colorful bandage
Cool compresses to site
Parent may give acetaminophen or ibuprofen afterwards
minimizing discomfort measures for vaccine administraiton
_______ vaccines hurt the most, wait until the end to give them
pneumonia and MMR
pressing an inch above the injection site is an example of?
tactile stimulation
give IM before ______
SUBQ
Tenderness, redness, swelling
Local reactions – most frequent, least severe
Low-grade fever, malaise, muscle pain, headache, syncope, loss of appetite
Systemic reactions – less frequent than local reactions
Epinephrine and airway management equipment should be available for this allergic reaction to vaccines
anaphylaxis
sycope happens more with men getting the ______vaccine –response doesn’t always happen immediately
HPV
Provide VIS (Vaccine Information Statement) – federal law requires it
Document date, site, route, manufacturer, and lot number
Discuss s&s of a reaction with parents
Provide materials – After the shots…
Review education
Vaccine Information, Guidance, and Documentation
_______ children are most susceptible to the complications of communicable disease
Immunocompromised
Barrier protection from blood and body fluids
Respiratory hygiene/cough etiquette
Safe injection practices
Hand hygiene
standard precautions
Reduce risk by direct
or indirect contact
contact precautions
must clean hands
wear gloves
gown
dedicated or disposable equipment
contact precautions