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Peds > Hospitalized Child > Flashcards

Hospitalized Child Flashcards

1
Q

what is the best distance between you and an infant so they can see you

A

8-10 inches

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2
Q

infants find comfort in structure, how can you as the nurse promote this in the hospital

A

try to simulate home routine and group care to create routines, try to assign the same nurse

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3
Q

infants are constantly developing speech and understanding, how can you as the nurse promote this while they are in the hospital

A

talk about everything in the room, talk about what you are doing, talk softly to sooth

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4
Q

swaddling can be very comforting for what age group

A

less than 6 months

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5
Q

infants digest food best when held upright, how can you as the nurse promote digestion

A

hold that baby, even for NG feedings

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6
Q

what does non-nutritive sucking achieve for infants

A

comfort

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7
Q

what are some toys that are developmentally appropriate for infants

A

mobiles, rattles, squeaky toys, picture books, balls, blocks

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8
Q

how can you tell if an infant is overstimulated, tired of interacting, or upset at what you are doing

A

turning away or pulling away from you

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9
Q

what are 6 specific interventions you can do to prep an infant for a procedure

A

keep parents calm and get them to help
sensory soothing methods (dextrose water, pacifiers)
cuddles and hugs
safe restraints (swaddles)
keep frightening objects out of view
keep security objects with infants

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10
Q

what age group is a push-pull wooden truck appropriate for

A

11-12 M

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11
Q

what does PRAISE toddlers stand for

A

P - parallel play
R - rituals, routines, regression
A - autonomy vs. shame and doubt, accidents
I - involve parents
S - separation anxiety
E - explore

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12
Q

what is toddlers biggest fear

A

loss of bodily control

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13
Q

what is the importance of magical thinking for the hospitalized toddler

A

they have a perception of illnesses as external and unrelated to the actual event

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14
Q

toddlers seek adult approval, what is the importance of using this while they are hospitalized

A

praise anything they do right, they will be more likely to do it again and try to please

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15
Q

what is the importance of finger foods for toddlers

A

they are refining their pincer grasp

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16
Q

toddlers love the idea of no (negativism), what is the best way to navigate this as a nurse in the hospital

A

give them specific choices, of which no is not one of them

17
Q

what are some toys that are developmentally appropriate for a toddler

A

board and mallet, push-pull toys, toy telephone, stuffed animals, story books with puppets

18
Q

what are 3 specific things to focus on when prepping a toddler for a procedure

A

need parents to help distract and comfort
praise
focus on the things specific to the toddler, what they hear, see, feel, smell (egocentric)

19
Q

what is the age in which a toddler can do a 4 piece puzzle

A

2 Y

20
Q

when are night terrors and nightmares most prevalent

A

preschool

21
Q

what does preschooler MAGIC stand for

A

M - multination (this is a fear)
A - associative play, abandonment (fear)
G - guilt vs initiative
I - imaginary playmate, imagination
C - curious

22
Q

what are preschoolers 2 biggest fears

A

mutilation (bodily harm) and abandonment

23
Q

what are 4 hallmarks of preschoolers cognitive development

A

transductive reasoning, animism, magical thinking, and egocentrism

24
Q

preschoolers have little understanding of time, how can you as the nurse address this in providing care

A

use smaller time frames, “we will take a bath after paw patrol is over”, use reasonable definitions of time (not next month, in a few days, last spring)

25
Q

a preschooler may often refuse to take medication, cooperate in care, become aggressive or withdrawn as the nurse how can you work through these

A

lower distractions and stimuli during assessments, make silly mistakes and them them catch you, comfort them by holding or rocking, let child have transitional object, propose “lets do this instead” or “how about this” instead of harsh non flexible commands, let them get their anger out safely like throwing a ball

26
Q

what are some developmentally appropriate toys for a preschooler

A

coloring book, puzzles, cutting and pasting, dolls, and building blocks

27
Q

what are the 5 specific ways to prepare a preschooler for a procedure

A
  1. simple explanations with diagrams or dolls
  2. let them play with costumes like caps, gowns, and stethoscope
  3. describe only what they will feel, hear, see, and smell
  4. tell them out loud that their procedures are not punishment
  5. allow medical play
28
Q

what does DIMPLE for schoolagers stand for

A

D - doers
I - industry vs inferiority
M - modesty
P - peers
L - loss of control
E - explanation

29
Q

what is schoolagers biggest fear

A

loss of control

30
Q

why is it more appropriate to use models rather than dolls for schoolagers

A

they are able to understand some causes of illness now

31
Q

schoolagers value time by themselves, in a hospital how can you as the nurse facilitate this

A

allow quiet and private time, group care to allow for these times

32
Q

what are 7 specific things you as the nurse can do to prepare school agers for procedures

A
  1. use correct, simple terminology
  2. use simple diagrams of anatomy to explain things
  3. explain things in concrete terms
  4. allow them to manipulate equipment
  5. allow time for questions before and after teaching
  6. suggest ways of maintaining control
  7. allow responsibility
33
Q

what does PAIRS for adolescents stand for

A

P - peer group
A - altered body image
I - identity
R - role confusion
S - separation from peers

34
Q

what are the hospitalized adolescents 3 biggest feats

A

altered body image, loss of control, separation from peers

35
Q

adolescents want to be part of a team, how can you as the nurse foster this while they are hospitalized

A

involve them with new staff, ask them about the level of involvement they want of their parents in their care

36
Q

hospitalized adolescents are at risk of developing dependency and depersonalization, as the nurse how can you help avoid this

A

have high expectations for appropriate behavior, help them maintain their identity, and discuss concerns about the future and issues they bring up

37
Q

adolescents are able to follow instructions related to mobility, diet, and medication compliance, how does this relate to your care as a nurse

A

you are able to teach them at a realistic level and involve them in their own care

38
Q

what are 6 specific things to keep in mind to prep an adolescent for a procedure

A
  1. they are capable of abstract thought and reasoning
  2. they are conscious of their appearance
  3. they are more concerned with the present but are worried about future abilities
  4. they are striving for independence
  5. their relationship with peers and a group identity is very important
  6. suggest ways of maintaining control
39
Q

there are 8 risk factors that place children in more of a vulnerable position while hospitalized, what are those

A
  1. difficult temperament
  2. lack of fit between child and parent
  3. between 6 M and 4 Y
  4. male
  5. below average intelligence
  6. having multiple and continuing stresses
  7. rural
  8. are passive

Peds (12 decks)

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