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Nursing 2600 Exam 1 > Hospitalized Child > Flashcards

Hospitalized Child Flashcards

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1
Q

Erickson’s stage for the infant?

A

Trust vs. Mistrust

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2
Q

Erickson’s stage for the toddler?

A

Autonomy vs. Shame and Doubt

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3
Q

Erickson’s stage for the Preschooler?

A

Initiative vs. Guilt

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4
Q

Erickson’s stage for the School Age child?

A

Industry vs. Inferiority

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5
Q

Erickson’s stage for an Adolescence?

A

Identity vs. role confusion

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6
Q

Is regression normal?

A

Yes, can be a coping mechanism

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7
Q

Name stressors associated with hospitalization for infants and toddlers?

A 
Parent-child relationship disturbed
Unpredictable routines
Separation anxiety
Fear injury and pain
Loss of control
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8
Q

What are the 3 stages of separation anxiety? Describe each stage.

A

Protest- loud cry, Despair- quite and pouting, Detachment- ignore original person

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9
Q

What are the ages for infants?

A

0-1

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10
Q

What are the ages for toddlers?

A

1-3

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11
Q

What are the ages for preschoolers?

A

3-6

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12
Q

What are the ages for school age?

A

6-12

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13
Q

What are the ages for adolescents?

A

12-18

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14
Q

Which age group demonstrates parallel play?

A

Toddlers

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15
Q

Which age group demonstrates associative play?

A

Preschoolers

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16
Q

What is a transitional object?

A

A security object- blanket, stuffed animal, pacifier

17
Q

Major concern for any age child, but especially younger children?

A

Safety

18
Q

Name stressors associated with hospitalization for preschoolers?

A

Some separation anxiety
Concept of body limited
Fear of injury, pain, mutilation, and intrusive procedures
Loss of control*
Believe illness is punishment for some thought or deed

19
Q

Common nursing implications for preschoolers?

A 
Band-aids
Use distractions*
Pseudo-choice*
Explain procedures- avoid words w/ double meaning
Urge parents to comfort*
Accept regression*
Avoid Yes/No questions*
20
Q

What is the #1 fear for adolescents?

A

Body image disturbance

21
Q

Must access for what coping mechanisms?

A 
Regression
Denial
Repression
Postponement
Bargaining
Lashing Out
22
Q

Who can give informed consent?

A

Parent
Legal Guardian
Emancipated Minor

23
Q

Assessment knowledge for Height in children?

A

Measure lying down till 2
50% increase in length by age 1
Doubles by age 4
Triples by 12 (girls), 13 (boys)

24
Q

Assessment knowledge for Weight in children?

A

Average weight of NB 3.4 kg or 7 1/2 lbs
Lose weight for the first few days, regain by day 10
Weight doubles by 4-6 mos, triples by 1, quadruples by age 3

25
Q

Increase in head circumference can be a sign of?

A

ICP- Increased inter-cranial pressure

26
Q

Things to know while analyzing growth?

A

Serial plotting over time, Look for a sharp increase or decrease

27
Q

What is EMLA or LMX4 used for?

A

cream to numb in preparation of IV

28
Q

Why is only 1 food introduced at a time and at least 3 days until another is introduced?

A

To assess for allergies

29
Q

Vitals for a new born?

A

T-97.7-99.1
P-120-160
R-30-60
BP-65-95/30-60

30
Q

Vitals for a 4 yr?

A

T-97.5-98.6
P-80-125
R-20-30
BP-91-107/50-66

31
Q

Vitals for a 10 yr?

A

T-97.5-98.6
P-70-110
R-16-22
BP-102-115/60-75

32
Q

Vitals for a 16 yr?

A

T-97.5-98.6
P-55-90
R-15-20
BP-111-130/65-80

33
Q

How to factor daily fluid needs?

A

1-10 kg 100mL/kg/day

10-20 kg 100mL/kg for 1st 10kg
+ 50mL/kg for 2nd 10kg

Greater than 20 kg 1500mL for 1st 20kg
+ 20mL/kg for each kg > than 20

34
Q

Daily fluid needs for a 9kg child?

A

900 ml/day

35
Q

Daily fluid needs for a 16 kg child?

A

1300 ml/day

36
Q

Daily fluid needs for a 23 kg child?

A

1560 ml/day

37
Q

What are minimum Urine Outputs for pediatrics?

A

Infants & Toddlers: ≥ 2-3mL/kg/hr

Preschoolers & young children: ≥1-2 mL/kg/hr

School-age & adolescents: 0.5-1 mL/kg/hr

Nursing 2600 Exam 1 (7 decks)

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