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Health Assessment > Module 11 > Flashcards

Module 11 Flashcards

1
Q

what is Erickson most well known for

A

psychosocial development

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2
Q

Erickson

birth to 1 yr

A

Trust vs. Mistrust

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3
Q

Erickson

1-3 yr

A

autonomy vs shame doubt

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4
Q

3-6 yr

Erickson

A

initiative vs guilt

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5
Q

6-12 yr

Erickson

A

industry vs inferiority

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6
Q

12-20 yr

Erickson

A

identity vs role confusion

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7
Q

20-35 yr

Erickson

A

intimacy vs isolation

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8
Q

35-64 yr

Erickson

A

generativity vs stagnation

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9
Q

> 64 yr

Erickson

A

ego integrity vs despair

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10
Q

what is Piaget most well known for

A

cognitive development

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11
Q

Piaget’s stages

A

Sensorimotor (birth to 2 years)
Preoperational (2 to 7 years)
Concrete Operations (7 to 11 years)
Formal Operations (11 to 15 years)

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12
Q

physical or cognitive skill a person must accomplish during a particular age period

A

developmental tasks

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13
Q

growth and development are what

A

orderly and sequential

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14
Q

the pace of growth and development

A

specific for each child

Children all grow and develop at varying rates; ALL within normal limits

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15
Q

Head control before sitting, crawling, walking

A

cephalocaudal

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16
Q

Roll over before coordinated hand movement

A

proximodistal

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17
Q

Growth and development becomes increasingly

A

integrated

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18
Q

what does a pediatric assessment include

A

history: health history, pediatric diseases, development

physical examination

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19
Q

specific reason the child is being seen

A

chief complaint

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20
Q

narrative of chief complaint from onset through progression to present

A

history of present illness

21
Q

four components of history of present illness

A

Details of onset
Complete interval history
Present status
Reason for seeking treatment NOW

22
Q

how to analyze a symptom

A 
Type
Location
Severity
Duration
Influencing factors
23
Q

what are the important aspects of past medical history

A

Birth History - Prenatal, Natal, Postnatal
Detailed Feeding History
Immunizations
Growth and Development

24
Q

what type of habits are you looking for in past medical history

A

such as breath holding, thumb sucking, head banging, rocking, fears, use of security blanket or toy, tics, behavior disorders, temper tantrums, nail biting, hair pulling, masturbation

25
Q

psychosocial concerns you ask about during medical history

A

Adjustment to home, school, neighborhood

26
Q

temperament concerns you ask about during medical history

A

Activity level, predictability, moods, intensity of reactions, adaptability, initial responses, distractibility

27
Q

how should you start the interview portion of review of systems

A

with general question about health such as: “Describe your child’s general health” or “How would you describe your child’s general health?”

28
Q

socioeconomic factors

A 
Occupations of mother and father
Time spent with child by parents
Finances – adequacy
Persons in the home
House or apartment living arrangements
General relationships of family members
Community support systems
29
Q

what is included in assessment of pediatric diseases

A

Infectious Diseases / Includes Immunizations
Endocrine, Nutritional, Metabolic, Immune, Hematological Diseases
Diseases by System – Respiratory, etc.
Dental Disorders including dental caries
Injury and poisoning

30
Q

what is necessary of nutritional assessment of Preschoolers, School-age, and Adolescents

A

Dietary intake including diet history and 24-hour recall (a typical day’s intake)

31
Q

what is necessary of nutritional assessment of infants

A

breast or bottle feeding (frequency/amount); if appropriate solids, what age introduced

32
Q

general rule of thumb for nutritional assessment

A

Depends upon age of child – the younger the child, the more detailed

33
Q

what are you looking for in assessment of cognitive development

A

Cognitive delay

Learning disorder

34
Q

what are you looking for in assessment of language development

A

Language delay

Speech delay

35
Q

what are you looking for in assessment of motor development

A

Gross motor delay

Fine motor delay

36
Q

what are you looking for in assessment of social development

A

Social development delay

Attachment failure

37
Q

how to communicate with children

A

Remember that children understand better than they can talk
Ask open-ended questions
Increase comprehension by using different methods to present and share information

38
Q

how to communicate with families

A

Include all involved family members
Encourage families to write their questions
Remain nonjudgmental
Give families both verbal and nonverbal messages that express availability and openness
Respect and encourage feedback

39
Q

describe how the physical examination is conducted

A

Head-to-Toe as appropriate to the age and temperament of the child

40
Q

reflect changes in growth patterns

A

Anthropometric measurements

41
Q

may signal a serious problem and should be taken at every health visit

A

measurements

42
Q

is a significant indicator of changing health status

A

child falling off the growth curve

43
Q

types of growth measurement charts

A 
Length-for-age or stature-for-age
Weight-for-age
Head circumference-for-age
Weight-for-length or weight-for-stature
BMI-for-age (2-20 year)
44
Q

what is most common to look at on growth charts

A

patterns over time on weight-for-length or weight-for-stature

45
Q

underweight or small

A

below 3th percentile

46
Q

overweight or large

A

above 97th percentile

47
Q

why is chronological age calculated

A

to be measured on appropriate growth chart

48
Q

how do you measure stature in young kids

A

Use recumbent length until age 2 year

49
Q

how to measure stature in 2-20

A 
Use wall mounted staideometer
Remove bulk
Stand erect with shoulders level, knees together, feet flat with all four contact points touching
Place hand on chin
Lower headpiece

Health Assessment (28 decks)

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