part 13 Flashcards
-school age through puberty:
What is a strong influence on child gaining independence from parents?
id with peers
-sex roles strongly influenced by peers
When do children resist and stop resisting bedtime?
- resist at age 8-11
- less resistant 12 and older
How do kids loose teeth?
- 6-7 front teeth
- 7-8 next teeth moving back
- 9-10 next back
- 10-12 for molars
- then come in similar to falling out
What is the most common cause of severe injury and death in school age children?
motor vehicle crashes
-pedestrian and passenger
What do we need to remind parents about for school age children? a
anticipatory guidance
What are some physiological changes of the adolescent (12-18)?
- size/strength of heart, blood volume, and systolic BP increase
- pulse rate and heat production decrease
- adult values for all formed elements
- respiratory volume and vital capacity increase
- increased performance capabilities
- early adolescent: group identity vs alienation
- development of personal identity vs role diffusion
- sex role id
- emotionality
Psychosocial development
-erikson: sense of id
- abstract thinking
- think beyond present
- mental manipulation
- concerned about others thoughts/feelings
piaget: cog development
- formal operations period
- internalized set of moral principals
- questioning moral values and relevance
- understand duty
- concepts of justice
kohlberg: moral development
- define id from parents’
- much ambivalence
- intense social and lonliness
- acceptance by peers very importnat
social development adolescence 12-18 years
What age has the biggest caloric need?
adolescence (12-18)
What is the single greatest cause of serious and fatal injuries in teens?
motor vehicle crashes
As of July 2016 No shots, No records, No……
school
What 6 immunizations are required to enter kindergarten?
- polio
- DTaP
- MMR
- Hep B
- Varicella
- Hib
What is the general contraindication for all immunizations?
severe febrile illness
What are the recommendations for IM in children?
- <3 vastus lateralis
- > 1 or 18 months deltoid
- separate injections by at least 1”
- infants 1” needle
- toddler 1.25” needle
- older children 1.5”
For immunizations parents may no longer…..
opt out
-must get consent each time
Are common illnesses contraindicated for immunizations
no
What can you expect after an immunizations?
irritability
fever
red
sore at site
What can you give to help child/baby after immunization?
acetaminophin 10 to 15 mg per lb
ice pack initially
warm cloth OK later
