part 13 Flashcards

1
Q

-school age through puberty:

What is a strong influence on child gaining independence from parents?

A

id with peers

-sex roles strongly influenced by peers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When do children resist and stop resisting bedtime?

A
  • resist at age 8-11

- less resistant 12 and older

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How do kids loose teeth?

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the most common cause of severe injury and death in school age children?

A

motor vehicle crashes

-pedestrian and passenger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What do we need to remind parents about for school age children? a

A

anticipatory guidance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are some physiological changes of the adolescent (12-18)?

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • early adolescent: group identity vs alienation
  • development of personal identity vs role diffusion
  • sex role id
  • emotionality
A

Psychosocial development

-erikson: sense of id

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  • abstract thinking
  • think beyond present
  • mental manipulation
  • concerned about others thoughts/feelings
A

piaget: cog development

- formal operations period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  • internalized set of moral principals
  • questioning moral values and relevance
  • understand duty
  • concepts of justice
A

kohlberg: moral development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  • define id from parents’
  • much ambivalence
  • intense social and lonliness
  • acceptance by peers very importnat
A

social development adolescence 12-18 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What age has the biggest caloric need?

A

adolescence (12-18)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the single greatest cause of serious and fatal injuries in teens?

A

motor vehicle crashes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

As of July 2016 No shots, No records, No……

A

school

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What 6 immunizations are required to enter kindergarten?

A
  • polio
  • DTaP
  • MMR
  • Hep B
  • Varicella
  • Hib
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the general contraindication for all immunizations?

A

severe febrile illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the recommendations for IM in children?

A
  • <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”
17
Q

For immunizations parents may no longer…..

A

opt out

-must get consent each time

18
Q

Are common illnesses contraindicated for immunizations

A

no

19
Q

What can you expect after an immunizations?

A

irritability
fever
red
sore at site

20
Q

What can you give to help child/baby after immunization?

A

acetaminophin 10 to 15 mg per lb
ice pack initially
warm cloth OK later