Pediatric Nursing Flashcards

1
Q

Pediatric Population

A
  • Birth-20yrs
  • Roughly 1/4 of pop
  • Kids = Adults
    > habits/chronic health conditions
    > adverse childhood experiences (ACEs); experience depression 1st from post-partum mom
  • Major goal of peds nursing is to improve quality of hlth care for children & their fams
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2
Q

Health Concerns

A
  • Obesity
  • Type 2 Diabetes
  • Childhood injuries
    > accidents
  • Violence
  • Bullying
  • Mental hlth probs
    > stress
    > social media
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3
Q

Childhood Mortality

A
  • Infant Mortality
    > US lags behind other nations
  • Birth Weight
    > major determinant of neonatal death
    > low birth weight & premature birth are biggest death rate
  • Ages 5-14 have lowest death rate
  • 15-19 yrs
    > sharp incr occurs in adolescence
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4
Q

Childhood Morbidity

A
  • Specific groups of children have incrd morbidity (illness)
    > homeless
    > living in poverty
    > low birth weight
    > chronic illness
    > foreign born adopted children
    > children in day care centers
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5
Q

Role of Pediatric Nurse

A
  • Therapeutic relationship
  • Fam advocacy & caring
  • Disease prevention & hlth promo
  • Hlth teaching
  • Injury prevention
  • Support & counseling
  • Coordination & collaboration
  • Ethical decision making
  • Research
  • Evidence-based practice
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6
Q

Growth

A

An incr in # & size of cells as they divide and synthesize new proteins; results in incrd size & weight of whole or any of its parts

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7
Q

Development

A

A gradual change and expansion; advancement from lower to more advanced stage of complexity; incrd capacity through growth, maturation, and learning

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8
Q

Maturation

A

An incr in competence and adaptability, usually described as a qualitative change to function at higher level

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9
Q

Differentiation

A

The processes by which early cells and structures are systematically modified and altered

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10
Q

Infant Stage

A

Birth-1 year

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11
Q

Toddler Stage

A

1-3 years

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12
Q

Preschool Stage

A

3-6 years

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13
Q

School Age

A

6-12 years

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14
Q

Adolescence

A

12-20 years

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15
Q

Cephalocaudal

A

Develop (control) from head to toe

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16
Q

Proximodistal

A

Center to extremities

17
Q

General to Specific

A

Big movements to more specific; moving legs to wiggling toes

18
Q

Growth Chart

2 charts
wht to worry abt

A
  • Sets the standard by which all children are measured; ranges in percentiles
  • WHO: used for first 2 yrs
  • CDC: after 2yrs old
  • Percentiles to worry about: upper 95th, lower 5th, & falling off of own curve
19
Q

What is FTT

A
  • When an infant/child is not gaining an appropriate amnt of weight
  • Not getting enough calories
    > typically breast fed babies
    > not absorbing nutrition correctly
    > requires more cals for fast metabolism; heart defects!
20
Q

Nutrition

A
  • Single most important influence on growth
  • Appetites fluctuate r/t growth periods
    > toddlers (2&3yrs) most picky
    > babies & adolescents have highest nutritional requirements
21
Q

Solitary Play

A
  • Children playing alone with different toys than other children in the same area
  • Enjoy the presence of other children but do not make an effort to get close to or speak to them
22
Q

Onlooker Play

A
  • Watching other children, but making no effort to enter play activity
  • An interest in observing, no movement towards participating
  • EX: watching an older sibling bounce a ball
23
Q

Parallel Play

A
  • Children playing independently among other children, with similar toys
  • Playing beside, but not with other children; no influence
  • Toddlers mostly but any age group
  • EX: creative craft w/ each person working on individual project
24
Q

Associative Play

A
  • Children playing together and engaged in a similar activity, but with no organization, division of labor, leadership, or mutual goal
  • EX: playing dress up with dolls, sharing clothes, but no rules to follow
25
Q

Cooperative Play

A
  • Organized, children playing in a group with other children
  • Plan activities; attain a competitive goal
26
Q

Erik Erikson

A

Psychosocial Development

27
Q

Jean Piaget

A

Cognitive Development

28
Q

Psychosocial Development

who
what
stages & ages

A
  • Erik Erikson
  • Developing personality
  • Trust v. Mistrust: 0-1.5yrs
  • Autonomy v. Shame & Doubt: 1.5-3yrs
  • Initiative v. Guilt: 3-6yrs
  • Industry v. Inferiority: 6-12yrs
  • Identity v. Identity Confusion: 13-21yrs
29
Q

Cognitive Development

who
what
stages (4)
ages
what is developing

A
  • Jean Piaget
  • Learning how to think
  • Sensorimotor: birth-2yrs
    > Object Permanence
    > using sense to explore their world
  • Preoperational: 2-7yrs
    > Symbolic Thinking
    > egocentric, magical thinking
  • Concrete Operational: 7-11yrs
    > Logical Thought
    > thought process becomes logical, inductive reasoning
  • Formal Operational: 11-adult
    > Abstract Thought
    > becomes adaptable & flexible