Pediatrics Flashcards

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1
Q

What is an ↑ in physical size

A

Growth

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2
Q

What is an ↑ in capability or function

A

Development

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3
Q

Are chronological age and dev. Age the same

A

No - two different things

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4
Q

What type of development moves from the HEAD DOWNWARD through the body and TOWARDS THE FEET

A

Cephalocaudal dev.

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5
Q

What type of development moves from the CENTER of the BODY OUTWARD to the EXTREMITIES

A

Proximodistal development

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6
Q

What is the “work” of kids

A

Play

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7
Q

Think about their DISEASE when choosing toys

A
  • Ex: heart defect → toy excites them →↑ HR = BAD
    ***NEVER want to ↑WORKLOAD on the heart with heart disease clients
  • toy for 5 month old → rattle (not CD music, stuffed animal or puzzle)
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8
Q

______________________ have an INVOLUNTARY GRASP REFLEX

A

Newborns

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9
Q

Activities for an I1 year old in the hospital

A

Video games, coin collecting, watching tv,reading books

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10
Q

Should an 11 year old hospitalized kid have frequent visits from friends

A

NO → safety/infection risks

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11
Q

At what age does the anterior fontanel close

A

12-18 months

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12
Q

At what age does the posterior fontanel close

A

2-3 months

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13
Q

How should you introduce new foods and why

A

1 at a time
**ALLERGIES (big risk) and immature GI tract

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14
Q

Why are peanuts specifically SO DANGEROUS

A

When WET they SWELL & crumble

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15
Q

Ventrogluteal IM shots are CONTRAINDICATED in who

A

Children who have NOT been WALKING for at least 1 year
** muscle is NOT developed enough

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16
Q

How do you look at a Childs ears

A

Pull DOWN AND BACK

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17
Q

What is the most common reason for failed potty training

A

Not ready

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18
Q

How many cups of milk should a 15 month old have per day

A

2-3 cups/day

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19
Q

What age do children experience the”best friend” stage

A

9-10 years old

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20
Q

Suffocation, MVA & drowning are the leading causesof death for….

A

Infants up to 1 year old

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21
Q

Can you put a car seat in the front seatbof a car

A

No → airbags

22
Q

Where should you place infants < 20 lbs (9 kg) in the car

A

Middle back seat, rear facing, semi-reclined
**
Provides the best support to their heavy head and weak neck

23
Q

What type of car seat should you have from 12-23 months

A

CONERTIBLE car seat for AGE & WEIGHT
***CAN FACE FORWARD → YES

24
Q

Regardless of age a car seat should be used until a child weighs AT LEAST how many lbs.

A

30 lbs (or 13.6kg)

25
Q

Can you paddings in the carseat

A

NEVER PUT PADDING IN A CARSEAT under or behind an infant In a car seat or a child
** suffocation risk

26
Q

From what ages do kids need booster seats

A

4-8 years old

27
Q

What can occur from being left in a car when it’s >80F (26.4 C) out

A

Hypothermia

28
Q

Why does hypothermia develop rapidly in infants

A

They cannot regulate their body temperature

29
Q

Common reasons infants are forgotten in cars

A

New routine, busy schedule, phones & distractions

30
Q

What is the major cause of severe accidental injury in kids 6-12 years old

A

MVA

31
Q

When does the growth rate start to decline in children

A

Ages 6-12

32
Q

How many calories does the average school aged child require

A

2,400 cals/day

33
Q

How much earlier do girls experience adolescence than boys

A

1-2 years earlier

34
Q

What should you ALWAYS start a pediatric assessment with

A

Observation

35
Q

Put in order the steps of taking pediatric vital signs/assessment

A
  1. Observation
  2. Distraction techniques
  3. VS (in specific order)
  4. O2 sat
36
Q

What is the correct order of taking vitals in a pediatric client,

A

A. LEAST INVASIVE 1st
B. Observe before touching or talking
C. Order of VS
1. Respirations
2. heart rate
3. BP
4. Temp.
5. O2 sat.?
D. For infants and toddlers always count RR & HR for ONE FULL MIN. Lr/t irregularities due to their immature nervous system)
E. If vital signs can’t be taken without disturbing the child, then record the behavior with the measurements
F. Temp.
1. Rectal- MOST RELIABLE for infants & kids
**NO rectal temps. in newborns → too RISKY & may PERFORATE their anus
**
CONTRAINDICATED in any child with→diarrhea, rectal lesions, receiving chemo., immunosupressed or have no rectum
***IMPERFORATE ANUS or anorectal malformation → no rectum
2. Axillary- may be done in ALL AGES when oral route isn’t possible
3. Oral- start at 5-6 YEARS
4. Tympanic-ALL AGES

**ALWAYS note WHERE temp. Was taken
**DO NOT add or subtract a degree

37
Q

What obtains a “picture” of the blood oxygen levels through the skin

A

O2 sat.
A. Check perfusions, skin temp. & edema to determine the best location
B. Common sites are FINGERS & TOES
C. O2 sat. should CORRELATE WITH PULSE

38
Q

_______________ primarily express communication non-verbally; express emotions through crying; respond to human voice & presence; touch has a positive effect → encourage parent to touch

A

Newborns

39
Q

What is the age-range for newborns

A

Birth - 1 month

40
Q

What months are the infancy stages

A

1-12 months

41
Q

__________ primary communication is nonverbal still; begins verbal communication with localization, starting with REPEATING CONSONANTS; attentive to human voice and presence but minimal comprehension of words; respond to touch through patting, rocking, stroking; nursing → speak in gentle voice, cuddle,pat; rub to calm and encourage parents

A

Infants

42
Q

__________________ have evolving verbal, skills; include ages 1-5 years; form 3-4 word sentences called TELEGRAPHIC SPEECH; CONCRETE & LITERAL thinkers; vocab. Depends on development & family; asks a lot of questions; short attention span

A

Toddlers and preschoolers

43
Q

What age ranges are toddlers and preschoolers

A

1-5 years old

44
Q

What is a toddlers cognitive dev. Like

A

** egocentric
** magical thinking
** animism
** object permanence

Nonverbal dev.: expression through dramatic play and drawing; PLAY is their WORK

45
Q

How old are school aged children

A

6-12 years old

46
Q

Cognitive dev. in school aged children

A
  • Able to use LOGIC
    *BEGINNING to understand others P.O.V.
  • beginning to understand CAUSE & EFFECT
  • developing an understanding of body functions
47
Q

Verbal communication in school aged children

A
  • Big vocab
    *RECEPTIVE & EXPRESSIVE language is more balanced
    *MISINTERPRETATION of phrases is still common
48
Q

Non-verbal communication of school aged kids

A
  • Can interpret non-verbal-messages
  • expression of thoughts & feelings
49
Q

What age are adolescents

A

13-18 years old

50
Q

______________ have abstract thinking WITHOUT full adult comprehension; interpretation of medical terms is limited; strive for INDEPENDENCE; trust and build RAPPORT; need for PRIVACY; nursing → straight-forward approach, talk in private, ask parent to leave, to interview the client alone

A

Adolescents (13-18 years old)