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Peds > Peds Exam 1 > Flashcards

Peds Exam 1 Flashcards

1
Q

Eriksons Theory is about what?

A

Psychosocial

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2
Q

Piagets theory is about what

A

Cognative

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3
Q

Kolbergs Theory is about what?

A

Moral

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4
Q

Freuds Theory is about what?

A

Psychosexual

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5
Q

Stages for infants for Erikson?

A

Trust vs. Mistrust

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6
Q

Stages for Toddlers according to Erikson?

A

Autonomy vs Shame and Doubt

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7
Q

Stage for Per-schools according to Erikson?

A

Iniative vs. Guilt

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8
Q

Stage for School Age according to Erickson?

A

Industry vs. Inferiority

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9
Q

Stage for Teens according to Erickson?

A

Identity vs. Role Confusion

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10
Q

Stage for Adoloscents according to Piaget?

A

Formal Operational

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11
Q

Stage of teens according to Kohlberg?

A

Post Conventional Level II

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12
Q

Stage of teens according to Freud?

A

Psychosexual

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13
Q

Stage of School Aged accordging to Piaget?

A

Concrete Operational

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14
Q

Stage of school aged according to Kohlberg?

A

conventional

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15
Q

Stage of school aged according to Freud?

A

Latency

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16
Q

Stage of preschoolers according to Piaget?

A

Pre-operational

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17
Q

Stage of preschoolers according to Freud?

A

Phallic Stage

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18
Q

Stage of preschoolers according to Kohlberg?

A

Pre-conventional

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19
Q

Who does magical thinking?

A

Preschool age

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20
Q

Toddlers participqte in what type of play?

A

Parallel Play

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21
Q

What type of play do rpeschoolers do?

A

Cooperative play

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22
Q

How long should infant sleep?

A

16-20 hours

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23
Q

How should an infant sleep?

A

With a tight sheet on their back and nothing in crib.

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24
Q

When will an infant be nocturnal?

A

3-4 months sleeping 6 hours

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25
Q

How long should 18 month sleep?

A

13.5 hours

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26
Q

ow long should 24 monht sleep?

A

13 hours per day

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27
Q

How long should 3 year old sleep?

A

12 hours per day

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28
Q

How long should pre schooler sleep?

A

11-12 hours per day

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29
Q

when does a kid stop napping?

A

Preschool

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30
Q

What is the best food for infants?

A

Breast Milk

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31
Q

How man cal do infants need birth to 6 months?

A

108 cals per kg

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32
Q

How many cals do inafants 6-12 months need?

A

98 cals/kg

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33
Q

No water until what age?

A

6 months

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34
Q

When can a kid have honey?

A

1 year

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35
Q

Should you leave toddlers unattended with food?

A

No

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36
Q

What is a food jag?

A

Like a food and the suddenly stop

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37
Q

How many meals should toddlers have?

A

3 meals and 2 snacks

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38
Q

Should you make toddlers eat?

A

No

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39
Q

What age has a fulls et of teeth?

A

Preschool

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40
Q

Should you cater to picky eaters?

A

No

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41
Q

How to promote good eating?

A

Role model behivor

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42
Q

When should you start potty training?

A

When dry diapers a night.

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43
Q

What bathroom control comes first?

A

Poopoing

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44
Q

Why might a pre schooler lie?

A

To avoid trouble, vivid imagination, be sure to distinguish reality from imigation and lying

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45
Q

What age group is negativism an issue?

A

Toddlers

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46
Q

Should you ask toddelrs yes or no questions?

A

No because you will get a no

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47
Q

What motor skills improve in school age kids?

A

Hand usage improves, Balance improves, can build things and write, plays istruments and is proud of self

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48
Q

When does object permanance become a thing?

A

8 months

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49
Q

When can you give a infant solids?

A

4-6 months

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50
Q

hat do do to kids teeth after meals?

A

Wipe them off

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51
Q

What is the role of peers in school age kids?

A

peers help shape concepts of self

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52
Q

Who do school age kids associate with?

A

same sex kids less intrest in family more in firends

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53
Q

Aspects of Preschool Play?

A

Imiganiation, Make beleive, dramatic play and artsy

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54
Q

When do most girls start puberty?

A

9-10

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55
Q

When do most boys start puberty?

A

10-11

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56
Q

What is Tanner stage 1

A

pre-ouberty

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57
Q

What is tanner stage 2?

A

Puberty

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58
Q

What happens in a nightmare?

A

Can remember, is scared, happens long time after falling asleep, , remembers dream, can be calmed.

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59
Q

What happens in a night terror?

A

Cant remember, does not aake, not scared, no idea is happening, soon after falling asleep.

60
Q

When is speeration anxiety the worst?

A

18-24 months

61
Q

When does sepeeration anxiety get better?

A

24-36 months

62
Q

Parenting Styles?

A

Permissive, authoritarian, Authorative, Uninvolved

63
Q

Which parenting style is the best?

A

Authoriative

64
Q

How do you correct age for premature babies?

A

Born weeks - 40 + outside womb age

65
Q

What does H stand for in HEEADSSS

A

Home Enviroment

66
Q

at is the first E in HEEADSSS?

A

Educationa nd Employment

67
Q

2nd E in HEEADSSS

A

Eating

68
Q

A in HEEADSSS?

A

Activities

69
Q

D in HEEADSSS

A

Drugs including alcohol

70
Q

1st S in HEEADSSS

A

Sexuality

71
Q

2nd S in HEEADSSS?

A

Suicide/Depression

72
Q

Last S in HEEADSSS?

A

Safety

73
Q

Suspect Sepsis if what s/s?

A

under 3 months with any fever

74
Q

Sx in sepsis may be what?

A

subtle sx, low fever, low sodium, decreased appetite

75
Q

Contact precautions?

A

wash hands pre and post, gloves and gown on and off before entering and exiting. Use disposable tools?

76
Q

Droplet Precautions?

A

Wash hands, mask, eye protection

77
Q

Airborne precautions?

A

Wash hands, N95, negative pressure close door

78
Q

What does the Hib Vaccine stop?

A

Hemophlaous Influenza…this is not the flu.

79
Q

What age can HIB be life threatening?

A

<5 y/o

80
Q

Viral exanthems comef rom what viruses?q

A

Roseola, Coxasckie, and Fifths

81
Q

Sx of Roseola?

A

Feer and a rash

82
Q

Sx of Coxackie?

A

Hand Foot Mouth Rash

83
Q

SX of Fifthis?

A

Raash on cheeks aka slapping rash

84
Q

Progonosis of Lyme Disease?

A

very good

85
Q

Drugs to treat Lyme Disease?

A

Amoxicillin if less than 8 y/o Doxy if over 8 y/o

86
Q

Cardinal sign of Lyme disease?

A

Bulls eye Rash

87
Q

What nuero issue can Lyme Disease cause?

A

Bells Palsy

88
Q

at test to do for Lyme Disease?

A

EIA and if positive complete a western blot test

89
Q

Nutrition for Cystic Fibrosis?

A

High Protein, High Calorie meals, give enzymes.

90
Q

Nursing interventions for CF?

A

Clear airways of mucous, physiotherapy, give mucolytics.

91
Q

What do you want o prevent and treat in CF patients?

A

Respiratory infections and if have tx with ABX.

92
Q

Precautions for RSV?

A

Contact and Droplet

93
Q

Who is at higher risk for RSV complications?

A

Premature kids, they can get a vaccine

94
Q

What are two important things for kids with RSV?

A

Fluid and Airway

95
Q

Bronchiolitis Management?

A

Suction Airway, hydration, and pedialyte, consider high flow 02 if O2 SPO2 is <90 on RA

96
Q

Priority of respiratory assessment?

A

O2 is mot important, ABC’s…cardio issues come from respiratory in kids.

97
Q

Asthma medication?

A

Albuterol

98
Q

What must kids use when using a MDI?

A

Spacer

99
Q

If using inhaler more than how many times a week do they need better management of asthma?

A

> 2

100
Q

S/S of Croup?

A

Barking seal cough worse at night

101
Q

Age group that gets croup most?

A

6 months -3 years

102
Q

Tx for Croup?

A

Supportive, humidity, dex and racemic epi

103
Q

Things to monitor with Respiratory issues?

A

Moniotr SPO2, CXR, ABG, Nose washing, Rapid strep

104
Q

Interventions for respiratory issues?

A

Humidified O2, high flow O2, suction, Physiotherapy, and mucolytics.

105
Q

How do kids dea lwith Hypoxia?

A

Not good….compensate good and then crash fast.

106
Q

What is the main cause of cardiac issues in kids?

A

Respiratory Issues

107
Q

Does Patent Ductus arteriosus have decreased or increased pulmonary blood flow?

A

Increased

108
Q

Does ASD have decreased or increased pulmonary blood flow?

A

Increased

109
Q

Does VSD have decreased or increased pulmonary blood flow?

A

Increased

110
Q

Does Tetralogy of Fallot have decreased or increased pulmonary blood flow?

A

Decreased

111
Q

Does Tricuspid Atresia have decreased or increased pulmonary blood flow?

A

Decreased

112
Q

Does Transposition of great arteries have decreased or increased pulmonary blood flow?

A

Decreased

113
Q

What issues make up Tetralogy of Fallot?

A

Pulmonary Stenosis, VSD, Overriding Aorta, Right Ventricle Hypertrophy

114
Q

What is VSD?

A

Hole in the septum between the left and right ventricles.

115
Q

What happens in Tet Fallot?

A

Unoxygenated blood flows to body oxygenated blood flows back to right atrium

116
Q

Does digoxin drop BP in kids?

A

No

117
Q

What does digoxin do in kids?

A

Increases contractility

118
Q

Hold dose of digoxin in pulse is less then?

A

90-100

119
Q

Are congenital heart defects common?

A

No

120
Q

What is the main CCD?

A

Coarctation of the Aorta

121
Q

What happens in Coarctation of Aorta?

A

Aorta is narrow and blood does not flow to lower extremities as well.

122
Q

What can happen to BP in Coarctation of Aorta?

A

Different in upper extremities then lower extremities

123
Q

Care for Coarctation of Aorta?

A

Provide extra calories due to needing nutrition

124
Q

What food is best for congenital disorders?

A

Breast Milk

125
Q

What is Kawasaki Disease?

A

Post viral illness

126
Q

Is there a test for Kawasakis?

A

No

127
Q

Patho of Kawasakis?

A

Inflammation of vascular system

128
Q

S/S of Kawasakis?

A

red eyes no drainage, strawberry tounge, fever of 102 higher for 4 days.

129
Q

Interventions for Kawasakis?

A

Get baseline Echocardiogram, pt in CICI, high dose ASA in hospital low dose at home

130
Q

Care for conserving energy in cardiac issue kids?

A

Promote rest, allow for small frewuent feedings and sedate if needed to conserve energy

131
Q

Cardiac Cath Management

A

Kids must be sedate for procedure and post procedure. Monitor for infection due to diapers, No baths.

132
Q

What assessment post cath?

A

Above and below cath insertion site, cap refill…neuro-vascular

133
Q

Where to apply pressure for post cath bleed?

A

1 inch above

134
Q

What type of sedation for kids in cath?

A

Conscious sedation

135
Q

What keeps holes int he heart open if needed?

A

Prostaglandin E

136
Q

What close holes int he heart?

A

Prostaglandins

137
Q

Lasiks if large VSD could cause what?

A

Pulmonary Edema

138
Q

rheumatic fever is caused by what

A

Streptococcal A

139
Q

what does rheumatic fever effect in the body

A

Joints, skin, heart valves

140
Q

Whar conditions can rheumatic fever cause?

A

Endocarditis

141
Q

if you have a history of rheumatic fever what do you need to do before dental work?

A

ABX 1 hour before

142
Q

What is a tet spell?

A

Rapid drop in SPO2 when pt has Tetrology of Fallot

143
Q

What do you never want to do if have Epiglotitis?

A

Examine airway

144
Q

S/S of Epiglotisis?

A

Drooling, Dysphagia, Distress

145
Q

Tx for Epiglotisis?

A

mManage airway, give oxygen, x-ray OR

Peds (2 decks)

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