Peds Exam 1 Front Loading Flashcards
Atraumatic care prevents or minimizes physical stressors including ______, discomfort, immobility, ______ deprivation. inability to ____ or ______, and changes in elimination
pain
sleep
eat or drink
It is important to minimize parent-child _________
separation
Techniques for Providing Atraumatic Care
- Therapeutic ______________
- ________ play
- Child _____________
- Parental ____________
communication
Therapeutic
education
education
It is important to minimize physical ________ during procedures
distress
The role of a Child Life Specialist is to:
- Educate child and family about health ____________
- Provide programs to prepare children for ________________ and painful procedures
- Provide support during medical procedures
-Therapeutic play and activities to support normal __________ and ________________
- Teach and support coping and pain management strategies
conditions
hospitalization
growth and development
When communicating with parents, you should:
- ___________ yourself. Establish parental roles; ask how to address the parents
- Ensure privacy and confidentiality
- Encourage talking; use _______-ended questions
- Be sure parents understand the purpose of the visit
- Establish __________
Introduce
open
rapport
When communicating with children, make sure to:
- Have ________________ appropriate conversation
- Get on the child’s eye level
- Approach child _______ and _________ while involving parent or caregiver
- Always be __________
- Give the child choices when appropriate
- Include play whenever possible
Developmentally
quiet and gently
Truthful
Infants are nonverbal and use __________ as a form of communication. You should respond to crying in a timely manner and use a _________ and _______ tone
crying
soothing and calming
When communicating with a toddler, you should use _______ the child can recognize, repeat info in simple, consistent terms, allow them to _______ medical equipment, and allow them to participate in _________ play
words
touch
parallel
When communicating with a Preschooler, you should use _______, puppets, or story telling. You should speak _______ and use simple concrete words. Participate in ___________ play to help open communication. You should prepare them about 1 _______ prior to a procedure
play
honestly
imaginative
hour
When communicating with a school-age child, you should explain the what, how, and why. You should allow the child to touch and “__________” with medical equipment. You should also use therapeutic ______. You should prepare the child a few _______ in advance for a procedure
practice
play
days
When communicating with an adolescent, remain ________ and ______________. They may require a detailed __________. Allow time away from _________ to answer questions. Do not force them to talk. Prepare teen up to 1 __________ before a procedure
honest and nonjudgmental
explanation
parents
week
What are the 3 components of Health Supervision?
Developmental Surveillance and Screening (checkups)
Injury and Disease Prevention
Health Promotion
The Health Supervision Visit consists of:
- ________&_________ Assessment
- Behavioral / ___________ Assessment
- _________ Screening (Vision and Hearing)
- Appropriate At Risk Screening
- Immunizations
- Health Promotion/ Anticipatory Guidance
History and Physical (H&P)
Developmental
Sensory
What kind of assessment determines the likelihood a child will develop a condition (e.g. led assessment)
Risk Assessment
What kind of screening consists of a screening of an entire population regardless of the child’s individual risk (e.g. newborn screening, BP, hearing)
Universal Screening
What kind of screening is completed when a risk assessment indicates the child has one or more risk factors for a certain disorder (e.g. EKG for child who passes out at soccer practice)
Selective Screening
__________ ____________ focuses on maintaining or enhancing physical and mental health
Health Promotion
Principal Components focuses on:
- Identifying ______ factors for disease
- Facilitating ________changes to reduce risk factors
- Empowering children to optimize their _______
risk
lifestyle
health
_____________ _________ focuses on:
Oral health
Healthy weight and activity
Personal hygiene
Safe sun exposure
Anticipatory Guidance
Diphtheria, Tetanus, and Pertussis
Intramuscular
Haemophilus influenzae type B
Intramuscular
Hep A and B
Intramuscular
Pneumococcal (PCV) and Influenza
Intramuscular
Human papillomavirus (HPV)
Intramuscular
Meningococcal Conjugate vaccine
Intramuscular
Influenza
Intramuscular
Measles, mumps, rubella (MMR)
SubQ
Polio (IPV)
SubQ
Varicella (Chicken pox)
SubQ
Meningococcal polysaccharide vaccine
SubQ
Rotavirus
Oral
History taking consists of the following:
- _____ ________ (CC)
- History of _____ ______ (HPI)
- Allergies, Medications
- Past Medical History and Perinatal History
- Family History (FH)
- ______ & ____________
- _________ history in female patients
- ________ activity in adolescent patients
Chief Complaint
Present Illness
Growth and Development
Menstrual
Sexual
Functional History consists of:
- Diet/_____ - 24 hour recall
- Routine healthcare, vision/hearing, immunizations, dental care
- _______ Activity - daily routine
- _____ behavior and bedtime
- Relationships, safety, and home environment
Nutrition
Physical
Sleep
Growth Measurements
- Up to 24 months: Length and weight should be taken with the patient ________ ______
- Up to 36 months: The patient will have their ______ __________ measured
Lying Down
Head circumference
Physiologic Measurements:
6
Temperature (Axillary)
Heart Rate
Blood Pressure
Respiratory rate (Full minute)
Pain
Pulse Ox