Peds Exam 1 Front Loading Flashcards

1
Q

Atraumatic care prevents or minimizes physical stressors including ______, discomfort, immobility, ______ deprivation. inability to ____ or ______, and changes in elimination

A

pain
sleep
eat or drink

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2
Q

It is important to minimize parent-child _________

A

separation

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3
Q

Techniques for Providing Atraumatic Care
- Therapeutic ______________
- ________ play
- Child _____________
- Parental ____________

A

communication
Therapeutic
education
education

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4
Q

It is important to minimize physical ________ during procedures

A

distress

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5
Q

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

A

conditions
hospitalization
growth and development

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6
Q

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 __________

A

Introduce
open
rapport

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7
Q

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

A

Developmentally
quiet and gently
Truthful

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8
Q

Infants are nonverbal and use __________ as a form of communication. You should respond to crying in a timely manner and use a _________ and _______ tone

A

crying
soothing and calming

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9
Q

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

A

words
touch
parallel

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10
Q

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

A

play
honestly
imaginative
hour

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11
Q

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

A

practice
play
days

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12
Q

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

A

honest and nonjudgmental
explanation
parents
week

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13
Q

What are the 3 components of Health Supervision?

A

Developmental Surveillance and Screening (checkups)
Injury and Disease Prevention
Health Promotion

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14
Q

The Health Supervision Visit consists of:

  • ________&_________ Assessment
  • Behavioral / ___________ Assessment
  • _________ Screening (Vision and Hearing)
  • Appropriate At Risk Screening
  • Immunizations
  • Health Promotion/ Anticipatory Guidance
A

History and Physical (H&P)
Developmental
Sensory

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15
Q

What kind of assessment determines the likelihood a child will develop a condition (e.g. led assessment)

A

Risk Assessment

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16
Q

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)

A

Universal Screening

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17
Q

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)

A

Selective Screening

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18
Q

__________ ____________ focuses on maintaining or enhancing physical and mental health

A

Health Promotion

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19
Q

Principal Components focuses on:

  • Identifying ______ factors for disease
  • Facilitating ________changes to reduce risk factors
  • Empowering children to optimize their _______
A

risk
lifestyle
health

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20
Q

_____________ _________ focuses on:

Oral health
Healthy weight and activity
Personal hygiene
Safe sun exposure

A

Anticipatory Guidance

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21
Q

Diphtheria, Tetanus, and Pertussis

A

Intramuscular

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22
Q

Haemophilus influenzae type B

A

Intramuscular

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23
Q

Hep A and B

A

Intramuscular

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24
Q

Pneumococcal (PCV) and Influenza

A

Intramuscular

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25
Q

Human papillomavirus (HPV)

A

Intramuscular

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26
Q

Meningococcal Conjugate vaccine

A

Intramuscular

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27
Q

Influenza

A

Intramuscular

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28
Q

Measles, mumps, rubella (MMR)

A

SubQ

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29
Q

Polio (IPV)

A

SubQ

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30
Q

Varicella (Chicken pox)

A

SubQ

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31
Q

Meningococcal polysaccharide vaccine

A

SubQ

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32
Q

Rotavirus

A

Oral

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33
Q

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
A

Chief Complaint
Present Illness
Growth and Development
Menstrual
Sexual

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34
Q

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
A

Nutrition
Physical
Sleep

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35
Q

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
A

Lying Down
Head circumference

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36
Q

Physiologic Measurements:
6

A

Temperature (Axillary)
Heart Rate
Blood Pressure
Respiratory rate (Full minute)
Pain
Pulse Ox

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37
Q

As a patient grows, their
- Respirations will ______
- Blood pressure will ______
- Heart Rate will_______

A

Decrease
Increase
Decrease

38
Q

HR for an infant

A

80-150

39
Q

HR for a toddler

A

70-120

40
Q

HR for a preschooler

A

65-110

41
Q

HR for school age

A

60-100

42
Q

HR for an adolescent

A

55-95

43
Q

RR for an infant

A

25-55

44
Q

RR for toddler

A

20-30

45
Q

RR for Preschooler

A

20-25

46
Q

RR for School Age

A

14-26

47
Q

RR for adolescent

A

12-20

48
Q

Physical Assessment Includes:
- General __________
- Skin
- Hair, nails, Hygiene
- _______ nodes
- Head and neck
- ____ ____ ____ ____ (EENT)
- Chest
- Heart
- Lungs
- Abdomen
- _________ (only expected for infants)
- Back and extremities
- Neuro assessment

A

Appearance
Lymph
Eyes, ears, nose, throat
Genitalia

49
Q

The posterior fontanel closes up around __ months

A

2

50
Q

The anterior fontanel closes up around ___months

A

18

51
Q

The Cover-Uncover test is used to test for:

A

Strabismus

52
Q

Heart murmurs are uncommon in children and should be treated as an emergency (True or False)

A

False - Murmurs are common in children and are usually not an emergency

53
Q

The _______ scale is used for both males and females to measure sexual development

A

Tanner

54
Q

You should never mix medication with formula (True or false)

A

TRUE- you should never mix meds with formula because the child will associate the bad taste with their formula and will now want to take it anymore

55
Q

The ______ _________ or anterolateral thigh is used as the injection site for infants up to 24-36 months

A

vastus lateralis

56
Q

The ________ is used as the IM injection site for children >3years

A

deltoid

57
Q

Any amount that is >__mL should be divided between injection sites

A

1

58
Q

_______ checks for IVs with documentation is crucial

A

HOURLY

59
Q

Indicators of pain in infants include:

A

Behavioral ( Facial expressions, body movements, crying) and Physiologic signs ( changes in HR, RR, BP)

60
Q

Nonpharmacologic techniques for pain management:
- R
- D
- Guided Imagery
- Biofeedback
- Thought Stopping
- Positive Self Talk

A

Relaxation
Distractions

61
Q

Biophysical Techniques for Pain Management :

  • Sucking and s______ (infants)
  • _____&______ application
  • Massage and pressure
A

sucrose
heat and cold

62
Q

________ should NOT be used in infants or children for analgesic or antipyretic purposes – high risk of Reye syndrome

_______ are first-line agents for those under 6 months old

A

Aspirin

NSAIDs

63
Q

Brachial pulses are felt in _______ for emergency situations

A

Infants

64
Q

Carotid and femoral pulses are felt in ________ for emergency situations

A

Children

65
Q

In an emergency, use the _____ ________ on the wall, not the call bell

A

Code button

66
Q

Expects obedience and follow family rules. Discourages children from questioning the family rules

Child is never allowed to watch TV on school nights

A

Authoritarian

67
Q

Democratic style, respect for the child’s opinion. Allows children to be different. Firmly enforces family rules and standards without emphasizing punishment

Child is able to watch TV on school nights after completing chores and homework

A

Authoritative

68
Q

Laissez-faire; little control over the behavior of their children. Rules or standards may be inconsistent, unclear, or nonexistent. Discipline can be lax, inconsistent, or nonexistent

Child assists with deciding whether they will watch TV

A

Permissive

69
Q

Indifferent and emotionally removed. Do not provide rules or standards. The child’s basic needs are often met, but the parent is disconnected from the child’s life.

Child watches TV whenever they want

A

Uninvolved/ Rejecting/ Neglecting

70
Q

Even-tempered, predictable behavior, and positive attitudes

A

Easy Tempered

71
Q

Hyperactive at times, intense emotions/ behaviors, and gets frustrated easily or withdraws to new experiences

A

Difficult Temper.

72
Q

Moody, less active, irregular reactions to events, reacts to new experiences indifferently, and sometimes needs more time to adjust

A

Slow to warm up temper.

73
Q

Term that refers to the number of individuals that have died

A

Mortality

74
Q

Term that refers to the measure of the prevalence of disease or degree of disability

A

Morbidity

75
Q

Accidents
Congenital malformations, deformations, chromosomal abnorm.
Assault (homicide)

Leading causes of death in children ages :

A

1-4 years old

76
Q

Accidents
Cancer
Congenital malformations, deformations, chromosomal abnorm.

Leading causes of death in children ages:

A

5-9 years old

77
Q

Accidents
Intentional self harm
Cancer

Leading causes of death in children ages:

A

10-14 years old

78
Q

Drug _____ is the same in children as it is in adults

A

Action

79
Q

What kind of assessment determines the likelihood a child will develop a condition

A

Risk Assessment

80
Q

What kind of screening is of an entire population regardless of the child’s individual risk (e.g. newborn screening, hearing, BP)

A

Universal Screening

81
Q

What kind of screening is performed when a risk assessment indicates the child has one or more risk factors for a disorder

A

Selective Screening

82
Q

Where do you feel for a pulse in an infant?

A

Brachial pulses

83
Q

Where do you feel for a pulse in a child?

A

Carotid/ femoral

84
Q

This type of permission is obtained from PARENTS

A

Consent

85
Q

This type of permission is obtained from the CHILD

A

Assent

86
Q

_________ is teaching and rewarding desirable behavior and decreasing or eliminating undesirable behavior – an ongoing process

A

Discipline

87
Q

__________ is a negative consequence applied for undesirable behavior – no teaching

A

Punishment

88
Q

What pain scale is a behavioral pain assessment used for nonverbal or preverbal patients who are unable to self-report their level of pain

A

FLACC
Face
Legs
Activity
Cry
Consolability

89
Q

What pain scale is for ages 3+ and used emoticon-like faces

A

FACES

90
Q

What pain scale is for ages 3+ and used actual photos of children
** must know number values for this pain measurement

A

OUCHER

91
Q

The ________________ __________ pain checklist is used for children 3+. Behaviors are observed for 10 minutes the 6 subcategories are rated 0-3

A

Noncommunicating Children’s

92
Q
A