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PEDS Quiz 1/Test 1 > Peds flashcards Growth and Development > Flashcards

Peds flashcards Growth and Development

1
Q

Causes of death less than 1 year old

A

congenital anomalies, prematurity and SIDS

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2
Q

Physiologic changes, progressive increase in size

A

Growth

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3
Q

Cognitive changes, progressive increase in the ability to function

A

development

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4
Q

True or False, according to Erickson each psychosocial conflict must be resolved for the child or adult to progress emotionally.

A

TRUE

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5
Q

Which did Erickson focus on Personality/psychosocial development or cognitive development?

A

personality/psychosocial

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6
Q

What does Erickson’s theory rely on?

A

successful mastery of tasks during critical periods

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7
Q

Describe Erickson’s Trust vs. Mistrust and appr. Age

A

Birth - 18 mon. attachment to mother

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8
Q

Describe Erickson’s Autonomy vs. shame and appr. Age

A

18 mon- 3 yr. gain control over self and environment

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9
Q

Describe Erickson’s initiative vs. guilt and appr. Age

A

3-6 yr. ability to initiate one’s own activities; sense of purpose

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10
Q

Describe Erickson’s Industry vs. Inferiority and appr. Age

A

6-12 yr. developing social, physical, and learning skills

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11
Q

Describe Erickson’s Identity vs. Role Confusion and appr. Age

A

12- 20 yr. developing sense of identity.

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12
Q

Piaget was all about what kind of development?

A

Cognitive

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13
Q

Describe Piaget’s sensorimotor stage

A

birth - 2 yr. reflex activity, learns about reality and how it works, doesn?t understand that an object out of view continues to exist

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14
Q

Describe Piaget’s pre-operational stage

A

2-7 yr. child thinks of the past, present, future; egocentric, needs concrete examples

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15
Q

Describe Piaget’s concrete operations stage

A

7 to 11 yr. can sort facts, uses logic to solve problems, develop abstract thinking

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16
Q

Describe Piaget’s formal operations stage

A

11- adulthood. Thinks abstractly and logically

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17
Q

True or False, A child’s height should increase by 30 % in the first year?

A

False, 50%

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18
Q

Weight ____ by 4-7 months, triples by _____ birthday

A

Weight doubles by 4-7 months, triples by first birthday

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19
Q

Jimmy and Tommy are best friends. Jimmy is 6 months. Tommy is one year old. How many teeth should each have?

A

Jimmy- should have none (just beginning to teeth). Tommy appr. 6-8

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20
Q

During discharge planning for a newborn, what will you educate your parents about closing of the fontanels?

A

Posterior closes 1st at 6-8 weeks, and anterior closes 2nd by 12-18th month

21
Q

What is solitary play and which age group does this effect?

A

Infants (0-1 yr.) Child needs to be played with and not just allowed to play. Playing is all about the child by HIM or HERSELF (and with parent).

22
Q

What is parallel play and what does this affect?

A

Toddlers (2-3).toddler plays alongside other children, not with them

23
Q

What is associative play, and who does it affect?

A

Preschoolers (3-7 yr.). Group play in similar or identical activities but without rigid organization or rules. Play is for physical growth and refinement of motor skills (e.g. jumping, running)

24
Q

What is cooperative play and who does it affect?

A

School age (7-11 yr. ) play is organized and children play in a group with other children. They play to have an End. Very structured.

25
Q

A 2 month old should be able to ____

A

coo

26
Q

A 4 month old should be able to have _____ _____

A

head control

27
Q

A 7 month old should be able to ____ ____

A

transfer objects

28
Q

A 8 month old should be able to ____ _____

A

sit unsupported

29
Q

A 9 month old should be able to ____

A

crawl

30
Q

A 12 month old should be able to ___ ____ ____

A

walk with assistance

31
Q

During each visit, the nurse should assess what growth measurements?

A

length/height, weight, head circumference

32
Q

If the patient’s growth is under the ___ percentile or over the ____ percentile, their needs to be further investigation

A

5th and 95th

33
Q

You are the nurse going into see a 2 year old boy, what is your order of assessment?

A

1st. Observe (color of perfusion, breathing pattern), 2nd. RR, HR, Temp. BP 3rd. Growth measurement, organ system

34
Q

True or False, FLACC is a scale used to assess a child’s pain level

A

TRUE

35
Q

What is NPASS?

A

It is a scale used to assess pain/agitation and sedation in neonatal patients

36
Q

What is another name for the Wong-Baker scale?

A

Faces scale

37
Q

What is the Denver Developmental Screen Test (DDST, DDST-R)

A

cognitive and behavioral screening test used mostly in outpatient setting

38
Q

What are reasons for errors?

A

distractions, workload increase, staff inexperience, staffing insufficient, shift change, staff from agency, emergency situations, reconstitution error, wrong diluent, incorrect dilution amount, too conc. , injection at wrong rate, wrong IV port

39
Q

Morbidity, mortality, and increased costs are all results of what?

A

medical errors

40
Q

What should you verify for IV meds?

A

max concentration

41
Q

How do you give an infant a PO med?

A

draw up in needle-less syringe, place syringe along side of infant’s tongue and give slowly allowing baby to swallow

42
Q

How do you give a med if pt. has an NG, OG, NJ, GT?

A

bolus with syringe and flush to prevent clogging tube

43
Q

For IM meds, what site do you use for newborn-toddler and what site for greater than 3 yr. ?

A

vastus lateralis and deltoid

44
Q

A 5ml dose of acetaminophen w/ codeine contains how much acetaminophen and codeine

A

120 mg and 12 mg

45
Q

What is unasyn and what is safe dose calc. based on?

A

Ampicillin & sulbactum- a combined antimicrobial agent. Dose based on ampicillin

46
Q

If med is > 7 ml, what will you do to administer this med?

A

use IV pump and 20 ML flush

47
Q

How much flush do you add for 1st and 2nd port?

A

1 ml and 7 ml

48
Q

What is buretrol?

A

A type of infusion device that holds limited quantities of IV fluids. Allows free flow of fluids/air once infusion is done

49
Q

What are some issues that may arise if the child has fluid intake and output imbalances?

A

diarrhea, NG tube drain, polyuria, third spacing

PEDS Quiz 1/Test 1 (6 decks)

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