Peds- Intro to Pedis Nursing, Pain, & Maltreatment

Question 1

What is the developmental age period for infants?

Answer 1

Birth to 12 months

Question 2

What is the developmental age period for toddlers?

Answer 2

12-36 months

Question 3

What is the developmental age period for preschool?

Answer 3

3-6 years

Question 4

What is the developmental age period for school aged children?

Answer 4

6-12 years

Question 5

What is the developmental age period for adolescents?

Answer 5

13-18 years old

Question 6

List 3 main aspects of atraumatic care

Answer 6

Minimize separation
Minimize or prevent pain
Promote a sense of control

Question 7

Which HCP helps children and their families deal with the stress of hospitalization, illness, and disability, and helps children understand/ prepare for procedures?

Answer 7

Child life specialist

Question 8

When should toddlers be prepared for procedures?

Answer 8

Right before they are carried out

Question 9

When should toddlers be prepared for procedures?

Answer 9

Right before they are carried out

Question 10

When should preschoolers be prepared for procedures?

Answer 10

An hour or less before they occur

Question 11

When should school aged kids be prepared for procedures?

Answer 11

Several days in advance

Question 12

When should adolescents be prepared for procedures?

Answer 12

Up to one week before the procedure

Question 13

What are the stressors and manifestations of stress in infants?

Answer 13

Fear of loud noise
Fear of separation
Crying and screaming
Clinging to parent
Avoiding/ rejecting contact with strangers

Question 14

What are the stressors and manifestations of stress in toddlers?

Answer 14

Crying and screaming
Attacking strangers
Attempting to escape to find parent
Attempting to force parent to stay

Question 15

What are the stressors and manifestations of stress in preschoolers?

Answer 15

Refusing to eat or cooperate
Crying quietly
Trouble sleeping
Asking for parents
Withdrawing from parents
Breaking toys
Hitting other children

Question 16

What are the stressors and manifestations of stress in school aged kids?

Answer 16

Fear of mutilation or bodily harm
Fear loss of status with peers
Fear of death
Guilty feelings

Question 17

What are the stressors and manifestations of stress in adolescents?

Answer 17

Fear loss of control, death, bodily change
Concern about social isolation

Question 18

What are the 4 R’s of stress reduction?

Answer 18

Recreation, Rest, Relationships, Routines

Question 19

Why should procedures not be done in the child’s crib/bed/room?

Answer 19

So that they do not associate their space as painful or traumatic. Procedures should be done only in the procedure room.

Question 20

What is onlooker play? What age group typically engages in this?

Answer 20

Quietly watching while others play

Toddler

Question 21

What is solitary play? Which age group usually engages in this type of play?

Answer 21

Child plays alone

Infant

Question 22

What is parallel play? Which age group usually engages in this type of play?

Answer 22

Playing separately, side-by-side

Toddlers

Question 23

What is associative play? Which age group usually engages in this type of play?

Answer 23

Group play that is together, but does not have an objective or organization

Preschool

Question 24

What is cooperative play? Which age group typically engages in this type of play?

Answer 24

Group play that is organized with rules and a goal

School Age

Question 25

Define 'nuclear family'

Answer 25

2 parents + their children

Question 26

Define 'extended family'

Answer 26

A household that includes at least one parent, 1 or more kids, and one or more members other than a parent or sibling

Question 27

Define 'blended family'

Answer 27

AKA reconstituted family Household includes at least one stepparent, step sibling, or half sibling

Question 28

Define 'binuclear family'

Answer 28

Where parents continue their parenting role while terminating the spousal unit (ex: joint custody)

Question 29

This parenting style controls the child's behavior and attitudes through unquestioned mandates

Answer 29

Authoritarian

Question 30

This parenting style emphasizes the reasons for roles, allows the child to give their opinions, and provides firm but fair consistent parenting

Answer 30

Authoritative

Question 31

Which parenting style essentially allows the child to do whatever they want?

Answer 31

Permissive

Question 32

Name the age range of Piaget's sensorimotor stage

Answer 32

Birth - 2 years old

Question 33

Name the age range for Piaget's preoperational stage

Answer 33

2-7 years old

Question 34

What is the age range for Piaget's concrete operational stage?

Answer 34

7-11 years old

Question 35

What is the age range for Piaget's formal operational stage?

Answer 35

11 years old - adulthood

Question 36

Which Erikson stage occurs from birth to 1 year? Explain this stage

Answer 36

Trust vs. mistrust The patient develops trust/mistrust as their needs are met/ neglected

Question 37

Which Erikson stage occurs during 1-3 years old? Explain the stage

Answer 37

Autonomy vs. Shame & Doubt The child wants to begin doing things without help. When it doesn't go well they may begin to feel self conscious

Question 38

Which Erikson stage occurs during 3-6 years old? Explain the stage

Answer 38

Initiative vs. Guilt Children begin to develop their conscience and inner voice

Question 39

Which Erikson stage occurs during 6-12 years old? Explain the stage

Answer 39

Industry vs. Inferiority Children want to achieve and want more responsibilities

Question 40

Which Erikson stage occurs during age 12-18?

Answer 40

Identity vs. Role Confusion Adolescents are preoccupied with who they are and how they are perceived/fit in

Question 41

What is the leading cause of death for children less than 19 years old?

Answer 41

Unintentional injuries Example: Falls, car accidents

Question 42

What is the leading cause of injury death for infants?

Answer 42

Mechanical suffocation

Question 43

What does FLACC stand for?

Answer 43

Face Legs Activity Cry Consolability

Question 44

Explain the 2 step approach to pain management that the WHO recommenda

Answer 44

For children 3 months and older, administer NSAIDS first for mild to moderate pain, then a strong opioid (morphine usually) for moderate to severe pain

Question 45

Name the 3 preferred routes for pain medication administration in children

Answer 45

Oral IV Topical

Question 46

What are examples of nonpharmacological pain management techniques?

Answer 46

Guided imagery, distraction, kangaroo care, sucrose drops, acupuncture, breathing techniques

Question 47

Who is usually the abuser in cases of Munchausen syndrome by proxy?

Answer 47

The mother Hint: Gypsy Rose's case

Question 48

Explain Piaget's Sensorimotor stage

Answer 48

From birth to 2 years, the child begins to interact with their environment

Question 49

Explain Piaget's Preoperational stage

Answer 49

From ages 2-7 the child begins to represent the world symbolically and displays egocentrism

Question 50

Explain Piaget's Concrete Operational stage

Answer 50

From ages 7-11 the child learns rules, such as conservation

Question 51

Explain Piaget's Formal Operational stage

Answer 51

From ages 11 to adulthood the adolescent can transcend the situation and think about the future