Peds Midterm Flashcards

1
Q

Growth

A

increase in size

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2
Q

Development

A

functions and gradual processes of change and differnetations from SIMPLEX TO COMPLEX. develop in an ORDERLY SEQUENCE

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3
Q

cepholocadal

A

head to feet (tail)

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4
Q

proximaldistal

A

inside to out

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5
Q

v/s for infant

A

newborn: HR 100-170 RR 30-80

6m-1year: HR 80-130 RR 20-40

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6
Q

v/s for toddler

A

HR 80-130 RR 20-40

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7
Q

v/s for preschooler

A

HR 70-120 RR 20-30

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8
Q

v/s for schoolage

A

HR 70-110 RR 16-22

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9
Q

v/s for adolescent

A

HR 60-100 RR 12-20

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10
Q

Ericksons infant

A

(birth-1y) TRUST VS MISTRUST

-fulfilling basic needs

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11
Q

Ericksons toddler

A

(1-3y) AUTONOMY VA SHAME AND DOUBT

  • seeking attention, approval and achievement of personal goals
  • realizes everything desired cant be had
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12
Q

Ericksons preschooler

A

(4-6y) INITIATIVE VS GUILT

  • questioning and exploring body and environment
  • pretending of growing up and trying other roles
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13
Q

Ericksons schoolage

A

(7-11y) INDUSTRY VS INFERIORITY

-becomes independent and develop their own goals

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14
Q

Ericksons adolescence

A

(12-19y) IDENTITY VS ROLE CONFUSION

-sense of identity and recognizes personality and insecurities

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15
Q

Piagets sensorimotor

A

(birth-2y) uses sense and motor abilities to understand the world. develops schema/ goal directed behavior. remembers/ imagines experiences

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16
Q

schema

A

child’s mentally able to organize ways to behave in the immediate environment

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17
Q

Piagets preoperational

A

(2-6y) egocentric thinking (self). develops logical/intuitive thinking. uses trail and error. gains imaginations and becomes less egocentric

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18
Q

Piagets concrete operational

A

(7-11y) understands logic and principles. improved memory. understands others views/ideas/convo’s. can focus on more than one task. identifies behavioral outcome

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19
Q

Piagets formal operational

A

(12 + years) can problem solve. recognize past/present/future. abstract-hypothetic concepts. interested in ethics, politics and moral issues

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20
Q

Mildstones for infants

A

rapid growth. birth weight triples at 1year. teething 5-6m. holds head up 2m. sits up alone 7m. breast milk and formula. establish trust. recognizes caregiver. explores. nonverbal communication. muscle control. crawls/walks. eating/sleeping patterns. develops self feeding and walking.

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21
Q

Mildstones for toddlers

A

upright stance. top heavy (potbelly). growth in extremities not trunk. gross motor walking/climbing/holding/pulling. fine motor scribbles. parallel play. finger foods. toilet training 2y. temper tantrums. tolerates separation. increases attention span. communication skills. independent mobility/feeding/dressing/toileting.

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22
Q

Mildstones for preschoolers

A

slow and steady growth. loses potbelly. becomes taller and thinner. functions independently. magical thoughts. naps. begins to share and take turns. stronger sense of self. express feelings/anger/frustration/needs and ideas. greater attention span. asks questions.

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23
Q

Mildstones for schoolage

A

boys stronger. girls graceful. checked for scoliosis. muscle mass increase. loses baby fat. vision improves. permanent teeth develop. vocab becomes slang and swear words. adequate exercise. sense of belonging with family and peers. organized and sets goals. learns reading/writing/math/communication and grammar.

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24
Q

Mildstones for adolescents

A

transition from childhood to adulthood. puberty. sex characteristics develop. 2nd rapid growth. recognizes individuality. accepts strengths and weaknesses. own values. takes responsibility. increased metabolism. sexual interest. prevent injury.

25
Q

Injection sites

A

vastis lateralis, deltiod, ventrogluteal, dorsogluteal

26
Q

7 rights

A

right med, patient, dose, route, time, refuse and documentation

27
Q

1kg=2.2lbs

A

1kg=2.2lbs

28
Q

Nutrients for infant

A
  • calories, protein. minerals, vitamins, fluids
  • strained foods 4-6m
  • solid foods 6-8m
29
Q

preschooler understanding of death

A

death as some kind of sleep

30
Q

School age understanding of death

A

understands death is final

31
Q

Adolescents understanding of death

A

mature understanding of death

32
Q

Kubler stages of grieving

A

denial, anger, bargaining, depression, acceptance

33
Q

Care for a dying child

A

physical care and comfort and emotional support for family. provide peaceful death. use active listening and therapeutic communication

34
Q

common fears for children

A

admission, blood draw, injections, surgery, transporting, pain, separation

35
Q

pre op care

A

admitting, v/s, allergies, fam/med history, labs, prep chart and NPO

36
Q

pre op teaching toddlers

A

tell 3 days ahead of surgery

37
Q

pre op teaching preschoolers

A

rehearsal/dolls and trips

38
Q

pre op teaching schoolage

A

films , a week before hand

39
Q

pre op teaching adolescents

A

taught as soon as surgery is scheduled may bring friend

40
Q

post op care

A

abc’s, monitor v/s, pain, dressing, infection, n/v, bowel, shock. admin meds, turn q2h, i&o, increase fluids. discharge planning

41
Q

SIDs

A

sudden infant death syndrom (crib death)

-unknown unexpected death (leading cause of infant death)

42
Q

stressors for adolescents

A

loss of control (let them be apart of decisions), body image (maintain privacy)

43
Q

primary responsibility for PACU

A

ABC’s

44
Q

otitis media

A

middle ear infection (under development of ear)

  • prevent fluid in ears
  • tx:antibiotics
45
Q

most common resp distress for children

A

airway obstruction (mucus/foreign body)

46
Q

croup

A

inflammation of upper airway by virus

  • ss: barking cough/ stridor
  • tx: epinephrine, neutralizer and fluids
47
Q

lund and browder chart

A

estimating extent of burn on a child

48
Q

Hep B vac

A

Birth, (1/2month) and (6-18months)

49
Q

DTaP (diphtheria tetanus pertussis)

A

2m, 4m, 6m, (15-18months) and 4-6yeats

50
Q

Hib (haemophilus influenza b)

A

2m, 4m, 6m and (12-15m)

51
Q

PCV (pneumococcal)

A

2m, 4m, 6m and (12-15m)

52
Q

IPV (inactivated piliovirus)

A

2m, 4m and (6-18m)

53
Q

Influenza

A

Yearly

54
Q

MMR

A

(12-15m) and (4-6years)

55
Q

Varicella

A

(12-15m) and (4-6y)

56
Q

Hep a

A

2 doses (12-23m)

57
Q

Tdap (tentanus diphtheria pertussis)

A

11-12y

58
Q

HPV

A

3doses (11-12y)

59
Q

MCV4 (meningococcal)

A

11-12y and 15y