Peds quiz # 2 ch. 20-24 Flashcards
Terms
- Adolescense- Period beginning with appearance of secondary sex characteristics and ending with physical and emotional maturity.
- Androgens- male sex hormone
- Estrogen- female sex hormone
- growth spurt-rapid period of growth in which body reaches adult height and weight
- menarche- first mentrual period
- puberty-
4 major task of the teenager
- Establish sense of identity
- separating from family
- Initiating intimacy
- Developing career choices for economic independance
Formal operations stage of cognitive development that ateenager can do is?
Abstract reasoning
1 of the strongest needs of the teenager
Conformity
Preadolesence
period right before sex organs start to change
Puberty occurs earlier in?
Female
1st change of puberty in a boy
testicular growth
sperm production begins at?
13 to 14 yrs
2 important cancer screens to teach teenagers?
Monthly breast and testicular self examinations.
Erickson’s for teenagers
Identity vs role confusion
Possible adult outcomes if teen does not achieve identity
Rigid action, bewildered, depressed, or clings to conformity long after maturity. low self esteem, and shows alienation. unusual need for novel experiences.
Adolescents thinks everyone is looking at them?
true
A teen preoccupations with his image is normal?
yup
how can cliques facilitate peer relationships?
unisex, similar interest and taste, and values. close with 1 peer in clique (BFF)
Routine task compliance
let them know the reason and objective
Managing money
age appropriate allowance aids in money management.
True or false
- Daydreaming is a warning sign of a mental illness? F
- A teens cultural background can influence dating? T
- Sexual curiosity and masturbation are common? T
- parents should answer sex questions truthfully? T
- sex expirements with same sax is a predictor of homosexuality? F
Risk factors that increase risk of nutritional deficiencies inteen
- Rapid rate of growth amd maturation increase demands.
- Erratic eating habits contribute to inadequate nutrient intake.
teen most likely deficient in
- Calcium
- Iron
- Vitamin B12
Vegan teen may lack?
- Protein
- Vitamin B12
- Calcium
- Iron
- Iodine
- Zinc
Primary safety risk for teens?
The use of motor vehicles
HS students who participate in competitive sports should have a?
Comprehensive cardiovascular screening
A change is school performance, appearance, and behaviour can signal?
Depression
Younger teens often have akward appearance because?
Body parts grow and mature at different rates
A person who does not establish an Identity is more likely to?
Conform to a peer group for a prolonged time
A parent can best help the teen make a wise desicion by?
respecting the teens decision, even if they make a mistake. they need to learn from their mistakes.
Younger teens tend to be egocentric because?
preoccupied with their physical development
teen peer group helps with?
Separating from family
daydreaming
Normal teen occurence
strict vegetarian teen is deficient in?
Protein
most accidents involving teens occur because?
they were driving a car or other vehicle
Tanner stages describe?
Sequence of physical maturation in the teen
Major psychosocial task of the teen is to develop?
Identity as an individual
A mother is worried her kid is gay because he spends his time in the bathroom shampooing and styling the hair, what should you tell the mom?
teens are preoccupied with their appearance because of the dramatic body changes.
what is the best information to include in a class for teens about healthy eating habits?
how to choose foods from MY Plate provided by the FDA
what is the best food choice for the teen who just finished playing a game of fiels hockey?
a toasted bagel– they lose glycogen= carbs are needed
Terms
- Clinical pathway- Interdisciplinary treatment plan for a pt
- Emancipated Minor- teen younger than 18 who is no longer under the parents authority.
- regression- Loss of an achieved level of funcioning to a past level behaviour.
- respite care- trained workers come to the home to relieve the parents.
Advantages of outpatient sx
- reduces healthcare cost due to infections
- reduces hospital costs
- recuperation at home in familiar sorroundings
- eliminates separation from parents/family
- reduces negative emotional impact
Nursing strageties to prep a 3 yr olf for surgery
- explain in simple words
- allow child to handle some of the equipment and hide others
- allow for expressions of discomfort
- allow for choices if possible
- distractions
- attention span is only 15 minutes
Child reaction to hospitalizations depends on?
- Age
- amount of preparation
- security of home life
- previous hospitalizations
- suport of family
- medical support
- child emotional health
True Or false
- Every child reacts differently to hospitalizations? T
- During hospitalizations, a caring and compassionate nurse can take the place of a childs primary caregivers? F
- Hospitalizations can be a positive experience for children? T
major stressors for children of all ages during hospitalizations?
- Separation
- Pain
- Fear of body intrusion
Separation anxiety is more pronounced in the
Toddler
Stages of separation
- Denial- Child cries continously for “ Mommy”
- Despair- Child is sad and depressed
- Protest- Child becomes intrested in sorroundings
Assessment of pain is recorded when?
ormal VS are recorded
Nonpharmocologic pain relief
- Distraction
- Imagery
- back rub, massage
- relaxation strageties
- Drawing
- Cognitive Strageties
Excessive Acetaminophen can damage?
The Liver
True Or False
- Infans/Children respond differently to meds? T
- Addiction occurs quick in children with opioids? F
- Children older than & can be taught to use PCA? T
- Admin of pain meds PRN is the most effective way to treat pain? F
- The nurse must calculate all pain meds orders to confirm correct doseage? T
Concious Sedation
Sedation via IV, impairs conciousness but retains, protective reflexes, the ability to maintain a patent airway, ability to respond to verbal and physical stimuli
Mother concerned that toddler now only wants bottle after being weaned from bottle
regression during hospitalization is normal. ignore the regression and only praise the appropriate behaviour.
Things nurse can do to lessen parents anxiety
- Display understanding of their problems
- allow parents to ventilate feelings
- provide info regarding childs condition and tx
- answer all questions no matter how illogical
- reinforce positive parenting
assessing development hx
- Fam relationships and support system
- cultural needs that may affect care
- nicknames, rituals and routines
- dev. level and abilities
- communication skills
- impact of current health problem on development and growth
- previous contact with HCP
- preparation given to child
- previous separation experiences
- personaluty and coping skills
Decreasing stress in infants
- perform painful procedures as gentle as possible, return to parents for consolation.
- Assign consitant caregivers
transitional objects 15 m old can bring from home
- Blanket
- stuffed animal
- Favorite toy
Explaining hospital experience to young children
- Child level of undestanding
- be truthful about things that may hurt
- give the explanation about procedure right before you arengoing to do it to avoid uneeded stress
Preschoolers are fearful of ?
- Bodily harm
- intrusive procedures
preparing preschooler for abdominal sx
- give simple info
- draw the body and circle the part in question
- tell the truth
- answer any questions
- correct any misconceptions
Fostering independance in school age children
- Allow them to select their own menu
- keep them busy with age appropriate toys
Teen room assignment considerations
- teens do better with 1 or 2 roomates
- Avoid putting them with a Dying, senile, severely ill or disabled patient
Discharge begins at?
Admission
Discharge documentation should include?
- When and whith whom departed
- Pt behaviour( smiling, crying, alert)
- method of transportation from unit
- Pt WT
- home meds intructions
Nursing suggestions for parents fearing behaviour issues upon discharge
- Anticipate clinging, regression, aggression and manipulation.
- allow participation in family events.
- take focus off illness.
- be truthful, listen and avoid long separations.
unpleasant tx for children should take place in?
TX room
Child to most likely feel illness is punishment is>
Precshooler
Minors dont need parent consent for treatment of ?
STD
if school age child begins to act out ?
Provide positive direction and consistency
Key terms
