Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Ivy Tech Nursing > Peds Unit II > Flashcards

Peds Unit II Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

Weight gain at 6 months

A

Double (1.5 lb/ month 1st 6 months)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Weight gain at 12 months

A

Triple (3/4-1 lb/ month for 2nd 6 months)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Height increase at 12 months

A

50% (1 inch/ month first 6 months, 1/2 inch per month for second 6 months)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Posterior fontanel fuses how many months after birth?

A

2 (triangular shaped)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Anterior fontanel fuses how many months after birth?

A

12-18 (diamond shaped)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does a normal fontanel look like?

A

soft/ flat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Infants are obligatory….

A

nose breathers. (abdominal breathing)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Bp difference from utero to birth

A

70/55 to 90/55

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

HR difference from utero to birth

A

HR slows from 120 to 80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When hemoglobin decreases with decreased RBCs at 2-3 months

A

physiologic anemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

This cannot be digested until 4-6 months

A

Complex CHO (good carbs) amylase/ lipase/ trypsin enzymes must be increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Rule for determining # teeth appropriate for age

A

age in months -6 = number of teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Most immature system at birth

A

Liver: difficulty with bilirubin (hyperbilirubinemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What must never be given to a newborn due to immature kidneys

A

Potassium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hand/ finger play and toys 1 month

A

grasp reflex (rattle) hands are closed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Hand/ finger play and toys 2-3 months

A

almost voluntary grasp, hands open, have hand regard, startle reflex fading

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Hand/ finger play and toys 4-5 months

A

plays with hands, hands to mouth, grasp voluntary, use textured toys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Hand/ finger play and toys 6-7 months

A

holds bottle, feeds self crackers
transfers objects between hands, unidextrous
has repetitive movements
peek-a-boo, large toys/ moveable parts, noise-makers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Hand/ finger play and toys 8-9 months

A

start pincer grasp, can start finger foods

releases objects, claps (pat-a-cake)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Hand/ finger play and toys 10-12 months

A

strong pincer grasp, large crayons, turn pages of books, squeeze toys
attempts to stack 2 blocks but fails: large puzzles, nested blocks
can pick up cheerios

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Gross motor skills 1 month

A

moves head side-to-side, marked head lag, weakest head will be

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Gross motor skills 2-3 months

A

lifts head 45 degrees when prone, increased head control

slight bobbing, use infant swing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Gross motor skills 4-5 months

A

raises head and chest to 90 degrees, slight head lag
rolls from abdomen to back, back to side
sits with a prop
scoots backward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Gross motor skills 6-7 months

A

sits alone with support of hands
rolls from back to abdomen
no head lag, bears weight on feet
develops parachute reflex, newborn reflexes gone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Gross motor skills 8-9 months

A

sits unsupported, stands with help

crawls, usually in reverse first stronger extensors than flexors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Gross motor skills 10-12 months

A

crawls forward
pulls self to sitting position, sit-stand
walks with support, push toys (only when walking), ball

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Psychosocial development: Erikson

Trust vs. Mistrust

A

feeling of physical comfort and security, basic needs met by caregiver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Psychosocial development: Erikson
Trust vs. Mistrust
Narcissism

A

Total concern for oneself

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Psychosocial development: Erikson
Trust vs. Mistrust
RESULTS

A

trust or inability to trust
lack of forming meaningful relationships
dependency problems/ feeding disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Cognitive development: Piaget

Infants learn

A

separation (others control the environment)
object permanence
use of symbols for mental representation
time/ space concepts start at end of stage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Cognitive development: Piaget
Sensorimotor stage
1st substage 0-1 month

A

REFLEXES: ROOTING, SUCKING, GRASP, CRY FENCING, REFLEXIVE STAGE

32
Q

Cognitive development: Piaget
Sensorimotor stage
2nd substage 1-4 months

A

Primary circular reactions
reflexes become voluntary
stimulus produces response (cry, hear moms voice, stop crying)
Place rattle in hand, grasp and shake it

33
Q

Cognitive development: Piaget
Sensorimotor stage
3rd substage 5-8 months

A

Secondary circular reactions
repeated acts for certain results, shaking and banging rattle repeatedly
begin imitation play
beginning to develop object permanence/ stranger and separation anxiety
6 months, preference for mom or primary caregiver

34
Q

Cognitive development: Piaget
Sensorimotor stage
4th substage 9-12 months

A

Coordination of secondary schemata and application to new situations
begins intellectual reasoning, starts to associate symbols with events (bye-bye)
does intentional acts, can remove obstacles

35
Q

Social development

1 month

A

watches parents face

36
Q

Social development

1-2 months (6 weeks)

A

eyes move forward

37
Q

Social development

2 months

A

social smile

38
Q

Social development

3 months

A

stops crying when parent is seen

recognized familiar objects

39
Q

Social development

4-5 months

A

laughs out loud
smiles at mirror image
can discriminate family/ stranger

40
Q

Social development

6-7 months

A

imitates, starts biting
peek-a-boo
starting object permanence/ stranger anxiety

41
Q

Social development

8-9 months

A 
separation/ stranger anxiety
wants to please
fear of bed and being alone
sibling jealousy
starts to remove obstacles
42
Q

Social development

10-12 months

A

joy when task mastered
frustrated if not mastered
may have security object

43
Q

Language development

1 month

A

cries, makes throaty sounds

44
Q

Language development

2-3 months

A

cooing, “ah”, vocalizes as if in response, squeals

45
Q

Language development

4-5 months

A

laugh, varies tone

can pronounce n,k,g,p,b

46
Q

Language development

6-7 months

A

imitates sounds
vowels in 1-2 syllables (ma, da, hi, da-da, baba)
talks to self

47
Q

Language development

8-9 months

A

no-no

pronounces t,d,w

48
Q

Language development

10-12 months

A

3-5 words

starts to comprehend meaning of words and objects

49
Q

Sensory development

1 month

A

fixates on moving objects (tracking tube)
follows to midline
quiets to voice
objects at 8-10 inches in front of face (faces)
black and white mobiles

50
Q

Sensory development

2-3 months

A

binocular fixation (eyes fixate together; if they are social smiling, they are looking at you)

51
Q

Sensory development

4-5 months

A

localizes sounds

beginning to have hand-eye coordination

52
Q

Sensory development

6-7 months

A

adjust posture to visual search (beginning of object permanence)
responds to name (autism by 6-18 months if they don’t)
begins to understand depth and space
can fixate on very small objects
taste preference

53
Q

Sensory development

8-12 months

A

increased understanding of depth and space
follows rapidly moving objects
nursery rhymes, imitates animal sounds (repeating)

54
Q

Play development

A

solitary play/ social interaction enhances play
teach infant ways to play
explores with mouth/ increasing abilities to move about

55
Q

Patient teaching with nipples and pacifiers that stick together when squeezed

A

throw away

56
Q

Breast feeding regimen in the first month

A

3-4 hrs X 6 per day (breast or bottle)

57
Q

Breast milk storage: refrigerated/ frozen

A

8 days/ 12 months

58
Q

At 4-6 months, first food considerations

A

First rice/ wheat last (allergies): rice easiest to digest
Mix cereal with formula or breast milk or fruit juice
***try one new food at a time 14-7 days (allergies)
wheat, nuts, eggs, and milk often manifest allergies

59
Q

Immunizations HBV: IM

A

birth, 1-2 months, 6-18 months

hepatitis B; don’t give if allergic to baker’s yeast

60
Q

Immunizations DTaP: (IM)

A

2 months, 4 months, 6 months, 15-18 months, 4-6 years

  • diphtheria: no absolute immunity (last 10 years)
  • tetanus lasts 10 years
  • pertussis: acellular, more allergic reaction >7 years, do not give to neurologically impaired child
61
Q

Immunizations IPV: (SC or IM)

A

2 months, 4 months, 6-18 months, 4-6 years
(polio vaccine)
- don’t give with anaphylaxis to neomycin, streptomycin or pregnancy

62
Q

Immunizations Hib: (IM)

A

2 months, 4 months, 6 months, 12-18 months

Haemophilous influenza-type B; meningitis, epiglottitis, bacterial pneumonia, septic arthritis, sepsis

63
Q

Immunizations Rotavirus (Oral)

A

2 months, 4 months, 6 months

Oral most common in Peds; diarrhea is associated with oral med

64
Q

Immunization PCV (IM)

A

2 months, 4 months, 6 months, 12-18 months

pneumococcal-conjugate vaccine

65
Q

Immunization Influenza (IM, Nasal)

A

every year starting at 6 months to 5 years

66
Q

Common reactions to immunizations

A

101 degree fever, soreness, redness at injection, behavior changes
Pertussis: allergic temp > 105 degrees, seizures, shock

67
Q

Common reaction to MMR immunization

A

MMR: anorexia, malaise, rash, fever

68
Q

Immunization nursing care

A
  • Tylenol q 4-6 hrs X 3 doses
  • EMLA cream prn, treatment room, sugar water/ passifier
  • give injections simultaneously/ comfort immediately after
69
Q

Contraindications to Immunization

A
  • fegrile illness/ temp over 101
  • blood transfusion within 3 months
  • pregnancy
  • known allergy
70
Q

S/S ICP

A
  • altered LOC, pupil changes (fixed/ dilated)
  • headache, dizzy, visual disturbance, bulging fontanel, dilated scalp veins, high-pitch cry, increased BP, bradycardia
  • Increase between systolic/ diastolic: brain edema
71
Q

Hyperpyrexia (fever)

A

elevated set point so the body is regulated at a higher level (infective agent)

72
Q

Hyperthermia

A

body temp exceeding set point (Usually heat, not infection)

Tylenol ineffective due to altered set point/ use cooling measures

73
Q

Temperature to begin administering febrile meds

A

101 F

74
Q

First line anticonvulsants (fever)

A

Phenobarbitol (Dilatin has serious S/E)

-valium/ Ativan if seizing (Status Epilepticus)

75
Q

Feeding ESSR

A

Enlarge nipple
Stimulate suck
Swallow fluid
Rest

Ivy Tech Nursing (21 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions