Perspectives In Pediatrics

Question 1

What is providing atraumatic therapeutic care

Answer 1

Minimizing physical and psychological stress

Question 2

Factors affecting childrens health

Answer 2

Family
Genetics
Society
Cultural health practices
Spirituality and religion
Barriers to healthcare (money)

Question 3

Health maintence and developmental surveillance/screenings

Answer 3

Preventative care in recommended intervals

Developmental surveillance:
Observation and parent concerns

Screenings (measurements)

Question 4

Goal percentile

Answer 4

10-90%

Question 5

Anticipatory guidance

Answer 5

Knowing what the developmental age is to understande their upcoming needs

Ex: bicycle safety

Question 6

Types of screenings

MILVHHH

Answer 6

Metabolic (PKU)
Iron-deficiency anemia
Lead
Vision
Hearing
Hypertension
Hyperlipidemia

Question 7

Leading cause of mortality in infants

Answer 7

Unintentional injuries

Question 8

Most common health issues in children

Answer 8

Respiratory disorders

Gastrointestinal disturbances

Question 9

Traditional nuclear family

Bi-nuclear

Blended family

Answer 9

Traditional nuclear family:
Married couple with biological child

Bi-nuclear:
Parents have seperated but continue parenting

Blended family:
One step-parent at least and step siblings or half siblings

Question 10

Extended family

Foster family

Communal family

Answer 10

Extended family:
One parent, child and other family members (including grandparents, aunts, uncles)

Foster family:
Temporary family

Communal family:
Groups of people living together to raise children and manage houshold (unrelated by blood or marriage)

Question 11

Parenting styles

Answer 11

Authoritarian (dictatorial)

Authoritative (democratic)

Permissive

Passive/neglectful

Question 12

Authoritarian (dictatorial)

Answer 12

Try to control the childs behaviors and attitudes thru unquestioned rules and expectations

Question 13

Authoritative (democratic)

Answer 13

Directs childs behavior by setting rules and explaining the reason for each rule setting

Question 14

Permissive

Answer 14

Exert little or no control over child behaviors. Rules may be inconsistent, unclear, or non-existent

Question 15

Passive/neglectful

Answer 15

Parents are often uninvolved, indifferent, and emotionally removed. Childs basic needs are met but parent is disconnected

Question 16

3 principals of atraumatic care

Answer 16

Minimize seperation from family

Give sense of control

Minimize bodily injury or pain

Question 17

Prepare child for procedure

Answer 17

Description appropriate for their age

Inform them of ant pain involved

Question 18

Childlife therapy

Answer 18

Ways to interact with kids to prevent traumatizing them

Question 19

Informed consent

Who can do it
The form has to be what
Who also has to sign the form

Answer 19

Must be of legal age in the state, with full civil rights and be competent

Must be simple, concise, appropriate to the level of education and language of the decision maker

Need a witness sign (usually a nurse)

Question 20

Nurses role in consent signing

Answer 20

Make sure family understands what their signing

Make sure the form is complete

Serve as a witness

Question 21

Pediatric assent (what should be done and why)

Answer 21

Let child be involved in decision

Helps them understand their condition and the treatment being done

Makes sure their not being influenced in their decision

Question 22

If parents refuse life-saving treatment warrants what

Answer 22

A call to CPS for emergency treatment

Question 23

How old do you have to be to sign informed consent unless these 6 things

Answer 23

18years old unless:

-pregnant
-parents
-married
-high school grad
-independent living
-military service

Question 24

A minor may be consenting in kentucky if (4)

Answer 24

-Contracted a lawful marriage

-Borne or fathered a child

-Seeks disnosis/tx for sexually transmitted disease, pregnancy, alcohol or drug abuse
*(Treatment shall not include inducing of an abortion or performance of a sterilization operation)

-Victim of a sexual offense

Question 25

Risk factors for mal treatment

Caregiver

Answer 25

Young father
Unrelated
Low income
Lack of education

Question 26

Rf of maltreatment for child

Answer 26

1 year or younger
Hyperactive
Premature

Question 27

Rf of maltreatment

Environment

Answer 27

Chronic stress
Divorce
Poverty
Unemployment
Alcohol/substance abuse

Question 28

Indicators of abuse

Answer 28

Physical evidence

Vague explanation of injury

Delay in seeking care

Other injuries

Inconsistency between child and caregiver story

Repeated injuries requiring emergency tx

Question 29

Physical abuse vs physical neglect

Answer 29

Abuse:
-burns, bruising, fx, different stages of healing, fear of parents, withdrawal aggression

neglect: (not meeting basic needs)
-FTT, malnutrition, lack of hygiene, delay in seeking care, school absences

Question 30

Sexual abuse

Answer 30

Bleeding of genitalia/anus, STI, UTI,

reaggressive behaviors
withdrawal
personlity changes

Question 31

Emotional neglect/abuse

Answer 31

FTT, eating disorders, enuresis, sleep disturbances, lack of social smile, delayed development, suicide attempts

Question 32

TEN-4

Answer 32

Child 4 and younger look for bruised on:
-Torso, Ears, or Neck

Any nonmobile infant under 1 year of age any bruises anywhere
(if their not cruising they should be bruising)

Question 33

Shaen baby syndrome can cause intracranial and retinal hemorrhages

Indicators:

VLBCAPS

Answer 33

May have no physical signs

-vomiting/poorfeeding
-listlessness (fussy)
-bulging fontanels
-seizures
-posturing
-change in LOC
-apnea/bradycardia