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PEDS EXAM 1 > PRESCHOOL > Flashcards

PRESCHOOL Flashcards

1
Q

VS: temp

A

63.7-37.7

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2
Q

VS: BP

A

92/55

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3
Q

VS resp

A

20-30

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4
Q

VS HR

A

70-120

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5
Q

IMMUN: 4-6

A

Tdap, IPV booster,MMR, Varicella

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6
Q

Walking, running, climbing, jumping

A

by age 3

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7
Q

Skips and hops on one foot, catches ball

A

by age 4

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8
Q

Skips on alternate feet, jumps rope, learns to skate and swim

A

by age 5

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9
Q

Copy a circle

A

3yo

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10
Q

Tie shoes, use scissors well

A

5 yo

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11
Q

Erikson

A

initiative vs Guilt: Development of superego (conscience) sense of guilt and anxiety when act or behave inappropriately, learning right/wrong, energetic learners -PLAY is their work, may overstep limits creating guilt. Nursing tip: include child in own nursing care when possible.

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12
Q

Freud

A

Phallic: Oedipal and Electra complexes, sex differentiation: realize differences in sexes. conflicts starts when boy realizes dad is much stronger than him, wishes father dead & be with mom, goes away when child identifies with same sex parent

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13
Q

Cognitive Piaget

A

preoperational 2-7, fall into 2 stages Preconeptual (2-4yo) -discovering the world, ITS ME
Intuitive 4-7 yo, relating to the world, i see whats happening.
shift from egocentric to social awareness, Think one idea at a time not as a whole.

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14
Q

Play

A

associative. imitating, adjusting, udnerstanding: enjoy limitations and dramatic play, magical thinking, thinking more realistic and logical. associte time with events, Nursing tip: reasure child is not sick bc of something they did wrong

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15
Q

2100 words

A

5 years

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16
Q

from 3-4 word sentecnes, speak telegraphically (concisely) with lack of regard of surroundings

A

age 3-4

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17
Q

use longer sentences with more important words-4-5 word sentences

18
Q

Understand all parts of speech, identifity opposites

19
Q

spiritual development

A

knowlege of faith learned, devloping concrete images of God as an imaginery friend, can associate illiness with god’s punishment

20
Q

dental health

A

2 x a year

21
Q

Car seat

A

3-5 still in car seat, car seat on 8 years of age or 80 lbs, 4’9

22
Q

calories

23
Q

sleep average a night

24
Q

lead posioning

A

kids 6 years and younger at most at risk, crosses BBB, kids absorb 50%, more receptive to lead

25
Lead can be found in
food air water toys
26
Therapy for lead
chelation therapy: BLL greater than 70 ug/dl Bal and EDTA is used together Potential adverse effects: inc BP, tachycard, N&V, burning sensation of mouth, lips and throat, abd pain dysuria
27
Other therapies for LEad
BAL: biritish antilewisite or dimercprol, IM Calcium disodium edtate EDTA give IV or IM. Give when BLL is 44ug/dl or greater
28
EDTA adverse effects
Proteinuria, hematuria, nephrotoxicity, never give in absense of Urine output tingly, numb, anorexia, Nausea, inc LFT, MONITOR for BUN, electrolytes. BAL is prepared in peanut oil, assess for peanut allergy
29
infectious diseases
chicken pox, roseola, erythemia infectiosum, rubeola, pertussis, scarlet fever, conjunctivitis
30
Chicken pox
Varicella Zoster Virus VZIG tx for high risk kids Transmision: direct contact, droplet, contamin objects Incubation: 2-3 weeks Communicablility: 1 day before erupted until all lesions have crusted
31
Roseola (6th disease)
Human Herpes Virus type 6 Primary effects 6mo to 3 yo incubation 5-15 days perisistent fever for 3-4 days, after fever subsides rash appear, self-limiting, non-puritic rash, goes away on own, rash appears first on trunk, then face and extremities
32
erythemia infectiosum (5th disease)
Human Parvovirus Rash in 3 stages: "slapped face" appearance disappears in 1-5 days, maculopapular rash appears on extremities and lasts 7 days or more; rash subsides but may reappear if skin irritated or traumatized by heat, cold, friction; Nursing tip: very dangerous to unborn fetus, warn preggers women
33
Rubeola (measles)
Virus Tranmission by secretions, droplets Incub: 10-20 days, communicab: from 4 day bfore to 5 days after appearance of rash koplik sports appear 2 days before rash (small irregular red spots w/ small bluish white center seen on buccal mucosa) Incidence is on the rise bc immunity wearing off in baby boomers
34
Pertussis
Bordetella pertussis Trans: droplet or direct contact; incub: 6-20 days cough: short, rapid coughs followed by a crowing or "whoop" sound, Complications: penumnia (usual cause of death) Nursing tip: keep head of bed elevated, assure suction, bag, mask, o2 working at bedside, stay close to pts
35
Scarlet Fever
Group A hemolytic streptococci;Trans: droplet or direct contact; incub 1-7 days, complications: carditis, peritonsillar abscess, glomerulonephritis: Tip: teach parents to watch for S&S after a strep infection esp if not getting better.
36
Conjunctivitis
In NB: chlamydia, gonorrhea or herples simplex Infants: may be a sign of tear duct obstruction children: causes are bacterial, viral, allergic or foreign body Tip: apply prssure on inner canthus to prevent unwanted taste of medicine
37
child maltreatment
intentional physical abuse 17% or neglect 63% Emotional abuse or neglect 7% sexual abuse 9%
38
Physical abuse
Shaken baby syndrome = traumatic brain injury | Munchausen syndrome by proxy=factitious disorder by proxy or medical child abuse
39
Denver
WIdely used, standardized measures screening tests Detects potential developmental problems in young children birth - 6 years
40
denver assesses 4 areas of functioning
Peronal-social: getting along with people and caring for personal needs Fine motor-adaptive: hand-eye coordination, manipulation of small objects, and problem solving language: hearing, understanding, and using language Gross motor: sitting, walking, jumping, large muscle movement
41
Immunizations for preschooler:
dtap, IPV, MMR Varciella, flue

PEDS EXAM 1 (3 decks)

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