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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

A

age 4-5

18
Q

Understand all parts of speech, identifity opposites

A

age 6

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

A

1800

23
Q

sleep average a night

A

12 hrs

24
Q

lead posioning

A

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

25
Q

Lead can be found in

A

food air water toys

26
Q

Therapy for lead

A

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
Q

Other therapies for LEad

A

BAL: biritish antilewisite or dimercprol, IM
Calcium disodium edtate
EDTA give IV or IM.
Give when BLL is 44ug/dl or greater

28
Q

EDTA adverse effects

A

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
Q

infectious diseases

A

chicken pox, roseola, erythemia infectiosum, rubeola, pertussis, scarlet fever, conjunctivitis

30
Q

Chicken pox

A

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
Q

Roseola (6th disease)

A

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
Q

erythemia infectiosum (5th disease)

A

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
Q

Rubeola (measles)

A

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
Q

Pertussis

A

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
Q

Scarlet Fever

A

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
Q

Conjunctivitis

A

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
Q

child maltreatment

A

intentional physical abuse 17% or neglect 63%
Emotional abuse or neglect 7%
sexual abuse 9%

38
Q

Physical abuse

A

Shaken baby syndrome = traumatic brain injury

Munchausen syndrome by proxy=factitious disorder by proxy or medical child abuse

39
Q

Denver

A

WIdely used, standardized measures
screening tests
Detects potential developmental problems in young children
birth - 6 years

40
Q

denver assesses 4 areas of functioning

A

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
Q

Immunizations for preschooler:

A

dtap, IPV, MMR Varciella, flue

PEDS EXAM 1 (3 decks)

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