Quiz 1 Flashcards
Small movements like grasping and manipulating objects…
Fine Motor Skills
Large movements like crawling, walking, and jumping…
Gross Motor Skills
The process of understanding upcoming developmental needs and then teaching caretakers to meet those needs…
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Educating parents about expected developmental stages, upcoming changes, and preventive measures, helping them anticipate their child’s needs and challenges…
Anticipatory Guidance
Establish trust and open communication with both the child and family. Recognize that pediatric care involves treating the whole family, not just the child…
Patient and Family-Centered Relationships
To be done includes developmental screenings, immunizations, physical assessments, growth monitoring, and providing anticipatory guidance…
Priorities for Pediatric Visits
Focuses on advocating for children, providing compassionate care, and supporting family involvement in the child’s health journey…
Role of a Pediatric Nurse
Freud: Anal stage
The child derives gratification from control over body excretions, i.e toilet training
Erikson: Autonomy versus shame and doubt stage
The child is increasingly independent in many spheres of life.
Allow self-feeding opportunities.
Encourage child to remove and put on own clothes, brush teeth, or assist with hygiene. (A)
Piaget: Sensorimotor stage (end); preoperational stage (beginning)
The child shows increasing curiosity and explorative behavior. Language skills improve.
Theories of Development- Toddler (1–3 years)
Freud: Oral stage - The baby obtains pleasure and comfort through the mouth.
Erikson: Trust versus mistrust stage - The baby establishes a sense of trust when basic needs are met
Piaget: Sensorimotor stage
The baby learns from movement and sensory input.
Theories of Development- Infant (birth to 1 year)
Freud: Phallic stage
The child initially identifies with the parent of the opposite sex but by the end of this stage identifies with the same-sex parent.
Be alert for children who appear more comfortable with male or female nurses, and attempt to accommodate them.
Erikson: Initiative v.s guilt stage
The child likes to initiate play activities.
Assess children’s concerns as expressed through their drawings.
Accept the child’s choices and expressions of feelings.
Piaget: Preoperational stage
The child is increasingly verbal but has some limitations in thought processes.
Offer explanations about all procedures and treatments. Clearly explain that the child is not responsible for causing an illness in self or family member.
Theories of Development- Preschooler (3–6 years)
Where are injections given to babies under 12 months?
Lateral thigh
Where are injections given to children over 12 months of age?
Lateral thigh or arm
Where should injections be given to adolescence?
Deltoid of arm
What immunizations should be given at birth?
RSV and hepatitis B
What immunizations should be given at one month?
RSV (if not had yet) and Hepatitis B
What immunizations should be given at two months?
RSV (if not had yet), Hepatitis B (if not giving at one month), rotavirus (RV), DTap, pneumoccoal, polio, and Haemophilus influenzae type b (Hib)
What amortizations should be given at four months?
Rotavirus (RV), DTap, pneumoccoal, polio, and Haemophilus influenzae type b (Hib)
What immunization should be given at six months?
hepatitis B, DTap, pneumococcal, polio, covid-19, flu
What immunization should be given at 9 months?
Hepatitis B (if 3rd has not been given yet), polio (if 3rd has not been given yet), covid-19, flu
What immunization should be given at 12 months?
Hepatitis B (if 3rd has not been given yet), polio (if 3rd has not been given yet), covid-19, flu, pneumoccoal, Hepatitis A, and Haemophilus influenzae type b (Hib)
What immunization should be given at 15 months?
Hepatitis A, Varicella, MMR (Measles, mumps, rubella), Hepatitis B (if 3rd not given yet), DTap, pneumoccoal, polio, and Haemophilus influenzae type b (Hib).
Quantitative related to pediatrics?
Growth of the child
Qualitative related to pediatrics?
Development of child
Cephalocaudal
Growth from the head down
Proximodistal
Growth from the center out
Can nurses advocate for the parents, not just a child?
yes
Can the nurse assist the patient and parents for medical decisions?
yes
Babinsk Reflex-starting on the pinky side
Positive if the baby feet flexes and negative if the babies feet curl in
Best things for babies to drink?
Breastmilk is best but iron formula is also good
When are well baby visits?
Five days, one month, two month, four months, six months, nine months, 12 months, 15 months, 18 months.
When can babies eat food?
4 to 6 months and only try one new food every seven days
