Test #1 - Newborn and Pediatric: Growth and Development Flashcards
What is considered non-traditional family?
Single Parent
Blended
Adoptive
Multigenerational
Same-Sex parents
Communal
What are some family considerations?
Structure:
Who makes up the family?
Developmental Needs
Cultural Influences:
Behaviors
Roles within the family:
Caregiver/Nurturer
Parenting Styles:
Authoritarian
Authoritative
Permissive
What are some cultural aspects and communication we need to keep in mind?
Nurse should be aware of own feelings
Language Barrier:
Interpreter - Must use one that is NOT family
Cultural Beliefs:
May cause conflict in care, discussion, or treatment of a disease
Non-Verbal Communication:
Body Language, Eye Contact, Touch, Use of Space
Verbal Communication:
Tone of voice, expression of emotion
What things do we need to keep in mind when communicating with children?
Consider developmental stage and effect of illness on their development
Environment:
Healthcare setting, is it familiar? Is it going to be scary?
Health Status of the child
Do they have fears at their developmental stage?
Phrasing of communication is important
What do we know about a 3 month old?
Follows objects with eyes
Hand to mouth
Hold objects placed in their hands
(IF CAN’T THEN FURTHER ASSESS!!!!!!)
What are some safety issues for 4-5 month olds?
Pillows
Rolling off tables, couches
What are some safety issues for 6-7 months?
Choking:
Food, toys, anything that can fit in their mouth
What ages are Newborns?
Birth to 1 month
What is the ages of infancy?
1 month to 12 months
What are the ages of toddlers?
12 months to 3 years
What are the ages of Preschooler?
3 to 6 years
What are the ages of School Age children?
6 to 12 years
What are the ages of adolescence?
12-18 years
What is a group with common ancestor OR “group living in a household sharing common attachments such as mutual caring, emotional bonds, regular interactions, and common goals including the health of the individual?
Family
What are some things that you want to consider with family?
The structure (who makes up the family)
Developmental Needs
Roles within the family (Parenting style - Dictatorial, Permissive, Authoritative)
Who is the caregiver and nurturer?
What are some cultural considerations when it comes to communication with the families?
Nurse should be aware of their own feelings
May be a language barrier and require an interpreter who is NOT a family member
Cultural beliefs may cause conflict in care or discussion of disease
Non-Verbal and verbal communication (Non=Eye contact, touch, use of space - Verbal=Tone of voice, expression of emotion)
What are some cultural aspects to consider with care?
Religion/Spirituality/Death rituals
Pain
Nutrition
Communication
Family patterns and gender roles
Repatterning may need to be encouraged
What are some things to remember when dealing with children?
Development stage and effect of illness on their development
Health care setting (Is it familiar? They might be scared)
Health status of the child
Do they have any fears at their developmental stage
Phrasing of communication is important
There are 4 stages of cognitive development, what ages are in the stages?
Stage 1 (1st month)
Stage 2 (1-4 months)
Stage 3 (4-8 months)
Stage 4 (8-12 months)
What happens during the 1st stage (1st month) of cognitive development?
Use of reflexes (Cry, root, suck, grasp, learn that behaviors get a sequential response)
Cry>Root>Nipple>Suck>HAPPY :)
What happens during the 2nd stage (1-4 months) of cognitive development?
Reactions (Now not only associates nipple with gratification but that the mother’s voice is associated with the nipple which makes baby HAPPY :)
What happens during the 3rd stage (4-8 months) of cognitive development?
Secondary circular reactions
Puts 2&2 together (Throws toy on the floor bc you will pick it up)
What happens during the 4th stage (8-12 months) of cognitive development?
Coordinate and Apply (Bottle in mouth=feed)
If an object is in their way they will attempt to go over it or move it whereas before they would have given up
During Play (Perform act over an over again once they?ve mastered it)
Their affect (Begin to develop sense of object permanence which is where they realize that objects that leave the visual field still exist. 9-10 months they lift up that hand that is hiding the block and the block is there.)
Separation (Learn to separate themselves from other objects in the environment)
How does an infant learn trust?
Achieved by caregivers ability to recognize cues by the infant and tend to their needs in a timely manner
how is mistrust developed?
When their basic needs are not met such as food, cleanliness, touch, comfort and warmth
What happens to an infants weight from birth to 12 months?
It triples
If it hasn’t reassess