Week 1 THURS Flashcards
growth and development
Most important thing for caregivers when it comes to sex/ sexuality
be honest and straightforward
What is a sensory deficit in a newborn
if the newborn doesn’t respond to loud noises
Once a temper tantrum has started what intervention is appropriate
moving objects out of the way so the child can’t harm themselves
What is the best intervention for a child that screams when its bedtime
Set a bedtime routine and a specific bedtime
A 4 month old needs further eval if they can’t hold their head up T or F
TRUE
What Erickson stage includes a child who is involved with sports/ clubs but needs support when not successful
industry vs inferiority
What is the “normal” parameter for an infants respiration rate
30-60 bpm
What age group falls under Erikson’s psychosocial stage Industry vs Inferiority
School-Age
Which of the following patients is the nurse MOST concerned is NOT meeting growth and developmental milestones?
a. 6 yo with vocabulary of 1000 words
b. 8 yo who is unable to think abstractly
c. 11 yo who is developing secondary sex characteristics
a. 6 yo with 1000 words
- age 3 should be at 1000 words
A caregiver tells the nurse they are concerned about their 2 yo. The child plays next to children but not with children. Parents are wondering if this is normal or not. Which of the following is the BEST response for the nurse to the caregiver
a.) implement a developmental screening tool
b.) notify the provider
c.) explain that the child should be able to participate in cooperative play
d.) Explain to the caregivers that this is normal play for toddlers
D!
this is normal behavior and it is called parallel play and is very common in toddlers
What is the first thing a nurse should do before administering any immunization?
a.) obtain an immunization history
b.) develop an immunization schedule
c.) ask the caregiver if they have any concerns about vaccinations
d.) ensure vaccines have been stored adequately
A. Always obtain an immunization history FIRST and then you can address all the other ones after
What age group is Erikson’s Trust vs Mistrust
Infants
An orderly pattern of changes in structure, thoughts, feelings, or behaviors resulting in maturation, experiences, and learning
Development
What age group is Piaget’s formal operational stage
Adults
What age group is Piaget’s concrete operational stage
School-age and adolescents
What age group is Piaget’s preoperational stage
Toddler and Pre-school
What age group is Piaget’s sensorimotor stage
Newborn and toddler
-Rapid growth, triple weight by 12 months
Infants: body
What age group is in Erikson’s Autonomy vs Shame & guilt
Toddlers
What age group is in Erikson’s initiative vs guilt
Preschoolers
What age group is in Erikson’s identity vs role confusion
Adolescents
Barriers to immunizations
- concerns regarding vaccine safety
- confusion regarding contraindications
- having multiple clinics/ providers
- cost
- multiple children in one family
How to overcome barriers to immunizations
- cost can be covered my affordable care act and vaccines for children
- combined vaccinations
- establish medical home
- review immunizations every visit
- up to date information about vaccinations
Infant developmental milestones include
- sucking to soothe
- show affection
- begin to identify symbols; waving
- lifting head (1 mo)
- rolling over (4mo)
- sitting (7-8 mo)
- standing (10 mo)
- self feed by 12 mo
- crying to saying dada
Toddler developmental milestones include
- using all senses
- imitates others
- uses mine> ownership
- 18 mo> climb stairs, stacks 4 blocks, turns book pages
- 24 mo> runs, kicks, scribbles, builds 6-7 blocks towers
- 36 mo> climbs well, walks up/down stairs, undresses self, builds block to 9-10
- very picky eaters
- 50 words and 2-3 word sentences by 2 yo
- 1000 words and 3-4 word sentences by 3 yo
Preschool developmental milestones include
- Active imagination
- begin to work through conflict
- lots of questions> WHY
- running, jumping
- drawing letters and shapes
- cut with scissors
- using utensils when eating
- tying shoes
- choppy speech
- concrete thinking and speech
School-age developmental milestones include
- developing self worth
- enjoys learning
- involved in multiple activites
- understands concept of time
- able to classify things
- coordination and balance improve
- riding bike, dance, sports
- hand-eye coordination improves
- writing, arts, and crafts
- musical instruments
- learning to read
- logical thought process
Adolescent developmental milestones include
- thinking is more abstract
- trying out different roles
- mood changes
- importance of peers
- invincible thinking
- developing endurance, speed, and accuracy
- computer and electric skills
- use of slang
- becomes comparable to adults
Infants develop cephalocaudal which means what
They first start developing with there head and then move towards their limbs
What age group is most at risk for mental health issues resulting in harm
Adolescents
