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Nurse 154 Nursing Fundamentals > Week 3 > Flashcards

Week 3 Flashcards

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1
Q

It is common for families of toddler and preschool aged children to feel _____ in the health care setting

A

Uncomfortable

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2
Q

Building good ____ is an extremely valuable tool and often allows families to relax and feel more at ease in the health care setting

A

rapport

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3
Q

When a family with a school aged child come to your office. what things should you the nurse do prior to approaching/as you are aproaching

A
  • Make important general observations
  • Review the chart before hand and recall/compare previous G&D
  • Assess for stranger anxietygood thing
  • Observe language (Verbal/body) and movement to assess for possible developmental delays or signs of abuse
  • observe discipline and if the parents are paying attention to the child answering his questions
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4
Q

What are some general considerations when communicating with a family/toddler-preschool aged child in the clinical setting

A
  • Be warm and welcoming
  • Begin building rapport
  • Speak with the child and the parents not just the parents
  • Use walking back to the room as a chance to assess the cognitive and physical development of child
  • Recall progress from previous visits
  • Encourage questions
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5
Q

What organization developed BMI?

A

The CDC

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6
Q

at what age can BMI be used to assess weight in a child?

A

2 years of age?

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7
Q

How to we record and keep track of a childs weight/bmi?

A

Via growth charts

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8
Q

How do we assess if a childs BMI is within a normal range?

A

We use the percentile lines on the growth chart

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9
Q

At what point does BMI need to be addressed?

A

If the BMI is in a very high percentile or a very low one

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10
Q

When is developmental surveillance used?

A

Thorough the entire interaction with the child

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11
Q

What components of development are assessed for during developmental surveillance?

A
  • Fine motor
  • Language
  • Social skills
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12
Q

What is anticipatory guidance?

Why is it used?

A
  • Guidance given to patient/guardian regarding care and developmental tools that will soon be needed.
  • It is used to help educate the patient/guardian on how they can insure the best chance of success in their child’s development
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13
Q

What are the most important anticipatory guidance topics for toddlers/preschoolers?
SL-DRT

A
  • Sleep Patterns
  • Learning practices
  • Discipline Techniques
  • Reading practices
  • Toys to encourage development
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14
Q

What is the main parental concern regarding nutrition when a child enters toddler/preschool age?
How can you respond to these concerns?

A
  • That their appetite becomes reduced and they are eating less than they were as an infant.
  • Reassure the parent that this is normal
  • Use the BMI growth chart to show the parent where their child is placed to back up your claim of normalcy (if the child’s BMI is in fact normal)
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15
Q

What makes toddlers in active families with older children more at risk for a high BMI?

A

Because families with make sports and activity obligations tend to eat more fast food or junk food and this includes the toddler.

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16
Q

What are some education tips for active families who want to insure their toddler is getting proper nutrition?

A
  • Encourage family meals
  • Limit fruit juice
  • Include the “5 a day rule”
  • Offer suggestions that will allow parents to pack healthy food for children a cooler for the car is a good example
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17
Q

What are the physical activity/play time recommendations for toddler’s and Preschool aged children

A
  • Min of 60 minutes of structured physical activity
  • Min of 60 mins unstructured physical activity
  • Max of 60 mins of sedentary behavior excluding sleep
18
Q

What is the main emphasis to focus of in physical activity for toddlers and Preschool aged children?

A

Activities that encourage further motor development and Kinestesia

19
Q

What is Kinesthesia?

A

The sense of one’s own body position and movement

20
Q

What do nurses need to consider since obesity is increasing every year?

A

-Patterns set into motion in a child of toddler/preschool age tend to continue into adolescence and adulthood

21
Q

What should the nurse teach in terms of physical activity in toddlers/preschool aged children
LNP

A
  • Limit screen time
  • No TV/PC in bedroomdisrupts sleep
  • Wear protective gear in sports
22
Q

What is the most preventable and most common unmet health care need for children?

A

Dental care

23
Q

What is oral care in toddles and preschoolers so important?

A

Early dental problems can influence speech, cause pain, and lead to future problems

24
Q

What age should a child stop sucking their thumb/pacifier by?

A

between age 1-2 years

especially when permanent teeth erupt around age 6

25
Q

What are some ways to encourage a child to stop sucking their thumb/pacifier?

A
  • Offer praise when they are not sucking
  • Provide alternative comforts like a blanket
  • Sock on hand during the night
26
Q

What is a good rule of thumb for time out length?

A

1 min per year of age

27
Q

When assessing mental health of a toddler/preschool aged child, What is an important question to ask about the parents behavior?

A

How they deal with behavior problems

28
Q

What should the nurse reinforce when assessing discipline in a school aged/toddler child?

A

Positive ways of setting limits

29
Q

What benefit does participating in faith-based activities for the toddler/preschool aged child?

A

-Helps to reinforce right and wrong

30
Q

How can strict faith based practices cause harm to a toddler/preschool aged child?

A

-Constant criticism and unmet expectations can lead to the development of poor self image

31
Q

What are the desired outcomes in mental and spiritual health for a toddler/preschool aged child?

A
  • Emergence of positive self-esteem

- Ability to self-regulate behavior

32
Q

What is an important relationship milestone for a child to reach by age 5

A

The ability to be separated from the parent

33
Q

What can the nurse say to reassure parent who are encouraging their child to be alright with separation?

A

That it is an important skill and that the parent should not feel guilt when the child becomes emotional.

34
Q

_____ Develops greatly throughout Toddler/Preschool aged children and should be assessed in regard to relationship development.

A

Language

35
Q

Why is good hygiene specifically important for toddlers and school aged children?

A

It is common for toddlers/preschoolers to have 6-10 upper respiratory infections a year and hygiene helps to prevent this

36
Q

What are the three main assessments in a well-visit for toddlers and preschool aged children?

A
  • Vision
  • Hearing
  • Obesity
37
Q

What is a very important question to ask the family of a toddler and preschool aged children that applies to disease prevention at home?

A

Does anyone smoke in the house?

38
Q

When should at home risks and injury prevention assessments happen for a toddler/preschool aged child?

A

At every healthcare visit

39
Q

What aspect of car safety needs to be reinforced to the parents of toddlers and preschool aged children?

A

The use of proper car-seats.

  • They types and orientation of car seats change as a child matures
  • Also give information on where to have car-seats checked by trained professionals. *often Firemen and police officers
40
Q

What is the best advice to give parents of toddlers and Preschool aged children in regards to water safety?

A

NEVER take your eyes off a child near ANY water source even buckets not even for one minute

Nurse 154 Nursing Fundamentals (10 decks)

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