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OB/Peds Exam 1 > Well-Child Care > Flashcards

Well-Child Care Flashcards

1
Q

weight gain by 6 months? 1 year?

A

x2 birth weight at 6 months, x3 at 1 year

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2
Q

when does the anterior fontanel close?

A

12-18 months

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3
Q

when does the posterior fontanel close?

A

2-3 months

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4
Q

when is color vision achieved?

A

6 months

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5
Q

teeth

A

first at 6 months, new one monthly

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6
Q

normal infant temp

A

36.5-37.5

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7
Q

normal infant BP

A

80/40 - 99/64

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8
Q

normal infant HR

A

110-160 newborn, 100-120 infant

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9
Q

normal infant RR

A

30-60 newborn, 20-30 infant

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10
Q

rooting reflex

A

gone after 4 months

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11
Q

moro reflex

A

gone after 4 months

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12
Q

palmar grasp reflex

A

gone after 4 months

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13
Q

babinski reflex

A

gone after 1 year

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14
Q

when does the pincer grasp develop

A

around 9 months

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15
Q

trust vs mistrust

A

infants, infant signals need, parent responds

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16
Q

infant language

A

3-5 words

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17
Q

infant psychosexual phase

A

oral

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18
Q

head control is achieved at…

A

0-3 months

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19
Q

rolling is achieved at…

A

4-6 months, belly to back first

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20
Q

sitting without support is achieved at…

A

8 months

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21
Q

crawling/creeping is achieved at…

A

9 months

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22
Q

walking is achieved at

A

10-12 months

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23
Q

when should solid food be started?

A

6 months

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24
Q

foods to avoid with infants

A

honey, whole milk, 100% fruit juice

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25
Q

when is Hep B given

A

birth, 2 months, 6 months

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26
Q

weight/height gain in toddlers

A

5 pounds/inches per year

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27
Q

child can drop small objects into bottle at…

A

15 months

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28
Q

child can throw ball without falling

A

18 months

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29
Q

child can open doors, walk up steps

A

24 months

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30
Q

child can copy/draw a circle

A

30 months

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31
Q

autonomy vs shame & doubt

A

toddlers, give choices, set limits

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32
Q

parallel play

A

toddlers

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33
Q

observation

A

infants

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34
Q

toddler psychosexual phase

A

anal

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35
Q

when can potty training begin? why?

A

age 2 - sphincter control develops

36
Q

which vaxes cannot be given until 12 months, why

A

MMR and varicella (VAR), they’re live

37
Q

clinical manifestations of lead poisoning

A

anemia, bone/teeth density loss, neuro issues, from ADHD to lethargy

38
Q

nursing interventions for lead poisoning

A

fluids, monitor I&Os

39
Q

preschool height/weight gain

A

5 pounds/year, 3 inches/year

40
Q

initiative vs guilt

A

preschool, accomplishment, practice, people pleasing

41
Q

associative play

A

preschoolers

42
Q

language considerations with preschoolers

A

take words literally, always asking WHY

43
Q

preschool psychosexual phase

A

phallic

44
Q

preschool cognitive development

A

fears begin, no understanding of time, imminent justice

45
Q

when is full vision achieved

A

6 years

46
Q

when do children begin to lose teeth

A

6 years

47
Q

industry vs inferiority

A

school age, achieving personal mastery/competence, competitive

48
Q

cooperative play

A

school age

49
Q

school age psychosexual phase

A

latent

50
Q

concrete operations

A

grade school - learning is their job

51
Q

what age do children begin to collect things?

A

school age

52
Q

invincible thinking

A

adolescence

53
Q

order of puberty in women

A

breasts, height spurt, hair growth, menses

54
Q

order of puberty in men

A

testes grow/drop, hair growth, height spurt

55
Q

identity vs role confusion

A

adolescents

56
Q

adolescent psychosexual stage

A

genital

57
Q

adolescent cognitive stage

A

formal operations - abstract thinking, future oriented

58
Q

rubella

A

rash, joint pain, fever, viral

59
Q

rubella considerations

A

stay away from pregnant women, viral - treat s/s

60
Q

measles

A

highly contagious & dangerous, viral, Koplik spots

61
Q

measles considerations

A

airborne precautions

61
Q

varicella

A

virus, itchy rash

62
Q

varicella considerations

A

skin care, avoid itching, must crust over before going back to school

63
Q

polio

A

viral, can cause paralysis/resp distress

64
Q

polio considerations

A

droplet precautions, viral

65
Q

mumps

A

swollen salivary glands, often causing dehydration

66
Q

mumps considerations

A

give IV fluids, easy to swallow foods, can cause deafness

67
Q

impetigo

A

bacterial, itchy rash around mouth, honey colored crust

68
Q

impetigo abx

A

topical abx (oral if severe), contact precautions

69
Q

diphtheria

A

bacterial, swollen painful throat, often causing dehydration

70
Q

diphtheria considerations

A

Bull’s neck, fluids, abx, antipyretic

71
Q

pertussis

A

severe URI, coughs so forceful pt may vomit and be dehydrated

72
Q

pertussis considerations

A

droplet precautions, abx (erythromycin), fluids

73
Q

order of infant assessment

A

auscultate, palpate, examine, reflexes, temp & bp LAST

74
Q

how to assess a toddler

A

USE PLAY, let them mimic you, traumatic stuff last

75
Q

how to take a temp on an infant

A

axillary, rectal only when needed for treatment decisions

76
Q

how to take a temp on a toddler/preschooler

A

axillary, tympanic, temporal, rectal

77
Q

when can a temporal temp be taken

A

6 months

78
Q

fever medications

A

acetaminophen, no aspirin, ibuprofen only after 6 months

79
Q

when should an infant make eye contact

A

4 months

80
Q

nursing interventions for pediatric fever

A

remove blankets/clothing, cold washcloth, NO ICE

81
Q

when to use arms for BP

A

around preschool

82
Q

where should IM injections be administered

A

vastus lateralis in thigh

83
Q

where should turgor be assessed

A

on abdomen

84
Q

how many mLs in 1 tsp

A

5

85
Q

how many mL in 1 oz

A

30

86
Q

how many mL in 1 tbsp

A

15

OB/Peds Exam 1 (4 decks)

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