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29 Cards in this Set

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Psychologic preparation, based on developmental stage, of a person for an event expected to be stressful, as in preparing a child for surgery by explaining what will happen & what it will feel like; also used to prepare parents for normal growth & development of their children

Anticipatory guidance
This is essential for the healthy growth and development of children and adolescents.
Physical activity

Adolescents
o Lowers death rates
o Reduces the risk of developing heart disease, high blood pressure, DM, and colon cancer

Children
o Increases bone and muscle strength
o Decrease body fats
Is defined as a BMI (Body Mass Index) greater than the 95th percentile
Obesity
What are the physical risks associated with excess weight?
High B/P
HIgh cholesterol
Type 2 DM
Heart disease
Stroke
Gallbladder disease
Arthritis
Sleep disturbances
Breathing problems
What are the social problems associated with substance abuse?
Domestic violence
STDs
Teen pregnancy
School failure
Motor vehicle accidents (MVA)
Increased health care costs
Decreased worker productivity
Increased homelessness
Name at least two common factors that contribute to the excess weight carried by children today?
Lack of physical activity

Increased fast-food consumption
The average time children spend with various media (television, computers, videos, & electronic games)
6 hours & 32 mins/day
What is the most important role the nurse can play related to overweight & obese children?
Education
The recommended time of physical activity children must get per day
60 mins/day
Continues to be the single most preventable cause of death & disease in the US
Cigarette smoking
Common injuries found in children & adolescents
MVA (Motor Vehicle Accidents)
Accidental poisoning
Suffocation
Drowning
Falls
Aspiration of foreign bodies
Burns
According to Federal safety guidelines, which of the following is the appropriate car seat for infant weighing up to 20 lbs?

a) Front-facing safety seats secured in the rear seat

b) Rear-facing safety seats secured in the rear seat

c) Booster seats with lap & shoulder belts
b) Rear-facing safety seats secured in the rear seat
According to Federal safety guidelines, which of the following is the appropriate car seat for toddlers 20-40 lbs?

a) Rear-facing safety seats secured in the rear seat

b) Front-facing safety seats secured in the rear seat

c) Booster seats with lap & shoulder belts
b) Front-facing safety seats secured in the rear seat
An excellent way to prevent the occurence & spread of certain infectious diseases
Immunizations
Approximately 1/2 of all new HIV cases in the US are among people younger than _____ years of age
25
Children who follow the recommended immunization schedule are protected against 10 vaccine-preventable childhood diseases by age ___
2
Tooth decay that is the result of prolonged nursing after the infant has been put to bed, when the milk, juice, or other fluid is allowed to bathe the teeth, thus providing sugar to oral bacteria for growth
Nursing bottling caries
____________ is not recommended during the first year of life because of some cases of infant botulism associated with it
Honey
An often fatal form of food poisoning caused by an endotoxin produced by the bacillus Clostridium botulinum
Botulism
Strategies to promote dental health
Infant:
Use dampcloth to wipe teeth & gums
Initiate fluoride supplementation @ 6 months of age
Ensure proper nutrition
- Honey is not recommended during first year of life (cause: Botulism)

Pre-school children:
Continued good dental hygiene
Parental assistance & supervision w/ brushing & flossing
Continued fluoride supplementation
Proper nutrition

School-age children:
Good dental hygience & professional dental supervision
Screening for malocclusion
Correct brushing & flossing techniques are taught
Teeth should be brushed after meals & snacks
Encourage decrease ingestion of high-sugar foods
Specific interventions to prevent nursing bottle caries
Last bottle should be before bedtime

Proper cleansing of the teeth & gums before putting child down to sleep

Use water in the bedtime bottle instead of juice or milk

Do not use sugar or honey coated pacifiers

Offer juice in cups rather than bottle to avoid prolonged bottle use
Has been the most widely used approach to educate parents in accident prevention
Anticipatory guidance education
Is a common cause of morbidity & mortality in children younger than age 5
Ingestion of harmful or poisonous substances
This act requires childproof packaging of medications
The Poison Prevention Packaging Act of 1970
This is no longer recommended for routine home treatment of poisoning
Syrup of ipecac
The leading cause of fatal injury in children younger than 1 year of age
Asphyxiation by aspiration of foreign materials into the esophagus tract
Second leading cause of accidental death in children 1-4 years of age & the third in children ages 5-14
Burns
May result in increased risk of heart & lung disease, particularly asthma & bronchitis in children
Environmental tobacco smoke
The goal of Healthy People 2010 regarding child obesity is to reduce it from 30% down to _____ %
5