Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
26 Cards in this Set
- Front
- Back
|
· ____ – small movements involvingthe hands and fingerso ie:2 |
Fine motor skills Grasping, building blocks, etc |
|
|
¨Interms of fine motor development, the infant of 6 monthsshould be able to: |
¨Transferobjectsfrom one hand to the other |
|
|
¨Interms of gross motor development, what would the nurse expect a 5-month-oldinfant to do? 2 |
¨Roll from abdomen to back ¨Put feet in mouth when supine |
|
|
¨Whatdescribes a toddler's cognitive development at age 20 months? |
¨Realizesthat“out of sight” is not out of reach |
|
|
· Anterior fontanel closes at ___ months. Posterior usually closes by ___ months. |
18 2 |
|
|
· ABC of safe sleep –3 |
alone, on backs, in a crib |
|
|
head circumference = chest circumference at ____ HCincreases by ___cm/month (Measure until 36 months) Weightdoubles by ___ months Lengthincreases ___/month o ___ anxiety o Rollsover – from abdomen to back * |
· 4-6 Months: 1 6 2.5cm Stranger |
|
|
· Do not use mattress wedges ever o If baby has GERD – 2 |
Frequent burping, sit upright after feeding |
|
|
· (____ months) o ____ – start to recognize where theobject is in relation to their hands by transferring the object from hand tohand o ____Searchesfor objects out of view o ___ expressions of others o Likes tolook in mirror |
7-9m Depth perception Object permanence
Imitates |
|
|
· ____ monthso *Markedstranger anxiety |
10-12 |
|
|
· Infants – Trust vs Mistrust o The needs are being met – __3__ o Primary circular reactions: __ie__ o Secondary circular reactions: ___ |
diaper changed, fed when hungry, comforted replacement of reflexive behaviors with voluntary acts – sucks on breast for milk instead of continuation of primary reactions and continues until age 8 months – primary circular reactions are repeated and prolonged for the response that results |
|
|
12-36 months o ___: Throwing and retrieving objects o ___: build tower with 8+blocks o ____: walk alone - Widestance for balance o ___: stand on one foot, walk ontiptoes, climb stairs alternating feet |
15 30months 12-13 3 years |
|
|
· Toddlerso ___ –don’t give opportunity to say no o ___ isnormal at this age |
negativism ritualism |
|
|
· Age 3-5 o WeightGain ___ per year o HeightGain ___/year o Transitionfrom ___ to ___ |
4-6 lbs 2-3inches egocentric thought social awareness - Life is not only about them |
|
|
· Age 3-5 o __2__ are key stakeholders § Very prominent during this time o ____ -
Thoughts are powerful o Conceptof time is not understood -- Times are based __ i.e. __ |
Imagination and play Magical thinking on events – play after lunch |
|
|
Age 3-5 o Feels ___2__ for bad thoughts which may coincide with the occurrenceof a wished event o Most characteristic and pervasivepreschool activity is __3__ |
guilty and responsible imitative, imaginative, and dramatic play |
|
|
· School age child (6-12) o Masterthe concept of ___ —recognize that changing a shape of a substance____ |
conservation does not alter its total mass |
|
|
· Diarrhea o First___ o Then____ o Then ___ o Then___ |
oral rehydration – ORS IV fluids Stool culture Antibiotics when stool cultures results return |
|
|
· Acute glomerunephritis o Post___ – will have a ____ test o S/S: __4__ |
streptococcus negative strep Edema, Oliguria, Hypertension, hemodilution |
|
|
o Childmay need peritoneal dialysis Purpose __4__ Clear dialysate (if cloudy,peritonitis) |
Infection control, Helps child grow, removes wastes, maintain blood pressure |
|
|
· ___:progressive wasting away of muscleso Startswith large muscles – cardiac/ respiratory failure o Withdistress: __2__ o Goalis to keep muscle groups functioning as long as possible |
Duchenne muscular dystrophy sit up in upright position, deep breathing |
|
|
· Cerebral palsy o Aninsult at birth causes lack of 02 to brain o Limitedstate of functioning o Parentswith children with cerebral palsy: let parents ___ |
get rest, nurse take of child for some time |
|
|
· ___-replacement ofreflexive behaviors with voluntary acts |
Primary circular reactions |
|
|
· 6 P’s |
o Pain and point of tenderness o Pulses distal to fracture o Pallor o Parasthesia o Paralysis-movement distal to fracture o Pressure |
|
|
Dehydration Minimal-Increased thirst and dry mucous membranes -ORS 50ml/kg over 4hrs ORS 5-10 mL every 2-3 min. Less than 10kg 60-120 mL per vomit ordiarrhea More than 10kg 120-140 mL per vomit ordiarrhea Mild to moderate-Loss of skin turgor, dry mucous membranes,sunken eyes and fontanel ORS 100 mL/kg within 4 hrs. Stool losses same as minimal Severe-Same as moderate plus rapid, thread pulse,cyanosis, rapid breathing, lethargy, coma IV fluids (LR or 0.9), 20 mL.kgbolus q30 min. until conscious Stool losses same as minimal |
Nursing |
|
|
Acute Glomerulonephritis s/s 5 |
Oliguria, edema, hypertension, hematuria, proteinuria |
