Term
| Seperation anxiety stage of denial or detachment. |
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Definition
| 3rd stage of seperation anxiety |
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Term
| Toddler's display of abandomnent: |
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Definition
- appear to deny their need of the parent, becomes detached or disinterested in their visits.
- become more interested in their surroundings, their toys, and their playmates.
-Worse stage if prolonged-an irreversible disruption of parent-infant bonding may occur.
-Child uses coping mechanisms to detach and reduce emotional pain.
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Term
| Communicating time to a toddler/preschooler: |
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Definition
| Parents or nurse explains when to return in terms of toddler's experience. Ex: after naptime, lunch. Don't say by noon. |
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Term
| Intercultural communiacation of nurse to Russian patients: |
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Definition
Smile indicates happiness and is inappropriate in a serious or sad situation.
nurses may interpret a non-smiling Russian as "Unfriendly" |
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Term
| Use of Art and Play after Procedures: |
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Definition
| offer small rewar after treatment or procedure. Ex: stickers, suckers. |
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Term
| Adolescent room assignments: |
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Definition
Placing the teenager next to a senile,dying or debilitated adult or in infant or should be avoided.
NOt with chronically ill or infectious |
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Term
| Sibling Hospital Visitation: |
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Definition
Family-centered hospital care allows the sibling to maintain contact with the parent while visiting in the hospital.
-nurse engage siblinig in play or drawing pictures such as how if feels to have an ill bro or sis.
-may also make cards and pics for the patient. |
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Term
| Procedure for IM injection to a young child: |
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Definition
-Given vastus lateralis muscle fo the thigh in infants.
-Max volume for infants: 0.5 ml
-Max volume for toddler: 1ml
-In school-aged or adolescant- deltoid 1ml, vastus lateralis 2ml. |
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Term
| Confirming correct Patient ID before med admn. |
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Definition
| ID bracelet must be verified. |
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Term
| Restraint for child having venipuncture or NG insertion: |
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Definition
| MUMMY restraint- effectivley controls childs movements and can be modified to expose and arm, leg or chest. |
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Term
| Eardrop Adm. to children: |
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Definition
-if refridgerated-warm to room temp
-place child suppine w/affected ear down.
-instill drops.
- Pull the pinna (earlobes) of the affected ear down and back for 3 years or younger
-Pull the upper pinna up and back to straighten canal in older kids
-gently massage the area in front of ear to facilitate entry of drops
-keep patient for few minutes in supine position to permit fluid absorption. |
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Term
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Definition
| -provide chasers (juice, water or frozen pops) * consider childs diet and prescription when choosing a chaser |
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Term
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Definition
-carefull observation of the child is necessary because overload of fluids in an infant can lead to cardiac failure.
-the nurse must monitor the rate of IV flow, refill the burettes, observe condition and assess the child Q hour. |
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Term
| Assessing the chlds heart rate: |
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Definition
apical pulse most accuate for child <5 years old.
-count x 1 min.
-pulse rate increase=temp increases |
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Term
| Infant suffication precautions: |
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Definition
DONT allow child to play with deflated baloons.
NO popcorn, nuts, small candies, chewing gum, hot dogs.
DONT use night clothes w/drawstring necks
Keep plastic bags away.
No matress covers
DONT prop nursing bottles up/force feed- risk for chocking or suffocation. |
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Term
| decorticate VS decorticate posturing |
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Definition
Decorticate (flexor)- may indicate damage to cortex of the brain.
arms, wrists and fingers are FLEXED.
PLANTAR Flexion in feet
Decerbrate (extentedor)- MAy indicate brain stem injury.
- ALL four limbs extended, hands are pronated. |
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Term
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Definition
For bitter/unpalatable- cherry syrup or jelly may be used.
childs head and shoulders should be elevated to prevent aspiration. |
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Term
| Antiobiotic therapy for otis mediat: |
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Definition
-Broad spectrum ABO's
-Adm until all gone. |
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Term
| Correlation between infants and ear infections: |
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Definition
| Eustachian tube in infants is shorter, wider and straighter than in adults, & increase ear infections. |
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Term
| Signs of Strabismus (cross-eyed) |
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Definition
Covering one eye to see
tilting head to see
dizziness/ HA
missing objects that are reached for
eyes "squinting"
frowing to focus |
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Term
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Definition
| short period of sleep after generalized seizures. |
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Term
| Reyes syndrome prevention |
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Definition
relationship between using ASA during viral flu or illnesses.
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Term
| Scoliois due to poor posture: |
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Definition
Functional
the curve is flexible and easily correctable |
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Term
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Definition
-examine spine formt front,side and backe while child bends forward.
-look initially for general body alignment and assymetry.
-One should may be higher than other.
-arm to body spaces may be unequal
-Hip may proturd
one arm longer than other when bending forward. |
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Term
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Definition
| compressed nail bed returns to color in 3> |
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Term
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Definition
| priniples for managing soft tissue injuries to limit damage from edema or bleeding. |
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Term
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Definition
Malignant growth that occurs in the marow of the long bones.
TX: radiation therapy and chemo |
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Term
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Definition
charatoristic way of rising from the floor.
walks with hand trying to get up. |
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Term
| skin of buck's extension traction: |
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Definition
Prevent skin irritation in child.
bed should be placed in HIGH fowlers position.
Risk for constipation, need stool softners and fluids. |
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Term
| Prevention of Candidasis: |
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Definition
| child should be taught to rinse mouth after steroid inhalation |
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Term
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Definition
- Airways must be cleared before feeding and before bedtime to provide sleep.
-instill few drops of saline solution in nose and suction with bulb syringe. |
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Term
| Liquid offerd POSt tonsillectomy |
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Definition
| Small amts of clear liquid as tollerated. |
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Term
| Signs of hemorrhage following tonsilectomy: |
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Definition
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Term
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Definition
| Place infant on back for sleep |
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Term
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Definition
| anti-microbial such as Pennicilin x 10days |
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Term
| Fluid adm to preschooler w/ asthma: |
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Definition
| oral are served @ room temp because cold liquids trigger reflex of bronchospasm. |
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Term
| Path-O of Kawasaki Disease: |
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Definition
| Inflammation weakens the walls of the vessels and often results in an aneurysm. (abnormal dilation of the wall of a blood vessel) |
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Term
| Signs of Ventriuclar Septal defect: |
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Definition
| Signifies an pening between R and L ventricles of the heart. Sign is a loud, harsh murmur combines witha systolic thrill. |
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Term
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Definition
preffered in infants due to shorter half-life and rapid action.
count apical pulse x 1 min. with hold if less than 100bpm |
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Term
| Causes/symptoms of sydenhams chorea: |
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Definition
It is cause by acute rheumatic involvment of the brain.
child becomes clumsy, stumble and spill thing.
may have difficulty buttoning clothes. |
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Term
| Signs of hypoxia in tetralogy of fallot: |
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Definition
| Cyanosis increases with age, and clubbing fingers and toes. |
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Term
| uses of penicillin G for rheumatic fever: |
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Definition
| given monthly to children for a min of 5 years or until age 18. |
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Term
| Signs of blood infusion reaction: |
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Definition
-most occur in first 10 mins
observer for chills, itching, rash, fever, HA, and pain in the back. |
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Term
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Definition
| it is the depost of iron into orangs and tissues in the boday, especially seen in the spleen,liver, heart, pancrease and lypmh glands. |
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Term
| Care for child w/ neutropenia |
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Definition
| risk of repetitive infections |
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Term
| Parent teachingfor child with sickle cell disease: |
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Definition
tissue oxygentation
hydration
rest
protection from infection
pain control
blood transfusion
emotional support |
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Term
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Definition
hemophilia A is a caused by a deficiency of coagulation factor VIII, or antihemophilic globulin (AHG)
-Care for bleeding disorder |
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Term
| cause of iron deficiency in child |
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Definition
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Term
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Definition
observe for signs of infection mostly in mucous membranes.
- inspect mouth daily for ulcerations/bleeding gums
-use soft tooth sponge or a piece of guaze wrapped around the finger tip.
-may rinse with prescribed solution
-apply lip balm to dry,cracked lips |
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