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| Posterior fontanel closes by |
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| Birth length increase by 50% |
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| Head turns to locate sounds at |
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| Moro reflex disappears around |
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| Steady head control is achieved at |
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| Rolls from abdomen to back and back to abdomen at |
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| Transfers objects from hand to hand at |
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| Develops stranger anxiety at |
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| Fine pincer grasp appears at |
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| Says a few words in addition to "mama" or "dada" at |
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| An infant explores environment in what ways... |
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| Infants (Birth to 1 Year) are in which stage of Erikson's Stages of Psychosocial Development? |
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| During hospitalization, the infant's emerging skills may |
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| If the parents are not able to be with the infant, the baby may be |
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| inconsolable due to separation anxiety |
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| The nurse should plan to have the parents be part of |
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| infant's care and should encourage them to do so |
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| Respect the infant's schedule at home by |
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| assessing and implementing components as possible |
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| In infants, preparation and teaching should be directed toward the |
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| The nurse should always speak to and console the infant especially |
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| when performing painful or stressful procedures |
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| Toys for the hospitalized infants include |
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| mobiles, rattles, squeaking toys, picture books, balls, colored blocks, and activity boxes |
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| When does birth length double? |
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| When does a child achieve 50% of adult height? |
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| When does a child throw a ball overhand? |
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| When does a child speak 2 to 3 work sentences? |
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| When does a child use scissors? |
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| When does a child tie his or her shoes? |
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| When does a girl's growth spurt occur? |
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| Earlier than boys, may be as early as 10 years |
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| Temper tantrums are considered |
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| Adolescence is a time when the child forms |
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| His or her identity and rebellion against family values is common |
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| Birth weight quadruples by |
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| While a toddler (1 to 3 years) |
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| How many teeth does a toddler have? |
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| All primary teeth (20) are present |
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| Anterior fontanel closes by |
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| Feeds self with spoon and cup |
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| Daytime toilet training can usually be started around |
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| 3 to 4 word sentences are spoken by |
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| Own first and last name can be stated by |
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Toddler 1 to 3 years Erikson's Theory of Psychosocial Development Stage |
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| What sort of explanation do you give to a toddler about procedures? |
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| Simple, brief explanations before procedures, keeping in mind that a 1 year old does not benefit from the same explanation as a 3 year old |
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| During hospitalization, what is the toddler's greatest threat to his/her psychological and emotional integrity? |
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| enforced separation from parents |
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| What things should be provided for a hospitalized toddler? |
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| Security objects or favorite toys from home |
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| If parents leave they should |
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| Explain their plans to the child. ("I will be back after your nap.") |
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| Respect the toddler's routine and |
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| implement it when possible |
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| For toddlers you should expect____________ when hospitalized |
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| Toys for the hospitalized toddler |
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| board and mallet, push-pull toys, toy telephones,stuffed animals, storybooks with picture |
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| If mobile, toddlers benefit from |
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| being taken to the hospital playroom when able because mobility is very important to their development |
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| What do we need to remember about toddlers and their bodies? |
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| Toddlers are learning to name body parts and are concerned about their bodies |
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| How do we promote autonomy for a toddler? |
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| Provide guided choices when appropriate. |
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| The Preschool Child (3 - 6 years) gains |
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| The Preschool Child grows |
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| 2 1/2 to 3 inches per year |
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| When compared with a toddler, a preschool child stands more __________ and is more ___________ |
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| A preschool child learns these activities: |
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| What age can first ride a tricycle? |
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| When is handedness decided |
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| During the preschool years |
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| When does a child learn colors and shapes? |
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| During the preschool years |
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| During preschool, visual acuity approaches |
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| During preschool, thinking is |
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| A preschool child uses sentences of |
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| When does a child learn sexual identity? (curiosity and masturbation common) |
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| During preschool, imaginary ____ and imaginary ________ are common. |
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| Agressiveness at ______ years is replaced by more independence at _____ years |
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Erickson's Theory of Psychosocial Development Stage For Preschool Child |
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| Because the preschooler thinks egocentrically, he/she often blames illness on |
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| themselves. See illness and painful procedures as punishment for misdeeds. |
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| During preschool and really all ages the child's questions should be answered at |
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| the child's level. Use simple words that will be understood by the child. |
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| Use __________ play or ______ play that allows the child to acto out his or her own experiences. |
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| Toys for hospitalized preschoolers include: |
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| coloring books, puzzles, cutting and pasting, dolls, building blocks, clay, and toys that allow the preschooler to work out hospitalization experiences |
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| For preschoolers follow these guidelines in preparation for procedures |
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1. they should know what is and what is not going to be fixed. 2. simple explanations, pictures helpful 3. let the child handle equipment or models of the equipment |
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| School-age children (6 to 12 years) gain |
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| about 2 inches in height/year |
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| School age girls sometimes experience |
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| What happens to the teeth of a school-age child? |
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| Loss of primary teeth and eruption of most permanent teeth |
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| What happens to the fine and gross motor skills of a school-age child? |
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| A child is able to write script at age |
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| A school age child can _______ dress themselves |
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| Egocentric thinking is replaced by what in school age children? |
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| social awareness of others |
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| A school age child will learn to tell _______, and understand _______, _______, and __________. |
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| time, past, present, future |
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| A school age child will learn ________ and ___________ relationships |
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| What becomes important during the school-age years? |
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| Erikson's Stage for School-age Child |
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| The hospitalized school-age child may need more support from |
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| parents than the child wishes to admit |
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| Maintaining contact with ____________ and ________ activities is important to the school-age child. |
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| How are procedures explained to the school-age child? |
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| Explanations of all procedures is important. They can learn from verbal explanations, pictures, and books and by handling equipment. |
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| Respect the school aged child's privacy and |
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| modesty during hospital stay |
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| How is participating in care and planning with staff good for a school-aged child? |
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| Fosters a sense of involvement and accomplishment |
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| Toys for the school-age child include |
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| board games, card games, hobbies, stamp collecting, puzzles, video games |
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| Tanner Stages of Pubertal Development for Girls |
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| Breast changes, rapid increase in height and weight, growth of pubic hair, appearance of axillary hair, menstruation, abrupt deceleration of linear growth |
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| Tanner Stages of Pubertal Development for Boys |
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Definition
| enlargement of testicles, growth of pubic hair, axillary hair, facial hair, body hair, rapid increase in height, changes in larynx and voice, nocturnal emmisions, abrupt deceleration of linear growth |
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| When does a boy's growth spurt occur |
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| When do girls finish growing? |
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| When do boys finish growing? |
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| When do secondary sexual characteristics occur? |
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| When does adult-like thinking begin? |
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| Around the age of 15, they can use problem solving and abstract thinking |
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| Erikson's Theory Stage for Adolescents |
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| identity vs role confusion |
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| During hospitalization, an adolescent needs to maintain contact with |
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| peers and school activities |
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| Adolescents should share a room with |
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| Adolescent's major concern is |
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| body image.... procedures that alter it can be viewed as devastating |
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| In adolescents Direct questions to |
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| the patient, not the parent |
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| Teaching to the adolescent should include time |
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| without parents being present |
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| Age of assent for making medical decision in children and adolescents ranges from |
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| 7 to 14 years. Parents also must give consent |
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| In adolescents during a long-term stay they need to maintain |
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| identity. (own clothes, posters, visitors, etc.) Parents should be discouraged from rooming in. |
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| In adolescents, Some assessment questions should be asked |
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| With adolescents, the focus should be on |
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| the here and now. "How will this affect me today." |
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| Infants: After 6 months their cognitive development allows them to remember |
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| loss of control of bodies |
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| Major cause of death in all children |
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| accidents.... teach parents and children safety and accident prevention |
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