Shared Flashcard Set

Details

Pediatric Health Maintenence
Pediatric Primary Care for NP
67
Nursing
Graduate
12/01/2012

Additional Nursing Flashcards

 


 

Cards

Term
What age does the ADA start to recommend fluroide treatment for children?
Definition
6 months
Term
Term infant who are breastfed usually have adequate iron supplies until what age?
Definition
4-6 months
Term
How much Vit D supplementation is needed for all breastfed infants? How long is this necessary for?
Definition
400IU; till 12 months
Term
What are the signs for readiness for nutritional solids in an infant?
Definition
  • Sucking patterns have changed to allow for chewing and swallowing.
  • Infant can sit with some support; can purposeully move their heads.
  • Infants are able to grasp, pick up, and bring objects to their mouths.

 

Term
It is recommended that children/adolescents get ____ minutes of physical activity/day? How many days should be vigorous aerobic activity? How many days/wk should be strengthening activity?
Definition
60 minutes; 3 days; 3 days
Term
What are the advantages of continuing a vegetarian diet into adulthood?
Definition
Lower risk of having high blood pressure, heart disease, obesity, diabetes, and cancer.
Term
What is a vegan?
Definition
Eats only foods of plant origin, including fruits, vegetables, grains, nuts, seeds, tofu, and legumes
Term
What is a Lacto vegetarian?
Definition
Include milk and dairy products in their diet in addition to all plant based foods
Term
What is a Lacto-ovo vegetarian
Definition
Consume eggs, dairy products, and all plant based foods
Term
What is a "sometimes" vegetarian?
Definition
A diet that consists mostly of plant based foods, but they occasionally eat fish, chicken or some seafood, usually avoiding or severely limiting red meat.
Term
What are the possible deficiencies of a vegan diet?
Definition
Protein, vitamin B12, iron, calcium, zinc, riboflavin, and vitamin D.
Term
Anthropometric measurements taken at each visit should include____?
Definition
Height, weight, weight-height ratio, BMI, head circumference, arm circumference, triceps skinfold measurements
Term
A child with a disorder requiring decreased caloric intake should have a history that includes what type of diet based questions?
Definition
  • 3 day diet recall
  • mealtime patterns
  • concerns and attitudes of parents and child regarding weight
  • previous interventions or attempts to control weight
  • risk for overweight and its complications
Term
At what age is it appropriate to begin diagnostic testing for a child appearing overweight?  What should you be monitoring?
Definition

4 years

Monitor blood pressure (HTN), blood glucose, complete lipid profile, liver function

Term
Principles for dietary management of inflammatory bowel disease include___?
Definition
  • Restric irritating/poorly absorbed foods (carbonated beverages, fried, spicy)
  • Decrease peristalsis foods during inflammatory periods (Hi fiber)
  • Small, frequent meals are tolerated better
  • 100%-150% daily MVI with minerals
Term
At what age does reflux in children peak? What age do most symptoms spontaneously resolve?
Definition

Peaks=4months

Resolves=12-24 months

Term
In more than 90% of cases, pyloric stenosis is also associated withwhat disorder?
Definition
tracheoesophageal fistula
Term
What other disorders does GER place a baby at risk for?
Definition
Esophagitis, pulmonary infection, and FTT
Term

The AAP recommends how much fiber intake/day for children over the age of 2years?

 

Definition
0.5 g/kg/day
Term

What diagnostic test is the standard to test for food allergies?

A. Serum IgE and eosinophil count

B. Skin prick test

C. Atopy patch test

D. Radioallergosorbent test

Definition
B. Skin prick test is the standard and very sensitive. (However, a good history is key to diagnosis)
Term

The following clinical manifestations of food allergies describes what severity level of reaction: Generalized erythema, uticaria, angioedema?

A.Mild

B. Moderate

C. Severe

D. Death

Definition

A. Mild. 

Localized cutaneous erythema, uticaria, angioedema, oral pruitis are also mild allergic reactions.

Term
At what age can the child differentiate between sexes?
Definition
12 months
Term
Pharmacological interventions for H. Pylori disease in children?
Definition
OPTION 1: 3 drugs for 7-14 days: Amoxicillin 50mg/kg/day BID, Clarithromycin 15mg/kg/day BID, & Omeprazole 1mg/kg/day BID
Term

Inflammation of the appendix that leads to distention and ischemia that can result in necrosis

A. Peritonitis

B. Perforation

C. Appendicitis

D. Abcess

Definition
C. Appendicits
Term
How is the pain in appendicitis described?
Definition
Poorly defined periumbilical pain (EARLY sign); pain shifting to lower right quadrant may occur after a few hours and becomes more intense, continuous and localized
Term

The most frequent reason for intestinal obstruction in children?

A. Pyloric Stenosis

B. Colic

C. Hirschsprungs Disease

D. Intussusception

Definition
D. Intussusception
Term

Major complication of Chron's disorder include:

A. Anal Fissure

B. Dehydration

C. Infection

D. Intestinal Obstruction

Definition
D. Intestinal Obstruction
Term
What are the three basic causes of FTT?
Definition
Inadequate caloic intake, inadequate caloric absorption, and excessive caloric expendature
Term
Nutritional guidance for pts with Ulcerative Colitis should include:
Definition
High Protein and Carbs, normal Fats, decreased Fiber
Term

This type of diarrhea occurs when their are noabsorbable solutes in the GI tract, when fluids exceen the transport capacity or when water-soluable nutrients are not absorbed.


A.Travelers diarrhea

B. Secretory diarrhea

C. Osmotic diarrhea

D. Toddlers diarrhea

Definition
C. Osmotic diarrhea
Term

This intervention may help with diarrhea, cramping, and bloating, especially related to IBS.

A. Chamomile

B. Honey

C. Peppermint

D. Ylang-ylang

Definition
C. Peppermint
Term

How should the provider discuss developmental concerns with parents of a delayed child?


A. Dont discuss, it will only upset the parents

B. Discuss strengths of the child followed by the delay discussion at the end of the visit

C. Discuss the strengths of the child followed by the delay discussion immediately

D. Use the wait and see approach as the child may grow out of the delay in time.

Definition
C. Discuss the strengths of the child followed by the delay discussion immediately
Term
Weight gain after the initial loss averages ___ to ___ ounce/day or ____lbs/month?
Definition
0.5 to 1 ounce/day OR 2 lbs/month
Term

Nutritional needs to promote growth are ___kcal/kg/day?

A. 100

B. 110

C. 115

D. 120

Definition
B. 110kcal/kg/day
Term

Average hours of sleep for a newborn?

A. 8-12 hours

B. 12-16 hours

C. 14-20 hours

D. 16-24 hours

Definition
16-24 hours
Term

Of all the sences, which is the most prominent in newborns?

A. Hearing

B. Vision

C. Smelling

D. Tasting

Definition
C. Smelling
Term

Feedings lasting >_____minutes need to be evaluated in infants.

A. 10 minutes

B. 20 minutes

C. 25 minutes

D. 30 minutes

Definition
D. 30 minutes
Term

Infant crying tends to peak at what age?

A. Newborn

B. 1-3months

C. 2-4 months

D. 4-6 months

Definition
B. 1-3 months
Term

12-15 hours of sleep per day is appropriate for what age'd infant.

A. 3-4 mos

B. 4-5 mos

C. 5-6 mos

D. 6-7 mos

Definition
B. 4-5 mos
Term
Length usuall increases by 50% by___?
Definition
1 year
Term
Length usually doubles by___?
Definition
4 years
Term
Length increases by ___in/mo for 1st 6 months then ____in/mo for 1st year
Definition
1 in; 1/2 in
Term
Head circumference increases by ____in/mo during first 6 mos then ____in/mo through first year
Definition
1; 1/2
Term
Last primative reflex to disappear?
Definition
Plantar grasp: disappears by 8 mos
Term
Visual acuity of 5 year old
Definition
20/30
Term
Development of Stranger anxiety?
Definition
6 mos; peaks around 12 mos
Term
Development of separation anxiety?
Definition
8-9 mos; peaks around 14 mos
Term
Reduced rate of growth between __to__ years resulting in fewer caloric needs and decreased appetite
Definition
2-6 years
Term
Piaget's theory focused on symbolic thinking and increased language development; egocentrism
Definition
preoperational thinking
Term
Normative lying, nightmares, imaginary friends and potential to feel responsible for bad or good things happning is what stage of piagets theory?
Definition
preoperational thinking
Term
Carries out 2-3 item commands at what age?
Definition
3 years
Term
Parallel play begins at what age group?
Definition
toddlers
Term
Onlooker play is common in what age group?
Definition
Toddlers
Term
Associative, cooperative, pretend, and rough/tumble play is common with what age group?
Definition
Preschoolers
Term
What age can children distinguish gender and identify themselves as boys/girls?
Definition
2 years
Term
Instrumental aggression is common in what age group?
Definition
Preschoolers
Term
Concepts of reversibility, conservation, classification, and seriation is common in what age group
Definition
School agers
Term
What stage of development is involved with the concepts of reversibility, conservation, classification, and seriation?
Definition

Piaget concrete operational thought

"5-7 shift"

Term
The average school aged child gains ___lbs and grows ___inches per year.
Definition
5lbs; 2 inches
Term
The concept of egocentrism, invinciblity fable, personal fable, and imaginary audience are common with which age group?
Definition
Adolescence
Term
Piagets theory for adolescents?
Definition
Formal operational
Term
Major tasks of formal operational thought?
Definition
Ability to think abstractly and make decisions
Term
Major tasks of early adolescence?
Definition
Importance of peers and feeling normal (ages 11-14 y)
Term
Major tasks of middle adolescence?
Definition
Body image, sexuality, dating, asserting independence (15-17 years)
Term
Major tasks of late adolescence?
Definition
Identity formation (achievement, moratorium, foreclosure, diffusion); Vocation and career choices including college, military, employment; Intimacy in relationships
Term
Stuttering typically resolves between what ages
Definition
2-5 years
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