Term
| What is the #1 role of the pediatric nurse? |
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Definition
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Term
| what is mandatory in pediatric nursing? |
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Definition
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Term
| What kind of relationship should we have in pediatric nursing |
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Definition
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Term
| whose needs are the priority? |
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Definition
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Term
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Definition
| incidence of # of death over specific time periods. Usually # of deaths per 1000 births |
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Term
| What ages does infant mortality cover? |
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Definition
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Term
| What are the infant leading causes of death? |
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Definition
1. congenital anomalies
2. short gestation/low birthweight
3. SIDS
4. maternal complications |
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Term
| Age of childhood mortality (switches from infant to childhood) |
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Definition
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Term
True or false:
Is childhood mortality lower than infants? |
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Definition
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Term
| What age group has the lowest rate of mortality? |
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Definition
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Term
| At what age does childhood mortality increase? |
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Definition
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Term
True or False
Meningitis and Epiglotitis have increased in children? |
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Definition
| False, the numbers have decreased |
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Term
| Why have injuries, accidents, MVA, drowning, fires, firearms decreased? |
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Definition
| Decreased with the use of car seats, seat belts, helmets, etc |
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Term
| What are the leading causes of death in the age group 1-4? |
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Definition
1. Accidents
2. Congenital
3. Cancer
4. Homicide |
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Term
| What are the leading causes of death in the age group 5-9? |
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Definition
1. Accidents
2. cancer
3. Congenital
4. Homicide |
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Term
| What are the leading causes of death in the age group 10-14? |
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Definition
1. Accidents
2. Cancer
3. Suicide
4. Homicide |
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Term
| What are the leading causes of death in the age group 15-19? |
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Definition
1. Accidents
2. Homicide
3. Suicide
4. Cancer |
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Term
| What is the age of "assent" for research in children? |
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Definition
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Term
| What are some exceptions to informed consents? |
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Definition
*"In loco parentis"
*oral consent w 2 witnesses
*emancipated minors, pregnant, married, HS graduate, military |
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Term
| What are some examples of emancipated minors? |
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Definition
*pregnant or already a parent
*in the military
*self supporting and living away from home |
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Term
| Are consents necessary in a life threatening emergencies? |
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Definition
| No, no consent necessary in life threatening emergencies |
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Term
| What are some conditions of informed consents? |
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Definition
*must be capable and competent
*must be over age over majority (18)
*must be free and voluntary
*must receive information on the procedure, risks/ consequences |
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Term
| What should you do with a child in a strange environment? |
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Definition
| try to offer familiar foods |
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Term
| At what ages are children in Freud's oral stage? |
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Definition
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Term
| What does Freud say children are doing during the oral stage? |
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Definition
| sucking, biting, chewing, vocalizing |
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Term
| What ages are children in Freud's anal stage |
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Definition
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Term
| What does Freud say children are practicing during the anal stage? |
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Definition
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Term
| What age is the phalic stage in Freud's developmental stages? |
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Definition
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Term
| What does Freud say children are doing during the phallic stage? |
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Definition
| understand sexual differences and genitals |
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Term
| What ages does the latency period in Freud's developmental stage consist of? |
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Definition
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Term
| What ages does Freud say the genital stage is? |
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Definition
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Term
| What does Freud say happens in the genital stage? |
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Definition
| maturation of reproductive system, a source of tension and pleasure, friendship and marriage |
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Term
| What is Erikson's infant stage? |
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Definition
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Term
| What needs to be met by a caregiver during trust vs mistrust? |
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Definition
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Term
| What is Erikson's toddler stage? |
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Definition
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Term
| what needs to be met during automony vs shame/doubt in a toddler? |
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Definition
| trust and predictability of others |
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Term
| what is the stage of Erikson called in a pre schooler? |
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Definition
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Term
| What needs to be accomplished in initiative vs guilt in a preschooler? |
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Definition
| energetic learning, sense of accomplishment vs inappropriate behavior |
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Term
| What is Erikson's stage called in a school age child? |
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Definition
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Term
| What happens in industry vs inferiority in a school age child? |
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Definition
*they develop a sense of accomplishment in learning new things
*feeling inferior with criticism of peers |
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Term
| What is Erikson's adolescent stage called? |
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Definition
| Identity vs role confusion |
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Term
| what happens in the adolescent stage of Erikson? |
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Definition
group identity vs alienation &
personal identity vs role diffusion |
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Term
| How much does an infant's height increase in the first year? |
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Definition
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Term
| When does a birthweight double in a infant? |
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Definition
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Term
| What does an infant's weight do by 12 months? |
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Definition
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Term
| What does a birthweight do by 3 years? |
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Definition
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Term
| After 3 years old, how much per year will a child gain til adolescent growth spurt? |
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Definition
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Term
| What age do bones completely ossify? |
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Definition
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Term
| a BMR is _________in a infant but __________ with age. |
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Definition
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Term
| What is the first thing you should do when establishing communication? |
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Definition
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Term
| In a toddler, where should you do painful procedures? |
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Definition
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Term
| Why should you avoid talking about other children to a child while communicating? |
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Definition
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Term
| In a cooperative, school age child, are they organized or non organized? |
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Definition
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Term
| while preschoolers are associative, how do they play with other children? organized or unorganized? |
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Definition
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Term
| What is the difference between an onlooker and solitary when playing? |
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Definition
| An onlooker has no interaction with others, where solitary plays but alone |
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Term
| What do you look for an infants with pain? |
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Definition
| facial grimace, rigidity, loud crying, anorexia, restlessness |
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Term
| In a toddler, what signs do you look for in pain? |
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Definition
| grimacing, loud crying, increased anxiety with intrusive procedures, physical resistance before stimulation is applied |
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Term
true or false:
Infants may not have a reaction to approaching stimulus and pain |
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Definition
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Term
True or false:
Toddler may have increased anxiety, so they may resist before stimulation is applied |
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Definition
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Term
| What do preschoolers think about pain and why it's happening to them? |
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Definition
| they think pain is punishment |
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Term
| Preschoolers have poorly defined body boundaries, what irrational thoughts do they have? |
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Definition
| afraid of mutilation, losing or changing of body parts, afraid that insides will leak out |
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Term
| what might a preschooler do when avoiding oncoming pain? (Ex: a nurse coming w a shot) |
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Definition
*may have physical or verbal aggression
*may beg |
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Term
| What do adolescents worry about with pain? |
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Definition
| body image or any changes from the norm |
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Term
| How do adolescents show pain? |
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Definition
| rigidity, grimace, quiet, irritable |
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Term
| In a school age child, what should you be looking for with pain? |
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Definition
| facial grimace, rigidity, wrinkled forehead, stalling, hiding the pain |
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Term
True or false:
School age children don't need support |
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Definition
| False, they need more than they usually let on |
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Term
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Definition
| pain scale of 5 categories ranging from 0-2 in each subsection. Add categories together, 0= no pain, closer to 10=more pain. Use in pt who can't communicate. |
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Term
| what are the 5 categories observed in the FLACC scale? |
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Definition
Face
Legs
Activity
Cry
Consolability |
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Term
| If a pt doesn't have to use the FLACC scale and can fully communicate, what are some other scales that can be used? |
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Definition
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Term
| What is the IM/IV drug of choice for pediatrics? |
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Definition
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Term
| What is EMLA cream used for? |
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Definition
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Term
| when is Demerol ok to use? |
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Definition
| if allergic to morphine and being used under 48 hours |
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Term
| If accumulation of Demerol occurs, what can happen? |
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Definition
*tremors
*seizures
*anxiety |
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Term
True or false:
tylenol safe drug dosing is 1mg/kg/dose (q4h) |
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Definition
False. Tylenol is 15 mg/kg/dose
Codeine is 1 mg/kg/dose |
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Term
| What is the #1 AE of a pain medication? What should you do? |
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Definition
Respiratory depression
stimulate, deep breaths, hold med, administer narcan |
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Term
| What are some AE of pain medications? |
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Definition
| respiratory depression, constipation, nausea/vomiting, urinary retention, pruritis |
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Term
| what is the appropriate urine output in a child? |
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Definition
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Term
| How many hours after surgery should voiding occur? |
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Definition
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Term
| What is a major stressor in a child 6-30 months old? |
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Definition
| being separated from parents |
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Term
| When does separation anxiety begin in infants? |
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Definition
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Term
| Sleep deprivation, sensory overload, and immobilization is a problem with what age group? |
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Definition
| Infants. According to Erikson, the basic needs to be met |
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Term
| When a toddler experiences separation anxiety, what can happen? |
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Definition
regression or temper tantrums
example: bedwetting |
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Term
| Should you demonstrate use of equipment 30 minutes before or just prior to a procedure with a toddler or preschooler? |
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Definition
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Term
| in toddlers, _____________&______________ should be maintained. |
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Definition
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Term
| Immobilization and fear of the dark is in what age group according to Erikson? |
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Definition
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Term
| In a preschooler, is separation anxiety passive or aggressive when refusing to eat? |
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Definition
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Term
True or false:
Can preschoolers tolerate brief periods of separation? |
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Definition
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Term
| fearing pain, mutilation, dark and monsters are a part of what age group according to Erikson? |
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Definition
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Term
| What age group, according to Erikson, fears separation from family/friends, pain, loss of control of body functions, and death? |
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Definition
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Term
| when giving school age children activities to do, what are you trying to avoid them feeling they've lost? |
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Definition
| independence & productivity |
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Term
| what age group fears altered body images, loss of control, separation from friends, loss of privacy & identity? |
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Definition
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Term
| Allow __________-__ if possible with parents for children age 6-30 months. This allows them to try and follow normal routines. |
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Definition
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Term
| what does Freud say is happening during the Latency period? |
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Definition
| mastering previously acquired traits, increased energy and learning |
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Term
| What are the four stressors r/t hospitalization? |
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Definition
1.separation anxiety
2.loss of control
3.pain
4.immobilization/mutilation/altered body image |
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Term
| A major stressor in children 6-30 months is separation, they show it in 3 different ways. What are they? |
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Definition
1. protest (hostile)
2. despair (sad, w/d, uncommunicative,regresses)
3.detachment (rare) (the importance becomes to material things instead of ppl) |
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Term
| An infant fears immobilization,__________ deprivation,&_________ overload because the basic needs need to be met. |
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Definition
| sleep deprivation & sensory overload |
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Term
| A toddler has separation anxiety and may experience regression and temper tantrums. they also face a fear of __________& the _________. You can maintain this with consistency and routine. |
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Definition
| immobilization & the dark |
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Term
| In a preschooler, they can tolerate brief periods of separation, but it may also cause regression. They start fearing pain, _______________, the dark & _____________. This age can also believe hospitalization is punishment. |
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Definition
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Term
| In school age children, they may not have separation anxiety, but they still need support. They also fear pain and death as well as _______________ from family and friends and _______ of control of _______ functions. |
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Definition
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Term
| Adolescents fear separation from friends, loss of privacy & identity and ____________ _________ image. |
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Definition
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