Term
| Healthy People 2010 is designed to do what? |
|
Definition
Protect: Elimate health disparities
Promote: Incr. yrs of healthy life
Answer lies in PREVENTION! |
|
|
Term
|
Definition
| # deaths per 100,000 over a specific period of time. |
|
|
Term
| What is the #1 cause of infant mortality (under 12 mos) varies with age |
|
Definition
|
|
Term
|
Definition
| # of specific illness per 1,000 at particular time. |
|
|
Term
| Name the primary illness in childhood. |
|
Definition
|
|
Term
| Name #1 cause of deaths for kids >1 y/o. |
|
Definition
|
|
Term
| Most morbidity is related to ___________ causes linked to ___________ |
|
Definition
| PREVENTABLE; present day lifestyle |
|
|
Term
Name best strategy to improve survival.
What plays a major role? |
|
Definition
| Prevention; Anticipatory guidence |
|
|
Term
| URI and diarrhea, do they inc or dcr w/ age? |
|
Definition
|
|
Term
| Do acne and headaches inc or dcr w/ age/ |
|
Definition
|
|
Term
| Illness are recurrent with kids? T/F |
|
Definition
|
|
Term
| Children are at an incr. morbidity if they are....... |
|
Definition
| homeless, child living in poverty, LBW infant, child w/ chronic illness, foreign born adopted child, child in day care |
|
|
Term
| Name 3 at risk groups in the new morbidity. |
|
Definition
| Low SES, Male gender, sibiling w/ previous injury. |
|
|
Term
| What is family centered care? |
|
Definition
| focus of nsg care is no longer what we DO for families but rather waht we do in PARTNERSHIP w/ them. |
|
|
Term
| Name 3 things we can do to help with illness/injury. |
|
Definition
| Identify kids at high risk, Offer intervention and guidance before its too late, and innovative thinking and risk taking. |
|
|
Term
|
Definition
|
|
Term
Role of a peds nurse-family centered care.....
Case management..... |
|
Definition
enable, empower, partnership
Coordinate care and control costs (care maps, critical paths) |
|
|
Term
| What are five roles of a peds nurse in promoting health of children. |
|
Definition
| Prevent phy. dz or injury and promote mental health, Health teaching, Ethical decision making, Research, Health care planning |
|
|
Term
| Patient education improves what? |
|
Definition
|
|
Term
| Education techniques are based on two things..... |
|
Definition
| child level of comprehension, parents readiness to change. |
|
|
Term
| What is the goal of case management? |
|
Definition
| best health care outcome with dcr. fragementaion of care while controlling costs. |
|
|
Term
Tell me three things about critical thinking.
Improve what?
Tell patients what?
What is the basis of all practice? |
|
Definition
| Improve the quality of the clinical conversation, Tell them who you are and your name, Basis for all practice is ANA standards, Scope of practice, Professinal role. |
|
|
Term
| Name the 9 steps to the nursing process |
|
Definition
| Assessment, diagnosis, outcomes, planning, implementaton, evaluation, competency (critical thinking), Stability of the patient-tie in patho to dz process, look at comorbities, Care coordination-putting it all together |
|
|
Term
| In the nsg process..what else is associated with assessment? |
|
Definition
|
|
Term
| name the three levels of prevention and give an example. |
|
Definition
Primary-Health promotion and protection from disease of injury. (No one is sick yet) IZ, seatbealts, car seats
Secondary-Screen and early Dz for example, PPD, lead screen, Head Start
Tertiary-Optimize fxn for child w/ disability or chronic dz (now sick) i.e. asthma education |
|
|
Term
| What is the determinat for transition to the next stage in Duvall's developmental theory? |
|
Definition
| Transition to next stage is age and school placement of the first child. |
|
|
Term
| Duvall's theroy days each stage has devel. tasks and _____________ crises resulting from ___________________ of tasks. |
|
Definition
| Predictable, achievement/non-achiev. of tasks |
|
|
Term
| What does Duvall's theory correlates w/? |
|
Definition
|
|
Term
|
Definition
|
|
Term
Name Duvall's stage two.
what are the new child issues? |
|
Definition
| Families with infants; total dependence, vulnerability |
|
|
Term
| Name Duvall's stage III w/ parameters |
|
Definition
| Preschoolers (oldest turns 3 y/o) |
|
|
Term
| In duvall's stage three what does the child focus on? |
|
Definition
| Socialization issues: separation/automon, agression, gender identity, verbal expression, understanding |
|
|
Term
| Name stage IV with Duvall and issues |
|
Definition
Families with schoolchildren---
Oldest child begins K or first gr. (age 5-6) Issues: incr. impact of other influences, devel of moral judge, achievement (academic, artistic, athletic) consideration of gender identity |
|
|
Term
|
Definition
Teenagers oldest is 13yrs.
Issues: socialization to outside world, ctrl of sexual impulses, ctl of aggressive impulses, maint. of pos. self concept, independent identity. |
|
|
Term
|
Definition
| Teaching of desirable behaviors |
|
|
Term
|
Definition
| A penalty imposed for wrong-doing |
|
|
Term
| Name the three parenting styles and define. |
|
Definition
Authoritarian-parents control behavior and attitude
Permissive-Little control, no limits
Authoritative- combines both. |
|
|
Term
| What can get in the way of a reciprocal relationship? |
|
Definition
| Lack of knowledge or skills |
|
|
Term
Name some types of discipline (7)
IRSTBCC |
|
Definition
| Ignoring, resaoning, scolding, timeout, behavior mod/rewards, Corporal punishment, consequences |
|
|
Term
|
Definition
| Ability to fxn w/ healthy responses, despite signigicant stressors or adversity |
|
|
Term
| What is the goal of risk and protective factors? |
|
Definition
| dcr risk factors, and incr protective factors |
|
|
Term
| Give examples of risk factors. |
|
Definition
| Events, finances, worries, job/friends/family, work |
|
|
Term
| What are protective factors questions? |
|
Definition
| How do you deal w/ stress? What are your strengths? Family dynamics? |
|
|
Term
| If a child has repeated exposure to violence what kind of problems is he to have? |
|
Definition
|
|
Term
| What are some risk factors to violence (4)? |
|
Definition
| Age-adoles parents more likely to abouse their kids, gender, personal characteristics-premies w/ feeding problems or sleep problems, and pregnancy-domestic violence |
|
|
Term
| Focusing on self esteem leads to ____________. |
|
Definition
|
|
Term
| What can we teach to reduce violence? |
|
Definition
| conflict resolution skills |
|
|
Term
| Name some warning signs of violence with toddler, preschooler |
|
Definition
| Multi temper tantrums in a day lasting >15mins. Many agressive outbursts, Lack of attachment, Freq watches violence on TV, Cruel toward other children, impulsive, fearless, extremely active |
|
|
Term
| Name some warning signs of violence in school aged children. |
|
Definition
| Difficulty paying attention, concentrating, often disrupts, poor sch. performance, has few friends, reacts to disappointments w/ criticism, teasing, const. does not listen. |
|
|
Term
| Name some warning signs for teens w/ violence exposure. |
|
Definition
| no attention to authority figures, mistreats people, poor school perfor. joins a gang, drinks ETOH, drugs, inhalants |
|
|
Term
| What are the Four major stages of development? |
|
Definition
| infancy, early childhood (toddler, preschooler), Middle childhood (school age), Late childhood (aldoescent, young adult) |
|
|
Term
| What are the ages of the toddler and preschooler? |
|
Definition
| Toddler 1-3 y/o, preschooler 3-6 y/o |
|
|
Term
| How much does an infant's weight incr by at 6mos and then at 1yr and at three years of age? |
|
Definition
| by 6mos. it dbls and at 1 yr it triples, at age three has quadrupled |
|
|
Term
| Name the two different directional trends with physical growth. |
|
Definition
cephalocaudal (lg headm sm trunk)
proximodistal (shoulders, to hands to fingers) |
|
|
Term
| What is a sequential trend? |
|
Definition
|
|
Term
| How many inches does a kid grow per year? |
|
Definition
|
|
Term
| What is the aver head circumference at birth? |
|
Definition
|
|
Term
| How much does the head incr in size at the 1st yr? |
|
Definition
|
|
Term
|
Definition
| approx whole body growth until puberty. |
|
|
Term
| When is the BMR at its highest? |
|
Definition
|
|
Term
| What are the three physiologic changes in peds |
|
Definition
| BMR, temperature and sleep |
|
|
Term
| What does Erickson believe there is an incr in? |
|
Definition
|
|
Term
| Name the three types of temperments and at what age it temperment developed? |
|
Definition
| easy child, slow to warm up child and difficult child, develop at 4mos of age |
|
|
Term
| Trust vs. mistrust is at what Erickson stage |
|
Definition
|
|
Term
| Toddlers are in what stage in Erickson? |
|
Definition
| Autonomy vs. shame and doubt***"me do", self control and willpower, egocentric |
|
|
Term
| How much does a kild gain per yr? |
|
Definition
|
|
Term
| On average long is a newborn and how tall is a one year old? |
|
Definition
| 20 inches long at birth and 29 inches at a year |
|
|
Term
| Initiative vs guilt is what stage in Erickson |
|
Definition
|
|
Term
| What does a prechooler need to acomplish according to Erickson (3) |
|
Definition
| imagination, socialization and direction and purpose |
|
|
Term
| Piaget- what ages are the sensorimotor age? |
|
Definition
|
|
Term
| What areas does the sensorimotor begin to understand accord. to Piaget? |
|
Definition
| reflex to simple, trial and error, object permanence, beginning lang, symbolic representation-imange a box can be a spaceship |
|
|
Term
| Pre operational are what ages in Piaget |
|
Definition
| 2-7 egocentric, transference |
|
|
Term
| Industry vs inferiority what ages w/ Erickson? |
|
Definition
| 7-11 y/o competence and cooperation |
|
|
Term
| Piaget-Concrete operations are what age? Name three things they accomplish. |
|
Definition
| 7-11 y/o, conservatism, solce problems in concrete, logial ways, and begins to consider others' point of view |
|
|
Term
| What is the adolescent stage according to Erickson? |
|
Definition
| identity vs. role diffusion |
|
|
Term
|
Definition
| play beside, not with others, no group association |
|
|
Term
| What type of play is: play together w/o organization, no group goal, no rules or leader. "monkey see, monkey do" |
|
Definition
|
|
Term
| A school age child uses what type of play? Describe. |
|
Definition
| cooperative play, is organized, playin groups with others, plans and has a goal, leader-follower |
|
|
Term
| What are the five influential factors on growth. Which one is the single most important influence? |
|
Definition
| heredity, nurtirtion (single most import.), Gender, interpersonal relationships, and SES |
|
|
Term
| What are the three types of communication. Which is least reliable? |
|
Definition
| verbal (least reliable), non-verbal and abstract. |
|
|
Term
| What communication techniques do you use with infants? |
|
Definition
| Need to cuddle, be responsive to cries, slow approach, use calm, soothing voice, firm but gentle handling. |
|
|
Term
| Name some communication techniques with toddlers. What is their attention span? |
|
Definition
| Be careful with words "little stick in arm", learn use their words for common items, egocentric, use pic books, let them touch things. 3-5mins |
|
|
Term
| What are communication techniques with prechoolers? |
|
Definition
| Speak in simple sentences, Attention span 5-10mins, can begin prep 1-3hrs before event, PLAY to explain procedures, starts to understand time, space and quantity |
|
|
Term
| What is the recommended dosage of Acetaminophen for a child? |
|
Definition
| 10-15mg/kg q 4 hr (not to exceed 5 doses/day) |
|
|
Term
| What drug is this for? 10-15mg/kg q 4 hr (not to exceed 5 doses/day) |
|
Definition
|
|
Term
| How much Ibuprofen can a child get? |
|
Definition
| 5-10mg/kg q6-8 hrs (MDD=40-50 mg/kg/day) |
|
|
Term
| In addtition to the normal PE what other six items need to be inculded when assessing children? |
|
Definition
| Birth Hx, detailed feeding hx or assess nutrition, IZ records, child-rearing practices, patterns of growth, dentition |
|
|
Term
| what do you need to document with dentition? |
|
Definition
| age at first tooth, present # of teeth, teething probs, 1st tooth age 6 |
|
|
Term
| At what age can you take a radial pulse? |
|
Definition
| after age 2, apical is best |
|
|
Term
| Is sinus arrhythmia normal in kids and where on chest? |
|
Definition
| yes, with split S2 at 2nd Left ICS (physiologic split that widens w/ respiration) |
|
|
Term
| When do the posterior fontanels and anterior fontanels close? |
|
Definition
|
|
Term
| What is the best position for palpation? |
|
Definition
| Upright b/c not a dependent position |
|
|
Term
| The lacrimal ducts open by what age? |
|
Definition
|
|
Term
| Respirations are abdominal until what age? |
|
Definition
|
|
Term
| The PMI is at what ICS to age 7? |
|
Definition
|
|
Term
| When docum. tympanic temps what else do you docum? |
|
Definition
| which side and the behavior |
|
|
Term
| At what age are BP done annually? |
|
Definition
|
|
Term
| A hypertrophic cardiomyopathy will _________ in intensity when standing. |
|
Definition
|
|
Term
| Most fxnable murmurs will _________ in intensity when a child stands. |
|
Definition
|
|
Term
| If you have a peristaltic wave that goes left to right what do you have? |
|
Definition
|
|
Term
| At what month should a red flag go up if a child is not saying "dada", cannot follow simple commands, does not point. |
|
Definition
|
|
Term
| At 6mos. a red flag should go up if a child is not ____________ |
|
Definition
|
|
Term
| If a child had less than 3 words with meaning, fails to combine 2 words by 2 yrs is a problem at what month? |
|
Definition
|
|
Term
| A child should be using pronouns at _________mos. |
|
Definition
|
|
