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Worksheet 5
week 5 worksheet
49
Nursing
Undergraduate 3
09/29/2013

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Cards

Term
What risk factors do children have to make them prone to vitamin D deficiency
Definition
1. Vitamin D poor diets
2. Breast fed infants
3. Obese children
4. Those with certain medical conditions (CF, DM, IBD)
Term
How much dietary calcium is absorbed in kids with vitamin D deficiency?
Definition
15%
Term
What conditions result from low calcium levels?
Definition
Seizures
Heart rhythm abnormalities
Term
What is Rickets?
Definition
A disease in children caused by vitamin D deficiency. Characterized by imperfect calcification, softening, and distortion of the bones typically resulting in bowed legs
Term
What foods can you get vitamin D from?
Definition
Fish, milk, fortified cereals, pork, eggs, mushrooms, ricotta cheese
Term
Children who are vegetarians are more likely to suffer from what?
Definition
Professor stressed: protein deficiency
The book said: inadequate growth, poor digestibility of bulky, natural foods, deficiencies in vitamin B6, nacin, riboflavin, vitamin D, calcium, and zinc
Term
Where do vegetarians get their daily intake of protein from?
Definition
Grains, legumes, milk products, seeds
Term
What is scurvy?
Definition
A deficiency in vitamin C
Term
Kwashiorkor
Definition
A deficiency of protein with an adequate supply of calories leading to thin, wasted extremities and a prominent abdomen from edema
Term
Marasmus
Definition
General malnutrition of calories and protein leading to a gradual wasting and atrophy of body tissues, especially subcutaneous fat
Term
Difference between food allergy and sensitivity
Definition
An allergy is an adverse health effect rising from a specific immune response. A sensitivity is an adverse health effect that does not have an immunological mechanism
Term
What are the 4 types of allergic reactions
Definition
Systemic
GI
Respiratory
Cutaneous
Term
How long does a food allergy take to occur?
Definition
After the food has been ingested one or more times. It can come on immediately (minutes to hours) or be delayed (2-48 hours)
Term
What are the 3 most common food allergies?
Definition
Peanuts, milk, eggs
Term
What other conditions are children with allergies likely to have?
Definition
Asthma and other allergic conditions
Term
How to use an epipen
Definition
1. Remove from plastic tube, grasp unit with dominant hand, black tip down
2. Jab it at a 90degree angle against thigh (even through clothes) and hold it there for 10 seconds
3. Massage the area for 10 seconds
Term
Regurgitating vs. spitting up
Definition
Reguritating: vomiting- forceful, effortless ejection of food from stomach
Spitting up: pushing out of what is in the mouth with the tongue
Term
What is colic?
Definition
Characterized by unconsolable and excessive crying in otherwise health infants
Usually a benign condition that resolves on its own in 4-5 months
Term
What are the symptoms of colic?
Definition
Crying that lasts at least 3 hours a day on at least 3 days a week over at least 3 months
Term
Theories of causes of colic
Definition
1. Gut problem associated with cow's milk allergy
2. Behavioral problems
3. Excessive crying in an extreme of the normal
4. Collection of different entities
Term
What are the 2 different types of failure to thrive?
Definition
Organic: something physiologically wrong with the body not allowing them to take in the nutrients they need
Inorganic: psychosocial factors
Term
What is SIDS?
Definition
The sudden death of an infact younger than 1 year that remains unexplained after a complete postmortem exam.
The third leading cause of infant death and the leadign cause of postneonatal deaths

Kids sleep on their backs now to prevent
Term
What are do children get the chickenpox and MMR vaccine?
Definition
1 year-15 months
Term
What disease do you really not want to get during pregnancy?
Definition
Rubella
Term
Viral conjunctivitis
Definition
- Occurs in response to upper respiratory tract infections
- Serous (watery) drainage, inflamed conjunctiva, swollen eyelids
- Self limiting, removal of accumulated secretions
Term
Bacterial conjunctivitis
Definition
- Accounts for most cases in children
- Purulent drainage, crusting of eyelids, inflmed conjunctiva, swollen eyelids
- Treated with topical antibiotics
Term
Nursing care for infant with bacterial conjunctivitis
Definition
Keep the eye clean. Remove accumulated secretions before putting in medicine. Be mindful of infection of other family members.
Term
What causes the anal itching of pinworms? (gahhhhh)
Definition
Movement of the worms on the skin and mucus membranes of the anus
Term
How many kids get brought to the ER for taking medicine on their own
Definition
165 kids a day or 60,000 a year
Term
How many kids die each year from accidental overdose?
Definition
56
Term
Which category of drug is responsible for the most fatalities?
Definition
Analgesics
Term
What is IPECAC and what are the current recommendations for use?
Definition
It's an emetic (makes you vom). Not recommended for routine treatment of poison ingestion bc some poisonings can be made worse by vomiting
Term
Why is lead poisoning a problem in the U.S.?
Definition
Lead used to be added to paint. There's still some in older homes and in lead-contaminated soil. Kids put everything in their mouth.
Term
What are the symptoms of lead poisoning?
Definition
- Abdominal pain, vomiting, constipation
- Headaches
- Difficulty thinking, concentrating, making decisions
- Loss of appetite and weight loss
- Pale skin, fatigue, muscle weakness
- Slow or delayed growth in kids
- Personality changes, mood swings, trouble sleeping
- Seizures or coma
Term
What are the risk factors for lead poisoning?
Definition
Living in or regularly visiting a house built before 1950. Having a sibling or playmate who has had lead poisoning
Term
Risk factors of child abuse: parental characteristics
Definition
Younger parents, single-parent families, socially isolated with few supportive relationships, additional stressors such as low-income with little education, substance abuse, low self-esteem
Term
Risk factors of child abuse: characteristics of child
Definition
Age: birth to 1 year
Unwanted, brain-damaged, hyperactive, physically disables, premature infants (failure to bond at birth), increased physical needs, irritability
Term
Risk factors of child abuse: environmental characteristics
Definition
Chronic stress, divorce, poverty, unemployment, poor housing, frequent relocation, alcoholism, drug addiction, substitute caregivers
Term
What is enuresis and how do you manage it?
Definition
Bedwetting
Manage with medications, complementary and alternative therapys, restriction of fluids near bedtime, avoiding caffeine, purposeful interruption of sleep to void, motivational therapy, devices designed to awaken child at initiation of voiding
Term
What is encopresis
Definition
Repeated voluntary or involuntary passage of feces of normal consistency in inappropriate places
Must not be caused by a physiologic affect
Term
Why does encopresis happen?
Definition
Constipation, abnormalities in digestive tract, voluntary retention of stool, emotional problems
Term
Primary vs. secondary amenorrhea
Definition
Primary: it never happened when it should have
Secondary: it stopped when it shouldn't have
Term
Primary vs. secondary dysmenorrhea
Definition
Praimry: painful menses not related to any pelvis diseases or conditions
Secondary: painful menses with a pathological condition
Term
American Cancer Society and USPSTF pap smear guidelines
Definition
Testing begins at 21
Ages 21-29 pap smear every 3 years
Ages 30-65 pap smear plus HPV test every 5 years
65: no more testing
Term
Signs of autism
Definition
- No big smiles or other warm, joyful expressions by 6 months or after
- No back and forth sharing of sounds, smiles, or other facial expressions by 9 months
- No babbling by 12 months
- No back and forth gestures by 12 months
- No words by 16 months
- No meaningful, 2-work phrases by 24 months
- Any loss of speech, babbling, or social skills at any age
Term
What causes autism?
Definition
- 15% of cases a specific gene cause identified
- Environmental influences: advanced paternal age, maternal illness during pregnancy, extreme prematurity, certain difficulties during birth
Term
Common behaviors of Asperger syndrome
Definition
- Limited or inappropriate social interactions
- Robotic or repetitive speech
- Challenges with nonverbal communication
- Tendency to discuss self rather than others
- Inability to understand social/emotional issues or nonliteral phrases
- Lack of eye contact or reciprocal conversation
- Obsession with specific, often unusual topics
- One-sided conversations
- Awkward movements or mannerisms
Term
How is Aspergers diagnosed
Definition
Can remain undiagnosed until child or adult begins to have serious difficulties in school, workplace, or social lives
Term
What are the current reported rates of youth suicide
Definition
For ages 10-24 suicide is the 3rd lead cause of death
Results in 4600 deaths a year
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