1 Flashcards
what phone number do you call for help in hospital when doing CPR
2222
how many rescue breaths do you initially give to a child/infant
5
what comes first in child CPR, rescue breaths or checking for signs of life
rescue breaths then check for signs of life
how many chest compressions do you give a child/infant
15
techniques you can use to give chest compressions for: infant:
child:
infant: 2 finger tips/ encircled technique with thumbs
child: 0ne hand
how deep must chest compressions be in a child/infant
1/3rd depth of chest
after initial 5 breaths what is breath/compression ratio
2 breaths to 15 compressions
head possition in:
- infant
- child
infant: neutral
child: head tilt chin lift
rate of chest compressions
100-120/min
what is an important indicator or growth in younger children
head circumference
what do growth charts plot?
age against height and weight
ona growth chart where is
1) height plotted
2) weight plotted
height - upper half
weight- lower half
what does plotting height and weight do
places child within a centile (between 0.4-99.6) which indicates if they are growing normally
what things must you remember when doing a growth chart
- children can be ‘between’ centiles especially the 91st and 98th centile
you can calculate the child’s BMI using weight and height centile - remember height of parents is key
indications for concern on a growth chart
1) sudden deviation in weight or height (ie: 2 year old was in 50th centile but now in 2nd)
2) big difference between height and weight centiles (ie: height on 75th centile and weight on the 10th centile)
3) any measurements out with centiles may (but not always) indicate abnormal growth
vaccinations at 2 months (3)
- the 5 in 1 injection: diptheria, tetanus, pertussis, polio, haemophilus influenze B (DTaP/IPV/Hib)
- pneumococcal (PCV)
- roatvirus
vaccinations at 3 months (3)
- second dose of DTaP/IPV/Hib (in one injection)
- meningococcal C (men C)
- rotavirus
vaccination at 4 months (2)
- 3rd dose of DTaP/IPV/Hib
- 2nd dose of pneumococcal (PVC)
vaccination around 1st birthday (between 12-13 months) (3)
- Hib + men C booster - 1 injection
- 3rd pneumococcal (PVC)
- 1st MMR
at what ages do children get MMR
1 yr & 3/4yrs,
vaccination at 3yrs 4 months - 5yrs (2)
- 4th DTaP/IPV/Hib (pre-school booster)
- 2nd MMR
at what age do girls get HPV vaccination
12-13 yrs
men C booster when?
13 - 15 yrs
when do you give tetanus, diptheria and polio (Td/IPV) booster
13 - 18 yrs
rule for when multiple vaccinations given simultaneously
in different limbs, if not possible they should be 2.5cm apart in same limb
4 categories in developmental milestones
- gross motor skills
- fine motor skills & vision
- language and hearing
- social & play
at what stages is APGAR score done
1 and 5 minutes after birth
what does 1 minute APGAR score asses
how well baby tolerated birthing process
what does 5 minute APGAR score asses
tells how well baby is doing outside of womb
why is APGAR score done
to determine if baby needs help breathing or is having heart problems
** does not indicate long term health problems**
normal APGAR score
- its rated out of 10 with higher being better
- normal 7, 8 or 9
- score of 10 rare because most babies are born with blue hands and feet and they lose 1 point for this
APGAR score that indicates baby need help
<7
3 main causes for low APGAR score
- difficult birth
- C-section
- fluid in babys airway
which things are assessed during APGAR (5)
muscle tone HR reflexs skin colour breathing effort
different ages in stages of development chart (9)
6 weeks 3 months 6 months 9 months 12 months 18 months 2 yrs 3 yrs 4 yrs
6 weeks
Gm: head control
Fm & V: follows torch
L & H: stills at voice
S & P: social smile
3 months
Gm: no head lag on pulling to sit
Fm & V: hand regard: hands held in midline
L & H: starting to vocalise
S & P: reacts pleasurable to familiar situations
6 months
Gm: push up on arm/weight bear on legs
Fm & V: grasp toys/hand to hand/ palmar grasp/ mouths
L & H: babbles & screams when annoyed
S & P: still friendly with strangers
12 months
Gm: pulls to sit/cruises around furniture
Fm & V: bags toys together
L & H: responds to name
S & P: drinks from cup
9 months
Gm: stands holding onto furniture/ may crawl
Fm & V: uses index finger to point, pick up small objects
L & H: babbles for self amusement, imitates sounds
S & P: plays peek-a-boo, distinguishes strangers
18 months
Gm: runs, climbs onto adult chairs
Fm & V: builds tower of 3 blocks
L & H: 5-20 words, points to body parts
S & P: feeds with spoon, mimic adults
2 years
Gm: up and down stairs, sits on trike and steers
Fm & V: tower 6-7 blocks, scribbles, matches toys
L & H: 50+ words, talks to self, understand simple instruction
S & P: feeding is less messy, put on hat and shoes
3 years
Gm: stairs with alternating feet, jumps off bottom step, stands on 1 foot temporarily
Fm & V: towers 9 blocks
L & H: knows own name, asks lots of questions, nursery rhymes
S & P: washes own hands, pretend play, understands sharing
4 years
Gm: climbs ladders, walks/runs on tip toe
Fm & V: threads beads, draws man with legs, head & trunk
L & H: counts to 20, recounts resent stories
S & P: dresses and undresses self, understands turn taking
in labour full dilation is?
10cm
latent stage of labour is?
onset of regular contractions
dilation rate of latent labour
1-3cm/hour