ATI Unit 1 (Josh) Flashcards by Josh Miller

Kids can say — to — words and comprehend the word — by age 1

3 to 5

‘no’

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When should EMLA cream be used?

60 mins before superficial puncture

2.5 hrs before deep puncture

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When is erect head posture expected?

after 4 mths

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Birth weight — by 6 mths and — by 12 mths

doubles

triples

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Types of thinking characteristic of Preschoolers

Magical Thinking

Animism

Centration

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Expected reflexes at 3 mths?

Palmar grasp

Tonic Neck (Fencer)

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Immunizations 3 - 6 yrs

DIMv Flu

4-6 yrs: DTaP, IPV, MMR, varicella

3-6 yrs: annual flu

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Face of an infant in pain

eyes:
mouth:
eyebrows:

eyes TIGHTLY CLOSED

mouth OPEN IN SQUARISH SHAPE

eyebrows LOW and DRAWN TOGETHER

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Expected reflexes at 4 mths?

Sucking/Rooting

Moro

Startle

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How many teeth by age 1?

6-8

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Expected reflexes at 4 wks?

Stepping

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Expected reflexes at 1 yr?

Babinski

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Object Permanence occurs at what age?

~ 9 mths

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Physical manifestation of death I didn’t know about:

sensation of heat when body feels cool

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Give what for teething pain?

acetaminophen and/or ibuprofen

note: ibuprofen only over 6 mths
note: don’t use longer than 3 days

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Car restraint system until —

4ft 9in

Expected reflexes at 8 mths?

Plantar grasp

Treatment for respiratory depression from opioids?

naloxone

Order of Sexual Maturation in Boys

Testical enlargement

Pubic Hair

Facial Hair

Voice changes

Intranasal meds are not recommended for children younger than –

Immunization less than 12 months

Hip
DR Iggy Plays Hip Hop
DR Iggy Plays Hip
DR Iggy Plays Hip Hop

Birth: Hep B
2 mths: DTap, RV, IPV, PCV, Hib, Hep B
4 mths: DTap, RV IPV PCV, Hib
6 mths: DTap, RV, IPV, PCV, Hib, Hep B
6-12 mths: flu

Complicated grief extends for more than — following a loss.

a year

During preschool years, which type of play?

associative play (not highly organized)

Order of Sexual Maturation in Girls

Breasts

Pubic Hair

Axillary Hair

Menstruation

Preschoolers need how many calories?

half of adults (1800) also, 13-19 g/day of protein

Nonpharmacological Measures for Pain

Distraction Relaxation (if age appropriate) Guided Imagery (if age appropriate) Positive Self Talk Behavioral Contracting (sticker for good behavior) Swaddling Pacifier Kangaroo Care

Meds for pain: mild to moderate: moderate to severe:

mild to moderate: acetaminophen and NSAIDS moderate to severe: Opioids (oxycodone, morphin sulfate, fentanyl)

RR in Peds

``` 0 - 1 yr: 30-35 1-2 yr: 25-30 2-6 yr: 21-25 6-12 yr: 19-21 12 and up: 16-19 ```

Immunizations 12 mths - 3 yrs

HIP M V Hep DTap Flu 12-15 mths: Hib, IPV, PCV, MMR, varicella 12-23 mths: Hep A 15-18 mths: DTaP 12-36 mths: annual flu

Bowel sounds should be heard every ---

5-30 secs

Ibuprofen should be used ---

only over 6 mths - don't use longer than 3 days

Pulse Rate in Peds

``` Newborn: 80-180 1 wk - 3 mths: 80-220 3mths - 2 yrs: 70-150 2 - 10 yrs: 60-110 10 and up: 50-90 ```

How do we know that the white coating is milk and not oral candidiasis?

milk can be easily removed but oral candidiasis cannot

Toddlers use which type of play?

parallel play

Birth length --- by 12 months

increases by 50%

When does separation anxiety begin?

4-8 mths - stranger fear begins 6-8 mths

Fruit juice should be limited to ---

4-6 oz/day