Exam 1 Flashcards
What are Piaget 3 Periods of Cognitive Development
1 - Sensorimotor
Birth - 2 years
2 - Pre-operational
2-7 years
3 - concrete operations
7-11
4 - formal operations
11-adulthood
Eriksons Stages of Psychosocial Development
Infant - Trust vs Mistrust
Toddler - Autonomy vs Shame and Doubt
Preschool - Initiative vs Guilt
School Age - Industry vs. inferiority
Adolescence - Identity vs Role Confusion
Adulthood - Intimacy vs Isolation
Adulthood - Generatively vs. Stagnation
Gravida
of pregnancies (including current pregnancy)
Para
of completed pregnancies - past 20 weeks
GTPAL
Gravida
Term
PreTerm
Abortions/Miscarriages
Living Children
Stages of Labor
1 - onset of contractions until full dilation of the cervix
2 - full dilation 10cm to full effaced
3 - birth of fetus until delivery of the placenta
4 - 2 hour post delivery of the placenta
5 P’s of labor
Powers (contractions)
Passage (baby through birth canal)
Passenger (fetus and placenta)
Psychologic Responce
Position (referring to the mother)
effacement
thinning and shortening of the cervix
dilation
opening of the cervix
preferred pelvis shapes
gynecoid and anthropoid
bad pelvis shapes
android and platypodid
what is a vertex presentation
head is down and chin tucked towards body.
babys head is in a flexion position
preferred analgesic for children older than 6 months
Tylenol (acetaminophen) and Ibuprofen
allergic rhinitis
-inflammation of nasal mucosa
-often triggered by allergies
-clear discharge
- allergic salute - upwards rubbing of the nose
nasopharyngitis
common cold
-fever, restless can’t breathe
- DO NOT GIVE OTC cough and cold medications for children under 6
pharyngitis
sore throat
- not treated can lead to rheumatic fever
- if body produces too many antibodies can affect the heart valves
treatment
- gargling with warm saline sollution
- popsicles
tonsillitis
strep throat
- tonsils enlarged
- difficulty swallowing
- mouth breating - unpleasant odor
- petechia - tell tale sign
treatment
-gargle warm saline solution
popsicles
sinusitis
infection of the maxillary sinuses
- cold that does not improve after 10 days
-low grade fever
-nasal congestion
- purulent nasal discharge for 3 days or more
- cough worse when lying down
treatment
- anitbiotics
- moist heat
- saline nasal irrigation
croup
inspiratory stridor, harsh cough, hoarseness and varying degrees of respiratory distress
- sudden onset, harsh metallic barky cough - sounds like a seal
inspiratory stridor
treatment
- cool humid air may relieve mucosal swelling
epiglottitis
type of croup
- bacterial infection
life threatening and rapidly progressive that can cause complete airway blockage in a few hours
- child sittin gin tripod position
-DO NOT TAKE A LOOK AT THEIR THROAT UNTIL YOU ARE READY TO INTIBATE THEM
- high fever
treatment
- humidified oxygen
-keep child sitting up
Laryngotracheobronchitis LTB
o Larynx, trachea, bronchi
o Usual an upper respiratory infection first
o Kids wake up with a different cough
o Swelling in the vocal cords and trachea
o Can have nasal flaring and accessory muscle use
Acute Spasmodic Croup
have attacks then they are fine
child has a stridor in the middle of the night and they wake up fiine
Bronchitis
cough is the major sign
initially cough is nonproductive but can change to loose and productive
moist crackles and high pitched rhonchi
Bacterial Tracheitis
bacterial infection usually caused by a staph infection
looks similar to croup but doesn’t respond to treatment
thick secretions
