Exam 1 Flashcards

1
Q

Provide basic legal protection for those who assisted person who is injured or in danger

A

Good Samaritan act

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2
Q

Federal law that guarantees certain employees up to 12 work weeks of unpaid leave each year with no threat of job loss

A

FMLA

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3
Q

What are the benefits of breast-feeding for the baby?

A

Contains antibodies that help your baby fight off viruses and bacteria
(Increases immunity )

Increases IQ

Lowers your babies risk of having asthma or allergies

Have fewer ear infections , Respiratory illness, diarrhea

Reduces SIDS, air ingestion, and obesity

No contamination

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4
Q

The process of becoming stronger and more confident, especially in controlling one’s life and claiming ones right

A

Empowerment

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5
Q

6 rights to med administration

A

Right person, dose , time, route, documentation, drug

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6
Q

Normal vital signs for newborn

Infant 1-12 m

Toddler 1-3 y

Preschooler 3-5y

School age 6-12

Adolescents- 13 +

A

Fetus : 110-160 pulse

Infant: p- 110-160 R- 36-60 T-96.8-99.0

Toddlers: p- 90-140 R-25-40

Children- p- 60-100 R- 16-30

Teens- p- 60-100 R- 12-20 (athletes lower) bp- 90-120/50-80

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7
Q

What does folic acid do for pregnancy ?

A

Helps prevent neural tube defects serious birth defects of spinal cord and brain

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8
Q

Minors are no longer considered to be under the care and control of parents — instead they take responsibility for their own care

Varys from state to state

A

Emancipated minor

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9
Q

Born too early or to have low birth weight

Can cause SIDS

A

Smoking during pregnancy

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10
Q

May have problems to baby’s vision , hearing , memory, attention span, abilities to learn and communicate due to this

A

Fetal alcohol syndrome

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11
Q

Therapeutic communication in toddlers /children

A

Speak honestly , allow choices as appropriate (guided choices)

Use simple concrete terms

Use play or story telling , games to communicate

Transitional objects or third party approaches

Allow to express their fears and concerns

Give opportunity to talk with out parent

Setting that enhances communication

Make sure they feel comfortable

Communicate appropriately for age and development

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12
Q

Pain assesment for children ?

A

FACES scale (Wong baker pain assesment scale)

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13
Q

Vaccine for HPV and schedule

A

Gardasil

2 doses 6-12 months apart before 15 years old

Can prevent genital cancer /warts

CDC recommends 3 dose series from 11-26

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14
Q

Pain fever medication for children

A

Tylenol

NSAIDs

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15
Q

Vaccine schedule for children

A

Infants 6 months - 9 years

Hep b- birth-one dose. 1-2months- 2doses 6- 18 months 3 doses

Rotavirus- 2-6 months

Tdap, tetanus-2-6months, 15-18months, 4-6 Years

Hib - 2-6 months, 12-15 months

PCV- 2-6m, 12-15m

IPV-2-18m, 4-6years

Influenza - 6 months - annual

Mmr- 12-15m 4-6 years

Varicella - 12-15m, 4-6 years

HepA- 12-23months

HPV - 11-12 years 3 doses

Mennicoccil- 11-12 years, 16-18 years

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16
Q

Benefits of vaccinating children

A

Immunizations can save your life

Vaccination is very safe and effective

Immunization protects others you care about

Immunizations can save your family time and money

Immunization protects future generations

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17
Q

IM injection site math probs

A

Ventril laterus (thigh) for infants

Deltoid for older children

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18
Q

Healthy ppl 2020 - strategies to reduce risks - maternal, infant, and children

A

Early identification of potentiontal risks or harm to fetus

Treatment of development decreases disabilities and other health conditions and can prevent death .

Appropriate meds to take

Healthy diet/ exercise to prevent complications

Folic acid prior to pregnancy as well as during

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19
Q

What age can an infant sit steadily alone ?

A

6-8 months

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20
Q

What to know about the skin medications for infants ?

A

Baby’s absorb too much

Pediatric pts have thin stratum carneum that allows topical medications to be absorbed easily

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21
Q

What to do with temper tantrums and toddlers ?

A

Ignore them- they are normal

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22
Q

Car safety for an 18 month 24 pound infant ?

A

Rear face middle of back seat

23
Q

Erickson’s stages of development

Infant - 18 m
18-3-
3-5
5-13
13-21
21-39
40-65
65 and older
A

Trust vs mistrust

Autonomy vs shame and doubt

Initiative vs guilt

Industry vs inferiority

Identity vs role confusion

Intimacy vs isolation

Generativity vs stagenation

Ego integrity vs despair

24
Q

Eye sight function of new born ?

A

8-12 inches away. Nearsighted blurry shapes 20/200 20/400

25
Newborns immune system ?
Have immunity from mother for the first 3 months. Then they begin to develop on their own
26
Excessive admiration for someone. Ex. Behaved better for company then parents
Hero worship
27
What position to place new born on ?
Sleep on back . Supine
28
How much should an infant weigh by 6 months ?
13-20 pounds They double their weight in first 6 months
29
Why Sensory motor stimulation is important in first year of development ? Activities to recommend?
Because for a baby to fully develop all five senses should be stimulated . 0-2m cuddle rock, 3-5 cradle swing , 6-9 m feel textures , 10-12 push pull toys and activity boxes
30
Benefits of breast feeding for mom?
Uses 200-500 cal/day Decrease hemorrhage risk, uterine, breast, and ovarian cancers Doesn’t allow others to feed baby Hard to maintain supply /cost
31
Who is breast feeding recommended by and for how long?
One year minimum ASG, WHO, AAP
32
How can you make patients feel empowered in care?
Make them feel capable, welcome, and include family in care, make decisions in care, accommodations to family
33
Nursing actions regarding confidentiality and children ?
Develop trust Tell them they must tell parents about care unless STI/pregnancy/abortion/drug abuse/contraceptive care Know custodial issues ( who to give info to)
34
Drug categories A-X
A- A-ok to take B- be mindful C- see your dr first for other options (consider risks to fetus) D- don’t take w out dr consent (only given in life threatening situations) X- x-nay on the drug big NO
35
Teen suicide nursing actions/ interventions?
What’s your plan ? Who are your friends in school ? What are your fav classes What are your hobbies? What makes you upset? (Ask about social life)
36
When do infants sit alone?
6-8 months
37
Best way to prevent infection?
Hand washing
38
Risk for ear infections?
Cleft palate Evastachian tunes are shorter, wider, straighter Ear canal is more pliable cold flu or allergy
39
Medication administration to infant
Support/ elevate head shoulders Press chin with thumb to open mouth Slowly insert med along the side of infants mouth Allow time for swallowing Give in vastus lateralis /thigh Never give in butt No more than 1ml Soothe them when done
40
Appropriate tasks by age?
Toddler can make bed/- simple house hold chores Preschoolers - setting table , sorting colors in laundry , pick up toys School aged- loading washer, dryer , take out trash , care for pets Teen- mow/rake the lawn
41
How many servings of food to offer toddlers?
1 table spoon per age
42
Appropriate interventions when dealing with aggression/ tantrums in children?
Ignore tantrum if actions are not dangerous to child’s safety
43
Car seat safety by age/weight ?
Rear facing infant-2 years Front facing 2-5 years 20-30 pounds 5 years booster seat 40 pounds 4ft 9 inches tall for seat belt
44
Children and sleep- what’s recommended ?
Toddlers - 11-14 hours Preschoolers - 10-13 School aged- 10-13 8-12 hours adolescentents Teens-8-10 Need regularity, naps , and bedtimes
45
Normal thinking in children age (preschool vs school aged)
Preschoolers - animism and magical thinking, speaks honestly School aged - wants explanations and reasons why Reassurance needed and concerned about body integrity
46
Normal development for 18 months?
Walking Undress Drink from cup Eat with spoon Knows simple things and says several words Shakes head yes or no Temper tantrums
47
Safety hazards for toddlers ?
Small pieces on toys Look for warnings on toys Poisoning , falls, suffocation’s, aspiration, motor vehicle injury, burns. Keep hazardous house hold items out of reach such as laundry detergent/chemicals /sharp objects /knifes
48
Normal growth for teen boys vs girls?
Girls go through puberty sooner Than boys Boys will catch up around 9th grade
49
Eating patterns in teen boys and girls
They eat more because they are going through puberty
50
Preventing childhood obesity?
Encourage play, limit tv, junk food, do not make them eat when not hungry, do not offer dessert as reward , encourage water intake , no fast food
51
Children and nutrition?
Encourage to eat all types of foods - they eat what you put in front of them. Do not only give them one type of food if picky eater due to improper nutrition Encourage to drink water
52
Discussion with preschoolers ?
Use simple words when communicating Show respect and encouragement - praise Turn taking ?
53
Med administration to children ?
Recline , our on back of tounge, be patient , don’t mix in juice or water, don’t restrain, reward if possible