Flashcards in Exam 3 seinor year Deck (188)
Loading flashcards...
1
intentional physical abuse or neglect, emotional abuse or neglect or sexual abuse of children, usually done by adults
abuse/child maltreatment
2
who is at higher risk of death of children
younger parents (inadequate knowledge)
3
failure to provide for kids basic needs
neglect
4
deliberate attempt to destroy or significantly impair a child's self esteem or competence
emotional abuse
5
deliberate infliction of physical injury on a child, usually by the child's caregiver
physical abuse
6
inappropriate touching of child's breast or genitalia
sexual abuse
7
signs and symptoms of child abuse
fearful behavior, bed wetting, UTI's abdominal pain, extreme sexual behavior
8
characteristics of the typical child abuser
male, knows victim, any social level
9
illness that one person fabricates or induces in another person
Munchausen syndrome by proxy
10
infant can suffer trauma resulting from an intentional or non accidental head injury by caregiver
shaken baby syndrome
11
Signs and symptoms of shaken baby syndrome
increase ICP
decrease LOC
resp compromise
vomiting
seizures
coma
death
12
when is the babies brain synapses being produced
first 3 years
13
cranio-cerebral patho of infant
heads disproportionably larger, weak cervico-spinal muscles, larger subarachnoid spaces
14
violent shaking of a baby causes
soft tissue of the brain to bounce around inside the skull
15
who is the least likely to be the perpetrator of the child during abuse
mother
16
injuries due to shaken baby syndrome (SBS)
increase ICP
retinal hemorrhage and or detachment
skeletal fractures
17
who is responsible for mandatory reporting of suspected child abuse
healthcare professionals, including nurses
18
when is a child diagnosed with failure to thrive
child's weight for age is below 3rd or 5th percentile or falls more than 2 major percentile lines (ex. 75-25)
19
organic failure to thrive
cardiac, neurological, renal, GI, endocrine
Ex. cleft lip or palate, GERD, celiac, DM, hyperthyroidism
20
non organic failure to thrive
poverty, health beliefs, knowledge deficit, family stress
21
what are characteristics of failure to thrive
growth failure, failure to maintain growth patterns, developmental delays, flattened occiput, apathy, avoid eye contact, poor hygiene, feeding disorders
22
how do you Tx a child with failure to thrive
reverse malnutrition & provide sufficient calories to support "catch up" growth (150%), don't overstimulate (cause baby to use more calories than needed)
23
what do you need to obtain during initial assessment
growth, diet hx, elimination pattern, medical hx, family hx, social hx (socioeconomic status of family)
24
overweight
85-95 percentile
25
obese
over 95 percentile
26
health risks due to obesity
DM, HTN, sleep apnea, cancer, obesity as adult
27
what is the #1 cause of obesity
inactivity
28
BMI
weight (lbs) x 703
------------------------
Ht (inches) 2 (squared)
29
treatment for obesity
exercise
5, 2, 1, almost none
(5 fruits/veggies, 2 hours of TV, 1 hour of activity, almost no sweets/sodas)
30
