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Flashcards in Exam 3 seinor year Deck (188)
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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

goal for obesity

maintain and allow for growth (plate method)