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Maternal Nursing > Hospitilized Child > Flashcards

Flashcards in Hospitilized Child Deck (19):
0

Age division of a neonate

First 28 days of life

1

Physiological differences in children from adults

Greater nutritional needs, growth plates aren't closed, smaller anatomy, faster HR & RR, lower BP, Meds based on weight, dehydrate very quickly

2

psychological differences in children

Fears- separation anxiety as 1 yo, fear of dark as 3 yo, mutilation in preschool age

3

Cognitive differences in children

Can't understand why hospitalized, can't express feelings with words, the way you talk to them affects how you great them. Find the right words or actions to communicate

4

Infants reaction to stress

Crying, comfort before and after procedures, pacifier

5

Toddler reaction to stress

Regression (go back steps in development), loss of control -- give choices

6

Preschool reaction to stress

Fear of mutilation-- use band aids to make them feel better

7

Stress reactions from school age children

Fear death, pain-- involve in care to teach, help understand, and give control

8

Adolescent reaction to stews

Body image, loss of control, independence-- May refuse to do anything as a way of having control. Be honest and talk on their level

9

Family reactions when child is hospitalized

Disbelief anger, guilt, fear, anxiety, depression... Expect anger and dads may not be as open

10

Sibling reactions to sick child

Anger, jealousy, resentment, loneliness, fear, worry... Pay attention to siblings after attending to child

11

Pain assessment of child

QUESTT
question child, use pain scale rating, evaluate behavior, secure parents involvement, take cause of pain into account, take action and evaluate results

12

Med administration- 1-3 months

Support head, use nipple or oral syringe, center and rear of mouth, small volumes when hungry

13

Med administration- 12-18 months

Select juices, crush in applesauce, play a game, firm consistent approach

14

Med administration- 18-30 months

Chewable pills, simple directions, firm consistent approach, immediate positive approach

15

Med administration- 2.5-3.5

Responds by imitating, calm quiet approach, honest, no bargaining

16

Med administration- 3.5-6

Don't disguise med, involve in decision making, more responsive to nurse, simple terms

17

Medication administration for IM injections

Quick, .5 inch needle for infants
1 inch needle for toddlers/school age
Not in butt
Deltoid absorbs best

18

Febrile seizures

Caused by a sudden spike in temperature from an ear infection, cold, chickenpox