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Module 5 (Pediatrics) > Nutrition/Language/Sleep/Play/Injury Prevention > Flashcards

Nutrition/Language/Sleep/Play/Injury Prevention Flashcards

(76 cards)

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1
Q

Infats in the 1st 6 months for nutrition are on a

A

on-demand schedule
- establish feeding schedule
feed until satisfied by pulling away
easy temperament babies may need a more planned schedule

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2
Q

What is the optimal choice for 1st 6 months babies?

A

Breastmilk

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3
Q

What is the acceptable alternative for 1st 6 months babies?

A

Formula

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4
Q

What are the benefits of breastfeeding?

A
  • Antibodies produced by mom to pass to baby
  • personalized to the baby through milk production
  • always available
  • bonding and helps mom with depression
  • economic
  • low breast CA in mothers who have breastfed
  • help decrease risks of obesity, specific allergies, DM, heart diseases
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5
Q

WHO promotes what time of newborn feedings throughout the world

A

breastfeeding

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6
Q

What are some keys to breastfeeding success?

A

Frequent and early
Skin-to-skin contact
Within 1st hour of life
1st milk – colostrum = rich in antibodies, Vitamin K, and proteins??
Transitions to breast milk and goes into fatty
Careful of diet and meds
Education and support

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7
Q

What is the nurse’s role in promoting breastfeeding​?

A

Hydration, proper diet, lactation specialists, correct technique of latching, positioning for the baby with pillows and side-lying, no rigid feeding schedule

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8
Q

The 1st milk for the baby is known as the

A

colostrum

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9
Q

The colostrum is rich in

A

antibodies, Vit K, and proteins

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10
Q

Bottle feeding

A

Side-lying position as newborns esp. premes
Burp with steady pats while supporting the chin downward
Not too comfortable to fall asleep but okay
demand feedings vs scheduled
Swaddle, nipples with sizes

Prep formula with proper mixing

Stress could cause struggling
Coughing and choking needs to be stopped and start again

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11
Q

Whole milk can be given to the baby when

A

not until the end of the 1st year
deficient in components needed for optimal growth

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12
Q

Skim and low fat milk if parents prefer can be used when

A

at the end of the 2nd year

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13
Q

Why is skim and whole milk not used during the baby’s first year of life?

A

need essential fat for neurodevelopment

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14
Q

When can the baby have solid foods?

A

4-6 months
4 months = acceptable if the baby is hungry constantly
6 months best because the GI system is complete and ready for real food

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15
Q

What is the order of solid foods a baby can have?

A

Iron-fortified cereal (rice)
veggies
fruits
meat
eggs and cheese

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16
Q

The baby can have eggs and cheese when?

A

12 months

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17
Q

You need to introduce the new food for how long?

A

4-7 days
because of allergy possibilities

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18
Q

Extrusion reflex

A

the tongue pushes food out

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19
Q

Honey should not be given to babies for what reason

A

botulism

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20
Q

The extrusion reflex goes away after

A

6 months

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21
Q

During the 3rd trimester the unborn baby stores iron in the

A

liver

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22
Q

At the end of 4 months the breast feeding mother should give what to the child

A

iron supplements
bc the mothers iron stores are depleted in breast milk at 4 months

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23
Q

Iron supplemets are given 1 mg per

A

kg

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24
Q

When is the greater absorption of iron (best time to give )?

A

between meals

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25
Caution the parents when you administer iron to the baby that these things will occur
stain teeth stool will turn tarry with green or black
26
Iron supplements will be administered by a
dropper in side of the cheek for PO
27
Infants who are partially or not breastfed should receive iron-fortified formula from
birth to 12 months
28
Toddler Nutrition
physiologic anorexia food jags "Quality over Quantity" **No more than 1 quart of milk per day lead to dietary deficiencies**
29
Parents should always offer nutritious food over
junk food "Quality over quantity"
30
Preschool Nutrition
3-4 y/o - cont to see food jags **strong taste preference** 5 - social aspects of eating 5-6 try new foods if encouraged with prep
31
School-age Nutrition
qualioty of diet depends on family's pattern of eating **high cal junk DOES NOT PROMOTE GROWTH** nutrition education
32
Adolescent Nutrition
puberty marks accelerated growth **Requirements = iron, Calcium, zinc, and protein 2x** fast food is influenced by peer groups
33
Language reflects
hearing
34
Language Birth to 4 months
crying
35
Language 1-3 months
cooing and babbling
36
Language 2 months
social smile
37
Language 3 months
squeal
38
Language 4 months
LOL laugh
39
Language 6 months
imitates actions and sounds
40
Language 9-10 months
comprehend the word No obey simple commands
41
Language 10-12 months
ascribe meaning to words "MAMA AND DADA"
42
Language 12 months
1-2 words with meaning
43
For every 1 year of life, the baby learns how many words
1-2 word sentences and increases over time
44
Language 15-24 months
Recognizes familiar names & objects Points to object in picture when named By 2 years of age use two-word sentences “All gone”
45
Language 3 years
telegraphic speech sentences of 3-4 words "where's ball daddy?" talks a lot
46
Language 4 years
asking questions is at the peak why, when. where, how
47
Language 5 years
story tellers funny to use naughty words stuttering in preschool years bc thoughts come faster than words
48
How long does an infant sleep for the 1st 6 months
14-17 hours optimal swaddeling morning and afternoon naps
49
What is some ways to help the 6 months and younger infant go to sleep?
Bedtime rituals​; putting baby to bed while still awake​; self-sooth​; crib for sleep only
50
What are the ABCs of sleep in infants?
Alone Backs with no blankets or bedding Crib and cool (70 degrees) Smoke-free environment
51
When the infant can roll over
stop swaddling decrease SIDS
52
Elements of a safe sleeping environment for a baby?
lone no smoke no pillows, stuffed animals, toys, bumper pads If blanket is used, tucked in and only at babies chest height no heavy or loos items crib sheets for tightly over mattress firm mattress not too hot back feet to foot in the crib
53
SIDS risk factors Pregnancy-related
Drug use/Smoking Poor prenatal care Low maternal age Prematurity or low birth weight Multiple births/twins
54
SIDS means
sudden infant death syndrome
55
SIDS risk factors care-related
Overheating the infant Soft pillows/bedding Prone sleeping position Co-sleeping
56
SIDS risk factors Other-related
2 or more SIDS victims in family (genetic) Winter months
57
Toddler sleep how long
12-14 hours
58
Preschoolers sleep how long
average of 12 hours
59
School-age sleep how long
average of 9 1/2 hours depending on activity levels
60
Adolescents sleep how long
about 9 hours
61
Toddlers sleep habits
afternoon naps till the age of 3 firm limits bedtime rituals transitional objects
62
Preschoolers sleep habits
naps go away immature logic leads tro belief of monsters and ghosts nightmare and terrors start
63
School-aged sleep habits
sleep walk or talk
64
Adolescent sleep habits
melatonin hormone released 2 hours later adolescent brain
65
6 Stages of Play
Unoccupied Solitary Spectator/Onlooker Parallel Associate Cooperative
66
Unoccupied Play
0-3 months learn and discover how the body moves
67
Solitary Play
0-2 years plays alone and not interested in playing with others
68
Spectator/Onlooker Behavior
2 years watches and observes other playing but won't play with them
69
Parallel Play
2+ years plays alongside or near others but not with them
70
Associate Play
3-4 years interact with others during play but not much cooperation required I play on the slide and you play on monkey bars but to them playing together
71
Cooperative Play
4+ years child plays with others and has interest in activity and other children involved in playing together
72
Injuries to be Prevented in Infants
suffocation drowning MV injuries Aspiration Bodily harm or burns falls poisoning
73
Injuries to be Prevented in Toddlers
**Unintentional injuries = leading cause of death need to childproof the environment**
74
Injuries to be Prevented in Preschool
poisoning pedestrian hit by car proper car restraints **PPE for riding the bike** drowning stranger danger
75
Injuries to be Prevented in School-age
MVC Bicycle injuries Appropriate safety equipment for all sports*
76
Injuries to be Prevented in School-age
MVC* Accidental* injuries HOMICIDE SUICIDE adolescent brain = this won't happen to me

Module 5 (Pediatrics) (27 decks)

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