Peds Exam 1 Flashcards
(145 cards)
1
Q
Eriksons Theory is about what?
A
Psychosocial
2
Q
Piagets theory is about what
A
Cognative
3
Q
Kolbergs Theory is about what?
A
Moral
4
Q
Freuds Theory is about what?
A
Psychosexual
5
Q
Stages for infants for Erikson?
A
Trust vs. Mistrust
6
Q
Stages for Toddlers according to Erikson?
A
Autonomy vs Shame and Doubt
7
Q
Stage for Per-schools according to Erikson?
A
Iniative vs. Guilt
8
Q
Stage for School Age according to Erickson?
A
Industry vs. Inferiority
9
Q
Stage for Teens according to Erickson?
A
Identity vs. Role Confusion
10
Q
Stage for Adoloscents according to Piaget?
A
Formal Operational
11
Q
Stage of teens according to Kohlberg?
A
Post Conventional Level II
12
Q
Stage of teens according to Freud?
A
Psychosexual
13
Q
Stage of School Aged accordging to Piaget?
A
Concrete Operational
14
Q
Stage of school aged according to Kohlberg?
A
conventional
15
Q
Stage of school aged according to Freud?
A
Latency
16
Q
Stage of preschoolers according to Piaget?
A
Pre-operational
17
Q
Stage of preschoolers according to Freud?
A
Phallic Stage
18
Q
Stage of preschoolers according to Kohlberg?
A
Pre-conventional
19
Q
Who does magical thinking?
A
Preschool age
20
Q
Toddlers participqte in what type of play?
A
Parallel Play
21
Q
What type of play do rpeschoolers do?
A
Cooperative play
22
Q
How long should infant sleep?
A
16-20 hours
23
Q
How should an infant sleep?
A
With a tight sheet on their back and nothing in crib.
24
Q
When will an infant be nocturnal?
A
3-4 months sleeping 6 hours
25
How long should 18 month sleep?
13.5 hours
26
ow long should 24 monht sleep?
13 hours per day
27
How long should 3 year old sleep?
12 hours per day
28
How long should pre schooler sleep?
11-12 hours per day
29
when does a kid stop napping?
Preschool
30
What is the best food for infants?
Breast Milk
31
How man cal do infants need birth to 6 months?
108 cals per kg
32
How many cals do inafants 6-12 months need?
98 cals/kg
33
No water until what age?
6 months
34
When can a kid have honey?
1 year
35
Should you leave toddlers unattended with food?
No
36
What is a food jag?
Like a food and the suddenly stop
37
How many meals should toddlers have?
3 meals and 2 snacks
38
Should you make toddlers eat?
No
39
What age has a fulls et of teeth?
Preschool
40
Should you cater to picky eaters?
No
41
How to promote good eating?
Role model behivor
42
When should you start potty training?
When dry diapers a night.
43
What bathroom control comes first?
Poopoing
44
Why might a pre schooler lie?
To avoid trouble, vivid imagination, be sure to distinguish reality from imigation and lying
45
What age group is negativism an issue?
Toddlers
46
Should you ask toddelrs yes or no questions?
No because you will get a no
47
What motor skills improve in school age kids?
Hand usage improves, Balance improves, can build things and write, plays istruments and is proud of self
48
When does object permanance become a thing?
8 months
49
When can you give a infant solids?
4-6 months
50
hat do do to kids teeth after meals?
Wipe them off
51
What is the role of peers in school age kids?
peers help shape concepts of self
52
Who do school age kids associate with?
same sex kids less intrest in family more in firends
53
Aspects of Preschool Play?
Imiganiation, Make beleive, dramatic play and artsy
54
When do most girls start puberty?
9-10
55
When do most boys start puberty?
10-11
56
What is Tanner stage 1
pre-ouberty
57
What is tanner stage 2?
Puberty
58
What happens in a nightmare?
Can remember, is scared, happens long time after falling asleep, , remembers dream, can be calmed.
59
What happens in a night terror?
Cant remember, does not aake, not scared, no idea is happening, soon after falling asleep.
60
When is speeration anxiety the worst?
18-24 months
61
When does sepeeration anxiety get better?
24-36 months
62
Parenting Styles?
Permissive, authoritarian, Authorative, Uninvolved
63
Which parenting style is the best?
Authoriative
64
How do you correct age for premature babies?
Born weeks - 40 + outside womb age
65
What does H stand for in HEEADSSS
Home Enviroment
66
at is the first E in HEEADSSS?
Educationa nd Employment
67
2nd E in HEEADSSS
Eating
68
A in HEEADSSS?
Activities
69
D in HEEADSSS
Drugs including alcohol
70
1st S in HEEADSSS
Sexuality
71
2nd S in HEEADSSS?
Suicide/Depression
72
Last S in HEEADSSS?
Safety
73
Suspect Sepsis if what s/s?
under 3 months with any fever
74
Sx in sepsis may be what?
subtle sx, low fever, low sodium, decreased appetite
75
Contact precautions?
wash hands pre and post, gloves and gown on and off before entering and exiting. Use disposable tools?
76
Droplet Precautions?
Wash hands, mask, eye protection
77
Airborne precautions?
Wash hands, N95, negative pressure close door
78
What does the Hib Vaccine stop?
Hemophlaous Influenza...this is not the flu.
79
What age can HIB be life threatening?
<5 y/o
80
Viral exanthems comef rom what viruses?q
Roseola, Coxasckie, and Fifths
81
Sx of Roseola?
Feer and a rash
82
Sx of Coxackie?
Hand Foot Mouth Rash
83
SX of Fifthis?
Raash on cheeks aka slapping rash
84
Progonosis of Lyme Disease?
very good
85
Drugs to treat Lyme Disease?
Amoxicillin if less than 8 y/o Doxy if over 8 y/o
86
Cardinal sign of Lyme disease?
Bulls eye Rash
87
What nuero issue can Lyme Disease cause?
Bells Palsy
88
at test to do for Lyme Disease?
EIA and if positive complete a western blot test
89
Nutrition for Cystic Fibrosis?
High Protein, High Calorie meals, give enzymes.
90
Nursing interventions for CF?
Clear airways of mucous, physiotherapy, give mucolytics.
91
What do you want o prevent and treat in CF patients?
Respiratory infections and if have tx with ABX.
92
Precautions for RSV?
Contact and Droplet
93
Who is at higher risk for RSV complications?
Premature kids, they can get a vaccine
94
What are two important things for kids with RSV?
Fluid and Airway
95
Bronchiolitis Management?
Suction Airway, hydration, and pedialyte, consider high flow 02 if O2 SPO2 is <90 on RA
96
Priority of respiratory assessment?
O2 is mot important, ABC's...cardio issues come from respiratory in kids.
97
Asthma medication?
Albuterol
98
What must kids use when using a MDI?
Spacer
99
If using inhaler more than how many times a week do they need better management of asthma?
>2
100
S/S of Croup?
Barking seal cough worse at night
101
Age group that gets croup most?
6 months -3 years
102
Tx for Croup?
Supportive, humidity, dex and racemic epi
103
Things to monitor with Respiratory issues?
Moniotr SPO2, CXR, ABG, Nose washing, Rapid strep
104
Interventions for respiratory issues?
Humidified O2, high flow O2, suction, Physiotherapy, and mucolytics.
105
How do kids dea lwith Hypoxia?
Not good....compensate good and then crash fast.
106
What is the main cause of cardiac issues in kids?
Respiratory Issues
107
Does Patent Ductus arteriosus have decreased or increased pulmonary blood flow?
Increased
108
Does ASD have decreased or increased pulmonary blood flow?
Increased
109
Does VSD have decreased or increased pulmonary blood flow?
Increased
110
Does Tetralogy of Fallot have decreased or increased pulmonary blood flow?
Decreased
111
Does Tricuspid Atresia have decreased or increased pulmonary blood flow?
Decreased
112
Does Transposition of great arteries have decreased or increased pulmonary blood flow?
Decreased
113
What issues make up Tetralogy of Fallot?
Pulmonary Stenosis, VSD, Overriding Aorta, Right Ventricle Hypertrophy
114
What is VSD?
Hole in the septum between the left and right ventricles.
115
What happens in Tet Fallot?
Unoxygenated blood flows to body oxygenated blood flows back to right atrium
116
Does digoxin drop BP in kids?
No
117
What does digoxin do in kids?
Increases contractility
118
Hold dose of digoxin in pulse is less then?
90-100
119
Are congenital heart defects common?
No
120
What is the main CCD?
Coarctation of the Aorta
121
What happens in Coarctation of Aorta?
Aorta is narrow and blood does not flow to lower extremities as well.
122
What can happen to BP in Coarctation of Aorta?
Different in upper extremities then lower extremities
123
Care for Coarctation of Aorta?
Provide extra calories due to needing nutrition
124
What food is best for congenital disorders?
Breast Milk
125
What is Kawasaki Disease?
Post viral illness
126
Is there a test for Kawasakis?
No
127
Patho of Kawasakis?
Inflammation of vascular system
128
S/S of Kawasakis?
red eyes no drainage, strawberry tounge, fever of 102 higher for 4 days.
129
Interventions for Kawasakis?
Get baseline Echocardiogram, pt in CICI, high dose ASA in hospital low dose at home
130
Care for conserving energy in cardiac issue kids?
Promote rest, allow for small frewuent feedings and sedate if needed to conserve energy
131
Cardiac Cath Management
Kids must be sedate for procedure and post procedure. Monitor for infection due to diapers, No baths.
132
What assessment post cath?
Above and below cath insertion site, cap refill...neuro-vascular
133
Where to apply pressure for post cath bleed?
1 inch above
134
What type of sedation for kids in cath?
Conscious sedation
135
What keeps holes int he heart open if needed?
Prostaglandin E
136
What close holes int he heart?
Prostaglandins
137
Lasiks if large VSD could cause what?
Pulmonary Edema
138
rheumatic fever is caused by what
Streptococcal A
139
what does rheumatic fever effect in the body
Joints, skin, heart valves
140
Whar conditions can rheumatic fever cause?
Endocarditis
141
if you have a history of rheumatic fever what do you need to do before dental work?
ABX 1 hour before
142
What is a tet spell?
Rapid drop in SPO2 when pt has Tetrology of Fallot
143
What do you never want to do if have Epiglotitis?
Examine airway
144
S/S of Epiglotisis?
Drooling, Dysphagia, Distress
145
Tx for Epiglotisis?
mManage airway, give oxygen, x-ray OR
