Peds Exam 1 Front Loading Flashcards by Makieah Mack

Atraumatic care prevents or minimizes physical stressors including ______, discomfort, immobility, ______ deprivation. inability to ____ or ______, and changes in elimination

pain
sleep
eat or drink

How well did you know this?

Not at all

Perfectly

It is important to minimize parent-child _________

separation

How well did you know this?

Not at all

Perfectly

Techniques for Providing Atraumatic Care
- Therapeutic ______________
- ________ play
- Child _____________
- Parental ____________

communication
Therapeutic
education
education

How well did you know this?

Not at all

Perfectly

It is important to minimize physical ________ during procedures

distress

How well did you know this?

Not at all

Perfectly

The role of a Child Life Specialist is to:
- Educate child and family about health ____________
- Provide programs to prepare children for ________________ and painful procedures
- Provide support during medical procedures
-Therapeutic play and activities to support normal __________ and ________________
- Teach and support coping and pain management strategies

conditions
hospitalization
growth and development

How well did you know this?

Not at all

Perfectly

When communicating with parents, you should:
- ___________ yourself. Establish parental roles; ask how to address the parents
- Ensure privacy and confidentiality
- Encourage talking; use _______-ended questions
- Be sure parents understand the purpose of the visit
- Establish __________

Introduce
open
rapport

How well did you know this?

Not at all

Perfectly

When communicating with children, make sure to:
- Have ________________ appropriate conversation
- Get on the child’s eye level
- Approach child _______ and _________ while involving parent or caregiver
- Always be __________
- Give the child choices when appropriate
- Include play whenever possible

Developmentally
quiet and gently
Truthful

How well did you know this?

Not at all

Perfectly

Infants are nonverbal and use __________ as a form of communication. You should respond to crying in a timely manner and use a _________ and _______ tone

crying
soothing and calming

How well did you know this?

Not at all

Perfectly

When communicating with a toddler, you should use _______ the child can recognize, repeat info in simple, consistent terms, allow them to _______ medical equipment, and allow them to participate in _________ play

words
touch
parallel

How well did you know this?

Not at all

Perfectly

When communicating with a Preschooler, you should use _______, puppets, or story telling. You should speak _______ and use simple concrete words. Participate in ___________ play to help open communication. You should prepare them about 1 _______ prior to a procedure

play
honestly
imaginative
hour

How well did you know this?

Not at all

Perfectly

When communicating with a school-age child, you should explain the what, how, and why. You should allow the child to touch and “__________” with medical equipment. You should also use therapeutic ______. You should prepare the child a few _______ in advance for a procedure

practice
play
days

How well did you know this?

Not at all

Perfectly

When communicating with an adolescent, remain ________ and ______________. They may require a detailed __________. Allow time away from _________ to answer questions. Do not force them to talk. Prepare teen up to 1 __________ before a procedure

honest and nonjudgmental
explanation
parents
week

How well did you know this?

Not at all

Perfectly

What are the 3 components of Health Supervision?

Developmental Surveillance and Screening (checkups)
Injury and Disease Prevention
Health Promotion

How well did you know this?

Not at all

Perfectly

The Health Supervision Visit consists of:

________&_________ Assessment
Behavioral / ___________ Assessment
_________ Screening (Vision and Hearing)
Appropriate At Risk Screening
Immunizations
Health Promotion/ Anticipatory Guidance

History and Physical (H&P)
Developmental
Sensory

How well did you know this?

Not at all

Perfectly

What kind of assessment determines the likelihood a child will develop a condition (e.g. led assessment)

Risk Assessment

How well did you know this?

Not at all

Perfectly

What kind of screening consists of a screening of an entire population regardless of the child’s individual risk (e.g. newborn screening, BP, hearing)

Universal Screening

How well did you know this?

Not at all

Perfectly

What kind of screening is completed when a risk assessment indicates the child has one or more risk factors for a certain disorder (e.g. EKG for child who passes out at soccer practice)

Selective Screening

How well did you know this?

Not at all

Perfectly

__________ ____________ focuses on maintaining or enhancing physical and mental health

Health Promotion

How well did you know this?

Not at all

Perfectly

Principal Components focuses on:

Identifying ______ factors for disease
Facilitating ________changes to reduce risk factors
Empowering children to optimize their _______

risk
lifestyle
health

How well did you know this?

Not at all

Perfectly

_____________ _________ focuses on:

Oral health
Healthy weight and activity
Personal hygiene
Safe sun exposure

Anticipatory Guidance

How well did you know this?

Not at all

Perfectly

Diphtheria, Tetanus, and Pertussis

Intramuscular

How well did you know this?

Not at all

Perfectly

Haemophilus influenzae type B

Intramuscular

How well did you know this?

Not at all

Perfectly

Hep A and B

Intramuscular

How well did you know this?

Not at all

Perfectly

Pneumococcal (PCV) and Influenza

Intramuscular

How well did you know this?

Not at all

Perfectly

Human papillomavirus (HPV)

Intramuscular

Meningococcal Conjugate vaccine

Intramuscular

Influenza

Intramuscular

Measles, mumps, rubella (MMR)

SubQ

Polio (IPV)

SubQ

Varicella (Chicken pox)

SubQ

Meningococcal polysaccharide vaccine

SubQ

Rotavirus

Oral

History taking consists of the following: - _____ ________ (CC) - History of _____ ______ (HPI) - Allergies, Medications - Past Medical History and Perinatal History - Family History (FH) - ______ & ____________ - _________ history in female patients - ________ activity in adolescent patients

Chief Complaint Present Illness Growth and Development Menstrual Sexual

Functional History consists of: - Diet/_____ - 24 hour recall - Routine healthcare, vision/hearing, immunizations, dental care - _______ Activity - daily routine - _____ behavior and bedtime - Relationships, safety, and home environment

Nutrition Physical Sleep

Growth Measurements - Up to 24 months: Length and weight should be taken with the patient ________ ______ - Up to 36 months: The patient will have their ______ __________ measured

Lying Down Head circumference

Physiologic Measurements: **6**

Temperature (Axillary) Heart Rate Blood Pressure Respiratory rate (Full minute) Pain Pulse Ox

As a patient grows, their - Respirations will ______ - Blood pressure will ______ - Heart Rate will_______

Decrease Increase Decrease

HR for an infant

80-150

HR for a toddler

70-120

HR for a preschooler

65-110

HR for school age

60-100

HR for an adolescent

55-95

RR for an infant

25-55

RR for toddler

20-30

RR for Preschooler

20-25

RR for School Age

14-26

RR for adolescent

12-20

Physical Assessment Includes: - General __________ - Skin - Hair, nails, Hygiene - _______ nodes - Head and neck - ____ ____ ____ ____ (EENT) - Chest - Heart - Lungs - Abdomen - _________ (only expected for infants) - Back and extremities - Neuro assessment

Appearance Lymph Eyes, ears, nose, throat Genitalia

The posterior fontanel closes up around __ months

The anterior fontanel closes up around ___months

The Cover-Uncover test is used to test for:

Strabismus

Heart murmurs are uncommon in children and should be treated as an emergency (True or False)

False - Murmurs are common in children and are usually not an emergency

The _______ scale is used for both males and females to measure sexual development

Tanner

You should never mix medication with formula (True or false)

TRUE- you should never mix meds with formula because the child will associate the bad taste with their formula and will now want to take it anymore

The ______ _________ or anterolateral thigh is used as the injection site for infants up to 24-36 months

vastus lateralis

The ________ is used as the IM injection site for children >3years

deltoid

Any amount that is >__mL should be divided between injection sites

_______ checks for IVs with documentation is crucial

HOURLY

Indicators of pain in infants include:

Behavioral ( Facial expressions, body movements, crying) and Physiologic signs ( changes in HR, RR, BP)

Nonpharmacologic techniques for pain management: - R - D - Guided Imagery - Biofeedback - Thought Stopping - Positive Self Talk

Relaxation Distractions

Biophysical Techniques for Pain Management : - Sucking and s______ (infants) - _____&______ application - Massage and pressure

sucrose heat and cold

________ should NOT be used in infants or children for analgesic or antipyretic purposes -- high risk of Reye syndrome _______ are first-line agents for those under 6 months old

Aspirin NSAIDs

Brachial pulses are felt in _______ for emergency situations

Infants

Carotid and femoral pulses are felt in ________ for emergency situations

Children

In an emergency, use the _____ ________ on the wall, not the call bell

Code button

Expects obedience and follow family rules. Discourages children from questioning the family rules Child is never allowed to watch TV on school nights

Authoritarian

Democratic style, respect for the child's opinion. Allows children to be different. Firmly enforces family rules and standards without emphasizing punishment Child is able to watch TV on school nights after completing chores and homework

Authoritative

Laissez-faire; little control over the behavior of their children. Rules or standards may be inconsistent, unclear, or nonexistent. Discipline can be lax, inconsistent, or nonexistent Child assists with deciding whether they will watch TV

Permissive

Indifferent and emotionally removed. Do not provide rules or standards. The child's basic needs are often met, but the parent is disconnected from the child's life. Child watches TV whenever they want

Uninvolved/ Rejecting/ Neglecting

Even-tempered, predictable behavior, and positive attitudes

Easy Tempered

Hyperactive at times, intense emotions/ behaviors, and gets frustrated easily or withdraws to new experiences

Difficult Temper.

Moody, less active, irregular reactions to events, reacts to new experiences indifferently, and sometimes needs more time to adjust

Slow to warm up temper.

Term that refers to the number of individuals that have died

Mortality

Term that refers to the measure of the prevalence of disease or degree of disability

Morbidity

Accidents Congenital malformations, deformations, chromosomal abnorm. Assault (homicide) Leading causes of death in children ages :

1-4 years old

Accidents Cancer Congenital malformations, deformations, chromosomal abnorm. Leading causes of death in children ages:

5-9 years old

Accidents Intentional self harm Cancer Leading causes of death in children ages:

10-14 years old

Drug _____ is the same in children as it is in adults

Action

What kind of assessment determines the likelihood a child will develop a condition

Risk Assessment

What kind of screening is of an entire population regardless of the child's individual risk (e.g. newborn screening, hearing, BP)

Universal Screening

What kind of screening is performed when a risk assessment indicates the child has one or more risk factors for a disorder

Selective Screening

Where do you feel for a pulse in an infant?

Brachial pulses

Where do you feel for a pulse in a child?

Carotid/ femoral

This type of permission is obtained from PARENTS

Consent

This type of permission is obtained from the CHILD

Assent

_________ is teaching and rewarding desirable behavior and decreasing or eliminating undesirable behavior -- an ongoing process

Discipline

__________ is a negative consequence applied for undesirable behavior -- no teaching

Punishment

What pain scale is a behavioral pain assessment used for nonverbal or preverbal patients who are unable to self-report their level of pain

**FLACC** Face Legs Activity Cry Consolability

What pain scale is for ages 3+ and used emoticon-like faces

FACES

What pain scale is for ages 3+ and used actual photos of children ** must know number values for this pain measurement

OUCHER

The ________________ __________ pain checklist is used for children 3+. Behaviors are observed for 10 minutes the 6 subcategories are rated 0-3

Noncommunicating Children's

Peds Exam 1 Front Loading Flashcards

(92 cards)