Special populations - Ch 27-28 kids and elderly Flashcards Preview

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Flashcards in Special populations - Ch 27-28 kids and elderly Deck (42)
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1

what is the Denver Developmental Screening Test II (DDST-II)

considered the standard criterion for the developmental evaluation of children aged 1 month to 6 years.
It evaluates four developmental areas of interest: personal/social, language, fine motor/adaptive, and gross motor.

2

How much exercise is recommended for young people

at least 3 days/week for at least 20 minutes

3

what are the Tanner stages

defines 5 different levels of sexual maturity, based on the development of primary (genitalia) and secondary sex (pubic hair and breasts) characteristics.

4

at what age do you begin routine BP measurements w/ a cuff and sphygomomanometer?

3 years old

5

for children, choose a BP cuff that covers ____ of the child's upper arm

80%

6

Why do we measure the head circumference in children?

• Measuring head circumference, especially during the first 3 years, may identify neurological abnormalities as well as malnutrition. It can lead to early diagnosis of preventable conditions.

7

Lymph nodes are frequently palpable in children but they should be

small, cylindrical, movable, and nontender

8

The lymphatic system grows exponentially between _____ and ____ years and reaches adult size around _____years

6 and 12, 12 years of age

9

esotropia

cross-eyed

10

exotropia

eye misalignment, eyes turn outward

11

normal vision finding for a toddler

Normal visual acuity in preschoolers is 20/40, improving to 20/30 or better by 4 years old. By 5–6 years old, normal visual acuity should approximate that of adults (20/20 in both eyes).

12

In children, ear deformities are often connected to _____ deformities.
Why?

kidney problems.

Why? Bc organogenesis for both ears and kidneys occurs about the same time in utero

13

Ear exams in children

In the child younger than 1 year, pull the pinna down and toward the face to straighten out the ear canal and promote visualization of the tympanic membrane.
If 1–2 years of age, pull straight back on the pinna to straighten the ear canal for visualization of the tympanic membrane.
If 2–3 years of age, pull up and back on the top of the pinna to visualize the tympanic membrane

14

eustachian tube in a child is

more horizontal than adults, making them more prone to otitis media (inflammation of the ear).
This is why you should never put your child to sleep with a bottle!

15

what is the most common infectious disease in childhood?

dental caries

16

Lower airway diameters in children are

approximately half that of adults, which contributes to increased wheezing and pneumonia

17

Coarctation (congenital narrowing of a short section of the aorta) can present with

unequal pulses between the upper and lower extremities

18

innocent murmurs are associated with

normal 1st and 2nd heart sounds (S1 & S2)
They occur in systole, are brief and well localized, and are usually heard near the left sternal border.

19

Early onset of puberty at what age in children is worrisome

onset of puberty before 8 yrs in girls and 9 yrs in boys may need further investigation

20

Wilms tumor

malignant kidney tumor common in children, occur in toddlers and early school-age children

21

Hypospadias

congenital condition in males where urethra is located on the underside of the penis

22

when are head and chest circumferences measured in children?

from birth to 3 years of age

23

older adults heal more slowly because of

slower growth of new cells

24

geriatric syndromes include

nutritional changes, mobility impairment, falls, polypharmacy, and skin breakdown

25

how is the skin of an older adult different?

it has increased wrinkling and is thinner, less elastic, and drier

26

Senile ptosis

the long-term effects of gravity and aging cause stretching of a wide, tendon-like tissue that helps the levator muscle lift the eyelid. Although both eyes usually are affected, drooping may be worse in one eye

27

UNEXPECTED findings in the mouth of an older adult include

pallor, malodorous breath, poor dentition, and candidiasis

28

respiratory changes in an older adult

The older adult has a less elastic chest wall, decreased respiratory muscle strength, loss of alveolar recoil, and increased residual volume

29

Circulatory changes in an older adult

Arterial walls are less elastic and stiffer, causing increased systolic blood pressure, increased ventricular wall hypertrophy, decreased coronary blood flow, reduced cardiac output, and increased circulating catecholamines

30

Gastrointestinal changes (in older adults) include

slowed peristalsis, reduced hepatic flow, and decreased metabolism of drugs on the first pass.