toddlers, age 2-3 Flashcards Preview

joy's deck for FNP > toddlers, age 2-3 > Flashcards

Flashcards in toddlers, age 2-3 Deck (17):
1

neuroblastoma

mass at adrenal medulla (kidneys)
CROSSES abdomin midline
painful abdominal mass, firm, irregular
1/2 present with metatastic disease
ultrasound, refer to nephrologist

s/s; horner's syndome, perioribital ecchymosis (raccoon eyes)

2

wilm's tumor (nephroblastoma)

DOES NOT CROSS ABDOMIN MIDLINE
1/4 have HTN
higher in black female children, 2-3 yo peak
most common renal malignancy in children

ultrasound

3

epiglotottis

hot potato voice, won't eat or drink
sitting posture with hyperextended neck and open mouth
due to H.influenzae, staph aureus, strep.

REPORTABLE disease, call 911
prophylaxis rifampin for close contacts

4

osteomyelitis

infection of the bone/joint
limping
may effect growth plate, refer to hospital

5

orbital cellulitis

pain with eye movement, fever, buldging eyes
ethmoid sinuisitis, complication of aim, dental infection, rhinosinuisitis
abnormal extraoculur eye mvmt (EOM)
ED for CT or MRI

6

preseptal cellulitis (perorbital cellulitis)

eye movement NO pain, just pain of red woolen eyelids
EOM normal
refer to ed

7

most common cancer/tumor in children

cancer: acute lymphocytic leukemia (ALL) and acute myelogenous leukemia (AML)

wilm's tumor

8

2 years old

stacks six tubes
straight line ( can copy)
2-3 word sentences
stairs ( using same foot)

9

3 years old

draws circle
9 cubes
throw a ball over head
3 numbers, 3 colors
"magical thinking"- imaginary friend
"oepidal stage by freud (phallic), child expresses desire to marry opposite sex.

does not like to share toys
"imgination"

10

5 years old

square
identify and draw 4 body partys

11

6- 7

triangle (6)
diamond (7)
rides a bicycle

12

autism

can appear 18 months, usually 2-6 yo
5 behaviors;
does not point/wave/grasp by 1 yo
no babbling or cooing by 1 year old. does not say single words by 16 mos
does not say 2 word phrase by 2 yo
loss of language or social skills by 2 yo
does not gesture at 1-2 yo (wave, point, grasp)

13

wilms tumor

congenital tumor of the kidneys
does NOT cross midline
more common in black female girls

14

pt hyperextended neck and open mouth breathing

epiglottotis

15

rolls both directions and plays peek abo

9 mos

16

speech of 2 vs 3 yo

2- understood by family members
3- understood by strangers

17

what stage 3-6yo when child wants to marry the parent of the opposite sex

oedipal stage