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Flashcards in Unit 1 Deck (47):
1

At what point do the posterior fontanelles close?

2 months

2

At birth a babies weight is 3.5kg, and at 6 months its now 8kg. Is this normal and why?

Yes; baby's weight typically doubles within the first 6 months

3

Dad has twins, 1 boy and 1 girl, the girl is taller. Is this ok?

Yes

4

When applying permethrin 5% cream for scabies, how should you apply it?

Cover the whole body below the neck

5

When a patient is taking permethrin 1% for head lice, what indicated further teaching is needed?

"I should leave this in my hair for 24 hours"

6

A 4 yr old is giving blood, what should you do after?

-Put a bandaid on it

(age in which they think that all their blood may run out of one cut/opening)

7

Pt has a cast for a broken arm, what is an emergency?

-Skin is blue, cold and tingling

8

What is typical for a pt with clubbed foot?

Weekly adjustments of the casts

9

What is the typical presentation of bryant's traction?

-Butt elevated to provide counter traction

10

What is the post prevalent sign of scoliosis?

-Pt bends over and one shoulder is higher (NOT PALPATING SPINE!)

11

Fifths Disease--->

Slapped face, no treatment

12

What is a common fine motor skill of a 2 yr old?

Turn pages of a book

13

If family is remarried--->

Redefined family role

14

Definition of family-->

Unique to each person

15

Young daughter telling mom to go get hit by a car

Normal and don't get too upset

16

Teenager going in for mengicoccal

Concerned about friends and body image

17

Adolescent in the hospital, what should you do as a nurse?

Teach them and give them options during care

18

4 yr old with diabetes, what can you do as a nurse?

-Let them choose the injection site

19

How do you test for pinworms in toddlers?

-Tape to the butt

20

Important information about treating a pt with Mebendezole for pinworms?

The whole family must be treated

21

How do you treat impetigo?

-Remove scabs and apply antibiotic

22

SATA about baby

-Talk to baby before leaving
-Give toy
-Don't let baby know you're leaving until right at end

23

6 month old, what can you feed them?

-Rice cereal; d/t risk of allergies

24

Put play style in order...

-solitary, parallel, dramatic, competitive

25

Kid that collects stuff, swims, does projects at school (Erikson's stuff)-->

That is normal for that age

26

Varicella.. location and route--->

SubQ and deltoid

27

6 month old gets a DTAP... route and location-->

IM, Vastus lateralis

28

How much acetaminophen can you give a baby after immunizations?

MAX Q4 Dose

29

Baby diaper rash, caused by what?

Candidiasis

30

When taking Griseofulvin, what pt teaching?

Give with milk and peanut butter per high fat

31

Kid scrapes his arm, what should you do?

Wash with soap and water (NOT peroxide)

32

Further teaching for poison ivy?

-Don't rub it with soap and lots of washing

33

What is important teaching on kid with a cast?

Don't be overly physically active

34

What lab is typical for someone who has osteomyelitis?

ESR elevated

35

What is common for a child in Autonomy stage?

-Climbing trees, turning music off, picking up toys

36

Readiness for potty training?

-Please parents, more control of anus/sphincter muscles, recognizes urge (also stays dry for 2 hours, NOT 1 hour)

37

Kid in spica cast, what kind of toys to give them?

Colored blocks

38

Osteomyelitis, needs for further teaching?

-Antibiotics for 1-2 weeks

39

Legg Calves perthes teaching

Keep weight off affected limb

40

Asian lady... cultural respect

No eye contact

41

??? on meds

3mL, not safe, 2g is max!

42

If kid in Pavlek harness, he gets diaper dirty, can you take it off to clean?

Yes but for a short time to clean

43

Prep teaching for scoliosis surgery

- Indwelling catheter in post-op period

44

SATA for hip displasia

-Positive ortoloni, telescoping legs, and (one of these other possibilities)

-Shortening of limb on affected side
-Restricted abduction of hip
-Unequal gluteal folds
-Positive barlow test
-Trenelenburg sign
-Marked lordosis and waddling gait

45

SATA, pt teaching:

Don't put child walker close to the stairs

46

Child is 6 months, parents need further teaching?

-Child sitting unsupported at 8 months

47

Child is having teeth pain, intervention?

-COLD chew ring