Flashcards in Unit 1 Deck (47):
At what point do the posterior fontanelles close?
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
Dad has twins, 1 boy and 1 girl, the girl is taller. Is this ok?
When applying permethrin 5% cream for scabies, how should you apply it?
Cover the whole body below the neck
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"
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)
Pt has a cast for a broken arm, what is an emergency?
-Skin is blue, cold and tingling
What is typical for a pt with clubbed foot?
Weekly adjustments of the casts
What is the typical presentation of bryant's traction?
-Butt elevated to provide counter traction
What is the post prevalent sign of scoliosis?
-Pt bends over and one shoulder is higher (NOT PALPATING SPINE!)
Slapped face, no treatment
What is a common fine motor skill of a 2 yr old?
Turn pages of a book
If family is remarried--->
Redefined family role
Definition of family-->
Unique to each person
Young daughter telling mom to go get hit by a car
Normal and don't get too upset
Teenager going in for mengicoccal
Concerned about friends and body image
Adolescent in the hospital, what should you do as a nurse?
Teach them and give them options during care
4 yr old with diabetes, what can you do as a nurse?
-Let them choose the injection site
How do you test for pinworms in toddlers?
-Tape to the butt
Important information about treating a pt with Mebendezole for pinworms?
The whole family must be treated
How do you treat impetigo?
-Remove scabs and apply antibiotic
SATA about baby
-Talk to baby before leaving
-Don't let baby know you're leaving until right at end
6 month old, what can you feed them?
-Rice cereal; d/t risk of allergies
Put play style in order...
-solitary, parallel, dramatic, competitive
Kid that collects stuff, swims, does projects at school (Erikson's stuff)-->
That is normal for that age
Varicella.. location and route--->
SubQ and deltoid
6 month old gets a DTAP... route and location-->
IM, Vastus lateralis
How much acetaminophen can you give a baby after immunizations?
MAX Q4 Dose
Baby diaper rash, caused by what?
When taking Griseofulvin, what pt teaching?
Give with milk and peanut butter per high fat
Kid scrapes his arm, what should you do?
Wash with soap and water (NOT peroxide)
Further teaching for poison ivy?
-Don't rub it with soap and lots of washing
What is important teaching on kid with a cast?
Don't be overly physically active
What lab is typical for someone who has osteomyelitis?
What is common for a child in Autonomy stage?
-Climbing trees, turning music off, picking up toys
Readiness for potty training?
-Please parents, more control of anus/sphincter muscles, recognizes urge (also stays dry for 2 hours, NOT 1 hour)
Kid in spica cast, what kind of toys to give them?
Osteomyelitis, needs for further teaching?
-Antibiotics for 1-2 weeks
Legg Calves perthes teaching
Keep weight off affected limb
Asian lady... cultural respect
No eye contact
??? on meds
3mL, not safe, 2g is max!
If kid in Pavlek harness, he gets diaper dirty, can you take it off to clean?
Yes but for a short time to clean
Prep teaching for scoliosis surgery
- Indwelling catheter in post-op period
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
-Marked lordosis and waddling gait
SATA, pt teaching:
Don't put child walker close to the stairs
Child is 6 months, parents need further teaching?
-Child sitting unsupported at 8 months