Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pediatrics > Week 2, Class 2 (9/8) > Flashcards

Week 2, Class 2 (9/8) Flashcards

1
Q

What are the stages of play?

A

Unoccupied, solitary, onlooker, parallel, associative, and cooperative.
U SO PAC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Unoccupied stage of play

A

0-3 months
Random movements with no purpose. First development of play.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Solitary stage of play

A

0-2 years, infant
Independent play. Child entertaining themselves.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Onlooker stage of play.

A

2 years, infant
Observes others play without joining in.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Parallel stage of play

A

2-3 years, toddler
Plays alongside others but engages in their own play.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Associative stage of play

A

2-3 years, preschooler
Children play separately from each other but still make social contact by talking, sharing, and doing the same activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Cooperative stage of play

A

4-6 years, school-age
Child plays in pairs or groups doing the same activity, with similar goals.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Increased BMI increases the risk for what diseases among children?

A

Type 2 diabetes mellitus, HTN, Dyslipedemia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does WET FROG stand for?

A

Wheezing, Effort, Tachypnea
Flaring, Retractions, Oxygenation, Grunting.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Acute Streptococcal Pharyngitis

A

Infection of upper airway.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Assessment findings for Acute Streptococcal Pharyngitis

A

Abrupt onset characterized by HA, fever, abdominal pain, and pharyngitis.
Tonsils and pharynx can become inflamed and covered with exudate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How to test for Acute Streptococcal Pharyngitis

A

Rapid antigen testing or throat culture.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Treatment for Acute Streptococcal Pharyngitis

A

Penicillin or Erythromycin. Need 10 day treatment to decrease risk for complications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Acute Streptococcal Pharyngitis increases risk for ?

A

Acute rheumatic fever, acute glomerulonephritis, scarlet fever.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Tonsillitis assessment findings

A

Persistent or recurrent sore throat
Enlarged bright red tonsils
Difficulty swallowing
Fever
Cough
Unpleasant odor on the breath

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Adenoiditis assessment findings

A

Nasally speech
Mouth breathing
Hearing difficulties
Snoring or obstructive sleep disorders

17
Q

Nursing considerations for Tonsillectomy and Adenoidectomy before surgery

A

Watch for signs of an active infection
*Assess the child for loose teeth to decrease the risk of aspiration during surgery.

18
Q

Considerations for Tonsillectomy and Adeniodectomy after surgery

A

DO NOT SUCTION unless air way is obstructed
*Watch for signs of hemorrhage (excessive swallowing, restlessness, increased pulse, decreased BP, vomiting of bright red blood)
Place child in PRONE or side lying position. Increase HOB when awake
Keep throat moist with ice chips and sips of water
Discourage coughing or clearing of the throat

19
Q

Considerations for Tonsillectomy and Adeniodectomy after surgery (cont.)

A

Provide clear, cool, non-carbonated and non citrus fluids
AVOID milk products and red liquids

20
Q

Epiglottis is what kind of situation?

A

Emergent situation
Prepare for possible intubation
Maintain NPO status

21
Q

Epiglottis assessment findings

A

Tripod positioning
High fever
Inflamed/ sore throat
Drooling
Muffled voice
Retractions and inspiratory stridor

22
Q

Nursing considerations for Epiglottis

A

Maintain a patent airway
* Ensure child is up to date with immunizations (Hib)
NO oral temperature or throat cultures
NPO status

23
Q

CROUP assessment findings

A
  • Inspiratory stridor and retractions *
    Low grade to high fever
    Hoarseness
    Seal bark
    Brassy cough
    Crackles and wheezing on auscultation
24
Q

CROUP nursing considerations

A

*Cool mist humidifier
IV fluids to maintain hydration (if needed)
DO NOT give cough syrups or cold medications

25
Q

CROUP treatment

A

Administer bronchodilators and corticosteroids
*Heliox (mix of helium and oxygen) helps reduce work of breathing

26
Q

Peak age for RSV

A

3 months of age

27
Q

RSV precautions

A

Contact precautions if secretions are present
If no secretions droplet precautions

28
Q

RSV Assessment findings

A

Intermittent fevers
Tachypnea, nasal flaring, and retractions
Upper respiratory infection symptoms
Lethargy, poor feeding, irritability in infants
Pharyngitis
Coughing
Wheezing
Sneezing

29
Q

RSV Considerations

A

Position 30-45° angle with neck slightly extended
Periodic suctioning with bulb syringe
Encourage fluids

30
Q

What is it called when you put two patients with the same disease in the same room?

A

Cohort

31
Q

Prevention/treatment of RSV

A
  • Administer palivizumab (Synagis)
    Encourage breast feeding to increase immunity

Pediatrics (20 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions