WEEK 9 Flashcards

1
Q

What are the principles of Growth and
Development?

A

*Growth
* Development
* Maturation
* Cognitive development

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2
Q

Stages of Growth and Development

first 28 days of life?

A

Neonate

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3
Q

Stages of Growth andDevelopment

birth to 1 year

A

Infancy

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4
Q

Stages of Growth and Development

1 to 3 years?

A

Toddler

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4
Q

Stages of Growth and Development

3 to 6 years?

A

Preschooler

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5
Q

Stages of Growth and Development

: 6 to 10 years?

A

School-ager

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6
Q

Stages of Growth and development

10 to 13 years

A

Prepuberta

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7
Q

Stages of Growth and

13 to 18 + years?

A

Adolescent

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8
Q

Freud’s Psychoanalytic Theory

Infancy
* Interested in oral stimulation
* Mouth is the site of pleasure
* They suck for enjoyment and release of tension and also
for nourishment

A

ORAL PHASE

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9
Q

Freud’s Psychoanalytic Theory

Toddlerhood
* Interest focus on the anal region
* They begin toilet training
* Pleasure in both the retention of feces and defecation
* Self discovery, exerting independence?

A

ANAL PHASE

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10
Q

Freud’s Psychoanalytic Theory

Preschooler
* Genitals is the pleasure zone
* Masturbation is common
* May show exhibitionism

A

PHALLIC PHASE

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11
Q

Freud’s Psychoanalytic Theory

School-Age
* Libido appears to be diverted into concrete thinking
* No developments as obvious as with earlier periods

A

LATENT

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11
Q

Freud’s Psychoanalytic Theory

Adolescence
* Main event is the establishment of new sexual aims
* Finding new love objects

A

GENITAL PHASE

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11
Q

Psychosocial Development (Erikson)

(1-3 yrs)
* Increasingly independent in many spheres of life
* Nurses should allow for self care & imitation

A

Autonomy vs. Shame & Doubt

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12
Q

Psychosocial Development (Erikson)

(3-6 yrs)
* Learns to initiate play activities.
* Nurses should encourage to explore environment with
senses, promote imagination?

A

Initiative vs. Guilt

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13
Q

Psychosocial Development (Erikson)

(6-12 yrs)
* Learns self worth as a workers & producers
* Allow children to compete and cooperate

A
  • Industry vs. Inferiority
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14
Q

Psychosocial Development (Erikson)

(birth to 1 year)
* Establishes a sense of trust when basic needs are met
* Nurses should provide consistent, loving care

A

Trust vs. Mistrust:

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15
Q

Psychosocial Development (Erikson)

(12-18 yrs)
* Forms identity and establishment
of autonomy from parents
* Peers, society has big influence
* Encourage peer visitation, texting, phone call?

A

Identity vs. Role Confusion

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16
Q

Intellectual or Cognitive Development (Piaget)

(birth to 2)
* learns from movement and sensory input.
* learns cause & effect?

A

Sensorimotor

17
Q

Intellectual or Cognitive Development (Piaget)

(2 to 7)
* Increasing curiosity and explorative behavior.
* Thinking is concrete
* Egocentrism

A

Preoperational

18
Q

Intellectual or Cognitive Development (Piaget)

(11 to 15 to adulthood)
Acquisition of abstract reasoning leading to
Analytical thinking
Problem solving
Planning for the future?

A

Formal Operations

18
Q

Intellectual or Cognitive Development (Piaget)

(7 to 11)
* Logical & coherent thought
* Can distinguish fact from fantasy?

A

Concrete Operational

18
Q

What are the factors Influencing Growth and
Development

A

Genetics
* Gender
* Health
* Intelligence
-Temperament
Reaction patterns
* Activity level
* Rhythmicity
* Approach
* Adaptability
* Intensity of reaction
* Distractibility
* Attention span and persistence
* Threshold of response
* Mood quality
* Environment
* Socioeconomic level
* Parent–child relationship
* Ordinal position
* Health
* Nutrition
* Impacts
* Physical growth
* Health maintenance
* Cognitive development

19
Q

What are the nursing Care Implications of
Stages of Growth and
Development?

A
  • Predictable
  • Measureable (objective)
  • Physical; emotional; cognitive
  • Impact patient teaching
  • Impact nursing care strategies
20
# Nursing Care Implications of Diet and Nutrition What are the components of healthy diet?
* Protein * Carbohydrates * Fat * Vitamins * Minerals
21
What are the adequate nutrition in vegetarian diets?
* Protein * Calcium * Iron * Vitamins and minerals * Total calories*
22
What are the MyPlate guidelines?
* Variety of foods * Balance; portion size; physical activity * Grain products, fruits, and vegetables * Diet low in fat, saturated fat, and cholesterol * Moderate: sugars, salt/sodium, alcohol
23
Other examination includes?
-Head and Neck Lymph Node Chains -Intercostal (Between Rib) Spaces -Chest Contours
23
What are the purpose for Health Assessment?
* To gather information that will direct physical or laboratory examinations to complete a thorough health evaluation * To elicit facts such as parental problems in childrearing or detection of future health problems * To lay foundation for health education and health promotion
23
Health History: Database
1. Interview setting * Types of questions * Closed ended * Open ended * Compound * Expansive * Leading 2. Health interview * Introduction and explanation * Demographic data * Chief concern * History of chief concern * Duration; intensity * Frequency; description * Associated symptoms; actions taken 3. Health and family profile * Day history * Play * Sleep * Hygiene * Nutrition 4. Past health history * Including pregnancy history * Family health history * Review of systems
24
Techniques for Health Assessment?
-Health interview -Examinations(* Physical * Vision * Hearing * Speech) - Appraisals (* Developmental * Intelligence * Temperament * Immunizations * Informing patient/patient’s parents of results)
25
Physical Examination includes?
Inspection, Palpation, Percussion, and Auscultation * Equipment, setting, and approach * Variations for age and developmental stage * Newborn * Infant * School-age child * Adolescent * Body measurements * Weight * Height * Head circumference * Chest and abdominal circumference * Assessments * Skin * Head * Eyes * Conjunctivitis * Hordeolum * Ptosis * Strabismus * Esotropia * Exotropia * Nose * Ears * Alignment * Otoscopic exam * Ear canal * Malleus of the inner ear * Tympanic membrane * Signs of infection * Mouth * Appearance, for symmetry and color of lips * Number and condition of teeth * Condition of gums, tongue, uvula, epiglottis, and tonsils * Neck * Heart * PMI * Heart sounds * Rhythm * Newborn, infant, and toddler * School-age child and adolescent * Abdomen * Newborn and infant * Preschooler and school-age child * Genitorectal area * Female genitalia * Male genitalia * Inguinal hernia * Extremities * Back * Neurologic function * Reflexes * Motor and sensory Major reflexes elicitation
26
Vision assessment includes?
* Vision screening * Techniques * Snellen chart * Preschool E chart * National Association for the Prevention of Blindness Home Test * Allen cards * STYCAR cards * Titmus Vision Tester * Color vision discrimination testing * Vision referrals
27
Hearing assessment includes?
* Auditory screening * Newborn and infant * Older children * Principles of audiometric assessment * Frequency * Loudness * Principles of audiometric assessment—(cont.) * Hearing loss * Acoustic impedance testing * Conduction loss testing
28
Speech Assessment includes?
* Denver articulation screening * Administration * Scoring
29
Intelligence Appraisal includes?
* Wechsler Intelligence Scale for Children * Stanford–Binet test * Goodenough-Harris Drawing test
29
What are the types of communication?
* Nontherapeutic * Therapeutic * Components * Encoder * Code * Decoder * Feedback or response * Development of language * Levels of communication * First level * Second level * Third level * Fourth level * Fifth level * Nonverbal * Distance * Genuineness * Warmth * Empathy * Gestures * Nonverbal—(cont.) * Body posture and gait * General appearance * Touch * Humor * Drawings * Music * Therapeutic communication * Attentive listening * Open-ended questions * Reflecting * Clarifying * Paraphrasing * Therapeutic communication—(cont.) * Perception checking * Focusing * Supportive statements * Silence * Process recording
29
Immunizations include?
* Types * Available vaccines * Diphtheria, tetanus, pertussis (DTaP) * Polio * Measles, mumps, rubella (MMR) * Hepatitis B (HBV) Available vaccines—(cont.) * Hepatitis A * Rotavirus * H. influenzae type B (Hib) * Varicella * Pneumococcal pneumonia * Human papillomavirus (HPV) * Meningococcal vaccine * Available vaccines—(cont.) * Lyme disease * Influenza * Anthrax and smallpox
30
Temperament Appraisal?
* Child’s innate behavioral characteristics * Activity level * Rhythmicity * Tendency to approach or withdraw * Adaptability to situation
31
Health teaching includes?
* Art of teaching * Teacher–learner relationship * Art of learning * Types of learning * Influence of age and stage
32
What are the factors interfering with communication?
1. Age and developmental level * Intellectual level * Physical factors * Technical terminology * Showing disapproval * Not showing approval when warranted * Being defensive * Cliché advice * Topping off 2. Special communication skills * Shy child * Angry child * Demanding child * Sexually aggressive adolescent * Child who is not English proficient * Unconscious child * Hearing-challenged child * Vision-challenged child
32
What are the areas of assessment?
* Sociocultural values * Attention span * Lifestyle * Learning style * Language level * Current knowledge * Intellectual capability * Physical capabilities * Psychological or emotional capabilities
32
Teaching plan includes?
1. Formulating the plan * Identifying personal strengths and limitations * Preparing expected outcomes * Identifying teaching formats * Formal versus informal * Group versus individual * Alternative versus institutional setting 2. Teaching strategies * Lecture * Demonstration * Redemonstration * Discussion * Role modeling * Behavior modification 3. Teaching tools * Visual aids * Pamphlets * Learning games * Videotapes, slides, and films * Puppets and dolls * Health fairs 4. Implementing the plan * Designated teachers * Parent education 5. Evaluating effectiveness of teaching
33
# Categories of temperament Children are rated as "easy to care for" if they have a predictable rhythmicity, approach and adapt to new situations readily, have a mild-to-moderate intensity of reaction, and have an overall positive mood quality?
THE EASY CHILD
33
# Categories of temperament Some characteristics of both easy and difficult groups are present?
THE INTERMEDIATE CHILD
33
# Categories of temperament Children are "difficult" if they are irregular in habits, have negative mood quality, and withdraw rather than approach new situations. Only about 10% of children fall into this category?
The Difficult child
34
# Categories of temperament Children fall in this category if, overall, they are fairly inactive, respond only mildly and adapt slowly to new situations, and have a general negative mood?
THE slow -to -warm -Up Child