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Test 4 Family Nursin
Test 4 Family Nursing
Question | Answer |
---|---|
Temp. Birth-1 year | Axillary 97.7-98.9 |
Temp. 1-12 | Oral 98.1-99.9 |
Temp. 12 years and older | Oral 97.8-98.0 |
Pulse Birth - 1 week | 100-160 |
Pulse 1week-3 months | 100-220 |
Pulse 3 months - 2 years | 80-150 |
Pulse 2-12 years | 70-110 |
Pulse 12 years and older | 50-90 |
Resp. Newborn | 30-60 with short periods of apnea(less than 15 sec.) |
Resp. Newborn- 1 year | 30 |
Resp. 1-2 years | 25-30 |
Resp 2-6 years | 21-24 |
resp. 6-12 years | 19-21 |
Resp 12 years and older | 16-18 |
Erect head posture is expected in infants after | 4 months of age |
The posterior fontanels usually close between | 2 and 3 months of age |
The anterior fontanels usually close between | 12 and 18 months of age |
Irises should be round with permanent color manifesting around | 6-12 months of age |
Infants should have 6-8 teeth by | 1 year of age |
Females breast typically develope between | 10-14 years of age |
Ibuprophen should be used only in infants over | 6 months |
Clean infants teeth using | cool, wet washcloth |
Breastfeeding provides a complete diet for infants during the first | 6 months of age. Iron fortified rice cereal should be added first |
New foods should be introduced one at a time over a | 5-7 day period to observe for signs of allergy or intolerance. |
Intolerance to new foods may include | fussiness,rash,vomiting,diarrhea, and constipation |
Milk,eggs,wheat,citrus fruits,peanuts,peanut butter,and honey should be delayed until | The first year of life |
Table foods that are cooked,chopped,and unseasoned are appropriate by | 9 months of age |
Infants should be placed in approved rear-facing car seat | Preferably in the middle(away from air bags and side impact |
Infants should be in rear-facing car seats for the first year of life and until they weigh | 20lbs |
Weight-At 30 months of age, toddler should weigh | 4 times their birth weight |
Height- Toddler grows about | 3 inches a year |
Age 15 Months | Walks without help,creeps up stairs,uses a cup well,Builds a tower of 2 blocks |
Age 18 Months | Assumes a standing position,Manages a spoon without rotation,Turns pages in book,2-3 at a time |
2 Years | Walks up and down stairs,Builds a tower of 6-7 blocks |
2-5 Years | Jump in one place with both feet,Draws circles,Has good hand-finger coordination |
Parenting Styles | Dictational,Permissive,Democratic |
Dictational | Parents try to control the child behavior and attitudes through unquestioned rules and expectations.Ex Cant watch TV on school night |
Permissive | No control over the childs behavior.Ex.The child may watch TV whenever he wants to |
Democratic | Setting rules and explaining the reason for each rule setting.Ex.The child may watch TV if homework is completed |
Geogram | Medical history for parents,siblings,aunts,uncles,and grandparents |
Structure | Members in the family(mother,father,son) |
Pain may be considered the | 5th vital sign |
Family and friends may decrease sensitivity to pain by | Staying with the child |
CRIES Neonatal Postoperative Scale 0-10 | crying,changes in V/S,changes in expression,Altered sleeping patterns.32 wks gestation to 20 weeks of life |
Faces Pain Rating Scale 3 years and older | Rating scale uses drawings of happy and sad faces to depict levels of pain. |
Visual Analog Scale Pain is on a scale of 0-10 7 years and older | Child points to the number that best describes the pain he is experiencing. |
Non-communicating-Childrens Pain Checklist 0-18 | Behavior indicators,vocalization,socialization,Facial Expressions,activity level,movement of extremities physiological changes |
Give medications routinely versus PRN to | Manage pain that is expected to last for an extended period of time |
Families should be considered clients when | Child is ill |
Seperation anxiety during hospitalization manifest in 3 behavioral responses | 1.Protest(screaming)2.Despair(developmental regression)3.Detachment(lack of interaction with unfamiliar people) |
Play activities r/t age.Birth-3 month | Visual and Auditory stimuli |
3-6 months Play | Noise making objects and soft toys |
6-9 months Play | Teething toys and social interaction |
9-12 Months Play | Large blocks,toys that pop apart,and push and pull toys |
Toddlers | Cloth books,Large crayons and paper,push and pull toys,trycycle,balls,puzzles with large pieces,videos for children |
Preschool | Drawing,painting,riding a tricycle,swimming,jumping,and running |
School-Age Children | Games(alone or with another person)Team sports,Arts and crafts,collections |
Adolescents | Team sports,school activities,Reading and listening to music,musical insturments,collections |
Therapeutic Play | Makes use of dolls and stuffed animals,Encourage the acting out of feelings of fear,anger,hostility and sadness.Enables child to learn coping strategies in a safe enviroment |
Infant/Toddler(Birth-3) | Have little to no concept of death(may regress to an earlier stage of behavior) |
Preschool Children(3-6) | Views death as temporary because they have no concept of time. |
School-age Children(6-12) | Begins to have an adult concept to death.Usually applies to children 9-12 |
Adolescents(12-20) | May have an adult like concept to death.Rely more on their peers rather than the influence of their parents |
Maltreatment Risk Factors | The child is under 3 years of age,premature, or physically disabled |
Shaken Baby Syndrome- Shaking may cause Intracranial hemorrhage.Assess for | Resp. Distress,Bulging Fontanels,Increased head circumference,Retinal Hemorrhage |
If bruising is present in an infant before 6 months of age, it should be deemed as | Suspicious by the nurse |
Failure to thrive | Less than 5th percentile on the growth chart for weight |
Mandatory reporting is required of all health care providers,including suspected or actual cases of child abuse. | There are civil and criminal penalties for not reporting |
Live Virus Vaccine(contagious for 2 weeks)Dont give to immunocompromised | MMR,Chicken Pox(Varicella)Oral Polio,Oral Rotavirus |
Naturally Aquired Immunity | When you get the measles and then you are immuned |
Artificially Aquired Immunity | Measle Vaccine |
Passive Immunity | From Mom to Baby |