Exam 5 NUR 404 | Questions with Verified Answers

Exam 5 NUR 404 | Questions with Verified Answers Who is important to the school age child? Parents/authoritarian figures What is the Erickson’s stage for school age children? Industry vs. inferiority- fitting in, following the rules, conforming, social interactions, pride in their achievements How does school boost industry in school age children? Positive reinforcement, feel like they're doing well in school, gaining friends build them up, doing well, schooling, hobbies, and friends What does inferiority look like in the school age group? They don't play a sport, they're not part of a club, they're a loner, have lack of self worth, abused, talked down on If you have a child that's stressed about school, what do you do? Validate and explore their feelings, give them opportunity to talk about their day What are your physical growth motor skills in 6, 7, 8, 9-year-olds? Skipping, jump rope, riding a bike, plays sports What are your psychosocial development milestones in 10, 11, 12-year-olds? Body image, opposite sex, social cooperation skills What are your physical growth motor skills in 10, 11, 12-year-olds? Competitive sports, larger puzzles, complex board games, crafts, build models How do you know a child is ready to get out of the car seat? 1. If feet touch the floor 2. shoulder strap on their shoulder 3. is bottom strap on lap (however keep in booster as long as possible and in the backseat) What is an important consideration for dental trauma in school age? Importance of mouth guards and face protection in contact sports What are required vaccines in school age groups (given 11-12 years old)? EXAM HPV ideally before they start having sex What is the required vaccine for seventh grade? Tdap, influenza, COVID, HPV, menACWY Why is it important to give menACWY in this age group? Prevent meningitis because they have a higher incidence of meningitis, sports, friends increase risk What happens if a child has pediculosis/lice? Do not send child home from school, don't screen classrooms How is lice spread? Head to head, sharing brush, sharing hats, sharing helmets, tight hair style What do you educate on pediculosis/lice? Don't share combs, hats, helmets, bag items that can't be washed for 2 weeks for them to die, wash linens and toys in hot water, remove nits daily What do you do if you see a child has lice? Permethrin shampoo, comb out lice What is the treatment for tinea capitis and tinea pedis? Antifungal shampoo and lotions What does impetigo look like? Honey-colored crusted lesions What are the precautions for impetigo? Contact (very contagious) When can a child with impetigo return to school? When lesions are crusted over What do you teach parents for children with impetigo? clean linens and toys with hot water What is the cause of impetigo? Strep A, B, or MRSA Where in the brain do puberty hormones begin? Hypothalamus What does the pituitary gland make to send to gonads to produce either estrogen or testosterone? FSH, LH What's the first sign of puberty in boys? enlarged testicles What's the first sign of puberty in girls? breast buds What causes precocious puberty? Tumor in pituitary gland, birth control, ovarian cysts When does puberty start in boys? 9 years old When does puberty start in girls? 8 years old What does a child with precocious puberty look like? Facial hair, body hair, breast buds What is the management for precocious puberty? synthetic analog to gonadotropin-releasing hormone (Lupron) What is delayed puberty? Failure of puberty in 14 year old girls and 15 year old boys How is delayed puberty treated in males? Testosterone to stimulate pubic hair and genital growth How is delayed puberty treated in females? Estrogen to stimulate menstruation What does someone with delayed puberty look like? Underdeveloped jaw, short in stature What does someone with low growth hormone look like? Short stature but proportioned, delayed epiphyseal closure, increased insulin sensitivity, delayed dentition, underdeveloped jaw, delayed sexual development How do you assess growth hormone? serum levels How do you determine how tall a child will be? Xrays to look at epiphyseal closure What is the treatment for low growth hormones? Somatropin (growth hormone) subcutaneous injection given daily at night Would you give growth hormone to someone with closed epiphyseal plates? NO What do you assess for a person with excess growth hormone? Tumor, cancer What does viral meningitis CSF look like? Lemonade colored, normal glucose What does bacterial meningitis CSF look like? cloudy, low glucose What do you do if a child is complaining about nuchal rigidity? Pain medications How do you diagnose seizures? EEG to monitor brain waves, monitor physical symptoms, MRI, CT What is a febrile seizure? Very quick change from normal temp to very high temp causing seizure but has no side effects after If mom goes to the emergency room after a child has febrile seizure, what do you do first? treat their fever with acetaminophen, tepid bath What is a tonic clonic seizure? Tense jerky movements with postictal phase after What is the rescue med for seizure over 5 minutes? Diazepam rectally What's the first thing you do when you see someone having a seizure? Turn them to the side If someone has a seizure for the first time, what do you give them? Keppra loading dose What are safety precautions for seizure? Low stim, lowest position bed, have suction, O2 accessible, monitor therapeutic drug levels, loose clothes What do you ask parents about when the child has a seizure? What happened before? Did they smell something or did something happen When should parents call 911 when child has seizure?