Exam 1 NSG 3600

 5 yr old bed wetting: Autonomy vs. Shame
 7 yr old: Industry vs. Inferiority
 Formal Operational: Abstract thinking
 Meningitis before college
 MRSA: Gloves, Gown – Droplet & Contact
 Report Babinski
 Milestones 6 months old: Cooing
 Pt after surgery: Redness, warmth to extremity
 Preschoolers: Games with simple instructions
 School age: Need to review rules for when left home alone
 Adolescents: Safety equipment for sports
 Hospitalization: Expect to see regression & tantrums
 7 yr old (numeric pain scale): Recognize 2 numbers at large
 Wong-Baker Faces Scale: (3 yrs and above)
 Allergy to vaccine
 Monitor irritability, wheezing with vaccines
 Varicella, Rubeola (measles): Airborne
 Rubella: Sore throat; fine light pink maculopapular rash
 Measles: Koplik's spots, spots in buccal mucosa
 Influenza risk: 15 months (infant & children)
 Tetanus: Cut/wound – Antibiotics
 ACL CM: Instability, pain, knee
 Scarlet Fever: Red strawberry tongue, sandpaper-like rash appears
 Temper tantrums/wrong answer: (Tell them they’re mad)
 Neurogenic: Answer Spina bifida
 Epiphyseal injuries may affect bone growth
 Compartment syndrome: Unrelieved pain with narcotics
 Paresthesia: Pins & needles (answer)
 Syndactyly: Distractor turned by parents 2x a week (Fo bases)
 Sprain use ICE
 Sprain: Physical activity restriction for 4-6 weeks
 Broad spectrum
 Diet fracture nutrition: Milk, grilled cheese
 Juvenile Arthritis 12 Questions – (Box, regression)
o Limited ROM – Box Q
o Fever in afternoon
o Morning stiffness
o 24 yr old remission
 PCA – ONLY PT
 Hip Spica cast: Prone with eating
 School age: 10 min to prepare (wrong answer)
 Pavlik Harness: 23 hrs/day
 Browe splint: Why can’t have surgery – Near splint 25 days until 3 months
 Urine output?
 40° scoliosis = Spinal fusion
 Hip Spica cast – Wear 12 weeks after

,  Osteomyelitis – CM is bone pain
 Duchenne syndrome – Waddling


UNIT 1
Erikson’s Growth and Development
 Infants: Trust vs. Mistrust (NB–12 months) → Faith and optimism.
 Toddler: Autonomy vs. Shame and Doubt (1–3 years) → Self-control and
power.
 Preschool: Initiative vs. Guilt (3–6 years) → Purpose.
 School Age: Industry vs. Inferiority (6–12 years) → Competence.
 Adolescents: Identity vs. Role Confusion (12–18 years) → Fidelity to
others and individual value.
Piaget’s Stages
 Sensorimotor (0–2 years): Egocentric thinking.
 Preoperational (2–7 years): Magical thinking.
 Concrete Operational (7–11 years): Logical thinking.
 Formal Operational (11–15 years): Abstract thinking, philosophy, and
moral reasoning.
Pain Scales
 FLACC: For infants and non-verbal children.
 Faces (Wong-Baker): Ages 4–7 (Preschool to School Age).
 Number Scale: For children 12 years and older.
 School Age may use Stalling behavior “wait a minute”
o Muscle rigidity
o May use all behaviors of younger child

Types of Play
 Preschoolers: Associative play (role-playing, board games,
alphabet/color games).
 School Age: Cooperative Play- Play by the rules
 Function of Play: Self-awareness-children learn who they are and their
place in the world.
Atraumatic Care:
 Focus on "first, do no harm" by:
o Preventing separation.
o Promoting a sense of control.
o Minimizing bodily injury.
 Provide activities to relieve anxiety or distract child (dolls, drawings, books,
handling equipment)