Trust vs mistrust - ANSWER-Birth to 1 year
Solids introduced - ANSWER-4-6 months
How long for foods to be introduced one at a time - ANSWER-5-7 days
Indicators for readiness of solid foods - ANSWER-Voluntary control of
head and trunk, hunger less than four hours after nursing, or intake of 8
oz of formula
Foods to be avoided - ANSWER-Milk, eggs, wheat, citrus fruits, peanuts,
pbutter, honey
Piaget-birth to 1 yr - ANSWER-Sensorimotor
Piaget 1-3yrs - ANSWER-Preoperational
Erickson 1-3 yrs - ANSWER-Autonomy versus shame and doubt
Erickson 3-6 years - ANSWER-Initiative vs guilt
Piaget 2-4 years - ANSWER-Preconceptial thought
Piaget 4-7 years - ANSWER-Intuitive thought
Piaget 6-12year - ANSWER-Concrete operations
Erickson 6-12 years - ANSWER-Industry vs inferiority
Piaget 12-20 years - ANSWER-Formal operations
Erickson 12-20 years - ANSWER-Identity vs role confusion
,CRIES scale - ANSWER-Based on pain 32 wks of gestation to 20 wks of life
FLACC scale - ANSWER-Leg position, activity, consolibility, facial
expressions, crying 2mths-7yrs
FACES scale - ANSWER-Faces to deem pain level 3 yrs or older
Visual analog scale - ANSWER-Child points to number 7 yrs and older
Meningitis - ANSWER-Dx-Csf with lumbar puncture
Nursing actions-hold child in position.monitor for hematoma o/ infection.
Remain in bed 4-8hrs after. Droplet precautions.decrease environment
stimuli.position w/o pillow. May prefer side lying position.monitor head
size
Reyes syndrome - ANSWER-Testing to seperate from other disease. Sx-
hypoglycemia, liver dysfunction, shock, cerebral edema. R/t recent viral
illness and aspirin use. Five stages.liver biopsy possible. Lp used to RO
meningitis.
Tonic phase - ANSWER-Stiffening of muscles
Clinic - ANSWER-Rhythmic jerking
EEG specs - ANSWER-Abstain for caffeine.wash hair before and after.
Not be painful. Flashing lights possibly
Seizure safety - ANSWER-Safety.. Airway...suction oral secretions..turn
on side post seiz...side lying.. Check vital signs .. Assess for
injuries ..allow rest
Aed - ANSWER-Valium phenytoin tegretol depakote cerebryx
Brudzinski - ANSWER-Flexion of extremities including neck
Kernigs - ANSWER-Resistance to extension of the child's leg from flexed
Cushing reflex - ANSWER-Severe hypertension, widening pulse pressure,
bradycardia
, Decorticate - ANSWER-Arms, wrists, fingers flexed....bent inward to
chest
Decerebrate - ANSWER-Arching of head and arms with legs extended,
toes pointing downward
some head injury signs - ANSWER-decreasing loc, dilated & fixed o/ slow
to react o/ nonreactive pupils, weird breathing
Conductive hearing loss - ANSWER-otitis media, external ear infection,
foreign bodies, excessive ear wax
sensorineural loss - ANSWER-congentital defects, ototoxic meds,
exposure to constant noise
central auditory imperception - ANSWER-all hearing loss, aphaisa,
agnosia
Pluse oximetery - ANSWER-Used to monitor effectiveness of inhalation
therapies
O2 referance range - ANSWER-95-100 normal, 91-100 acceptable, 85-89
illness
Oxygen sat nursing actions - ANSWER-note pulse reading compare
w/radial.allow time to stabilize. if continuous assess skin q4hr, move
sensor q24hr if indicated. report abnormal findings to hcp after
confirming sensor proble placement, changing position, deep breathing,
decreasing anxiety, & equipment working
nebulized aersol therapy nursing actions - ANSWER-take vital signs prior,
inform parents 10-15 mins, sleep deep breaths through open mouth,
post vitals signs,
nebulized aersol therapy complications - ANSWER-tachycardia, assess
cardiac status, stop the medicatons
client education: may experience jitterness or increased HR
Solids introduced - ANSWER-4-6 months
How long for foods to be introduced one at a time - ANSWER-5-7 days
Indicators for readiness of solid foods - ANSWER-Voluntary control of
head and trunk, hunger less than four hours after nursing, or intake of 8
oz of formula
Foods to be avoided - ANSWER-Milk, eggs, wheat, citrus fruits, peanuts,
pbutter, honey
Piaget-birth to 1 yr - ANSWER-Sensorimotor
Piaget 1-3yrs - ANSWER-Preoperational
Erickson 1-3 yrs - ANSWER-Autonomy versus shame and doubt
Erickson 3-6 years - ANSWER-Initiative vs guilt
Piaget 2-4 years - ANSWER-Preconceptial thought
Piaget 4-7 years - ANSWER-Intuitive thought
Piaget 6-12year - ANSWER-Concrete operations
Erickson 6-12 years - ANSWER-Industry vs inferiority
Piaget 12-20 years - ANSWER-Formal operations
Erickson 12-20 years - ANSWER-Identity vs role confusion
,CRIES scale - ANSWER-Based on pain 32 wks of gestation to 20 wks of life
FLACC scale - ANSWER-Leg position, activity, consolibility, facial
expressions, crying 2mths-7yrs
FACES scale - ANSWER-Faces to deem pain level 3 yrs or older
Visual analog scale - ANSWER-Child points to number 7 yrs and older
Meningitis - ANSWER-Dx-Csf with lumbar puncture
Nursing actions-hold child in position.monitor for hematoma o/ infection.
Remain in bed 4-8hrs after. Droplet precautions.decrease environment
stimuli.position w/o pillow. May prefer side lying position.monitor head
size
Reyes syndrome - ANSWER-Testing to seperate from other disease. Sx-
hypoglycemia, liver dysfunction, shock, cerebral edema. R/t recent viral
illness and aspirin use. Five stages.liver biopsy possible. Lp used to RO
meningitis.
Tonic phase - ANSWER-Stiffening of muscles
Clinic - ANSWER-Rhythmic jerking
EEG specs - ANSWER-Abstain for caffeine.wash hair before and after.
Not be painful. Flashing lights possibly
Seizure safety - ANSWER-Safety.. Airway...suction oral secretions..turn
on side post seiz...side lying.. Check vital signs .. Assess for
injuries ..allow rest
Aed - ANSWER-Valium phenytoin tegretol depakote cerebryx
Brudzinski - ANSWER-Flexion of extremities including neck
Kernigs - ANSWER-Resistance to extension of the child's leg from flexed
Cushing reflex - ANSWER-Severe hypertension, widening pulse pressure,
bradycardia
, Decorticate - ANSWER-Arms, wrists, fingers flexed....bent inward to
chest
Decerebrate - ANSWER-Arching of head and arms with legs extended,
toes pointing downward
some head injury signs - ANSWER-decreasing loc, dilated & fixed o/ slow
to react o/ nonreactive pupils, weird breathing
Conductive hearing loss - ANSWER-otitis media, external ear infection,
foreign bodies, excessive ear wax
sensorineural loss - ANSWER-congentital defects, ototoxic meds,
exposure to constant noise
central auditory imperception - ANSWER-all hearing loss, aphaisa,
agnosia
Pluse oximetery - ANSWER-Used to monitor effectiveness of inhalation
therapies
O2 referance range - ANSWER-95-100 normal, 91-100 acceptable, 85-89
illness
Oxygen sat nursing actions - ANSWER-note pulse reading compare
w/radial.allow time to stabilize. if continuous assess skin q4hr, move
sensor q24hr if indicated. report abnormal findings to hcp after
confirming sensor proble placement, changing position, deep breathing,
decreasing anxiety, & equipment working
nebulized aersol therapy nursing actions - ANSWER-take vital signs prior,
inform parents 10-15 mins, sleep deep breaths through open mouth,
post vitals signs,
nebulized aersol therapy complications - ANSWER-tachycardia, assess
cardiac status, stop the medicatons
client education: may experience jitterness or increased HR
