Peds C 25-27
Terms in this set (51)
What is the growth rate of a preschooler?
Gain 3-5 lbs each year and about 2.5 inches per year
What is amblyopia and when is it screened?
Screened from 3-6
Vision is achieved at age 6 20/20
What do we screen for with preschoolers?
What is imitative play?
Children do whatever the adults are doing around them.
What is associative play?
Play together, engaged in a similar activity but without organization, rules, or a leader. Each child does what he/she wishes.
What is cooperative play?
Organized groups and team play helps develop social interaction skills
What is a developmental task for preschoolers with Erickson?
Initiative vs shame and doubt
Wants to do new things, but gets mad when they don't do well
What are the behavior characteristics for preschoolers?
Soak up information like a sponge and then ask why and how constantly
Work and play tirelessly
What fine motor skills develop with preschoolers?
What is an emotion preschoolers show around age 4 in unhappy home situations?
What are the typical gross motor milestones for preschoolers?
Hops on 1 foot
Skills continue to develop rapidly, balance improves.
Around age 5 what gross motor skills develop?
Can throw and catch a ball well, climb effectively, and ride a bike
What immunizations are boostered between ages 4-6?
Polio, varicella, MMR
Foods rich in protein?
Meat, fish, cheese, yogurt, eggs, beans, seeds, nuts
How can food rewards create problems later?
Food rewards can create childhood obesity.
Need smaller portions, small frequent meals.
What is the anticipatory guidance of preschoolers?
Lead by example
Don't use food as a reward
Eat protein rich foods/snacks
How should parents handle bet wetting at the preschool age?
Avoid shaming, don't scold when child is reverting to bed wetting
How can parents reinforce good infection prevention habits with preschoolers?
-Cough and sneeze into bend elbows; dispose tissues properly
-Correctly wiping after toileting; good hand washing after
-Wash hands before eating
-Don't eat fallen food; wash fallen utensil off
-Do not share cups, utensils, food, or tooth brushes
What are the benefits of the head start program?
Federally funded, free to children, family caregiver participation essential. Provide counseling, referral services; prepares child to enter school.
What should you do as a nurse when caring for a preschooler?
Allow child to see and touch equipment
How can parents reinforce good safety habits with preschoolers?
-Teach difference between good and bad touch (Who can touch child dr and mom)
-Water temp <120 degrees
-Discourage play with faucets
-Seat belt use, bicycle helmet, street safety, fire drills, swimming safety, burns, poisoning, falls
-Do not use rectal thermometer
How is a 3 year old still like a toddler?
Describe a 5 year old?
Leaner, taller, better coordinated, social being
What is the growth rate of a school aged child?
Gains 5-6 lbs annually
Annual height increases 2.5 inches
What changes in 5 year olds?
Spine is straighter
Body slender and long legged
Long bone growth
What do we screen for with school age children?
Age 10 screen for scoliosis
Vision and hearing
What are the checkups for school aged children?
Annual physical exams and immunizations
Booster of tetanus diphtheria every 10 years
Dentist twice a year
Vision and hearing screenings
When is the turning point for fantasy and reality?
Ages 7-10 magically thinking begins to disappear, concepts displayed
What is the best way to prevent childhood obesity?
Involving children in physical activities and limit fat intake
What are the typical nutrition habits of the school aged child?
Increased appetite and tendency to go on food jags are typical.
Do not force children to finish food portions
How much sleep does a school aged child need?
Sleep sufficient rest (10-12 hours)
What does school aged play looks like?
Increased attention span
What does Erikson say about school aged children?
Industry vs inferiority
Wants to successfully complete tasks
What safety education should parents be having with their school aged children?
-Substance abuse education
-Home and street safety (look both ways)
-Learn facts about drugs and alcohol
-Actively listen to children and family
What is the best way to prevent cavities in the school aged group?
Visit the dentist twice a year, brush after meals to prevent cavities
What should we be educating school aged children about?
-Brushing teeth after meals to prevent cavities
-Set and enforce rules for acceptable behavior
-Difference between right and wrong
What are the S&S of inhalents
Nose bleeds without known cause, disorientation, nausea, coughing
What are the tx considerations we should have with school aged children?
-Answer children's questions truthfully
-Include in all decisions and be straightforward
What is conservation of weight?
Conservation of continuous quantity-a pound is a pound no matter what
Why do school aged children struggle with conservation of weight?
Do not realize a pound is a pound or what a pound really is
What do we screen for with adolescents?
STIs, eating disorders/obesity, depression
What developmental theories are involved with adolescents?
Industry vs inferiority (5-13)
Identity vs role confusion (13-21)
What is the growth rate of boys in adolescence?
Growth slower and steadier than girls
Changes in penis, testes, and scrotum
What is the growth rate for adolescents?
5-6 lbs and 2.5 inches annually
What is the growth rate of girls in adolescence?
Growth spurt lasts 18 months about 3 inches annually until menarche figure
What marks the onset of adolescence?
What should parents know about boyfriends and girlfriends at this age?
They seek out intimate relationships
Have their own identity and want to establish their own relationship, preparing for adult relationships
What is typical for adolescents?
-Body image issues with many hormonal and physical changes
How should adolescents should be educated regarding safe sex?
-Boys need info about erections and nocturnal emissions, natural and nothing they are doing wrong
-Ask very to the point questions and understand their definition of sex may not include things like oral and anal sex
What are adolescents at risk for?
Eating disorders, encourage positive self-image
What should you warn adolescents about as far as date rape drugs and online predators?
-Rohypnol (date rape drug)
-Teach to never drink anything they didn't watch being prepared
-Be honest and straight-forward in matters of sex and drugs
-Warn against online predators