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Questions and Answers
In an acute care setting, besides matching parent wristbands, where else might a child's identification band be located on an infant?
In an acute care setting, besides matching parent wristbands, where else might a child's identification band be located on an infant?
Prior to performing any physical assessment on a child, the nurse would begin with which action?
Prior to performing any physical assessment on a child, the nurse would begin with which action?
When offered choices, what should the nurse remember when allowing a child to choose where to take their temperature?
When offered choices, what should the nurse remember when allowing a child to choose where to take their temperature?
Which of these is an example of how a nurse might actively include a child in their physical assessment?
Which of these is an example of how a nurse might actively include a child in their physical assessment?
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When caring for a transgender adolescent, which of these is most important for the nurse to acknowledge first?
When caring for a transgender adolescent, which of these is most important for the nurse to acknowledge first?
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What is the priority when communicating with a child's parents/guardians, before providing care?
What is the priority when communicating with a child's parents/guardians, before providing care?
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During any interaction with a patient, the nurse must always do which action first?
During any interaction with a patient, the nurse must always do which action first?
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When taking a child's temperature, what is the alternative to a rectal reading?
When taking a child's temperature, what is the alternative to a rectal reading?
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What is the typical first substance that adolescents experiment with?
What is the typical first substance that adolescents experiment with?
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What occurs during the Babinski reflex?
What occurs during the Babinski reflex?
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At what age does the Babinski reflex typically disappear?
At what age does the Babinski reflex typically disappear?
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What should be a concern for an adolescent regarding the use of birth control and smoking?
What should be a concern for an adolescent regarding the use of birth control and smoking?
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What key action should be taken when addressing adolescents' concerns?
What key action should be taken when addressing adolescents' concerns?
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Which symptom is NOT associated with galactosemia?
Which symptom is NOT associated with galactosemia?
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Which is a development milestone for speech/language in a 6-month-old?
Which is a development milestone for speech/language in a 6-month-old?
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What is a key milestone for hearing/understanding in a 12-month-old?
What is a key milestone for hearing/understanding in a 12-month-old?
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Which development milestone is expected in a 9-month-old related to hearing?
Which development milestone is expected in a 9-month-old related to hearing?
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What is the speech/language milestone for a 3-month-old?
What is the speech/language milestone for a 3-month-old?
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At what age is a child expected to begin using 1-2 words as a speech milestone?
At what age is a child expected to begin using 1-2 words as a speech milestone?
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Which is an expected hearing milestone for a 3-month-old?
Which is an expected hearing milestone for a 3-month-old?
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Which symptom is commonly linked to failure to thrive in infants with galactosemia?
Which symptom is commonly linked to failure to thrive in infants with galactosemia?
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What is the speech/language milestone for an 18-month-old child?
What is the speech/language milestone for an 18-month-old child?
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At what age do children typically use 2 word phrases in speech?
At what age do children typically use 2 word phrases in speech?
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What is a typical hearing and understanding milestone for a 2-year-old?
What is a typical hearing and understanding milestone for a 2-year-old?
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How can a nurse respect a client's culture?
How can a nurse respect a client's culture?
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What speech/language skill is expected of a 3-year-old?
What speech/language skill is expected of a 3-year-old?
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What understanding skill is typical for a 4-year-old?
What understanding skill is typical for a 4-year-old?
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When a child is dying, which supportive individuals may the family see?
When a child is dying, which supportive individuals may the family see?
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What is one opportunity that parents may desire when their child is dying?
What is one opportunity that parents may desire when their child is dying?
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Which of the following is an example of gross motor skills in infants aged 2-3 months?
Which of the following is an example of gross motor skills in infants aged 2-3 months?
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What differentiates fine motor skills from gross motor skills?
What differentiates fine motor skills from gross motor skills?
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What should a nurse do if the parents want to hold their baby after it has passed?
What should a nurse do if the parents want to hold their baby after it has passed?
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What is important for a nurse to do when a child is withdrawing from care in the ICU?
What is important for a nurse to do when a child is withdrawing from care in the ICU?
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Which of the following is NOT a fine motor skill expected from a 2-3 month old child?
Which of the following is NOT a fine motor skill expected from a 2-3 month old child?
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What might families want during the process of their child dying?
What might families want during the process of their child dying?
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Why is it beneficial for a nurse to ask clients and their families about culture?
Why is it beneficial for a nurse to ask clients and their families about culture?
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What should be avoided to prevent further stress to parents in a grieving situation?
What should be avoided to prevent further stress to parents in a grieving situation?
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What is an important approach for a nurse when dealing with a frightened child?
What is an important approach for a nurse when dealing with a frightened child?
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Which factor is critical when communicating with parents of hospitalized children?
Which factor is critical when communicating with parents of hospitalized children?
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What is the best way to obtain information from a client during an assessment?
What is the best way to obtain information from a client during an assessment?
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When assessing an adolescent in the presence of their parent, what should the nurse do first?
When assessing an adolescent in the presence of their parent, what should the nurse do first?
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What is a key aspect of practicing cultural sensitivity in nursing?
What is a key aspect of practicing cultural sensitivity in nursing?
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What should a nurse remember about parents in the context of family-centered care?
What should a nurse remember about parents in the context of family-centered care?
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When caring for clients, which question strategy should be avoided?
When caring for clients, which question strategy should be avoided?
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How can a nurse gain a better understanding of a client’s cultural background?
How can a nurse gain a better understanding of a client’s cultural background?
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Flashcards
What is the Babinski reflex?
What is the Babinski reflex?
A reflex present in infants up to 2 years old. When the sole of the foot is stroked, the big toe moves upward and the other toes fan out.
What substance do adolescents usually experiment with first?
What substance do adolescents usually experiment with first?
Adolescents typically experiment with smoking first.
How should you approach substance abuse counseling with adolescents?
How should you approach substance abuse counseling with adolescents?
When providing guidance on substance abuse to adolescents, it's crucial to acknowledge and address their concerns.
How do adolescents who are sexually inactive view STIs?
How do adolescents who are sexually inactive view STIs?
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What is important to discuss when educating adolescents about smoking?
What is important to discuss when educating adolescents about smoking?
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Respecting Cultural Practices in Healthcare
Respecting Cultural Practices in Healthcare
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Importance of Cultural Sensitivity
Importance of Cultural Sensitivity
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Support for Families Facing Child's Death
Support for Families Facing Child's Death
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End-of-Life Legacy Work
End-of-Life Legacy Work
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Parental Wishes in End-of-Life Care (1)
Parental Wishes in End-of-Life Care (1)
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Handling a Deceased Baby
Handling a Deceased Baby
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End-of-Life Care in the ICU
End-of-Life Care in the ICU
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Providing Support to Grieving Parents
Providing Support to Grieving Parents
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Communicating with a scared child
Communicating with a scared child
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Communicating with parents of a hospitalized child
Communicating with parents of a hospitalized child
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Asking open-ended questions
Asking open-ended questions
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Assessing an adolescent with parents
Assessing an adolescent with parents
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Cultural sensitivity in healthcare
Cultural sensitivity in healthcare
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Effective communication in healthcare
Effective communication in healthcare
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Importance of medical history
Importance of medical history
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Respecting patient autonomy
Respecting patient autonomy
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Child Identification in Acute Care
Child Identification in Acute Care
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Child Assessment: Start Least Invasive
Child Assessment: Start Least Invasive
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Child Temperature Assessment
Child Temperature Assessment
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Child Choice: Avoid Overwhelm
Child Choice: Avoid Overwhelm
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Active Child Participation in Assessment
Active Child Participation in Assessment
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Transgender Adolescent Care: Respect
Transgender Adolescent Care: Respect
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Communication with Parents First
Communication with Parents First
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Introduce Yourself First
Introduce Yourself First
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What is a typical speech/language milestone for a 2-year-old?
What is a typical speech/language milestone for a 2-year-old?
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What is a typical speech/language milestone for a 3-year-old?
What is a typical speech/language milestone for a 3-year-old?
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What is a typical speech/language milestone for a 4-year-old?
What is a typical speech/language milestone for a 4-year-old?
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What is the difference between fine and gross motor skills?
What is the difference between fine and gross motor skills?
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What are some examples of fine motor skills in a 2-3 month old child?
What are some examples of fine motor skills in a 2-3 month old child?
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What are some examples of gross motor skills in a 2-3 month old child?
What are some examples of gross motor skills in a 2-3 month old child?
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What is Galactosemia?
What is Galactosemia?
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What kind of Formula is suitable for babies with Galactosemia?
What kind of Formula is suitable for babies with Galactosemia?
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What symptoms are typical in babies with Galactosemia?
What symptoms are typical in babies with Galactosemia?
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What is a typical speech/language milestone at 3 months old?
What is a typical speech/language milestone at 3 months old?
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What is a typical hearing/understanding milestone at 3 months old?
What is a typical hearing/understanding milestone at 3 months old?
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What is a typical speech/language milestone at 6 months old?
What is a typical speech/language milestone at 6 months old?
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What is a typical hearing/understanding milestone at 6 months old?
What is a typical hearing/understanding milestone at 6 months old?
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What is a typical hearing/understanding milestone at 9 months old?
What is a typical hearing/understanding milestone at 9 months old?
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Study Notes
Assessments for Children
- Some examples of identification of a child in an acute care setting include wristbands (especially for babies, sometimes on the lower leg) and matching bands for parents.
Assessment for Children:
- Start with the least invasive tasks.
- Next, if appropriate, have the child assist with more involved tasks, like putting a blood pressure cuff on. Explain each step and what the machines are doing.
- Be aware of any impairments and adjust the assessment accordingly.
Assessment for Children: Temperature
- Two examples of areas to take a child's temperature are the forehead and armpit.
- Give the child control over decisions, such as asking them where to have their temperature taken.
Assessment for Children: Decisions
- When giving a child choices, only give a couple of options rather than a long list to avoid confusion.
Assessment for Children: Physical Assessment
- Actively include the child in their physical assessment by starting with their height and weight; have them guess their size and weight.
- If caring for a transgender adolescent, be respectful, and ask how they prefer to be addressed (e.g., pronouns).
Assessment for Children: Communication with Parents/Guardians
- Communicate with the parents/guardians first.
- Introduce yourself.
- Get down to eye level with the client and build rapport.
Communication: Child Afraid
- Get down to eye level and begin to build trust.
Communication: Parents of Client
- Keep parents updated on the child's condition and treatment plan.
- Family-centered care is vital. Parents should have input in their child's care.
- Parents are often stressed when their child is hospitalized.
Communication: Asking Questions
- Ask open-ended questions to obtain good information.
Cultural Diversity: Important Factors:
- Be open to the beliefs of other cultures.
- Be aware of your own beliefs and don't let them interfere with the assessment.
- Ask open-ended questions to understand the client's culture better, and ask how you can be supportive.
Cultural Diversity: Example
- The nurse should ask when the client's prayer time is and arrange the schedule accordingly.
Cultural Diversity: Respect
- Providing the most respect for different cultures is beneficial.
End-of-Life: Opportunities for Parents
- Parents may want time to hold their baby.
- Parents/family may want to lay in the bed with the child.
- Parents may want to do activities (locks of hair, records of voice, molds of hand/feet).
End-of-Life: ICU Care:
- Provide a calm, peaceful environment.
- Remove unnecessary equipment (e.g., beeping pumps, alarms).
- Position the child comfortably.
- Allow parents/family to be present and offer any support needed.
End-of-Life: Traumatic Death of a Child
- Support groups (spiritual guidance).
- Chaplin.
- Social workers.
- Counselors.
- Legacy work with a child life specialist.
- Organ donation notification (likely hospital policy, such as tissue).
Pain Scales
- The FLACC Scale is used for infants.
Pain Scales for Preschoolers (and up)
- The Wong-Baker FACES pain scale is used for preschoolers (and up).
Pain Scale: Factors to Discuss with a 10 Year Old Client
- Talk to the client about the pain scale used.
- Who they will meet after surgery.
- Describe how to manage the pain.
Home Health Pediatric Services
- Private duty nursing.
- Case management.
- Child life specialist.
- Physicians.
- Physical therapy (PT).
- Occupational therapy (OT).
- Speech therapy (ST).
- Pharmacists.
- Dietitians.
Importance of Community Resources
- Family resources, or lack thereof, significantly impact a child's health.
PKU
- Phenylketonuria is an autosomal recessive deficiency of the enzyme phenylalanine. In short, it is a lack of an enzyme.
PKU Testing and Conduct
- Guthrie test is the name of the test.
- Testing is done within 24-72 hours after birth.
- Doctors use Guthrie cards to collect capillary blood from the infant's heel. The cards are saved for later testing.
PKU Diet
- A low-phenylalanine, low-protein diet is used throughout the child's life.
- Specialized formulas may be needed, given the cost.
Galactosemia
- Lack of an enzyme to breakdown galactose to glucose.
- A common enzyme deficiency.
- Galactose is a major nutrient in newborns, used for energy production, fuel storage, and regulating carbohydrate assimilation.
- The most common symptom is loss of appetite.
Developmental Milestones: 3 Months: Speech/Language
- "Cooing"
Developmental Milestones: 3 Months: Hearing/Understanding
- Recognizes voice.
Developmental Milestones: 6 Months: Speech/Language
- "Babbling"
Developmental Milestones: 6 Months: Hearing/Understanding
- Notice sounds,music, changes in tone.
- Move eyes towards sound
Developmental Milestones: 12 Months: Speech/Language
- 1-2 words
Developmental Milestones: 12 Months: Hearing/Understanding
- Understand simple phrases.
- Recognizes words for common objects.
Developmental Milestones: 18 Months: Speech/Language
- 18 words
Developmental Milestones: 18 Months: Hearing/Understanding
- Follows simple commands or questions.
- Points to images.
- 2 word phrases
Developmental Milestones: 2 Years: Speech/Language
- Follows 2 step directions.
- Uses gestures during pretend play.
- 3 word phrases.
Developmental Milestones: 2 Years: Hearing/Understanding
- Uses gestures during pretend play.
Developmental Milestones: 3 Years: Speech/Language
- Understands spatial/time concepts.
Developmental Milestones: 3 Years: Hearing/Understanding
- Understands pronouns/plurals.
Developmental Milestones: 4 Years: Speech/Language
- 4 or more word sentences.
Developmental Milestones: 4 Years: Hearing/Understanding
- Understands concepts like why or how.
- Groups objects.
- Identifies colors.
Developmental Milestones Differences: Fine and Gross Motor Skills
- Fine motor skills involve smaller muscles, such as grasping, object manipulation, or drawing.
- Gross motor skills use larger muscles and include activities like sitting, crawling, walking, or running.
Developmental Milestones: 2-3 Month Child: Fine Motor Skills
- Grasps toys.
- Opens and closes hands.
- Eyes follow an object to midline.
Developmental Milestones: 2-3 Month Child: Gross Motor Skills
- Raises head and chest when lying on stomach.
- Supports upper body with arms when lying on stomach,
- Stretches legs out and kicks when lying on stomach or back.
Developmental Milestones: 6-8 Month Child: Fine Motor Skills
- Bangs objects on table.
- Can transfer objects from hand to hand.
Developmental Milestones: 6-8 Month Child: Gross Motor Skills
- Can roll from side to side.
- Sits unsupported by 7 or 8 months; and supports whole weight on legs.
Developmental Milestones: 1 Year Old Child: Fine Motor Skills
- Can hold crayon; marks on paper.
- Begins to use objects correctly.
Developmental Milestones: 1 Year Old Child: Gross Motor Skills
- Pulls self up to stand.
- Walks holding on to furniture; may walk 2 or 3 steps independently.
Developmental Milestones: 2-3 Year Old Child: Fine Motor Skills
- Learns to dress self.
- Can draw simple shapes (e.g., circle).
Developmental Milestones: 2-3 Year Old Child: Gross Motor Skills
- Jumps.
- Kicks a ball.
- Learns to ride a tricycle.
Developmental Milestones: 4-5 Year Old Child: Fine Motor Skills
- Use scissors.
- Learning to tie shoes.
- Brushes teeth.
Developmental Milestones: 4-5 Year Old Child: Gross Motor Skills
- Goes up and down stairs independently.
- Throws a ball overhead.
- Hops on one foot.
Developmental Milestones: 10 Month Old Assessment
- Pinch and grasp skills (e.g., with cereal).
- The ability to walk a few steps without assistance.
Developmental Toys For Toddlers:
- Stuffed animals.
- Building blocks.
- Books.
- Play dough.
- Tricycles.
- Small cars and trains.
- Pretend toys for play
- Pots, pans, spoons, and cups.
Fontanels
- Fontanels are soft spots on a baby's head.
- Anterior and posterior fontanels are located on the top of a baby's head.
- The anterior fontanel closes between 12 and 18 months old.
- The posterior fontanel closes between 2 and 3 months old.
Erikson's Stages: Infancy (Birth to 1 year)
- Trust vs. Mistrust.
Erikson's Stages: Early Childhood (1-3 years)
- Autonomy vs. Shame and Doubt.
Erikson's Stages: Preschool (3-6 years)
- Initiative vs. Guilt.
Erikson's Stages: School Age (6-12 years)
- Industry vs. Inferiority.
Erikson's Stages: Adolescent (12-19 years)
- Identity vs. Role Confusion.
Erikson's Stages: Young Adulthood
- Intimacy vs. Isolation.
Erikson's Stages: Middle Adulthood
- Generativity vs. Stagnation.
Erikson's Stages: Maturity
- Integrity vs. Despair.
Educating Family Members Regarding Infant Sleeping
- Place infants on their backs.
- Remove all blankets/pillows.
- Make sure the infant's crib is away from windows.
SIDS
- Sudden infant death syndrome.
Peak Age for SIDS
- 2-4 months.
Methods to Prevent SIDS
- Pacifiers.
Appearance of Newborns/Color Tone
- Acrocyanosis (bluish hands and feet) is normal in newborns.
Why Babies Have Bluish Hands and Feet
- Blood flow is prioritized to vital organs (brain, heart, lungs).
Vulnerable Adolescents
- Peer pressure, body image, bullying, sex trafficking, suicidal ideation,
Normal Urine Output for Newborn/Infant (0-1 year)
- 2 mL/kg/hour
Normal Urine Output for Toddler
- 1.5 mL/kg/hour
Calculating Urine Output in a Child
- Divide the volume of urine by the time (in hours) divided by the weight of the child in kilograms.
Iron Deficiency Anemia
- Iron deficiency anemia is a common microcytic anemia characterized by small, pale red blood cells and depleted iron stores, leading to erythropoiesis issues.
Iron Deficiency Anemia Caregiver Education
- Use iron-fortified formula.
- Avoid cow's milk in infants until they are 1 year old.
- Breastfeed infants, or provide an iron supplement if breastfeeding is not possible.
- Encourage iron-rich foods.
Adolescents and Sexual Activity
- A 15-year-old discussing having multiple partners is considered normal as long as condoms are used.
Adolescents and Substance Use: Initial Drug of Choice
- Smoking.
Babinski Sign/Reflex
- Stroking the sole of a baby's foot causes the big toe to move upwards and other toes to fan out.
- It is normal in children up to 2 years old and disappears as they get older.
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Description
This quiz explores the best practices for conducting assessments on children in an acute care setting. Emphasis is placed on child involvement, temperature measurement techniques, and adapting assessments to children's unique needs. Discover how to effectively communicate and perform assessments while ensuring comfort and understanding.