Child Safety: Car, Home, and Hospital
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Questions and Answers

What is the most critical factor in managing congenital heart defects in infants?

  • Regular use of anticoagulants
  • Immediate initiation of physical therapy
  • Prompt diagnosis and surgical intervention if necessary (correct)
  • Strict adherence to a high-calorie diet

Which symptom is most indicative of Kawasaki's disease?

  • Severe headache
  • Rapid weight gain
  • Chronic cough and wheezing
  • Persistent fever lasting more than five days (correct)

What is a common complication associated with Sickle Cell Anemia?

  • Splenic sequestration crisis (correct)
  • Thyroid dysfunction
  • Type 2 diabetes
  • High blood pressure

Which of the following is NOT a feature of Trisomy 21?

<p>Increased risk of hypertension (B)</p> Signup and view all the answers

In the management of seizures, what is the primary aim of first aid?

<p>To maintain airway patency and prevent injury (B)</p> Signup and view all the answers

Which characteristic is most associated with cerebral palsy?

<p>Spastic muscle control issues and movement difficulties (A)</p> Signup and view all the answers

What is the primary concern during respiratory care for newborns?

<p>Monitoring and supporting adequate oxygenation (C)</p> Signup and view all the answers

What is a common risk factor for developmental disorders such as Autism?

<p>Genetic predisposition and family history (C)</p> Signup and view all the answers

In patients with heart defects, which aspect of nursing care is most essential?

<p>Monitoring vital signs and fluid balance (C)</p> Signup and view all the answers

What is the main purpose of a CBC in medical assessments?

<p>To determine blood cell counts and types (A)</p> Signup and view all the answers

Which of the following statements about burns is accurate?

<p>Second-degree burns can cause blisters and affect deeper skin layers. (D)</p> Signup and view all the answers

What is a potential complication associated with untreated iron deficiency anemia?

<p>Cardiovascular problems (C)</p> Signup and view all the answers

Which of the following conditions is characterized by the incorrect positioning of the spinal column?

<p>Scoliosis (D)</p> Signup and view all the answers

What is commonly associated with lice infestation?

<p>Severe itching and discomfort on the scalp. (C)</p> Signup and view all the answers

In age-appropriate diabetes care, which of the following is most critical?

<p>Regular monitoring of blood sugar levels. (D)</p> Signup and view all the answers

What symptom is most characteristic of osteomyelitis?

<p>Localized bone pain (D)</p> Signup and view all the answers

In cases of cleft lip/palate, which of the following issues is most commonly faced during feeding?

<p>Difficulties achieving suction (A)</p> Signup and view all the answers

Which of the following is NOT a symptom of Rocky Mountain spotted fever?

<p>Nausea and vomiting without fever. (C)</p> Signup and view all the answers

In the context of leukemia, which characteristic is typical for acute forms?

<p>Presence of immature blood cells in the bloodstream. (C)</p> Signup and view all the answers

What is a common treatment method for dehydration due to diarrhea?

<p>Oral rehydration solutions (D)</p> Signup and view all the answers

What is the primary characteristic of Wilms tumor?

<p>It is the most common kidney cancer in children. (A)</p> Signup and view all the answers

Which condition is characterized by a narrowing at the pylorus leading to gastric outlet obstruction?

<p>Pyloric stenosis (D)</p> Signup and view all the answers

Which of the following accurately describes growth hormone deficiency?

<p>It can lead to delayed growth and short stature. (A)</p> Signup and view all the answers

In surgical procedures, what is the main concern with hypospadias?

<p>Proper placement of the urethra (C)</p> Signup and view all the answers

What is a typical symptom of urinary tract infections (UTIs) in pediatric patients?

<p>Urgency to urinate (D)</p> Signup and view all the answers

What is a common consequence of immunosuppression in individuals undergoing treatment?

<p>Increased susceptibility to infections. (A)</p> Signup and view all the answers

Which symptom is closely associated with mononucleosis?

<p>Exhaustion and severe fatigue. (C)</p> Signup and view all the answers

Which of the following is a primary feature of nephrotic syndrome?

<p>Proteinuria (B)</p> Signup and view all the answers

What condition involves an abnormal bend in the penis due to fibrous tissue?

<p>Chordee (B)</p> Signup and view all the answers

In the context of exstrophy of the bladder, which of the following is true?

<p>It results in the bladder being exposed externally at birth. (A)</p> Signup and view all the answers

What is a common developmental milestone for a 9-month-old infant?

<p>Sitting without support (A)</p> Signup and view all the answers

Which of the following is a key characteristic of failure to thrive in children?

<p>Inadequate calorie intake (C)</p> Signup and view all the answers

In Elizabeth Kubler Ross's model, which stage is typically experienced first after a terminal diagnosis?

<p>Denial (B)</p> Signup and view all the answers

At what age does toilet training typically begin for most children?

<p>2 to 3 years (C)</p> Signup and view all the answers

Which of the following Piaget stages is characterized by children beginning to think logically about concrete events?

<p>Concrete operational (D)</p> Signup and view all the answers

Which intervention is most appropriate for a child who has undergone a tonsillectomy?

<p>Promoting hydration with clear liquids (C)</p> Signup and view all the answers

What is the recommended sleep position for infants to reduce the risk of SIDS?

<p>On their back (D)</p> Signup and view all the answers

Which of the following is a sign of epiglottitis in children?

<p>Severe sore throat with difficulty swallowing (A)</p> Signup and view all the answers

Which statement correctly describes a major focus of family-centered care?

<p>Involvement of families in the health care process (D)</p> Signup and view all the answers

In Erikson's stages of psychosocial development, which challenge do toddlers face?

<p>Autonomy vs. Shame and Doubt (B)</p> Signup and view all the answers

What is the main concern when treating cleft lip/palate in children?

<p>Ensuring proper nutritional intake for growth (B)</p> Signup and view all the answers

Which symptom is typically not associated with nephrotic syndrome?

<p>Hypertension (B)</p> Signup and view all the answers

What is the most common complication of pyloric stenosis?

<p>Electrolyte imbalance due to vomiting (D)</p> Signup and view all the answers

What is a significant risk factor for developing osteomyelitis in children?

<p>Recent history of trauma or surgery (B)</p> Signup and view all the answers

Which condition can lead to deformed urinary openings in males?

<p>Hypospadias (B)</p> Signup and view all the answers

What is an important aspect of managing fractures in pediatric patients?

<p>Effective pain management and immobilization (D)</p> Signup and view all the answers

What distinguishes iron deficiency anemia from other types of anemia?

<p>Presence of microcytic red blood cells (C)</p> Signup and view all the answers

How is dehydration from diarrhea primarily addressed in children?

<p>Rehydration with glucose and electrolyte solutions (B)</p> Signup and view all the answers

Which characteristic is least likely to indicate a urinary tract infection in pediatric patients?

<p>Irritability without fever (C)</p> Signup and view all the answers

What is a primary treatment goal for managing scoliosis in children?

<p>Prevention of progression of the spinal curve (B)</p> Signup and view all the answers

Which condition is most likely linked to a significant risk of neurodevelopmental disorders in infants?

<p>Congenital heart defects (A)</p> Signup and view all the answers

Which of the following potentially exacerbates symptoms of autism in a child?

<p>Inconsistent routines (C)</p> Signup and view all the answers

What is a critical monitoring parameter in the post-operative care of a patient who underwent cardiac catheterization?

<p>Pulse sites (D)</p> Signup and view all the answers

Which symptom would most likely indicate a severe complication of Trisomy 21 in a newborn?

<p>Cardiac anomalies (A)</p> Signup and view all the answers

In the context of Kawasaki's disease, which symptom is critical for early identification?

<p>Fever lasting more than five days (A)</p> Signup and view all the answers

What assessment finding is most indicative of a potential crisis in a child with sickle cell anemia?

<p>Sudden onset of chest pain (A)</p> Signup and view all the answers

Which of the following is a common effect of untreated severe anemia in pediatric patients?

<p>Growth delays (B)</p> Signup and view all the answers

Which of the following is a hallmark of managing seizure episodes in children?

<p>Monitoring postictal state (A)</p> Signup and view all the answers

In the management of cerebral palsy, which therapeutic approach is commonly employed?

<p>Occupational therapy to improve daily living skills (B)</p> Signup and view all the answers

In children with congenital heart defects, what is an important dietary consideration?

<p>Balanced electrolytes to maintain heart function (C)</p> Signup and view all the answers

Which developmental stage involves children beginning to think symbolically and engage in pretend play?

<p>Preoperational stage (C)</p> Signup and view all the answers

What is a common characteristic of children in Erikson's stage of 'Initiative vs. Guilt'?

<p>Learning to cooperate and lead (A)</p> Signup and view all the answers

What is a primary indicator of failure to thrive in infants?

<p>Significant weight loss or lack of weight gain (B)</p> Signup and view all the answers

Which statement best describes the primary concern in the management of exstrophy of the bladder?

<p>Immediate surgical intervention to correct the anomaly (B)</p> Signup and view all the answers

What is the most critical risk factor that can lead to the development of second-degree burns in pediatric patients?

<p>Exposure to hot surfaces (D)</p> Signup and view all the answers

Which symptoms are associated with Sudden Infant Death Syndrome (SIDS)?

<p>Cyanosis and difficulty breathing (C)</p> Signup and view all the answers

In the treatment of lice infestation, which approach is least likely to be effective?

<p>Administering a single dose of oral antibiotics (A)</p> Signup and view all the answers

During what age range is toilet training typically initiated?

<p>2 to 3 years (D)</p> Signup and view all the answers

Which statement accurately reflects an age-appropriate strategy for managing diabetes in children?

<p>Teaching children to recognize hypoglycemia symptoms (B)</p> Signup and view all the answers

Which of the following is NOT a typical milestone for a 9-month-old infant?

<p>Walking independently (A)</p> Signup and view all the answers

In family-centered care, which approach is emphasized?

<p>Involvement of family in decision-making (A)</p> Signup and view all the answers

Which complication is commonly associated with mononucleosis in pediatric patients?

<p>Splenic rupture (B)</p> Signup and view all the answers

When considering leukemia, which characteristic is typically NOT associated with chronic forms of the disease?

<p>Frequent episodes of acute pain (C)</p> Signup and view all the answers

What developmental task must toddlers successfully navigate according to Erikson's theory?

<p>Learning autonomy (B)</p> Signup and view all the answers

Which physiological factor is critical in managing respiratory support for infants?

<p>Ensuring airway patency (A)</p> Signup and view all the answers

Which radiological finding is most commonly observed in patients with Wilms tumor?

<p>Renal mass displacing adjacent organs (C)</p> Signup and view all the answers

What aspect of care is crucial following a tonsillectomy in pediatric patients?

<p>Ensuring adequate pain management (D)</p> Signup and view all the answers

In patients with growth hormone deficiency, which outcome is least likely if left untreated?

<p>Enhanced cognitive abilities (C)</p> Signup and view all the answers

Which symptom should raise suspicion for Rocky Mountain spotted fever in a patient?

<p>Presence of a distinctive rash (A)</p> Signup and view all the answers

What is a common physiological response to immunosuppression in cancer patients undergoing treatment?

<p>Higher risk of opportunistic infections (D)</p> Signup and view all the answers

Flashcards

Family-centered care

An approach where the family is the primary source of strength and expertise in caring for the child. The family is treated as a partner in the child's care and is involved in all aspects of the treatment plan.

Erickson's Trust vs. Mistrust Stage

The first stage of Erikson's psychosocial development occurs from birth to 1 year old. During this stage, infants learn to trust their caregivers to provide for their basic needs. If their needs are met, they develop a sense of trust. If not, they develop mistrust.

Piaget's Sensorimotor Stage

The first stage of Piaget's theory of cognitive development occurs from birth to 2 years old. During this stage, infants learn about the world through their senses and motor actions. They develop object permanence, the understanding that objects continue to exist even when they are out of sight.

What is the difference between Erikson and Piaget's theories?

Erikson's theory focuses on psychosocial development, or how individuals develop a sense of self and their relationship with others. Piaget's focuses on cognitive development, or how individuals learn and reason about the world.

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What are the stages of Kubler-Ross's theory of grief?

The stages of grief are Denial, Anger, Bargaining, Depression, and Acceptance. This model describes the emotional responses to loss or terminal illness. These stages are not linear and individuals may experience them in a different order.

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Potty training readiness

Children typically demonstrate readiness for potty training between 18 and 30 months. Signs include the ability to stay dry for at least 2 hours, regular bowel movements, and showing an interest in using the toilet.

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SIDS

Sudden Infant Death Syndrome is the sudden, unexplained death of an infant younger than 1 year old. The exact cause is unknown but risk factors include sleeping on the stomach or side, smoking around the infant, and loose bedding.

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What is Tonsillectomy Post-op Care?

After tonsillectomy, the child should be monitored for signs of bleeding, such as frequent swallowing, blood in the mucus, and increased restlessness. Pain management with medication is important to manage pain and promote healing.

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What is RSV?

Respiratory Syncytial Virus is a common respiratory infection that can cause bronchiolitis, inflammation of the small airways in the lungs. High risk infants are monitored and may require hospitalization.

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What is Epiglottitis?

A serious bacterial infection that causes inflammation of the epiglottis, the flap of cartilage that covers the opening to the windpipe. This can cause airway obstruction and difficulty breathing.

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What is a cardiac catheterization?

A procedure where a thin, flexible tube called a catheter is inserted into a blood vessel, usually in the leg or arm, and guided to the heart. It allows doctors to diagnose and treat heart conditions.

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What are the 4 main defects in Tetralogy of Fallot?

  1. Ventricular Septal Defect (VSD): A hole in the wall separating the ventricles.
  2. Pulmonary Stenosis: Narrowing of the pulmonary valve, restricting blood flow to the lungs.
  3. Overriding Aorta: The aorta sits above the VSD, receiving blood from both ventricles.
  4. Right Ventricular Hypertrophy: The right ventricle is thickened due to increased workload.
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What is Kawasaki's disease?

A rare condition that causes inflammation of blood vessels throughout the body, primarily affecting children. It can damage the heart, leading to coronary artery aneurysms.

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What are the signs and symptoms of Kawasaki's disease?

High fever lasting 5 days or more, rash, swollen lymph nodes, red eyes, strawberry tongue, peeling skin on hands and feet.

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What is Sickle cell anemia?

A genetic disorder where red blood cells are shaped like sickles, making them unable to carry oxygen efficiently. This leads to blockages in blood vessels, causing pain and damage to organs.

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What are some signs and symptoms of Cerebral Palsy?

Delayed motor development, muscle stiffness or weakness, difficulties with balance and coordination, problems with speech and swallowing.

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What is a Complete Blood Count (CBC)?

A common blood test that measures different components of the blood, including red blood cells, white blood cells, platelets, and hemoglobin levels.

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What are some common features of Trisomy 21 (Down syndrome)?

Upward slanting eyes, single deep crease across palm of hand, small ears, flat facial profile, small mouth, protruding tongue, loose joints, heart defects, intellectual disability.

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What is a seizure?

A sudden, uncontrolled electrical disturbance in the brain that can affect behavior, movements, and consciousness.

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What is the most important step in seizure care?

Ensuring the safety of the individual during the seizure by protecting them from injury and keeping their airway open.

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Iron Deficiency Anemia

A condition where the body lacks enough iron to produce red blood cells, leading to tiredness, weakness, and pale skin.

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Scoliosis

Abnormal sideways curvature of the spine, often detected during childhood.

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Osteomyelitis

A bone infection usually caused by bacteria, characterized by pain, swelling, and fever.

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Cleft Lip/Palate

A birth defect where the lip and/or roof of the mouth don't close completely during pregnancy.

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Diarrhea/Dehydration

Frequent, loose stools can lead to dehydration, a condition where the body loses more fluids than it takes in.

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Pyloric Stenosis

A narrowing of the opening between the stomach and the small intestine, causing vomiting in infants.

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Hypospadias

A birth defect in males where the opening of the urethra is on the underside of the penis instead of the tip.

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Chordee

A condition where the penis is curved downwards due to a band of tissue.

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UTI

Urinary tract infection, a bacterial infection in the urinary system, causing pain, burning, and frequent urination.

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Nephrotic Syndrome

A kidney disorder causing protein to leak into the urine, leading to swelling, high cholesterol, and low albumin.

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Exstrophy of bladder

A birth defect where the bladder is exposed outside the body, often accompanied by other abnormalities.

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Burns

Tissue damage caused by heat, chemicals, electricity, or radiation. Classified by depth (superficial, partial-thickness, full-thickness).

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Age-appropriate diabetes care

Tailoring diabetes management to the developmental stage of the child. Includes self-monitoring, insulin administration, and education.

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Growth hormone deficiency

A condition where the body doesn't produce enough growth hormone, leading to slow growth and development.

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Rocky Mountain spotted fever

A bacterial infection transmitted by ticks. Causes fever, rash, and headache. Can be fatal if untreated.

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Mononucleosis

A viral infection commonly known as 'mono'. Symptoms include fatigue, sore throat, fever, and swollen lymph nodes.

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Leukemia

Cancer of the blood and bone marrow, affecting the production of white blood cells.

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Wilms tumor

A type of kidney cancer that primarily affects children. Symptoms include abdominal swelling and pain.

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Immunosuppression

Weakened immune system, making the body more vulnerable to infections and diseases.

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What is exstrophy of the bladder?

A birth defect where the bladder is exposed outside the body.

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What are the three main classifications of burns?

Burns are classified by depth: superficial, partial-thickness, and full-thickness.

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What is lice?

Tiny insects that live on the scalp, feeding on blood and laying eggs.

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What is age-appropriate diabetes care?

Tailoring diabetes management to a child's age and developmental stage.

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What is growth hormone deficiency?

A condition where the body doesn't produce enough growth hormone, leading to slow growth.

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What is Rocky Mountain spotted fever?

A bacterial infection spread by tick bites, causing fever, rash, and headache.

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What is mononucleosis?

A viral infection that causes fatigue, sore throat, fever, and swollen lymph nodes.

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What is leukemia?

Cancer of the blood and bone marrow, affecting white blood cell production.

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What is Wilms tumor?

A type of kidney cancer that mainly affects children.

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What is immunosuppression?

A weakened immune system, making the body prone to infections.

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Tetralogy of Fallot

A heart defect with four main problems: a hole in the heart, narrowed pulmonary valve, aorta over the hole, and thickened right ventricle.

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Sickle Cell Anemia

A genetic disorder where red blood cells are misshapen, preventing efficient oxygen transport, leading to blockages and pain.

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What are some signs of Cerebral Palsy?

Delayed motor development, muscle stiffness or weakness, balance and coordination problems, speech difficulties.

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Trisomy 21

Also known as Down Syndrome, a genetic condition with extra genetic material on chromosome 21.

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What is a CBC?

A common blood test measuring red blood cells, white blood cells, platelets, and hemoglobin levels.

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Newborn respiratory care

Specialized care for newborns with respiratory problems, often involving oxygen therapy, ventilation, and medications.

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What is family-centered care?

An approach to healthcare that emphasizes the family as the primary source of strength and expertise in caring for the child. The family is treated as a partner, involved in all aspects of care.

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What are the stages of Erikson's theory?

Erikson's theory describes psychosocial development throughout life. It has 8 stages, each focusing on a specific conflict and virtue developed by resolving it.

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What is Piaget's Sensorimotor stage?

The first stage of Piaget's cognitive development theory (birth to 2 years). Infants learn through their senses and motor actions, developing object permanence.

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What is the Preoperational stage in Piaget's theory?

The second stage (2-7 years), where children develop language and symbolic thinking but struggle with logic and conservation.

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Explain Kubler-Ross's stages of grief.

This model describes the emotional responses to loss or terminal illness. The stages are Denial, Anger, Bargaining, Depression, and Acceptance. They are not linear and can be experienced out of order.

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What are the stages of potty training readiness?

Children usually become ready between 18-30 months. Signs include staying dry for at least 2 hours, regular bowel movements, and showing interest in using the toilet.

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Describe failure to thrive.

A condition where infants or young children fail to grow and develop at a normal rate. It can be due to medical, nutritional, or social factors.

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What are some important post-operative care steps after a tonsillectomy?

Monitor for bleeding (frequent swallowing, blood in mucus, increased restlessness). Manage pain with medication. Keep them hydrated and offer soft foods.

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What is scoliosis?

An abnormal sideways curvature of the spine, often detected during childhood.

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What is hypospadias?

A birth defect in males where the opening of the urethra is on the underside of the penis instead of the tip.

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Study Notes

Child Safety

  • Most significant risk factor for death and serious injury in a car crash is failure to use a size-appropriate restraint system
  • Use approved car seat for age and weight (4 yrs/40 lbs, 8 yrs/80 lbs)
  • Infants should be rear-facing until age 2 unless the child reaches the maximum weight/height for the seat
  • Forward-facing seats require a harness system; the back of the seat should be higher than the top of the head
  • Back seats are always the safest; children should remain in back until age 13

Infant Home Safety

  • Choking hazards
  • Sudden Infant Death Syndrome (SIDS)
  • Home hazards (stairs, walkers, cords)
  • Falls
  • Accidental poisonings
  • Animal-related harm
  • Water-related accidents (drowning, burns)
  • Toy safety (appropriate for the child's age) - Saturday is the most dangerous day for home accidents
  • Keep small objects out of reach

Hospital Infant Safety

  • Crib rails up
  • No small objects
  • Minimize bedding
  • Child should be close to the nurse station
  • Encourage family to stay in the room
  • Correct type of formula, correct breast milk for the child
  • Prevent ingestion or poisoning (90% of poisonings occur in the home)
  • Keep small items out of reach of children
  • Teach parents emergency care, proper procedures.

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Description

This quiz covers essential child safety practices related to car seats, home hazards, and hospital safety measures for infants. Learn about appropriate restraint systems, risks in the home, and hospital protocols to ensure your child's safety. Perfect for new parents or caregivers looking to enhance their safety knowledge.

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