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Class notes Pediatric Nursing Exam 1
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Class notes advance nursing |Pediatric Nursing Exam 1
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Infants typically turn over front to back at 4 months, enlarging the area of the house that
needs to be childproofed.
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Infants at 4 months
,-Autonomy vs Shame & Doubt.
- a time of exerting independence
-struggle for self-mastery
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Erikson defines the toddler period as a time of
-Fever (esp. high fever for 5 days not responsive to antibiotics)
-Chills
-Headache
-Malaise
-Extreme irritability
-Vomit/Diarrhea
-abdominal & joint pain
-strawberry tongue
-bilateral conjunctivitis
-diffuse rash
-edema in hands/feet
-desquamation (peeling) hands, feet, palms soles, perineal
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Kawasaki disease S/S
-Projectile, non-bilious vomiting, post feeding w/ baby hungry after
-pain starts LUQ -> RUQ
,-Palpate for hard, moveable "olive" in RUQ (hypertrophied pylorus) when stomach empty.
-Nursing: Pre-operative Mgmt: fluid/electrolyte balance
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hypertrophic pyloric stenosis
-Pure tone & Whisper test are used to assess auditory acuity in children who are 4 years or
older.
-Weber & Rinne tests are used in children who are ages 6 or older.
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Hearing Test 4 & 6 year olds
-Sit up w/ assistance by 7 months
-Transferring an object from one hand to the other expected at 7 months.
-8 months: sit up independently
-8 months: Stranger Anxiety starts, gets worse
-Crawl at 9 months
-Pull to standing at 10 months.
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Infants at 7-10 months
, -Performed when child is older than 48 hours
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Newborn Metabolic Screening
-light therapy
-hypothermia
-O2 therapy
-Small for Gestational Age (SGA)
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Risk Factors for Retinopathy
1. young age
2. immune suppression
3. antibiotic use
4. use of corticosteroid inhalers
5. presence of fungal infection in mother
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Risk Factors for Candidiasis
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