A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is:
A. At 6 months his weight should be approximately three times his birth weight.
B. "Each child gains weight at his or her own pace."
C. ...
A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if
his weight is normal for his age. The nurse's best response is:
A. At 6 months his weight should be approximately three times his birth weight.
B. "Each child gains weight at his or her own pace."
C. "At 6 months his weight should be approximately twice his birth weight."
D. "At 6 months a child should weigh about 10 lb more than his or her birth weight." - ANS
C
How can the nurse best facilitate the trust relationship between infant and parents while the
infant is hospitalized? The nurse should:
1. Encourage the parents to remain at their child's bedside as much as possible.
2. Keep parents informed about all aspects of their child's condition.
3. Encourage the parents to hold their child as much as possible.
4. Advise the parents to participate actively in their child's care. - ANS 3
The nurse is going to give a 6-month-old a dose of Rocephin IM. What must the nurse do when
the 1.5-mL dose arrives from the pharmacy?
1. Administer the injection into the deltoid muscle.
2. Divide the dose into two injections.
3. Administer the injection into the dorsogluteal muscle.
4. Give dose as a single injection into the vastus lateralis muscle. - ANS 2
FICA Tool Stands for - ANS F: faith
I: importance
C: community
A: address in care
5 factors that influence growth and development - ANS nutrition, parent behavior,
parenting, social/cultural practice, environment
Cephalocaudal - ANS development from head to toes (Ex: child can control their head and
neck before arms and legs, can hold head up before walking/crawling)
,Proximodistal - ANS "inside-to-outside rule" motor skills emerge in a sequence of center
moving outward (Ex: can lift themselves up on belly)
Differentiation - ANS simple to complex
Neonate - ANS birth to 4 weeks
Infant - ANS 4 weeks to 1 year
Toddler - ANS 1-3 years
Preschooler - ANS 3-6 years
School Age - ANS 6-12 years
Adolescent - ANS 12-18 years
Newborn Reflexes: Moro/Startle - ANS Jar crib, baby's arms and legs extend and flex
through trunk
Newborn Reflexes: Tonic Neck - ANS Arms/legs extend in direction in which head is turned
Newborn Reflexes: Rooting - ANS infant turns head to direction of stimuli
Newborn Reflexes: Palmar Grasp - ANS grasp finger tightly
Newborn Reflexes: Plantar Grasp - ANS toes reflex tightly down in grasping motion
Newborn Reflex: Babinski - ANS Hyper extension and fanning of toes
Newborn Reflex: Stepping - ANS when baby is put down on its feet, they will step up and
down in place
Developmental Differences in respiratory systems of a child - ANS -Larynx is more flexible
causing more spasms
-upper airway is shorter and more narrow
-intercostal muscles are not fully developed
-cartilage around trachea is very flexible, can compress airway
-respiratory rate is faster
-eustacian tubes are shorter and more horizontal
-lung volume is proportional to chest size
What is otitis media? - ANS Chronic infectious/inflammatory disease of the middle ear
,Signs and symptoms of a child with otitis media - ANS child pulling on ears, sleep
disturbances, high grade fever, yellow purulent drainage, lymph enlargement, eardrum buldging
and red
What is sinusitis? - ANS bacterial infection of paranasal sinuses (maxillary and ethmoid
sinuses most common site for children)
Signs and symptoms of a child with sinusitis - ANS halitosis
facial pain
eyelid edema
nasal drainage
pain with mild pressure
thick yellow nasal drainage
Interventions for Sinusitis - ANS saline drops
cool mist humidifier
increase oral fluids
antibiotics
Education for Sinusitis - ANS oral decongestants or nasal spray
warm compresses to sinuses
proper blowing of nose (one side at a time)
Risk factors for Influenza - ANS Diabetes
chronic renal disease
immune deficiency
chronic heart or lung conditions
When should antiviral medications for the flu be started? - ANS Within 24-48 hours of the
onset of symptoms
Signs and symptoms of Influenza - ANS abrupt fever
flushing of face
chills
headache
malaise
nasal discharge
Signs and Symptoms of Tonsillitis - ANS muffled/hoarse voice
back of throat is red
tonsil enlargement
difficulty breathing/swallowing
mouth breather
, What position should the child be placed in after a tonsillectomy? - ANS side lying or prone
Signs and Symptoms of Infectious Mononucleois - ANS fever
malaise
sore throat
lymphadenopathy
photophobia
redness and white patches on tonsils
enlargement of spleen
abdominal pain
Signs and Symptoms of Croup - ANS Slow onset (barking cough turns into crowing cough)
inspiratory stridor
retractions
crowing cough
What is the epiglottitis? - ANS inflammation of the epiglottis, emergency situation
Signs and Symptoms of epiglottitis - ANS refusal to speak
soft voice when speaking
cannot catch breath when lying down
sitting forward with neck extended
drooling
anxiety
frightened look
4 D's or epiglottitis symptoms - ANS Drooling
Dysphasia
Dysphonia
Distress on inspiration (stridor)
Interventions for Epiglottitis - ANS DO NOT place in supine position
trach at bedside
IV hydration
Provide oxygen
What is bronchiolitis (Respiratory syncytial virus RSV) - ANS inflammation of the
bronchioles (HIGHLY contagious)
Signs and Symptoms of Bronchiolitis - ANS flu like symptoms
poor feeding
air hungry
cyanotic
respiratory distresss
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