Exam (elaborations)
PN 135 PEDS TEST ONE LATEST VERSION
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PN 135 PEDS TEST ONE LATEST VERSION...
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History of Pediatrics: Epidemics - ANSWER -they were common-hard to control
-little treatment available
-few physicians
-only the wealthy could afford medical care
-ex: polio, smallpox
Growth and Development - ANSWER -a process unique to each child
-occurs in an orderly sequence
-Head to Toe
-Proximal to distal
-Gross to fine motor
-can be impacted by factors like illness and environment
Denver II - ANSWER -Great tool
-Quick guide to see if a child is on track
-simple bar graph style
-if not doing a given task by 90% concern
-if 1 or more delays or 2 Cautions
-asked during a well-child visit
Stages of Development: Birth - 12 months - ANSWER -main caregiver
-fear of strangers/ separation
Stages of Development: Toddler 1-3 years - ANSWER -parents
-fear separation
-language grows exponentially
-unable to express themselves
-acknowledge their communication
Stages of Development: Pre-School 3-5 - ANSWER -basic family
-fear dark
,-fear monsters
-fear of body mutilation
Stages of Development: School Age - ANSWER -focused on friends
-fear loss of control
Stages of Development: Adolescent - ANSWER -peers
-fear loss of control
-change in body image
Children's Basic Needs: Physical & Biological - ANSWER -same as
adults
-follows maslow's hierarchy
-understand development
-protection
Children's Basic Needs: Love and Affection - ANSWER -most important
need
-a child feels love if maslow's hierarchy is met on a consistent basis
Children's Basic Needs: Security - ANSWER -helps children cope
-fear of the unknown
Children's Basic Needs: Consistent Discipline & Authority- - ANSWER -
children need clear boundaries
Children's Basic Needs: Dependance and Independence - ANSWER -
give more independence as children mature
-child needs to make little mistakes to learn
Children's Basic Needs: Self-esteem - ANSWER -child's view of self
worth
-build a child's self esteem
Family Centered Care - ANSWER -family is a constant in the child's life
-provide care to the child and family or allow the family to provide care
with our support
-remember developmental needs of child and family
, Stressors in Hospital: Loss of Control - Toddler - ANSWER -striving for
autonomy
-let them do things themselves
Stressors in Hospital: Loss of Control - Preschool - ANSWER -physical
restriction change routines
-try to keep home routine
Stressors in Hospital: Loss of Control - School Age - ANSWER -want
independence
-explain things to child as you do them
-ask how they want it done
Stressors in Hospital: Loss of Control - Adolescent - ANSWER -r/t
identity/ independence
-ask how they want it done
Stressors in Hospital: Bodily injury and Pain - Infant - ANSWER -
generalized for younger
-localized and can distract older
-massage therapy
Stressors in Hospital: Bodily injury and Pain - Toddler - ANSWER -
upset by intrusive procedures even if not painful
Stressors in Hospital: Bodily injury and Pain - School Age - ANSWER -
benefits/ danger
-need to understand why things are happening and how it works
Stressors in Hospital: Bodily injury and Pain - Adolescent - ANSWER -
concern over body image
Stressors in Hospital: Separation -Infant - ANSWER starts at 4-6 month
and progressively gets worse
Stressors in Hospital: Separation - Toddler - ANSWER -height of
anxiety
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