Pedes Unit 2 Test: Comprehensive Guide | Updated Edition
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Pedes Unit 2 Test: Comprehensive
Guide | Updated Edition
T/F nutrition for a 2 year old who was born preterm should be set for their adjusted age
T
What is failure to thrive
Weight below 5th percentile
What is the greatest contributing factor for FTT?
Poverty
What should we use as an indic...
Pedes Unit 2 Test: Comprehensive
Guide | 2024-2025 Updated Edition
T/F nutrition for a 2 year old who was born preterm should be set for their adjusted age
T
What is failure to thrive
Weight below 5th percentile
What is the greatest contributing factor for FTT?
Poverty
What should we use as an indicator for FTT?
weight for length
Nursing interventions for FTT?
-Observe parent-child interactions, especially during feedings.
-Develop an appropriate feeding schedule.
-Provide feedings as prescribed (usually 120 kcal/kg/day is needed to demonstrate proper
weight gain).
-Weigh the child daily and maintain strict records of intake and output.
-Educate parents about proper feeding techniques and volumes.
-Provide extensive support to alleviate parental anxiety related to the child's inability to gain
weight.
How to assess a child with FTT?
-How often are you feeding baby
-What size bottle are you using
-How do you make formula at home
-Assess parent child interactions
-Daily weights
-strict I/O
-Weigh diapers
,How many calories per day are needed for weight gain in FTT?
120 kcal/kg/day
What are resources for special needs children and family
-Early intervention programs (mandated by law for those under 3 years)
-The Individuals with Disabilities Education Act of 2004 (3-21 yrs; quiet room for testing; least
restrictive environment)
-Supplemental Security Incomes (SSI)
-Respite
-Complimentary therapies (homeopathic, hippotherapy, massage, pet therapy)
What is the leading cause of death from disease in children >1 year?
Cancer
Palliative care
-goal: alleviate suffering
-comfort care that can occur at any time
Hospice care for children
-They are allowed to continue to recieve potentially curable treatment while in hospice unlike
with adults
-life <6 months
-Bereavement counseling continues for family after death
What is the goal of hospice care?
pain control and comfort, integrative care
Types of grief
Normal, anticipatory, complicated, parental grief, sibling grief
Anticipatory grief
Occurs at initial dx of terminal illness
Complicated grief
Unable to heal after grief
, Acute grief
the intense physical and emotional expression of grief occurring as the awareness increases of
a loss of someone or something significant
Parental grief
Focus on hopes and dreams that are lost
Sibling grief
-Survivors guilt
-anger, denial
Infant, toddler, preschool developmental needs in dying
Infant:
No understanding of death
Toddler:
-little to no understanding
-max time with parents
Preschool:
-May see death as a punishment
-death is temporary (magical thinking)
-correct their misunderstanding and be honest
School-age and adolescent developmental needs in dying
School-age:
-may have more fear of disease and death
-Be honest
-concrete understanding of death at age 8 or 9 years
-help them establish sense of control
Adolescents:
-more adult understanding
-difficulty w/acceptance
-feel alienated from peers
-Give DETAILED explanation
S/S of death
-sensation of warmth despite body feeling cold
-loss of bladder and bowel control
-Cheyne-stokes RR (lasts about 30 sec to 2 min)
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