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(the answer appears before the question)
atraumatic care
therapeutic care that minimizes or eliminates the psychological and physical
distress experienced by children and their families in the health care system
1. Prevent separation
2. Promote sense of control
3. Minimize bodily injury
emancipated minor
Person who is not 18 but has the same legal rights as an adult
has to not live with parents
parens patriae
the state as parent; the state as guardian and protector of all citizens (such as
juveniles) who cannot protect themselves
If a patient is under 18, they
cannot consent
If a 17 year old with an infant comes to the ER, are they able to consent for the
infant to get treatment?
Yes, cuz they are the guardian
Sequential Trends of growth and development
Definite, predictable sequence
6 reflexes present at birth
Rooting
sucking
babinski
moro
palmar grasp
plantar grasp
,grasping reflex
when palms of hands or soles of feet are stroked, causing fingers or toes to curl
in
rooting reflex
a baby's tendency, when touched on the cheek, to turn toward the touch, open
the mouth, and search for the nipple
sucking reflex
Reflex that causes a newborn to make sucking motions when a finger or nipple
if placed in the mouth
survival reflex
Babinski reflex
Reflex in which a newborn fans out the toes when the sole of the foot is touched
Moro reflex
Infant reflex where a baby will startle in response to a loud sound or sudden
movement.
palmar grasp reflex
in response to stroking a baby's palm, the baby's hand will grasp. This reflex
lasts a few months
plantar reflex
elicited touching the soles of the feet. toes curl downward. (birth to 8 months)
double birth weight
6 months
Triple birth weight by age
1 year
Gross motor skills for newborn to infant
Raise head and chest while on belly/roll side to side
AGE 3 months
no head lag
6 MONTHS
,Toddlers (1-3 years)
Temper tantrums
Normal for age
usually when tired./hungry/overwhelmed
Ignore or remove from situation, touch or distract
Do not leave alone
Anticipatory guidance for temper tantrums
Safe place
Childproofing
Helmet
Time out
consistency (their own toys)
Toddlers are
egocentric
Preschooler 3-6 Y/O
5lb a year
Stronger abdominal muscles
Able to dress self
Skip and hop on 1 foot
Throw a ball and catch
Drawing stick figures
SIMPLE GAMES
Ties shoes
LET THEM PLAY WITH EQUIPMENT
Language development for preschooler
1500-200o word vocabulary
sentences
asking why
Stutter is common
recognize letters
safety for preschoolers
, Helmets
stranger danger
communication strategies for preschoolers
Be careful with words you use
related to magical thinking
Anticipatory guidance for preschoolers
Healthy eating habits
Stranger danger
Street safety
Safe touch (no no zone)
Helmets
Car seats
Poisoning, injuries, home safety
Hygiene, hand washing, dental hygiene
School age 6-12
4-6 lb a year
refined facial features and less baby fat
axillary sweating
GIRLS: hips broaden, pelvis widens, pubic hair, menarche possible before 12
BOYS: Muscular bodies, public hair growth, testes and scrotum changes,
gynecomastia due to hormonal changes
Language development for school aged
8000-15000 words
long conversations
jokes
experiment with profanity
BE HONEST
physical change
Adolescents 12-19
Puberty is rapid
Continually developing
Communication strategies
BE HONEST
let them make choices
give privacy