1
Infants: 0-30 days old Developmental stages Age-Appropriate Activities Physical assessment
Erikson: trust vs. BP: 65-75/40-50 mm Hg communication Infants: solitary play (lights up & 10% weight loss in 1st week &
mistrust (birth to 1 HR: 110-160/min Infant: crying, Babble – making makes noise) gain it back the 2nd week
year) RR: 30-60/min vowel sounds (2 months) Rattles double by 6 months, triple by 12
·Trust that their Ex mama, dada closer to 1yr of life Teething toys months
needs are being met Pain Scales: FLACC & cries Immunizations Bright colored toys o head lag disappears
·Mistrust creates Birth: Hep B - First teeth erupt between 6-10
when their needs 1 month – 1 yr. 2 months: DTap, RV, Hep B, Hib, months
are not met BP: 75-100/40-55 mm Hg IPV, PCV (DR.B HIP) - 6-8 teeth should erupt in
HR: 100-150/min 4 months: DTap, RV, Hib, IPV, PCV infants mouth by the end of first
RR: 30-50/min (DR HIP) year
6 months: DTap, RV, Hep B, Hib, & epiglottis - anterior closes: 2-3 months
meningitis
->
IPV, PCV (DR.B HIP)
6- 12 months: seasonal FLU vaccine
Toddler: 1-3yrs Toddler: 1-3yrs Developmental stages Age-Appropriate Activities Physical assessment
Erikson: autonomy BP: 85-105/40-60 mm Hg communication Toddlers: parallel play (looking at Leave to the end in a head to
vs shame and doubt HR: 90-130/min Toddler: others toe: ears, eyes & mouth
· Independence is RR: 24-40/min one word sentence - favorite blanket or toy from home Reflex to leave to the end:
paramount for multi word sentences (combine 2-3 when she will be staying in the hospital moro reflex
toddlers, words) no mine, no play ● build a tower of six blocks Toddlers grow 3 inches per year
· “no” – negativism Ex. Mommy stop, mommy play ● large piece puzzles - posterior closes: 12-18
· Ritualism = routine 300 words
(by time) Immunizations
Encourage autonomy 12- 15 months: IPV, Hib, PCV,
by allowing MMR, Varicella (Live)
appropriate choices 12-23 months: Hep A (two doses
6-18 months apart)
15-18 months: DTap (4th dose)
12-36 Months- Yearly Influenzas
Preschooler: 3-6yrs Preschooler: 3-6yrs Developmental stages Age-Appropriate Activities Physical assessment
Erikson: initiative BP: 90-110/ 45-70 mm Hg communication Preschoolers: associative play- ● preschoolers gain 2-3 kg/ yr
vs. guilt HR: 80-110/min Preschooler: disorganized ● should grow 2.4-3.5 in/ yr
, 2
·Want to learn RR: 20-30/min 3-4 years: sentences 3-4 words ● riding tricycles
·Need patience Pain Scales: FACES & 4-5 years: 4-5 words sentences ● skating
·Guilt occurs when OUCHER Average: 2,100 words ● putting puzzles together
● pretend dress up
cannot complete self Immunizations: Yearly FLU
reported
task/do it for them vaccine
Begins to recognize
differences in
appearance
Belief of use of band
aids are important
School age: 6-12yrs School age: 6-12yrs Immunizations Age-Appropriate Activities Physical assessment
Erikson: industry BP: 100-120/60-80 mm Hg Yearly influenza School age: cooperative play: games ● prepubescent period
vs. inferiority HR: 70-100/min can start HPV vaccine (youngest you they can win ● rapid growth occurs
Meeting RR: 18-25/min can give is 9 years but usually given ● play simple board & number games ● permanent teeth erupt
● play hop scotch ● immune system improves
achievements in 11-12 years)
.
● bones continue to ossify
8
school or group sport Pain Scales: numeric 4-6 yrs (2nd dose) MMR & Varicella ● jump rope
● join organized sports
they don’t meet them DTaP changes to Tdap after the age
they feel inferior of 7 years
4-6 Years: DTap (final dose), MMR
(2nd dose), Varicella, (2nd dose) IPV
3-6 Years: Yearly seasonal Influenza
Adolescent: Adolescent: 12-20yrs Yearly seasonal vaccination Age-Appropriate Activities Physical assessment
Erikson: identity vs. BP: 110-130/ 60-80 mm Hg 16-18 years – meningococcal ● non violent video games & music ● final height is achieved
role confusion HR: 55-90/min (booster) ● sports ● acne can appear
· finding out who RR: 12-20/min 11-12 Years- Tdap, HPV, ● caring for pet ● breast development in girls &
● career training programs menstruation
they are & what it Meningococcal
● reading ● testicular enlargement &
means ● social interaction: going out with facial hair growth all over the
feels invincible; “that friends body occurs
could never happen
to me”- high risk for
high-risk behaviors
, 3
Respiratory Distress - Grunting Early signs Respiratory rate: 70 breaths/ min
- Flaring of nostrils - > o Pallor Restlessness Catch symptoms
- Sucked in skin above o Tachypnea
collarbone or between ribs o Retractions broughton by: in
early signs to
inflammation W
- Consistent fast breathing ↓ risk of worsening
Breath sounds Late signs obstruction
o Whistling o Cyanosis lethergy
o Crackles o Grunting mental stupor
- coughing o Bradypnea
- Chronic hypoxia: clubbing confused
Asthma What is it? environment Risk Factors S/S Tx
autoimmune; triggers Family hx SOB (SABA)-albuterol- emergency
Hyperinflammatory response to Exposure to tobacco Dyspnea use rescue med.
triggers Boys greater before adolescent yrs. Retraction- course lung sounds & LABA- formoterol &
cannot expel CO2 = resp. Girls greater after adolescent yrs. accessory muscles salmeterol
Acidosis Low birth weight Chronic cough Cholinergic agonists- atropine
Obesity audible wheezing & ipratropium
Complications tripod positioning Daily regimen Fluticasone MDI
Status asthmaticus administer Peak flow meter- repeat 3 times respiratory acidosis + (LABA
short acting SABA Green: 80-100: meds are working -
Singularisanalternate
e
asthma is well controlled - Moderate to persistent
barrel chest:not Yellow: 50-79: asthma attack could >>> flow of 40% appropriate asthma should be
elastic. Hyper- be coming. Changes to daily meds intervention is the use of a SABA managed w/ a daily
Inflation
is needed or pt is sick
Red: below 49: use SABA and go
contact wil pulmonologist dose of inhaled
corticosteroid
to ER (Fluticasoned
SIDs What is it? Risk Factors Sign/Symptoms: Nursing Care
the sudden and unexplained -Family history of Failure to Thrive No symptoms or warning signs -Use firm mattress ensure two
death of a baby younger than 1 -Premature or low birth weight fingers width between bed
year old. babies -Place baby on back
-Placing babies on side and stomach -Don’t overdress baby
Use pacifie breastfeeding
↓ exposure to
protective second hand
smoke
Infants: 0-30 days old Developmental stages Age-Appropriate Activities Physical assessment
Erikson: trust vs. BP: 65-75/40-50 mm Hg communication Infants: solitary play (lights up & 10% weight loss in 1st week &
mistrust (birth to 1 HR: 110-160/min Infant: crying, Babble – making makes noise) gain it back the 2nd week
year) RR: 30-60/min vowel sounds (2 months) Rattles double by 6 months, triple by 12
·Trust that their Ex mama, dada closer to 1yr of life Teething toys months
needs are being met Pain Scales: FLACC & cries Immunizations Bright colored toys o head lag disappears
·Mistrust creates Birth: Hep B - First teeth erupt between 6-10
when their needs 1 month – 1 yr. 2 months: DTap, RV, Hep B, Hib, months
are not met BP: 75-100/40-55 mm Hg IPV, PCV (DR.B HIP) - 6-8 teeth should erupt in
HR: 100-150/min 4 months: DTap, RV, Hib, IPV, PCV infants mouth by the end of first
RR: 30-50/min (DR HIP) year
6 months: DTap, RV, Hep B, Hib, & epiglottis - anterior closes: 2-3 months
meningitis
->
IPV, PCV (DR.B HIP)
6- 12 months: seasonal FLU vaccine
Toddler: 1-3yrs Toddler: 1-3yrs Developmental stages Age-Appropriate Activities Physical assessment
Erikson: autonomy BP: 85-105/40-60 mm Hg communication Toddlers: parallel play (looking at Leave to the end in a head to
vs shame and doubt HR: 90-130/min Toddler: others toe: ears, eyes & mouth
· Independence is RR: 24-40/min one word sentence - favorite blanket or toy from home Reflex to leave to the end:
paramount for multi word sentences (combine 2-3 when she will be staying in the hospital moro reflex
toddlers, words) no mine, no play ● build a tower of six blocks Toddlers grow 3 inches per year
· “no” – negativism Ex. Mommy stop, mommy play ● large piece puzzles - posterior closes: 12-18
· Ritualism = routine 300 words
(by time) Immunizations
Encourage autonomy 12- 15 months: IPV, Hib, PCV,
by allowing MMR, Varicella (Live)
appropriate choices 12-23 months: Hep A (two doses
6-18 months apart)
15-18 months: DTap (4th dose)
12-36 Months- Yearly Influenzas
Preschooler: 3-6yrs Preschooler: 3-6yrs Developmental stages Age-Appropriate Activities Physical assessment
Erikson: initiative BP: 90-110/ 45-70 mm Hg communication Preschoolers: associative play- ● preschoolers gain 2-3 kg/ yr
vs. guilt HR: 80-110/min Preschooler: disorganized ● should grow 2.4-3.5 in/ yr
, 2
·Want to learn RR: 20-30/min 3-4 years: sentences 3-4 words ● riding tricycles
·Need patience Pain Scales: FACES & 4-5 years: 4-5 words sentences ● skating
·Guilt occurs when OUCHER Average: 2,100 words ● putting puzzles together
● pretend dress up
cannot complete self Immunizations: Yearly FLU
reported
task/do it for them vaccine
Begins to recognize
differences in
appearance
Belief of use of band
aids are important
School age: 6-12yrs School age: 6-12yrs Immunizations Age-Appropriate Activities Physical assessment
Erikson: industry BP: 100-120/60-80 mm Hg Yearly influenza School age: cooperative play: games ● prepubescent period
vs. inferiority HR: 70-100/min can start HPV vaccine (youngest you they can win ● rapid growth occurs
Meeting RR: 18-25/min can give is 9 years but usually given ● play simple board & number games ● permanent teeth erupt
● play hop scotch ● immune system improves
achievements in 11-12 years)
.
● bones continue to ossify
8
school or group sport Pain Scales: numeric 4-6 yrs (2nd dose) MMR & Varicella ● jump rope
● join organized sports
they don’t meet them DTaP changes to Tdap after the age
they feel inferior of 7 years
4-6 Years: DTap (final dose), MMR
(2nd dose), Varicella, (2nd dose) IPV
3-6 Years: Yearly seasonal Influenza
Adolescent: Adolescent: 12-20yrs Yearly seasonal vaccination Age-Appropriate Activities Physical assessment
Erikson: identity vs. BP: 110-130/ 60-80 mm Hg 16-18 years – meningococcal ● non violent video games & music ● final height is achieved
role confusion HR: 55-90/min (booster) ● sports ● acne can appear
· finding out who RR: 12-20/min 11-12 Years- Tdap, HPV, ● caring for pet ● breast development in girls &
● career training programs menstruation
they are & what it Meningococcal
● reading ● testicular enlargement &
means ● social interaction: going out with facial hair growth all over the
feels invincible; “that friends body occurs
could never happen
to me”- high risk for
high-risk behaviors
, 3
Respiratory Distress - Grunting Early signs Respiratory rate: 70 breaths/ min
- Flaring of nostrils - > o Pallor Restlessness Catch symptoms
- Sucked in skin above o Tachypnea
collarbone or between ribs o Retractions broughton by: in
early signs to
inflammation W
- Consistent fast breathing ↓ risk of worsening
Breath sounds Late signs obstruction
o Whistling o Cyanosis lethergy
o Crackles o Grunting mental stupor
- coughing o Bradypnea
- Chronic hypoxia: clubbing confused
Asthma What is it? environment Risk Factors S/S Tx
autoimmune; triggers Family hx SOB (SABA)-albuterol- emergency
Hyperinflammatory response to Exposure to tobacco Dyspnea use rescue med.
triggers Boys greater before adolescent yrs. Retraction- course lung sounds & LABA- formoterol &
cannot expel CO2 = resp. Girls greater after adolescent yrs. accessory muscles salmeterol
Acidosis Low birth weight Chronic cough Cholinergic agonists- atropine
Obesity audible wheezing & ipratropium
Complications tripod positioning Daily regimen Fluticasone MDI
Status asthmaticus administer Peak flow meter- repeat 3 times respiratory acidosis + (LABA
short acting SABA Green: 80-100: meds are working -
Singularisanalternate
e
asthma is well controlled - Moderate to persistent
barrel chest:not Yellow: 50-79: asthma attack could >>> flow of 40% appropriate asthma should be
elastic. Hyper- be coming. Changes to daily meds intervention is the use of a SABA managed w/ a daily
Inflation
is needed or pt is sick
Red: below 49: use SABA and go
contact wil pulmonologist dose of inhaled
corticosteroid
to ER (Fluticasoned
SIDs What is it? Risk Factors Sign/Symptoms: Nursing Care
the sudden and unexplained -Family history of Failure to Thrive No symptoms or warning signs -Use firm mattress ensure two
death of a baby younger than 1 -Premature or low birth weight fingers width between bed
year old. babies -Place baby on back
-Placing babies on side and stomach -Don’t overdress baby
Use pacifie breastfeeding
↓ exposure to
protective second hand
smoke
