Pediatrics Proctored ATI Review

Pediatrics Proctored ATI Complete Review what vaccine do kids need to get before entering into a college dormitory? meningococcal polysaccharide vaccination because of the high risk creep on hands and knees 9 months begin to stand while holding onto furniture 10 months begin vocalizing vowel sounds 7 months say at least one word 10 months crude pincer grasp 9 months use of dominant hand is evident 9 months preschool age views of death -thinks of death as sleep -thinks thoughts can cause death -thinks death is a punishment toddler physical assessment -minimize physical contact with child initially 4 years old distractions during assessment -use plastic stethescope -puzzles are too hard -cannot read by themselves yet -mobile is too young for a 4 y/o 3 years old distractions during assessment -cutting figures out of paper 2 years old distractions during assessment -building blocks if the child has increased blood lead levels, the parents should make sure of... parents should make sure the child has adequate calcium and iron intake because they promote excretion of the lead and decreased absorption of the lead MMR and Varicella administration - should be administered either at the same time or 1 month apart 12 month old infant nutrition requirements -SHOULD be introduced to same food the family is eating -SHOULD be having dry cereal and chilled banana slices for snacks -SHOULD have 4 ounces of juice per day -should NOT have 2 quarts of skim milk each day -SHOULD have 24-30 ounces per day of WHOLE milk. Skim milk should be introduced AFTER 2 years old. Femoral venipuncture position for child? supine most common food allergy in children? Cow's Milk Vaccines at 2 months? Hib and IPV Home safety - water temperature should be at 49 C or 120 F Adult tetanus booster can be given to children at a minimum of what age? 7 years old and up peek a boo game shows... object permanence posterior fontanel closes at around 2 months anterior fontanel closes at at 18 months crossed and extended legs when supine can indicate what condition? Cerebral Palsy does not refer to him/herself with pronouns until what age 30 months should be DAYTIME potty trained by 30 months -do not attempt to accomplish this task until 24 months scribble with crayons by 15 months interest in looking at pictures at 15 months stepping reflex disappears by 4 weeks babinski reflex is present until 1 year old Moro reflex disappears by 3-4 months Extrusion reflex disappears by 4 months crawl reflex disappears by 6 weeks startle reflex disappears by 4 months Birth weight is quadrupled by 30 months Birth weight is tripled by 12 months Intussusception Diagnosed by: abdominal ultrasound will confirm the pocket in the intestine possibly will need barium enema to resume normal configuration of intestines leukopenia care monitor for increased temperature because it places the child at risk for infection hypoglycemia in school age child drink 240 mL or 8 ounces of milk as soon as possible what nutritional needs should you delay until after 12 months? -whole milk -eggs -strawberries associative play children playing together without organization denver developmental screening test language, cognition, fine motor development and gross motor development -NOT IQ sickle cell crisis -maintain bedrest cleft lip repair -suction infant gently with bulb syringe PRN boston brace for scoliosis -wear brace for 23 hr/day -only remove for showering or physical therapy -wear over a tshirt to prevent plastic pads from causing excoriation to skin -avoid loosening straps of brace insulin injections on school age child -demonstrate injection on orange THEN, have the child teach the injection technique to the parents tosillectomy post op report freq swallowing (could be blood) ventricular septal defect in infant -report 4 pound weight gain because it indicates increased fluid and worsening of child's HF -should expect murmur at the left sternal border atrial septal defect diastolic murmur is expected patent ductus arteriosus widened pulse pressure tracheomalacia clinical manifestation barking cough, stridor, wheezing cyanosis and apnea d/t weakened trachea which leads to collapse infant dehydration S/S flat or sunken fontanel tachycardia (slightly) tachypnea decreased urinary output dry mucous membranes fiberglass arm cast teaching -plastic bag cover when showering -exercise fingers every 4 hours for first 24 hours -do not use magic markers to draw or sign cast peak expiratory flow meter -record highest reading of three attempts -teach adolescent to take a deep breath, place lips around mouthpiece, and then blow into the mouthpiece as hard and as fast as possible measles s/s koplik spots = small, irregular lesions with bluish white center mumps s/s parotitis aka swollen parotid galnds pertussis s/s paroxysmal cough scarlet fever s/s strawberry tongue expected finding in child w/ glomerulonephritis periorbital edema and HTN Toddlers nutrition -consume 1000 calories daily -2 oz protein daily -no more than 24 oz or 3 cups of milk per day -8 oz or 1 cup of veggies daily wilms' tumor nursing care NO ABDOMINAL PALPATATION - could aid in metastasis nephrotic syndrome keep child away from those with infection(s) dehydration specific gravity higher than 0.025 Antistreptolysin O (ASO) titer tests for a recent strep infection epiglottitis drooling pyloromyotomy postop small, frequent feedings by bottle of electrolyte solution or sterile water beginning 4-6 hours post op cleft palate - postop nutrition should be fed clear liquids using a CUP for 7-10 days following cleft lip repair to prevent trauma and injury to suture line administration of eardrops for infant -pull pinna DOWN and back until 3 years old then it is up and back -massage anterior area of ear following administration -do not hyperextend the neck -otic solutions should be warmed before instillatio