Pediatric Nursing

PEDIATRIC NURSING CARE OF THE NB in DR ENC - A.O. - signed last - during perineal bulging: ADBHICAsGaB 1. Maintain… a. position: b. suction… - obligatory: - to prevent: - duration: c. occlude… - to test… - mouth breathing… 2. Dry for… 3. Initiate breathing a. characteristics b. administer O2 4. Heat conservation a. Cold stress 5. Identification 6. Cord clamping 7. APGAR Score 8. Gestational Age 9. Breastfeeding a. exclusive BF b. passive immunity c. weaning d. stomach capacity e. feeding cues f. signs of good attachment CARE OF THE NB IN NUR. BBVEV 1. Bathing a. done at least b. temperature of room c. temperature of H2O d. done after.. e. proceed from.. 2. Body measurements a. length b. weight - physiologic wt. loss c. head circumference d. chest circumference e. abdominal circumfer. 3. Vital Signs a. Temperature - Normal: - best site:

b. Pulse - FHR: - immed. after birth: - 1 hour after birth - sleeping: - crying: - radial pulse: - femoral pulse: c. Respiration - immed. after birth: - 1 hour after birth: d. Blood Pressure - immed. after birth: - 10th day - within year: - older than 1 year: - routine BP checking: 4. Erythromycin - __% - tetracycline - applied? 5. Vitamin K - synthesized where? - cultured when? - preterm: - term: I. PEDIATRIC ASSESSMENT 1. Blink 6. Palmar grasp 2. Rooting 7. Plantar grasp 3. Sucking 8. Tonic neck 4. Swallowing9. Moro 5. Extrusion 10. Babinski

c. Nevus vasculosus d. Mongloian spots e. Vernix caseosa f. Lanugo g. Milia h. Erythema toxicum i. Desquamation (normal)

VI. HEAD a. fontanels anterior - closure: - characteristic: XI. STOOLS - other name: a. when? posterior - within: - closure: - after: - characteristic: b. meconium - other name: c. transitional: >premature closure: d. breast-fed >overlapping of suture lines: - color: >localized softening of - consistency: cranial bones: - due to: b. capput succedaneum - frequency: - absorption: - smell: - characteristics: e. bottle-fed - extent: - color: c. cephalhematoma: - consistency: - absorption: - due to: - characteristic: - frequency: - extent: - smell:

- when: - bilirubin level: - cause: c. (-) evident jaundice - bilirubin level: d. management: - preventing: - <10 mg/dL: - >10 mg/dL: e. phototherapy - S/E

XIV. a. least developed sense b. most developed sense XV. MOUTH a. Eipstein pearls - location: - appearance: - cause: b. Oral thrush - location - cause: - appearance: GROWTH AND DEVELOPMENT I. Growth II. Development III. Paths of progression (3) IV. Rates of growth V. Developmental Theories A. Psychosexual Theory - author: a. components - id - present: - ego - present - superego - present b. Stages of Development - time frame: - AOG: - time frame: - AOG: - best time for toilet training: - ideal time for toilet training: - 2 concepts involved - readiness: - AOG: - complexes: - ___awareness - time frame: - characteristics: - libido where? - time frame: - stage of?

B. PSYCHOSOCIALTHEORY - Infancy - life virtue: - task: - Toddler - life virtue: - task: - Preschool - life virtue: - task: - School-age - life virtue: - task: - Adolescent - life virtue: - task:

Stage 4 - time frame: - characteristic - Post-conventional Stage 5 - time frame: - characteristic Stage 6 - time frame: - characteristic

- 400 words/2-word phrases - 300 - 900 words - 1500 words - 2100 words D. Stages of Separation anxiety VIII. G&D of a PRESCHOOL PRE2S3C2HOOL A. Add’l Details: - significant person - fear - play - common accidents B. Shapes - Circle - Square - Triangle - Tricycle - man with 6 parts - brushes without help - uses blunt scissors - dresses without help IX. G&D of a SCHOOLER SCHOOLER A. Add’l Details: - significant person - fear - play - common accidents X. G&D of an ADOLESCENT P2AI3RS DISORDERS A. Cardiovascular system a. Acyanotic - identifying murmurs

VII. EYES a. subconjunctival hemorrhage II. NB URINARY ASSESSMENT b. permanent color a. should void within.. c. crying tearlessly b. single voiding: d. physiologic strabismus c. voiding within1-2 days: e. corneas: d. voiding within 5 days: VIII. EXTREMITIES e. specific gravity a. simian crease f. odor and colorless until: b. polydactyly c. syndactyly III. GENITAL AREA d. adactyly a. cryptochordism b. phimosis IX. EARS - normal up to: a. in line with? c. pseudomenstruation b. otic admin: d. wirch’s milk - below 3 years old: - 3 y.o & above IV. RESPIRATORY SYSTEM a. thermal stimulant X. JAUNDICE b. chemical stimulant a. physiologic jaundice - when: V. COMMON SKIN MARKS - bilirubin level: a. Nevus flammeus - cause: b. Telangiectatic nevi b. pathologic jaundice

XII. CARDIOVASCULAR SYSTEM a. Structures - foramen ovale - closure - becomes? - ductus arteriosus - closure - becomes? - ductus venosus - closure - becomes? - umbilical vein - umbilical cord b. before birth: - oxygenation: - high pressure: - low pressure: c. after birth: - oxygenation: - high pressure: - low pressure: XIII. IMMUNE SYSTEM a. IgA b. IgG

VI. G&D of an INFANT A. Weight 2x 3x 6x  B. Height 50%  2x  C. Teeth Eruption C. COGNITIVE THEORY a. first tooth eruption a. Stages of development b. 6-8 teeth - Sensorimotor c. 20 deciduous teeth - time frame: - 1st dental check-up: - relates through: d. first molar -Preoperational e. central incisor - time frame: f. second molars - uses: g. third molars - Prelogical D. Head vs Chest - other name a. head>chest - characteristic: b. equal - Intuitive c. chest>head - lacks.. E. Cephalocaudal dev’t - no… F. Car seats - Concrete G. Proximodistal development - time frame: H. Socialization and language - has… I. Add’l Details: - able to.. - significant person - understands… - fear - uses.. - play - Formal - common accidents - time frame: J. Nutrition - uses: - earliest food intro: - able to - ideal: D. MORAL THEORY a. Stages: - Preconventional Stage 1 - time frame: - characteristic: Stage 2 - time frame: - characteristic - Conventional Stage 3 - time frame: - characteristic VII. G&D of a TODDLER T2ODDLE2R A. Add’l Details: - significant person - fear - play - common accidents B. Walking upstairs - one step at a time with support - one step at a time alone - alternating steps C. Words - 12 words