434 first exam

immunizations

100

State key points for vaccine hesitant parents

Disease risks, Vaccine safety data, Community protection, Scientific evidence

200

route for rotavirus

orally only

300

which vaccine is given in the dorso-gluteal muscle

NONE!!!! ever

400

pediarix vs proquad

pediarix: dtap, hep b, ipv

proquad: mmr, varicella

500

List contraindications for DTaP

Seizures within 3 days of previous dose, Encephalopathy, Progressive neurological disorder

integumentary

100

infant has yellow crusts on the scalp. what is it?

seborrheic dermatitis

200

what integumentary disorder is treated with penicillin

impetigo

300

Differentiate cellulitis from abscess

Cellulitis: diffuse redness, warm, spreading Abscess: localized, fluctuant, pus-filled

400

Treatment priorities for severe burns

Airway maintenance, Fluid resuscitation, Pain management, Infection prevention

500

explain cradle cap

seborrheic dermatitis

chronic recurrent, on the scalp, thick adherent yellowish scaly oily patches

eriksons theory

100

what is the good/bad outcome for trust vs. mistrust

trust and faith in environment and caregivers

fear and suspicion with people

200

1-3 years and explain

autonomy vs shame/doubtpractices and attains new physical skills developing autonomy

300

3-6 years

initiative vs guilt

strong imagination

formulate and carry out a plan

400

12-18 yrs

identity vs role

preoccupation with physical appearance

experiments with different roles

peer groups are really important

500

industry vs inferiority explain

6-12

acquires writing, math, and social skills

children learn to compete and cooperate with others and they learn the rules

good outcome: feeling competent with social and academic demands

med math

100

 A child weighs 34.5 kg. The order is for 7.5 mg/kg/day of vancomycin divided into 3 doses.

• Calculate the total daily dose
• Calculate each individual dose
• If concentration is 500 mg/10mL, how many mL per dose?

• Total daily dose = 34.5 kg × 7.5 mg/kg = 258.75 mg/day
• Individual dose = 258.75 mg ÷ 3 = 86.25 mg/dose
• mL per dose = (86.25 mg × 10 mL) ÷ 500 mg = 1.725 mL

200

Dopamine 400 mg in 250 mL D5W at 10 mcg/kg/min Patient weight: 68 kg

• Calculate the drip rate in mL/hr
• Convert to drops/min using a 60 gtt/mL set

• Dose = 10 mcg/kg/min × 68 kg = 680 mcg/min
• Concentration = 400 mg/250 mL = 1600 mcg/mL
• mL/hr = (680 mcg/min × 60 min/hr) ÷ 1600 mcg/mL = 25.5 mL/hr
• Drops/min = (25.5 mL/hr × 60 gtt/mL) ÷ 60 min/hr = 25.5 gtt/min

300

Current concentration: 25 mg/0.5 mL Desired concentration: 10 mg/mL Total volume needed: 100 mL

• How many mL of the original solution needed?
• How much diluent to add?

• Desired total mg = 10 mg/mL × 100 mL = 1000 mg
• Original solution needed = (1000 mg × 0.5 mL) ÷ 25 mg = 20 mL
• Diluent to add = 100 mL - 20 mL = 80 mL

400

Order: 0.125 g of medication Available: 250 mcg/2 mL

• Convert all units to same measurement
• Calculate mL needed

• 0.125 g = 125 mg = 125,000 mcg
• 250 mcg/2 mL = 125 mcg/mL
• mL needed = 125,000 mcg ÷ 125 mcg/mL = 1000 mL

500

Patient BSA: 1.73 m² Medication order: 850 mg/m² Available: 500 mg/10 mL

• Calculate total dose needed
• Calculate mL needed
• If diluted in 250 mL NS, what's the final concentration?

• Total dose = 850 mg/m² × 1.73 m² = 1470.5 mg
• mL needed = (1470.5 mg × 10 mL) ÷ 500 mg = 29.41 mL
• Final concentration = 1470.5 mg ÷ 279.41 mL = 5.26 mg/mL

play types

100

considerations for toys

choking hazard under 4 years-no small toys

no metal toys near oxygen 

hard toys are used for immunosuppressed clients because they are easier to clean

200

0-6 best toy

muscial mobile

300

1-3

push/pull

wagons, strollers, stacking hard plastic

400

3-6 

pretend play

dolls puppets tea party

500

6-12

cooperative play

3 c's creative, collecting, competitive