Callin the shots
what are the clinical symptoms of MMR?
measles- acute viral respiratory illness (prodrome of fever, malise, cough, rhinorrhea, conjunctivitis, maculopapular rash, koplick spots
mumps- swollen salivary glands and swelling in the cheek/jaw area
rubella-maculopapular rash, swollen lymph nodes, headaches, if contracted by a pregnant woman can cause serious birth defects
when do we stranger danger start to emerge?
around 6 mo
what are some anticipatory guidance discussion topics around an infant that is learning to walk?
safety!
safety gates
electrical outlets
supervision around water
keep small objects out of reach
move dangerous objects to higher shelf
lock cabinets w/ pills, cleaning solutions, etc
what pain scale would we use on an infant?
FLACC
When do we see the introduction of solid foods?
aroud 6 mo
Why is the rotavirus vaccine given?
to protect against severe diarrhea
puberty stages in females?
thelarche
adrenarche
menarche
what screenings are recommended in the adolescent stage?
BP, weight, scoliosis, PHQ-9
What are some ways the RN can provide atraumatic care to a toddler during an examination?
use transition objects
consider developmental level
allow child to stay on parent's lap
what foods could be considered choking hazards in a toddler?
solid food that has consistent circumference as airway
What does the Hib vaccine protect against?
bacterial meningitis
epiglottitis
bacteria pneumonia
sepsis
the first tooth has erupted in an 8 mo old, what does the nurse recommend?
begin dental hygiene habits (i.e. clean baby's teeth with a wet wash cloth)
What is a safe dose of acetaminophen (tylenol)?
15mg/kg
(motrin is 10mg/kg)
why are children predisposed to otitis media?
short/straight internal ear structures
when would we see birth weight doubled?
around 6 mo
What does IPV protect against?
inactivated polio vaccine= protects against the virus that can infect the spinal cord and cause paralysis
what is the most important factor to consider when interacting with a pediatric patient?
developmental level!
until 2 yo
how could we promote a sense of control for a toddler being administered tylenol?
when can whole milk be introduced?
around 12 mo
What IZZ should the RN plan to administer at a 4 mo WCC?
HIB, DTAP, IPV (can be combo in pentacel), PCV, rotavirus
a toddler is having increasing temper tantrums. How would the nurse respond when the parent asks if this is normal?
yes, children this age are still developing their vocabulary and learning how to express feelings.
they also want more autonomy and independence
what is an important criterion when assessing for child abuse?
discrepency between history and injury observed
A 2 ½ year-old patient weighs 26 pounds. The recommended dose of Tylenol (acetaminophen) is 15 mg/kg of body weight, given every 4 to 6 hours as needed for fever or pain. Tylenol liquid is available in 160mg/5ml. Calculate the mg and ml that will be given.
26 lb= 11.8 kg
177mg or 5.5mL
what vitamin supplement is recommended at birth
vitamin D (400 IU)