Precautions and Other
What site is the best for IM injection for an infant?
Vastus Lateralis
What is the expected urinary output for Children?
1-2 ml/kg/hr
What is the difference between passive and active immunity
Passive: Transferred immunity passed from one to another (breast feeding)
Active: Acquired by one body's own immune response
What 3 meds are given at/after birth
Vit. K, Erythromycin, Hep B.
When do the Fontanels close
Posterior = 2 Months
Anterior = 18 Months
What equipment is needed for Airborne Precautions?
Gown, non-sterile gloves, and *N95 Respirator*
Also have the pt in a private room with negative air pressure
What 2 factors affect the medication distribution in infants and young children?
Their immature livers and the increased percentage of water in their bodies
What is the safe level of lead in the body?
Zero. No level is safe
When can the Influenza vaccine be given to children
At the 6 month mark
When does the birth weight double and triple?
Double = 6 months
Triple = 12 months
RSV
Contact
What is Therapeutic Hugging and when is it used?
A holding position that promotes close physical contact between the child and a parent/caregiver. It is used when the child needs to remain still for procedures such as IV insertion
When does puberty begin?
9-10 yoa in girls
10-11 yoa in boys
What two time periods is the MMR vaccine given to children
12 - 15 months Dose 1
4 - 6 years Dose 2
The age at which children can have Milk and Honey
12 months
Tuberculosis
Airborne
MTV is on the Air
(Measles, Tuberculosis and Varicella)
What are the 3 points of the Pediatric Assessment Triangle?
Appearance, Breathing, and Circulation
Which of the 5 senses is developed at birth?
Hearing
All newborns require a hearing test
Besides the flu vaccine, what vaccine is given at the 2-3 year mark?
How much sleep does a school age child require each night?
12 hours
Mumps
Droplets
Also, Pertussis, Rubella, and Diphtheria
What are the 3 stages of Separation anxiety
Protest, despair, and denial
What is FLACC and what does it stand for?
FLACC is a pain scale used on children aged 2 mo. to 7 yrs
Face, Legs, Activity, Crying, Consolability
Name 3 of the 5 vaccines given at the 2, 4, and 6 month mark.
Inactivated Poliovirus (IPV) (2, 4, 6, and 4-6 yrs), Pneumococcal (2, 4, 6, and 12), Rotavirus (2, 4, and 6), DTaP (2, 4, 6, 12, and 4-6 yrs), and Hib (2, 4, 6, and 12)
When do the Deciduous teeth come in?
Within the first 6-8 months
All 20 should be in by 30 months