Vaccines
Only vaccine given at birth
Hep B
Industry vs. inferiority
6-12 school aged
Do scary or painful parts of assessment at what point during assessment?
At the end
At this age a child should be able to crawl
9 months
Urine output wanted for a child. For an infant.
1 ml/kg/hour. 2 ml/kg/hour
20 kg child peed a total of 1350 in 24 hours. urine output?
2.81 ml/kg/h
Varicella should be given at these ages
1, 4-6
Initiative vs. guilt
Preschool 3-6 years
down and back
Toddlers throw temper tantrums to do what
gain control of the situation. frustration over not being able to control environment
School aged children who are hospitalized for an extended amount of time should work on homework T/F
T. industry vs. inferiority-can continue to develop skills and knowledge and maintain a sense of accomplishment.
Risk factors for suicide
Difficulties with sexual identity, Socially isolated (loner, victim of bullying), Depression or other mental health illness, Personal or family history of previous suicide attempt, recent suicide of friend
11-12 year old vaccines
11-12 years- Tweens Have Money TDap, HPVx3, Meningococcal
Autonomy vs. Shame and Doubt
Toddler
Has full set of teeth by this age
30 months
Toddlers participate in this type of play. Preschoolers?
Parallel, imaginary-cooperative
Toddler drinks mostly bottles of milk. At risk for this
Iron deficiency anemia
Anterior fontanel closed by this age. Posterior.
12-18 months, 6-8 weeks
2, 4, 6 month vaccines
2, 4, 6 months- DIHPR- “diaper” Dtap, IPV, Hib, PCV, Rotavirus
____ develop a sense of trust when guardians and caregivers provide reliable care and affection. A lack of consistent care can result in a sense of mistrust.
infants trust vs mistrust
Use this pain scale for a baby and what stands for
FLACC- Face, Leg, Activity, Cry, Consolability
Appropriate activities for a 4-year old child
putting together large-piece puzzles, using paints and crayons, playing ball, riding tricycles, playing pretend and dress up, sewing cards and beads, and reading books, scissors
Things to do for a painful/scary procedure
Talk through appropriate for age, Involve parents, hold toy, perform on toy, get it done quickly, therapeutic holds, oral sucrose, praise after, toy after
Varicella s/s, precautions, what to watch out for
Rash starts on trunk and spreads to face and proximal extremities turns to crusted, contact/airborne, secondary skin infection, pneumonia
1 year old vaccines
1 yearish- Harry V. Potter MD: Hib, Varicella, PCV, MMR, DTaP
Erickson's in order
Trust vs. mistrust-Autonomy vs. shame and doubt-Initiative vs. guilt-Industry vs. inferiority-Identity vs. role confusion
Birth weight should be doubled by this age. tripled by
6 months. 12 months
At this age a child should be able to form 2-3 word sentences
2 years
Lead poisoning signs and symptoms
Stomach pain/anorexia, headache, Inattentiveness/hyperactivity, Decrease bone growth/decrease muscle growth, Coordination problems, Speech/language/hearing problems, Seizures
Calculate intake: 12 oz of soda, 3 oz jello, 15 ml orange juice, 1/2 cup of apple juice
360+90+15+ 120= 585