Care of Hosp. Child
What are the 3 principles of Atraumatic care?
-prevent/minimize the child's separation from the family
-Promote a sense of control
-Prevent/minimize bodily injury or pain
One way to decrease infant/toddler stress during med admin:
sit on parents lap!
Erikson Stage for Toddlers:
Autonomy vs. Shame and doubt
1. Anterior fontanelle closes in __________ months
2. posterior fontanelle closes in _______ months
1. 12-18
2. 2-3
What are the 3 stages of Separation anxiety?
Protest, Despair, Detachment
True/False: Detachment is a positive sign of coping.
False
Biggest stressor for adolescents during hospitalization:
Being away from peers. Being different from peers!!
What is imaginary audience? Which age group does this apply to?
All eyes on me. Adolescents
number 1 cause of death for toddlers?
Accidental injury (drowning, weapons)
Characteristics of fragile X syndrome:
-mental retardation
-long face
-prominent jaw
-large ears
-large testicles
-epicanthal folds
-strabismus
-scoliosis
How old do you have to be to give Assent?
8 years old and able to understand and participate in decision making.
True/False: Regression is always a negative sign of children being hospitalized?
FALSE
What is negativism? Which age group is this common in?
"No"; Toddlers
name 4 reflexes present in infants:
1. Rooting reflex
2. Grasp reflex
3. Babinki Reflex
4. Moro/Startle Reflex
If a child is 5 years old, how long should they be in time-out?
5 minutes; 1 minute per year of age
What is the best indicator of pain for an infant? What scale do we use for infants?
Facial Expression. FLACC
What is cyclic sorrow?
Parent’s grief recurs at predictable times during the child’s life, especially during times of unmet or delayed developmental milestones
How does infant growth develop?
Cephalocaudal (head down)
Proximodistal (center out)
What is telegraphic speech?
toddlers; use 2-3 word phrases to communicate complete sentences
Duty to warn (threats to harm another party)
MANDATORY reporting of child abuse
Gunshot wounds (community at risk)
Required reports of infectious diseases to health department
Which age group are magical thinkers?
Preschoolers
Kids younger than 3: pull pina...
Kids older than 3: pull pina...
1. DOWN & BACK
2. UP & BACK
What type of play are school aged kids participating in?
Cooperative play (kids working together in the same thing trying to reach the same goal)
Give a correct example of giving toddlers a choice during hospitalization:
Do you want apple or grape juice with your medicine?
Hypotonia and microcephaly are noted during assessment of an infant. What does the nurse suspect?
Downs Syndrome