Medication Admin.
True or False: A small med cup may be appropriate for medication administration in a child from 3-12 months.
True- Medications may need to be retrieved and refed, so a med cup is a good tool. Children 3-12 months begin to drink from cups because their tongue can now protrude when swallowing.
(More often, a syringe is used in real-life because although they can take from a cup developmentally, it's usually very messy).
Age that the posterior fontanel closes
2 months
Normal RR for 2-4mo old (at rest)
Double points- *At what age would it decrease, and to what?*
30-45
Decreases by 9mos to 25-30
Child can sit only with support beginning at ___ months
4
Rear facing carseat criterea (age/weight)
Until 1yr old and 20lbs
True or False: It can be helpful to refer to medicine as candy with a child 30mos-6yrs.
False- Do not refer to medicine as candy with children of this age. Children in these age brackets can distinguish medication tastes more effectively. When a child is told something is candy and it then tastes gross (like medicine) it can breed distrust between child and nurse.
(Also, be sure to stress that medicine is not a punishment at this stage--simple explanations of why meds are being given are appropriate).
Object Permanence FULLY developed at ____ months
9
True or False: Head circumference at birth is the same size as chest circumference.
False- Head circ at birth slightly larger than chest, and by 6 mos., chest catches up to head circ
(From 6 mos. on, chest circ can be expected to exceed head circ)
Sits up by self using hands beginning at ___ months.
6
Remove overhead mobiles at ___ months
6
(Child can now reach and grab)
What age category would his statement be appropriate for: "Open your mouth, drink this, and swallow now."
- 3-12 mos.
- 12-30 mos.
- Birth-3mos
12-30mos.
Control of mouth has progressed at this stage. Children can clamp mouth closed tightly, and from 12-18mos they should have developed voluntary tongue control.
A child's first deciduous tooth would likely develop over _____ months of age.
6-8
4 months.
(Around 6 mos., parents can, and are encouraged to, create more of a regular bedtime ritual/schedule)
Creeping up (pulls to stand), Cruising & Crawling
9 months
Important teaching tip for parents of 4 month old concerning water heater?
Turn down to 120 degrees.
What would be an appropriate action(s) for med administration to a child 6-12 yrs? (Select all that apply)
- Use a calendar to keep the child in the loop of the med schedule
- Provide stickers for cooperation
- Write a contract with the patient spelling out expectations for self-administered meds
- Provide reassurance that you will give medication safely
- Use a calendar to keep the child in the loop of the med schedule (YES!- more appropriate closer to age 12 than 6)
- Provide stickers for cooperation (YES!)
- Write a contract with the patient spelling out expectations for self-administered meds (No- More appropriate for 12+ yrs)
- Provide reassurance that you will give medication safely (YES!- children in this age group need to know how things work and they have a growing concern for body mutilation)
Birth weight ____ by 5-6 months, and ____ by 12 months.
Doubles, Triples
HR for 6-11 month old
70-150
(Big drop from 90-180 prior to this time period)
The 3 finger pincer grasp develops at...
9 months
Name 3 safe sleep practices for newborns-2 months
Firm matress
No loose articles (bumpers, toys, blankets, etc.)
Flat, back sleep
True! Adolescents strive for independence and developmentally should have made many advances in logical decision making skills.
The Anterior fontanel closes between ____ months.
12-18
BP for 6-11mos (~9mos.)
90/60
(+/- 30/10)
**60/37 at 2 months, 80/60 at 4 months, 90/60 at 9 months**
At ____ months, a child can hold and use a spoon crudely because the _____ grasp has developed.
12, 2 finger pincer grasp
At what age would it be MOST important to start moving all toxic substances/meds out of reach?
~9 months on...child can "CCC"