Sleep & Behavior
Nightmares --> occur during REM, the child remembers;
Night Terrors --> occur during NREM, the child does not remember
Whatis the first action if a child ingests a toxic substance?
call poison control before any interventions.
What is the most common source of lead exposure in children?
Peeling lead-based pin and contaminated soil
Define Physical neglect.
Failure to provide food, clothing, shelter, supervision, or medical care.
What is the nurse's priority when child abuse is suspected?
Ensure child safety and report as mandated
Define Parasomnias in early childhood.
Parasomnia is a sleep disturbance, such as sleepwalking, night terrors, or confusional arousals
Why is syrup ipecac no longer recommended?
It can cause aspiration and complications without improving outcomes.
Which organ systems are most affected by lead poisoning?
Neurological
Hematologic
Renal
What is Munchausen Syndrome by Proxy (MSBP)?
Cargegiver fabricates illness in child to gain attention; can be fatal
Name one emotional effect of child neglect
Low self-esteem, lack of trust, impaired attachment.
Co-sleeping is linked with which infant safety concern?
SIDS (sudden Infant Death Syndrome)
What substance is most commonly ingested by toddlers?
Cosmetics and personal care products
at what ages are children routinely screened for lead poisoning?
1 and 2 years old.
Inflicted brain injury with retinal hemorrhages, intracranial bleeding, fractures, without external signs.
Define protective factors that help prevent child abuse.
Support systems. parental resillince, comunity resources
What is a common consequence of chronic sleep disturbance in preschool children?
Daytime sleepiness, irritability, poor school performance.
Define activated charcoal in poisoning management.
A substance that binds toxins in the GI tract to prevent absorption.
Name one chelation therapy used in lead posioning.
EDTA (calcium disodium edetate)
Succimer (DMSA)
British antilewisiteWhat are common parental risk factors for child physical abuse?
- low self-esteem
- poor coping
- single parenting
- without support
- unrelated partner in the home
What is the nurse's role after confirming maltreatment?
Protect the child, support the family, plan safe discharge, and involve prevention resources.
A parent reports requent nigthmares in their 3-year-old. What should the nurse say first?
"Tell me more about your concerns"
Open ended is beter and gather more information.What are the three main principles of emergency treatment for ingestion of harmful agents?
Terminate exposure, prevent absorption, and administer antidote if available.
Why is the developing brain especially vulnerable to lead exposure?
Lead interferes with synapse formation, neurotransmitters, and myelination --> long-term cognitive/behavioral deficits
What is the typical profile of a sexual abuse perpetrator?
Usually, a male known to the child, who may be a family member or trusted adult, occurs across all socioeconomic groups
In documentation of suspected abuse, what is the most important?
objective findings (quotes, physical signs, diagrams) without bias.