NUR 232 PEDs- Exam 1
Erikson's 8 stages of development - ✔️✔️trust vs mistrust ( birth to 1 year)
autonomy vs shame and doubt (1-3 years)
initiative vs guilt (3 to 6 years)
industry vs inferiority (6 to 12 years)
identity vs identity confusion (12 to 18 years)
important 2 month baby milestone - ✔️✔️Can hold head up and begins to push up
when laying on tummy
begins to smile at people
coos and makes gurgling sounds
Cephalocaudal - ✔️✔️head to toe
This is how an infant grows
Immunization location - ✔️✔️thigh
Primary prevention - ✔️✔️Education, immunization, exercise safe living
Secondary prevention - ✔️✔️Screening, prompt treatment of the disease
Tertiary prevention - ✔️✔️Disease management
Tylenol - ✔️✔️Given as a newborn , don't give before immunizations
Motrin - ✔️✔️Given at 6 months
Hospitalization Infants 0-12 months - ✔️✔️Separation anxiety, stranger anxiety, have
the same nurse continue care. Educate the parents
Hospitalization toddlers 1-3 years old - ✔️✔️Most traumatized for being hospitalized,
Separation anxiety, Fear of body mutalation, loss of control, being confined, have parent
stay with child, do not restrain them.
Hospitalization preschooler 3-5 - ✔️✔️Fear of abandonment, pain, loss control, dark
and body harm. Encourage parents to participate offer choices if possible and
reassurance
, Hospitalization 6 to 11 school age - ✔️✔️Altered body image, fear of death, privacy,
separation from friends, offer reward after procedure. Clear thorough explanation.
Showing equipment, drawings, nurse teaches coping strategies.
Birth immunization - ✔️✔️Hep B
2 months immunization - ✔️✔️Hep B, RV, DTaP, Hib, PCV, IPV
4 months immunization - ✔️✔️RV, DTaP, Hib, PCV, IPV
6 months immunization - ✔️✔️Hep B, RV DTap, Hib, PCV, IPV, influenza yearly
12 months immunization - ✔️✔️Hep B, DTaP, Hib, PCV, IPV,influenza MmR, Varicella,
HepA
15 months immunization - ✔️✔️Hep B, DTaP, Hib, PCV, IPV, Influenza Mr, Varicella,
HepA
18 months immunization - ✔️✔️HepB, DTap, IPV, Influenza, Hep A
4-6 years immunization - ✔️✔️DTaP
IPV
Influenza
MMR
Varicella
Which vaccines are live? - ✔️✔️MMR, varicella
How many doses of Tylenol can a child have per day? - ✔️✔️No more than 5 doses in
24 hours
birth milestones - reflexes of neonates: - ✔️✔️Rooting reflex
Palmar grasp reflex
Plantar grasp
Stepping reflexTonic
neckMoro (startle) reflex
Signs and symptoms of vaccine reactions? - ✔️✔️Pain, swelling or redness at the site,
flu-like symptoms, headache, muscle and joint paint
Where are IM injections given in newborns? - ✔️✔️vastus lateralis
