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ATI PEDs
ATI Peds
| Question | Answer |
|---|---|
| The infant's posterior fontanel closes at... | 2-3 months |
| Anterior fontanel closes by... | 18 months |
| Infant can get to sitting position alone and can pull up to standing position at... | 9 months |
| What is problem at 10 months? | a child cannot go from sitting to standing alone |
| object permanence | the infant realizes that an object still exists even when it is no longer in view (occurs between 6-12 months) |
| Play interaction for infants | solitary play with blocks |
| At what stage should the child be switched to 3-4 glasses of cow's milk? | Toddler |
| The infant grows _______ per month the first 6 months. | 2.5 cm (1 in) |
| The infant grows _______ per month between 6 months and a year. | 1.25 cm (0.5 in) |
| The infant can hold head up at... | 3 months |
| The infant can roll over at... | 5-6 months |
| The infant can stand at (both holding on and steady)... | 12 months |
| The infant can transfer an object from one hand to the other at... | 6 months |
| The infant can rake finger food with hand at... | 6 months |
| The infant uses thumb-finger to grasp items at... | 9 months |
| The infant bangs two toys together at... | 9 months |
| The infant can nest one object inside another at... | 12 months |
| Separation anxiety develops... | the latter half of the first year |
| Discipline for toddlers should be... | consistent |
| Vaccines for 12-15 months: | Hib |
| Vaccines for 12-23 months: | Hep A given in two doses |
| Vaccines for 15-18 months: | DTaP |
| Developmental skills that are typically acquire by the preschool age: | Alternating feet on stairs; going up and down steps easily; hopping; walking heel-to-toe; dressing without help; drawing copies of shapes on paper; drawing a more detailed stick figure; playing on playground equipment |
| Play activities for 9-12 month old infants are... | large blocks |
| Play activities for 6-9 month old infants are... | teething toys and social interaction |
| Play activities for 3-6 month old infants are... | noise-making objects and soft toys |
| Play activities for birth-3 month old infants are... | visual and auditory stimuli |
| Play activities for 1-3 year old children are... | cloth books |
| Age-related interventions for adolescents in the hospital: | Include the adolescent in the planning of care |
| Care considerations for terminally ill school-age children: | Use language that is clear and allow participation |
| Ranges for suctioning pressure in children & infants | 60-100 mm Hg |
| Ranges for suctioning pressure in premature infants | 40-60 mm Hg |
| Suctioning should take no longer than... | 5 seconds |
| As a result of asthma medication | what THREE things occur: |
| Asthma medication: Albuterol (Proventil | Ventolin) is... |
| Asthma medication: Salmeterol (Severent) is... | Inhaled |
| Asthma medication: Terbutaline (Brethine) is... | Oral |
| Glucocorticoids do | |
| Asthma medications: Prednisone (Deltasone) which is an oral medication is used for... | Short-term - 3-10 days following acute asthma attack |
| Asthma medications: Beclomethason dipropionate (QVAR) | budesonide (Pulmicort Turbuhaler) |
| Asthma medications: Leukotriene antagonists: | montelukast (Singulair |
| Asthma medications: Mast cell stabilizers: | cromolyn sodium (Intal) |
| Asthma medications: Monoclonal antibodies: | omalizumab (Xolair) |
| When the child is prescribed an inhaled beta2-agonist and an inhaled glucocorticoid | advice the child to... |
| PERF (Peak Expiratory Flow Meter): 80-100% Green Zone | The child is asymptomatic |
| PERF (Peak Expiratory Flow Meter): 50-79% Yellow Zone | CAUTION - The child may be experiencing worsening of symptoms or an acute attack. - Increased maintenance therapy is needed. - Carefully monitor the child. - Contact the doctors if PEFR does not improve. |
| PERF (Peak Expiratory Flow Meter): Less than 50% Red Zone | ALERT - Administer a short-acting bronchodilator. - Contact doctor if PEFR does not immediately improve |
| Postoperative positioning for a child who has had a tonsillectomy: | Position the child on his side to facilitate drainage and elevate the head of the child's bed when he is fully awake. |
| Nutrition info for a child who has had a tonsillectomy: | Encourage clear liquids and fluids after a return of the gag reflex |
| Comfort measures for a child who has had a tonsillectomy: | Provide an ice collar and analgesics. Keep the child's throat moist. Administer pain medication for the first 24 hours |
| Common Respiratory Illness: position | upright position |
| Common Respiratory Illness: important nutrition info: | maintain hydration |
| For a child with cystic fibrosis | administer... what and when? |
| Cystic fibrosis child: nutritional info: | high-caloric |
| Cystic fibrosis child: during hospitalization: | Perform CPT 1 hour before meals or 2 hours after meals if possible. |
| Can children with cystic fibrosis have an annual flu shot? | YES! it is encouraged |
| After a cardiac procedure | the nurse should assess what? |
| After a cardiac procedure | the nurse should watch out for what? |
| After a cardiac procedure | the nurse should do what with the affected extremity? |
| If there is an acute hemorrhage from the entry site of a cardiac procedure | what should the nurse do? |
| If a child vomits after administration of digoxin | the nurse should...? |
| Regarding digoxin administration | you should call the doctor when...? |
| Iron Deficiency Anemia: info about Iron administration | use Z-track into deep muscle for parenteral injections. Do not massage after injections. Stools may be tarry. Administration may cause constipation. |
| What is a complication caused by acute chest syndrome from sickle cell anemia? | CONGESTED COUGH |
| Side effects of the influenza vaccine: | Guilain-Barre syndrome (ascending paralysis |
| Assessment findings for infectious mononucleosis (Mono): | splenomegaly |
| Skin involved from superficial burns: | Epidermis is red |
| Skin involved from partial thickness burns: | Epidermis and dermis are damaged with blisters formed. If blisters rupture |
| Skin involved from full thickness (3rd degree) burns: | May have partial thickness areas around the full thickness areas. Damage extends into the subQ tissue. Nerve endings |
| Skin involved from full thickness (4th degree) burns: | Damage extends to the muscle |
| Emergency action for a child with burns: | maintain airway (ABCs) |
| Management for Tinea corporis (ringworm): | Apply topical medication 1 inch past the edge of the lesion and continue treatment 1-2 weeks after resolution of the lesions (10days!) |
| Management for Pediculosis (Lice): | Use a comb designed to remove nits. |
| Interventions for diaper dermatitis | Use CORNSTARCH to reduce friction between diaper and skin |
| Medication for dermatitis: important info about Tretinoin (Retin-A) | Use sunscreen (SPF 15 or higher) to avoid sunburn!! |
| Infectious Gastroenteritis is diagnoses with... | a stool sample. |
| Assessment findings for Hypertropic pyloric stenosis: | Weight loss |
| Procedure for Hypertropic pyloric stenosis: | Surgical incision into pyloric sphincter - PYLOROTOMY |
| Procedure for Intussusception: | Attempt to resolve the Intussusception by inflating bowel with air or administering a barium enema; if not successful |
| Postoperative care for a child with cleft palate includes: | elbow restraints for 4-6 weeks |
| Which insulin can be given IV? | regular insulin |
| What is a sign of diabetic ketoacidosis? | dehydration |
| Rapid nursing assessment of diabetic ketoacidosis and preparation for emergency treatment includes: | continuous cardiac monitoring |
| Intravenous pyelograms (IVP) is a test used for complicated UTIs | what should the nurse assess? |
| Intravenous pyelograms (IVP) requires... | bowel preparation |
| Diagnostic procedures for Glomerulonephritis includes: | Creatinine clearance - decreased: 50 mL/min; normal range is 89-137 mL/min. Antistreptolysin-O (ASO) titer - positive. Erythrocyte sedimentation rate (ESR) - elevated |
| After lumbar puncture | remove needle and... |
| After lumbar puncture | the child should remain in bed for... |
| After lumbar puncture | the nurse should... |
| It is important to use NON-LATEX gloves with a child who has... | spina bifida |
| Signs and symptoms for an infant with spina bifida: | high-pitched cry |
| Signs and symptoms for a child with spina bifida: | headache |
Created by:
wvc
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