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Peds Final CCC PN105

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Question
Answer
expressive language delay   points and can understand speaking, but does not speak  
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preschooler   slowing growth process, mastery of motor-social-cognitive abilities, cooperative play, symbolic functioning, egocentrism, animism, artificialism, centeringim, imitation of parents  
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toddler vital signs   20/40 vision by 3, 20/30 by 4, 20/20 by school age; all 20 primary teeth by 3; pulse 90-110; respirations 20/min; BP 85-90/60  
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mental retardation   developmental disability characterized by mental and physical impairment with IQ below 75 and deficit in adaptive behavior  
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school age sleep requirements   10-13 hrs  
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latchkjey children   subject to higher rate of accidents and at risk for feeling isolated and alone  
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Erickson infancy   trust/mistrust  
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Erickson toddler   autonomy/shame  
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Erickson preschooler   initative/guilt  
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Erickson school age   industry/inferiority  
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Erickson adoleschnce   identiy/role diffusion  
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daydreaming benefits   helps fill lonliness void; valuable safety valve for expression of strong feelings  
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adolescent safety hazards   PACE (parents/peers/pot, alcohol/autos, cigarettes, education); substance abuse, depression, pregnancy  
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acne   inflammation of sebaceous glands and ahir follicles; influenced by hormones; enlarge at puberty; can be brief or long lasting  
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sources of zinc   red meat, poultry, beans, nuts, whole grains, fortified cereal, dairy products  
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otitis externa   acute infection of external ear canal (swimmers ear) due to prolonged moisture exposure; pain and tenderness on manipulation of pinna  
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acute otitis media   inflammation of middle ear; usually caused by URI and most commong between 6-24mos age and early childhood; infants more prone due to eustachian tubes shorter, wider, and straighter; severe pain, irritability, and diminshed hearing common  
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typanostomy care   avoid getting water in ears  
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communication in toddlers   language parallel to cognitive growth; first words at 1yr; 900 words by age 3; refer to animals by sound it makes; respond to vocal tone and facial expression; empathy minimizes toddler frustrations  
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strabismus   cross-eyes; child cannot direct both eyes toward same object, lack of coordination between eye muscles; corrected with glasses or cover unaffected eye with patch until old enough for glasses; surgery at age 3-4 if necessary  
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amblyopia   lazy eye; reduction or loss in vision in children who favor one eye; earlier treatment is essential; strabismus is most common type; glasses and patched unaffected eye to treat  
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hyphema   blood in anterior chamber of eye; most common occular injury; bright red or dark spot in front of lower iris; rest and topical medication to treat  
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seizures   generalized/tonic-clonic/grand mal; absence/petit mal; partial/complex partial; atonic/drop attacks  
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meningitis   inflammation of meninges covering brain and spinal cord; peak of bacterial between 6-12mos, less common over 4yrs; preceeded by URI and GI symptoms; severe headache, stiffness of neck, drowsiness, delirium, irritability, restlessness, fever, vomiting  
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meningitis treatment   spinal tap to diagnose; isolation until 24h after antibiotics initiated; antibiotics given 10-14 days with anticonvulsant (Dilantin)  
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fontanelles   soft spots on infant cranium that protect head during delivery and allow for brain growth  
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anterior fontanelle   diamond shaped, closes 12-18mos  
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posterior fontanelle   triangle shaped, closes by 2mos  
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decorticate posture   flexor posturing; arms, wrists, and fingers are flexed like praying, toes pointed like ballerina - severe brain injury  
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decerebrate posture   extensor posturing; all limbs are extended and hands are pronated - brainstem injury  
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