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Chapters 21, 22, 23, 24, 33

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Crib Safety   Mattress must fit securely; blankets should not be tucked in; No soft or contour pillows; Keep objects that are harmful out or away from crib; Use bubble top for infants climbing out.  
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Hospitalized Adolescence   May be admitted as an adult; Adjust to illness well; Roommate selection based on disease, age, and sex.  
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Hospitalized Preschooler   Concrete Thinking; Realistic explanation; Preschooler afraid of bodily harm, invasive. Magical and Fantasy thinking; Show them where sx takes place, let them ask questions. May be demanding when the get home.  
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Hosptitalized Toddler (1-3 yo)   World revolves around parent/mother. Ritualistic care. Keep schedule. Keep promises. Leave when awake. Incorporate home habits, use distraction techniques. favorite blanket or toy for promoting security.  
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At what age are children worried about being separated from their parents?   Between 1-3 years old.  
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What age shows fear about what is going to happen to them. Parents need to be matter of fact and do not give much detail.   3 year old.  
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Regression   Loss of an achieved level of functioning to a past level or behavior that was successful during earlier stages. Example - wetting the bed. Should not be punished.  
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Three stages of protest?   Denial, Despair, detachment  
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Separation Anxiety   6 months or older; most pronounced in toddlers and teenagers.  
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What influences the reactions   Developmental age; maturity of parents; cultural and economic factors; religous background; past experiences; family size, state of health on admission.  
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What are the causes of stress   separation, pain, fear of body intrusion.  
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Infants   exhibit LOUD protest  
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Toddlers   Watch and listen for parents to return; cry continuous until sleep. stranger may increase screaming. Crying gradually stops and despair sets in. May feel abandoned by parents crying but still needs parents.  
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Personal space   imaginary circle that surrounds us. Do not invade.  
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Smiling   may not be considered friendly, may be deemed inappropiate at the time of an ill child. some show as a sign of respect and is is expected.  
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Eye contact   America considered respectful. Asian cultures sign of disrespect. American Indians - short period of eye to eye contact.  
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Touch   American - friendly Vietnamese - touching head robs person of soul  
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Securing the Child   Hold securely; Football hold; Mummy restraint; Swaddling; Holding infant.  
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Mummy restraint (swaddling)   short term restraint that might be necessary for examination or treatments such as venipuncture or placement of NG tube.  
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Football hold   useful when one hand needs to be free, such as bathing the infants head.  
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