NCLEX REVIEW 2009. HEALTH PROMOTION AND MAINTENANCE.

52 cards

NOTES FOR HEALTH PROMOTION AND MAINTENACE. GROWTH DEVELOPMENT.


 
  
Created Nov 10, 2009
by
cialrn

 

 
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1
STAGES OF PLAY:
HOLDING TOYS
 
0-1 Y./0
2
STAGES OF PLAY:
IMITATION
 
1-7 Y/O
3
STAGES OF PLAY:
SOLITARY PLAY
 
INFANCY  
4
STAGES OF PLAY:
PARALLEL PLAY
 
 TODDLERS
5
STAGES OF PLAY:
ASSOCIATIVE PLAY
 
PRE-SCHOOL  3-6 Y/O
6
STAGES OF PLAY:
COOPERATIVE PLAY
 
SCHOOL AGE 
7
TESF FOR: PERSONAL - SOCIAL,  FINE MOTOR, LANGUAGE, GROSS MOTOR
 
DENVER DEVELOPMENT SCREENINT TEST(DDST)

8
ERICKSON'S
BIRTH - 18 MOS INFANCY
 
TRUST VS. MISTRUST
(+) TRUST SELF
(-) WITHDRAWN , ISOLATED
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ERICKSON'S
18 MOS - 3 Y/O- TODDLER

 
AUTONOMY VS SHAME
(+) EXERCISE SELF CONTROL
(-) DEFIANT AND NEGATIVE
10
ERICKSON'S
3-6 Y/O PRESCHOOL

 
INITIATIVE VS GUILT
P- LEARNS LIMITS
N- FEARFUL, PESSIMISTIC
11
ERICKSON'S
6-12 Y/O
 
INDUSTRY VS INFERIORITY
P- SENSE OF CONFIDENCE
N- SELF DOUBT, INADEQUATE
12
ERICKSON'S
12-20 Y/O
 
IDENTITY VS DIFFUSION
P- COHERENT SENSE OF SELF
N- LACK OF IDENTITY
13
ERICKSON'S
20-45 Y/O

 
INTIMACY VS ISOLATION
P- INTIMATE RELATIONSHIP
N- AVOIDANCE OF INTIMACY
14
ERICKSON'S
45-65 Y/O
 
GENERATIVITY VS STAGNATION
P - CREATIVE AND PRODUCTIVE
N- SELF CENTERED
15
ERICKSON'S
65 ABOVE


 
INTEGRITY VS DESPAIR
P- SEES LIFE AS MEANINGFUL
N- LIFE LACKS MEANING
16
 HEAD SAGS
 
1 MONTH----TOYS- MOBILE, WIND UP INFANT SWINGS
17

CLOSING OF POSTERIOR FONTANELLE,

TURNS FROM SIDE TO BACK,

SOCIAL SMILE

 
2 MONTHS--------TOYS---MOBILE, WIND UP INFANT SWINGS
18

BRINGS OBJECTS TO MOUTH,

HEAD ERECT

 
3 MONTHS-TOYS------RATTLES, CRADLE GYM, STUFFED ANIMALS
19

THUMB APPOSITION,

DROOLS

ABSENT TONIC NECK REFLEX, MORO REFLEX AND ROOTING...

 
4 MONTHS-----RATTLES, CRADLE GYMS, STUFFED ANIMALS
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BIRTH WEIGHT DOUBLED, HOLD HEADS STEADY AND ERECT, NOTICING STRANGERS
 
5 MOS----BRIGHTLY COLORED, SMALL ENOUGH TO GRAS[, LARGE ENOUGH FOR SAFETY, TEETHING TOYS
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BEGINS TEETHING, TURNS FROM BACK TO STOMACH,
 
6 MONTHS-----------BRIGHTLY COLORED, SMALL ENOUGH TO GRAS[, LARGE ENOUGH FOR SAFETY, TEETHING...
22

SITS FOR SHORT PERIODS

FEAR OF STRANGERS, TRANSFER OBJECTS FROM 1 HAND TO OTHER,...

 
7 MOS-----LARGE WITH BRIGH COLORS, COLORED BLOCKS, JACK IN THE BOX, PLAYS PEEK ABOO
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FEAR OF STRANGERS STRONGERS
 
8 MOS-----LARGE WITH BRIGH COLORS, COLORED BLOCKS, JACK IN THE BOX, PLAYS PEEK ABOO
24

ELEVATE SELF TO SITTING POSITION,

SAYS DADA

 
10 MOS--LARGE WITH MOVABLE PARTS, NOISE MAKERS
25

CRAWLS WELL

PULLS SELF TO STANDING POSITION

 
10 MONTHS-----LARGE WITH MOVABLE PARTS, NOISE MAKERS
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ERECT STANDING POSTURE WITH SUPPORT
 
11 MONTHS---BOOKS WITH LARGE PICTURES, PUSH-PULL, TEDDY BEARS, LARGE BALL, SPONGE TOYS
27

BIRTH WEIGHT TRIPPLED

EATS WITH FINGERS

BABINKSI REFLEX DISAPPEARS

 
12 MONTHS---BOOKS WITH LARGE PICTURES, PUSH-PULL, TEDDY BEARS, LARGE BALL, SPONGE TOYS
28
POTENTIAL PROBLEMS OF TODDLERS
 

NEGATIVISM  "NO" DON'T ASK YES OR NO QUESTION, TELL THEM WHAT TO EXPECT

SAFETY--INJURIES,...

29

walkk alone

throws object

holds spoon

 
15 months-imitation plays
30

anterior fontanelle closed

climbs stairs

sucks thumb

 
18 months-imitation plays
31

300 word

obey easy commands

 
24 months--imitation plays
32

walks on tiptoe

stands on 1 foot

has sphinter control for toilet training

 
30 months---imitation plays
33
MENTAL RETARDATION
 

MILD--IQ-- 55-70

MODERATE   40-55

SEVERE--25-40

PROFOUND    <...

34
mental retard, growth retard, microcephaly,
  • Narrow, small eyes with large epicanthal...
 
fetal alcohol syndrome---avoid alcohol 3 months before conception, monitor weight gain, promote...
35
mental retard, hypotonia, altered development, hard to hold, compromise resp,
  • Decreased...
 
down's syndrome---provide stimulation, assess for physical problems, parenteral education---complication...
36
GPTA
 

GRAVIDA NUMBER OF PREG,

PARA NUMBER OF >20 WEEKS

TERM 38-442 WKS

ABORTION-...

37
BLUISH COLOR OF CERVIX
 
CHADWICK'S SIGN
38
PINK OR REDDISH STREAKS
 
STRIA GRAVIDARUM
39
DARK LINE FROM UMBILICUS TO SYMPHYBIS
 
LINEA NIGRA
40

MATERNAL PERCEPTION OF MOVEMENT AT  

16-20 WEEKS GESTATION

 
QUICKENING
41
TORCH
 

TOXOPLASMOSIS

RUBELLA -TITER 1-16, DON'T GIVE IMMUNIZATION FROM 1-8

CYTOMEGALOVIRUS

HERPES...

42

gush of fluid or bleeding from vagina

regular uterine contractrions

severe...

 

danger signs of pregnancy-pt to contact doctor

 

 

43

EFFACEMENT- PROGRESSIVE THINNING AND SHORTENING OF CERVIX

DILATION -OPENING OF CERVIX...

 
CERVICAL CHANGES DURING LABOR
44

lightening- primipara (up 2 weeks before delivery) and multipara ( when labor begins)

softening...

 
onset of labor
45

ASSESS- PREMATURE RUPTURE OF MEMBRANES

PRESENTING PART NOT ENGAGED

FETAL...

 
PROLAPSE UMBILICAL CORD
46

> 160 BPM LASTING LONGER THAN 10 MINS

EARLY SIGNS OF HYPOXIA

MATERNAL...

 
TACHYCARDIA
47

<110 BPM LASTING LONGER THAN 10 MINS

LATE SIGNS OF FETAL HYPOXIA

MATENAL...

 
BRADYCARDIA
48

NORMAL IRREGULARITY OF CARDIAC RHYTHYM

NORMAL 6-10 BPM

INDICATES FETAL WELL...

 
VARIABILITY
49

15 BPM RISE ABOVE BASELINE FOLLOWED BY RETURN

INDICATES FETAL WELL BEING

CAUSED...

 
ACCELARATIONS- Accelerations

The presence of fetal heart rate accelerations is one of...

50

OCCUR BEFORE THE PEAK OF CONTRACTION

INVERSELY MIRRORS THE CONTRACTIONS

ASSOCIATED...

 
EARLY DECELERATIONS-Early decelerations are seen when the baby's head is compressed. This often...
51

POSITION LEFT SIDE LYING OR THEN TRENDELENBERG OR KNEE CHEST

INCREASE IV

O2...

 
; Late Decelerations

Unlike early decelerations, which begin to dip early during...

52

INDICATES CORD COMPRESSION

RELIEVED BY CHANGE IN MATERNAL POSITION LEFT SIDE OR...

 
Variable Decelerations

Variable decelerations do not look like late or early decelerations....

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