NCLEX REVIEW 2009. HEALTH PROMOTION AND MAINTENANCE.

NOTES FOR HEALTH PROMOTION AND MAINTENACE. GROWTH DEVELOPMENT.
Created Nov 10, 2009
by cialrn
Table View
Download
Print

Flashcard Set Preview

Side ASide B
STAGES OF PLAY:HOLDING TOYS
0-1 Y./0
STAGES OF PLAY:IMITATION
1-7 Y/O
STAGES OF PLAY:SOLITARY PLAY
INFANCY  
STAGES OF PLAY:PARALLEL PLAY
 TODDLERS
STAGES OF PLAY:ASSOCIATIVE PLAY
PRE-SCHOOL  3-6 Y/O
STAGES OF PLAY:COOPERATIVE PLAY
SCHOOL AGE 
TESF FOR: PERSONAL - SOCIAL,  FINE MOTOR, LANGUAGE, GROSS MOTOR
DENVER DEVELOPMENT SCREENINT TEST(DDST)
ERICKSON'SBIRTH - 18 MOS INFANCY
TRUST VS. MISTRUST(+) TRUST SELF(-) WITHDRAWN , ISOLATED
ERICKSON'S18 MOS - 3 Y/O- TODDLER
AUTONOMY VS SHAME(+) EXERCISE SELF CONTROL(-) DEFIANT AND NEGATIVE
ERICKSON'S3-6 Y/O PRESCHOOL
INITIATIVE VS GUILTP- LEARNS LIMITSN- FEARFUL, PESSIMISTIC
ERICKSON'S6-12 Y/O
INDUSTRY VS INFERIORITYP- SENSE OF CONFIDENCEN- SELF DOUBT, INADEQUATE
ERICKSON'S12-20 Y/O
IDENTITY VS DIFFUSIONP- COHERENT SENSE OF SELFN- LACK OF IDENTITY
ERICKSON'S20-45 Y/O
INTIMACY VS ISOLATIONP- INTIMATE RELATIONSHIPN- AVOIDANCE OF INTIMACY
ERICKSON'S45-65 Y/O
GENERATIVITY VS STAGNATIONP - CREATIVE AND PRODUCTIVEN- SELF CENTERED
ERICKSON'S65 ABOVE
INTEGRITY VS DESPAIRP- SEES LIFE AS MEANINGFULN- LIFE LACKS MEANING
 HEAD SAGS
1 MONTH----TOYS- MOBILE, WIND UP INFANT SWINGS
CLOSING OF POSTERIOR FONTANELLE, TURNS FROM SIDE TO BACK, SOCIAL SMILE
2 MONTHS--------TOYS---MOBILE, WIND UP INFANT SWINGS
BRINGS OBJECTS TO MOUTH, HEAD ERECT
3 MONTHS-TOYS------RATTLES, CRADLE GYM, STUFFED ANIMALS
THUMB APPOSITION, DROOLS ABSENT TONIC NECK REFLEX, MORO REFLEX AND ROOTING REFLEX
4 MONTHS-----RATTLES, CRADLE GYMS, STUFFED ANIMALS
BIRTH WEIGHT DOUBLED, HOLD HEADS STEADY AND ERECT, NOTICING STRANGERS
5 MOS----BRIGHTLY COLORED, SMALL ENOUGH TO GRAS[, LARGE ENOUGH FOR SAFETY, TEETHING TOYS
BEGINS TEETHING, TURNS FROM BACK TO STOMACH,
6 MONTHS-----------BRIGHTLY COLORED, SMALL ENOUGH TO GRAS[, LARGE ENOUGH FOR SAFETY, TEETHING...
SITS FOR SHORT PERIODS FEAR OF STRANGERS, TRANSFER OBJECTS FROM 1 HAND TO OTHER, BANGING OBJECT,...
7 MOS-----LARGE WITH BRIGH COLORS, COLORED BLOCKS, JACK IN THE BOX, PLAYS PEEK ABOO
FEAR OF STRANGERS STRONGERS
8 MOS-----LARGE WITH BRIGH COLORS, COLORED BLOCKS, JACK IN THE BOX, PLAYS PEEK ABOO
ELEVATE SELF TO SITTING POSITION, SAYS DADA
10 MOS--LARGE WITH MOVABLE PARTS, NOISE MAKERS
CRAWLS WELL PULLS SELF TO STANDING POSITION
10 MONTHS-----LARGE WITH MOVABLE PARTS, NOISE MAKERS
ERECT STANDING POSTURE WITH SUPPORT
11 MONTHS---BOOKS WITH LARGE PICTURES, PUSH-PULL, TEDDY BEARS, LARGE BALL, SPONGE TOYS
BIRTH WEIGHT TRIPPLED EATS WITH FINGERS BABINKSI REFLEX DISAPPEARS
12 MONTHS---BOOKS WITH LARGE PICTURES, PUSH-PULL, TEDDY BEARS, LARGE BALL, SPONGE TOYS
POTENTIAL PROBLEMS OF TODDLERS
NEGATIVISM  "NO" DON'T ASK YES OR NO QUESTION, TELL THEM WHAT TO EXPECT SAFETY--INJURIES,...
walkk alone throws object holds spoon
15 months-imitation plays
anterior fontanelle closed climbs stairs sucks thumb
18 months-imitation plays
300 word obey easy commands
24 months--imitation plays
walks on tiptoe stands on 1 foot has sphinter control for toilet training
30 months---imitation plays
MENTAL RETARDATION
MILD--IQ-- 55-70 MODERATE   40-55 SEVERE--25-40 PROFOUND    <...
mental retard, growth retard, microcephaly,
  • Narrow, small eyes with large epicanthal...
fetal alcohol syndrome---avoid alcohol 3 months before conception, monitor weight gain, promote...
mental retard, hypotonia, altered development, hard to hold, compromise resp,
  • Decreased...
down's syndrome---provide stimulation, assess for physical problems, parenteral education---complication...
GPTA
GRAVIDA NUMBER OF PREG, PARA NUMBER OF >20 WEEKS TERM 38-442 WKS ABORTION- BEFORE 20...
BLUISH COLOR OF CERVIX
CHADWICK'S SIGN
PINK OR REDDISH STREAKS
STRIA GRAVIDARUM
DARK LINE FROM UMBILICUS TO SYMPHYBIS
LINEA NIGRA
MATERNAL PERCEPTION OF MOVEMENT AT   16-20 WEEKS GESTATION
QUICKENING
TORCH
TOXOPLASMOSIS RUBELLA -TITER 1-16, DON'T GIVE IMMUNIZATION FROM 1-8 CYTOMEGALOVIRUS HERPES...
gush of fluid or bleeding from vagina regular uterine contractrions severe h/a , visual disturbances,...
danger signs of pregnancy-pt to contact doctor    
EFFACEMENT- PROGRESSIVE THINNING AND SHORTENING OF CERVIX DILATION -OPENING OF CERVIX OS
CERVICAL CHANGES DURING LABOR
lightening- primipara (up 2 weeks before delivery) and multipara ( when labor begins) softening...
onset of labor
ASSESS- PREMATURE RUPTURE OF MEMBRANES PRESENTING PART NOT ENGAGED FETAL DISTRESS PROTRUDING...
PROLAPSE UMBILICAL CORD
> 160 BPM LASTING LONGER THAN 10 MINS EARLY SIGNS OF HYPOXIA MATERNAL FEVER FETAL ANEMIA FETAL...
TACHYCARDIA
<110 BPM LASTING LONGER THAN 10 MINS LATE SIGNS OF FETAL HYPOXIA MATENAL DRUGS (ANESTHETICS) PROLONGED...
BRADYCARDIA
NORMAL IRREGULARITY OF CARDIAC RHYTHYM NORMAL 6-10 BPM INDICATES FETAL WELL BEING ABSENT...
VARIABILITY
15 BPM RISE ABOVE BASELINE FOLLOWED BY RETURN INDICATES FETAL WELL BEING CAUSED BY FETAL...
ACCELARATIONS- Accelerations The presence of fetal heart rate accelerations is one of the...
OCCUR BEFORE THE PEAK OF CONTRACTION INVERSELY MIRRORS THE CONTRACTIONS ASSOCIATED WITH HEAD...
EARLY DECELERATIONS-Early decelerations are seen when the baby's head is compressed. This often...
POSITION LEFT SIDE LYING OR THEN TRENDELENBERG OR KNEE CHEST INCREASE IV O2 AT 7-10 LPM DISCONTINUE...
; Late Decelerations Unlike early decelerations, which begin to dip early during...
INDICATES CORD COMPRESSION RELIEVED BY CHANGE IN MATERNAL POSITION LEFT SIDE OR KNEE CHEST 02 DISCONTINUE...
Variable Decelerations Variable decelerations do not look like late or early decelerations....


Upgrade and get a lot more done!
Upgrade