Week 1 peds quiz Carly attends daycare. Mom works full-time Monday through Friday and a nurse is teaching a parent about complicated grief. Which one of the following does the nurse recognize as not productive in obtaining information? pelvic floor exercises for stress urinary incontinence, water-based lubricant for dyspareunia), Treatment plan for ongoing physical and mental health conditions and the care team member responsible for follow-up. Child misbehavior requires parental implementation of appropriate disciplinary action. Health supervision for newborn 8 to 28 days old . - Coding Preventive Care Services Tobacco-free spaces keep children healthy. Reassure the parents that you will examine both infants but that they appear to be healthy and that the parents are doing a good job. Which of the following children meet(s) referral criteria? Developmental surveillance should be performed at each visit, with formal screenings at nine, 18, and 30 months. Health teaching and consultation to either parents other guardians and children is required. 1 0 obj Anticipatory guidance (or preventive counseling) is the advice pediatricians provide to avoid problems that could occur in the future. tantrums at this age because of all of these really big emotions that the Nutrition is a very important thing to discuss at this age. The AAP recommends completing the previously mentioned formal screening tools at nine-, 18-, and 30-month well-child visits.14. WebAnticipatory guidance for development is education provided to parents in order to promote optimal developmental outcomes. Ask questions, address concerns, and offer advice about how your baby is: Feeding. During the physical examination, which of the following physical findings could be consistent with excess carbo- hydrate nutrition? defines consistencies in how families change. stream Which of the following screenings should the nurse recommend for the adolescent? a nurse often cares for children who are dying. should also be structured and consistent. or Z00.129 . Choose a mature, trained, and responsible babysitter or caregiver. M., Duderstadt, K. G., & Dirks, M. (2020). Support groups: Sickle Cell Disease Association of America, Inc.; local chapters in many cities, BERNARD J. CLARKIII, in Pediatric Cardiology, 2006. Know that your babys growth will slow down. (7th ed.). 2020). a nurse is providing teaching to the parent of a preschool-age child about methods to promote sleep. A Postpartum Care Plan Template is available as part of the ACOG Pregnancy Record. Screening for postpartum depression in mothers of infants up to six months of age is recommended. Which action is accurate Explaining to the mother the risk for infection is high due to the lack of antibodies A mother is Fluoride use, limiting or avoiding juice, and weaning to a cup by 12 months of age may improve dental health. controlling her behavior, not using toys as they were intended, unable to Use a rear-facingonly car safety seat in the back seat of all vehicles. ANTICIPATORY GUIDANCE AND ITS IMPORTANCE IN PEDIATRIC In eliciting the chief complaint, the nurse identifies which one of the following techniques as not appropriate? The American Academy of Pediatrics guideline based on expert opinion recommends that screen time be avoided, with the exception of video chatting, in children younger than 18 months and limited to one hour per day for children two to five years of age. Johnny spills his milk on the living room rug. Maaks, D. L. G., Starr, N. B., Bradt, M. A., Gaylord, N. M., Driessnack, lmscontent.embanet/Media/MVU/NURS650/NURS650-w07-m01/ 2/. Injecting your own attitudes and feelings into the interview. Late childhood (age 511 years) 99384 . should always have an adult's supervision. Which of the following muscle groups is contraindicated? I should clean my babys teeth with a cool, wet wash cloth.. allow the child to roleplay using miniature equipment. As such, the infant with cyanosis may benefit from the addition of oxygen on a plane trip. The AAP recommends screening for serum lead levels between six months and six years in high-risk children; high-risk children are identified by location-specific risk recommendations, enrollment in Medicaid, being foreign born, or personal screening.21 The USPSTF does not recommend screening for lead poisoning in children at average risk who are asymptomatic.20, The USPSTF recommends at least one vision screening to detect amblyopia between three and five years of age. As the list of topics that could be addressed at each visit grows, the pediatrician faces a dilemma in determining which topics to discuss. a nurse is performing a developmental screening on a 3-year-old child. Obesity in children and adolescents is defined as: BMI equal to or greater than 95th percentile for age and gender. to and the ability to afford healthy food options for his children. Which of the following behaviors is an effect of hospitalization? Take time together with your partner. Topics for discussion and reinforcement include: Need to seek medical attention for fever or ill appearance, Recognition of signs of sequestration, aplastic crises, stroke, priapism, aseptic necrosis, and chest crises. endstream endobj 8 0 obj <>>>/Filter/Standard/Length 128/O(E$.eSr75oB$P)/P -1084/R 4/StmF/StdCF/StrF/StdCF/U(37\(;N )/V 4>> endobj 9 0 obj <>>> endobj 10 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/MC1<>/MC2<>>>>>/Rotate 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 11 0 obj <>stream to be clean and dry, and expressing curiosity about the toilet (Maaks et Bright Futures Parent Handout 4 Month Visit How Your Family Is Doing Take time for yourself. Take time together with your partner. Spend time alone with your other children. Encourage your partner to help care for your baby. Choose a mature, trained, and responsible babysitter or caregiver. To effectively establish a setting for communication, you enter the room, introduce yourself to Mrs. Brown and Kenny, and explain your role and the purpose of the interview. Using labeling-type questions such as How are you sick? to facilitate information exchange. I would, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, https://lmscontent.embanet.com/Media/MVU/NURS650/NURS650-w07-m01/, Carly is an 18-month-old female who lives with her parents. (Select all that apply.). Wash fruits and vegetables before serving. Examples include saying, After we eat, you can go sit on your potty and I'll read you a book. Which of the following information should the nurse include in the course? Lactation counseling by the infant's clinician or another person assists many mothers and prevents early discontinuation of breastfeeding (Powers and Slusser, 1997). According to Healthy People 2020, strategies that address leading health indicators for the nation would include all of the following areas except: increasing innovative treatments for cancer. Use the nipple of a bottle to administer the medication. Elsevier. over certain objects or people. a nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. S. Russ, N. Halfon, in Encyclopedia of Infant and Early Childhood Development, 2008. Intake of other sugar-sweetened beverages should be discouraged to help prevent obesity.45 The AAFP and AAP recommend that children participate in at least 60 minutes of active free play per day.55,56. First is the mode of travel. WebEducation/Anticipatory Guidance for an Infant 0-6 months of age Nutrition Sleep/Play Dental Hygiene Safety 6-12 months of age. Longer usage can cause sleep problems and increases the risk of obesity and social-emotional delays.46, To decrease the risk of sudden infant death syndrome (SIDS), the AAP recommends that infants sleep on their backs on a firm mattress for the first year of life with no blankets or other soft objects in the crib.45 Breastfeeding, pacifier use, and room sharing without bed sharing protect against SIDS; infant exposure to tobacco, alcohol, drugs, and sleeping in bed with parents or caregivers increases the risk of SIDS.47, The USPSTF, AAFP, and AAP all recommend breastfeeding until at least six months of age and ideally for the first 12 months.48 Vitamin D 400 IU supplementation for the first year of life in exclusively breastfed infants is recommended to prevent vitamin D deficiency and rickets.49 Based on expert opinion, the AAP recommends the introduction of certain foods at specific ages. Play sessions serve as assessment tools for determining childrens awareness and perception of illness. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances. If results are abnormal, consider intervention or referral to early intervention services. Elsevier. Spend time alone with your other children. An example of atraumatic care would be to: allow parents to room in with the child. (Select all that apply.). a nurse is teaching a parent of a preschool child about factors that affect the childs perception of death. An example of anticipatory guidance would be a discussion on ambulation of an infant with a warning about possible tooth trauma that often occurs as the infant learns to stand and walk. is a well child visit and looking specically at pediatric age-appropriate anticipatory guidance and TV viewing and digital media: Children under 2 years old, should not watch television or have screen time. Young children should wear bicycle helmets while riding tricycles or bicycles.37, Having functioning smoke detectors and an escape plan decreases the risk of fire- and smoke-related deaths.36 Water heaters should be set to a maximum of 120F (49C) to prevent scald burns.37 Infants and young children should be watched closely around any body of water, including water in bathtubs and toilets, to prevent drowning. Choose crib with slats no more than 2 3/8 inches apart.. Which one of the following best describes the appropriate use of play as a communication technique with children? There is no expectation for parents to participate in their childs care when using the systems theory. Table 43.1. Months hazard should be avoided at this age. this age and some of the red flags that mom should be aware of. a nurse is teaching a parent of an infant about administration of oral medications. Count respirations, then count the pulse, and then measure the temperature. Which of the following actions should the nurse take? Which of the following would negatively affect the communication process between the nurse and the patient? Keep your baby in a high chair or playpen while you are in the kitchen. Which one of the following is not considered important by parents when telling their children about the decision to divorce? a nurse is discussing prepubescence and preadolescence with a group of parents of school-age children. Height and weight fall below the 5th percentile on the growth chart. What can happen if you make a poop on your potty? Parents and siblings who model desired behavior for preschoolers are a very powerful influence because preschoolers generally watch everything that goes on in a household to determine how they should behave. This is your rst visit with, mom and Carly, but they are established patients within the practice. Second right intercostal space, close to sternum. Check your baby's weight, length, and head circumference and plot the measurements on a growth chart. Include assessment of parent/caregiver-child interactions and potential signs of abuse such as bruises on uncommonly injured areas, burns, human bite marks, bruises on nonmobile infants, or multiple injuries at different healing stages.8, The USPSTF and AAP screening recommendations are outlined in Table 2.3,927 A summary of AAP recommendations can be found at https://www.aap.org/en-us/Documents/periodicity_schedule.pdf. Never shake your baby. Guidance is most effective when personalized to individual circumstances, and delivered in the context of a relationship with a known and trusted physician. Anticipatory guidance is the complement to a risk assessment.

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