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Child with learning disabilities how can that impair a child

Standardized test

Down syndrome primary nursing goal is?

Support family at time of diagnosis and referring child and fam. to agencies that provide support and services

What is missing in a child with down syndrome

(Missing segment of chromosome in each cell Growth Hormone

Different types of child abuse

-Neglect -Physical abuse -Emotional abuse -Sexual abuse -Shaken baby syndrome

Factors influence personality of a child

...

Someone with down syndrome, average age that they live to

55 yrs and beyond

As a nurse you have adolescent depressed and you feel they are suicidal what type of questions to be asked

Be direct and ask about thoughts of death or suicide, when the thoughts occurred, how long these thoughts last, and whether the pt. has a plan.

Primary characteristics of autism is

Bizarre characteristics in social interactions, communications, and behavior One hallmark is inability to maintain eye contact with another person; also display limited functional play and sometimes interact with toys in an unusual manner

Child abandonment, child maltreatment, child torment (Categories be familiar with why there was abandonment)

Child Abandonment: 2 divisions: Physical and emotional Physical: failure of parent to supply child with food, clothing, shelter, education or health care despite being financially able to Emotional: failure by a parent to meet child's need for emotional nurturance, affection attention Child maltreatment: broad term used describe Physical and emotional neglect Child torment

Child that has RAP common s/s

Child afebrile, occasional vomiting & Constipation , pain nonspecific, child c/o episodic periumbilical or epigastric pain that is unrelated to eating, defecation or exercise

If you have a child diagnoses of recurrent abdominal pain what are characteristics of it*

Child afebrile, occasional vomiting & Constipation , pain nonspecific, child c/o episodic periumbilical or epigastric pain that is unrelated to eating, defecation or exercise

Child with special needs, which characteristics are typical with them

Children fail to achieve developmental stages at appropriate age. Delays in motor, social, cognitive, and language skills

Most common developmental disability

Cognitive Impairment

Down Syndrome

Congenital chromosomal abnormality, most common chromosomal abnormality affecting 1 in 600 to 800 live births

Child demonstrating school avoidance know what suggestion to give parents

Convince their child is healthy, Normal occurrence Tell parents be firm not psych disorder but stress reassure child nothing wrong child that attendance in school non negotiable

Child with ADHD type of behaviors they would demonstrate

Dec. attention span, impulsivity, failure to follow instructions, hyperactivity, poor self regulation, noncompliance, aggression, fidgeting, immaturity during play, failure to follow rules o play games, lack of turn taking during plan and easy distractions by extraneous stimuli

Child that you suspect been sexually abused, s/s seen with them

Difficulty walking or sitting -Torn, stained or bloody undergarments -Pain, swelling, or itching of the genitalia -Bruises, pain, bleeding, or lacerations of the genital or anal areas -Unwillingness to change clothes or participate in gym activities -Poor peer relations

What disease is most common chromosomes abnormality?

Down syndrome

Child that been abused; know what physical indicators will be seen

Ecchymosis, welts, bite marks Ecchymosis reflecting shape of object used to inflict injury Evidence of human bites Lacerations or abrasions Burns that are symmetric and have no splash marks Cigar or stog burns on soles, palms, back or butt Fracture: skull; multiple or spiral, various stages of healing, discovered in the course of examination

Teaching parents with ADHD, what kinds of things need to be focused on

Educate discipline; teach how to set limits that are appropriate and provide rewards Encourage parents to est. strict daily routine Counsel parents regarding dangers of controversial therapies Stress importance of accident prevention and safety. Explain need for increased supervision Assist in development of educational plan Explain reasons and minimal risks therapies if on meds Parents need to be informed of importance of routine follow up

Child that has down syndrome being d/c from hospital what instruction given to parents**

Education regarding child's condition <Provide radiologic eval. For alantoaxial instability in children participating in supports that potentially involve stress on the head and neck. Report immediate s/s for spinal cord compression (Persistent neck pain, loss of est. motor skills and bladder or bowel control) Monitor airway,

Child with moderate cognitive impairment what task might be difficult for them*

Fail to achieve developmental milestones at appropriate ages Manifest delays in motor, social cognitive or language skills or some combo

What is the most important nursing intervention for maltreatment?

Identification of a child who is being maltreated

When you have child taking antidepressant medications, what signs must be watched for the first few weeks of treatment.

Increase in suicidal ideations and thoughts.

Child with down syndrome what other kinds of congenital defects common

Intellectual impairment / ranging from low to normal intelligence to sever cognitive impairment

Cognitive impairment what criteria is use to diagnose a child with it <niga crip dont step crip game>

Intelligence Quotient -Neurological examination -CT scan -Developmental screening tests-Denver II -Standardized intellectual test-Stanford-Binet Intelligence Scale;Wechsler Intelligence Test for Children, Revised -Chromosomal analysis -Genetic screening

Child with moderate to severe autism and in hospital what therapeutic nursing intervention would be appropriate

Involvement of pros with advanced training When in hospital parents essential in planning care, ideally stay long with child as much as possible; decreasing simulation by using private room, avoid extraneous auditory and visual distractions and encouraging parents to bring things to comfort child

Cognitive impairment there are 4 levels, based on child's IQ what are the levels (IQ 50 what would fall under)

Mild: IQ of 50-70 Moderate: IQ of 35 -55 Severe: IQ 20 - 40 Profound: IQ below 25

Cognitive impairment what diagnostic studies are used <niga cripSS dont step crip game>

Neurologic examinations CT Scan Serum metabolic screening Developmental screening test Standardized intellectual test Chromosomal analysis Genetic screening

Which baby is at risk for down syndrome?

Otitis media Upper resp. infection Congenital heart disease

What are most causes for depression in a child*

Parent suffering from major affective disorder.

If you have child with ADHD what kinds of counseling could be given to parents What parents going through

Parents feel guilt or responsibility the parents might have, educate the parents on discipline, teach them how to set limits that are appropriate and provide rewards {Counsel parents regarding dangers of controversial therapies, stress importance of accident prevention and safety. Explain to them the need for increased supervision while fostering additional responsibilities and independent}

Which diagnostic test done to confirm ^?

Perform chromosomal analysis

Types of abuse are included in category of child abuse

Physical abuse Sexual abuse Emotional abuse

Cognitive impairment: as a nurse what is major focus in regards to the family of the child that is impaired

Promoting optimal development and providing the family with support, education, and referrals.

Ritalin is?

Pyschomotor stimulant Increases levels of dopamine and norepinephrine which stimulate the inhibitory system of CNS

Same diagnoses how often the child to be seen

Q 2 weeks

As a nurse when you are legally bound to report child abuse

Reason to suspect that child abuse or neglect

Adolescent that has just OD what is number 1 diagnosis on care plan

Risk for injury related to poisoning and cardiac dysfunction

Know what they call child with autism when they excel in certain areas

Savants

New born baby, how would nurse to tell if baby has down syndrome (Physical)

Small rounded skill with a flat occiput Upward slanting eyes with epicanthal folds broad flat nose protruding tongue, Low set ears short thick neck Hypotonic ext. mottled skin, Simian crease on palmar side of hand

When reading on children being abused, know which type of children typically abused

Temperament, age, exceptional physical needs, disabilities, and health or behavior problems

Depression one of the drug categories are Tricyclic; Know what they are and what cautions to take when they on it for the first test*

monitor for suicide in 1st 2 weeks antidepressant Serotonin reuptake inhibitors (SRI) fluoxetine (Prozac) trazodone (Desyrel) Sertraline (Zoloft) bupropion (Wellbutrin) Venlafaxine (Effixor) Paroxetine (Prozac)