Exam 5 Pedi

signs of precocious puberty

- breasts, testicles enlargen early - pubic hair presence - females tend to be shorter, have cysts

mouth & teeth safety for school-aged kids

- brush teeth 2x day, floss daily - wear mouth guard during contact sports - maintain regular dentist checkups/cleanings

Considerations for impetigo

- cover wounds - hand hygiene - wash cloths, linens, stuffies, in hot water - avoid direct contact as much as possible - Mupirocin (Bactroban) ointment for 7-10 days or Retapamulin (Altabax) 2x daily for 9mos - oral abx if severe - when lesions crust, okay to return to school

Education to help achieve industry

- encourage trying new things on their own - involve them in care - instill confidence, worthiness

signs of lice

- itching of scalp - small, white ovals or nits attached to hair shaft - small grey nymphs - silvery eggs (nits) attached to hair shaft

how do we encourage G&D in school-aged kids?

- peer groups, clubs for social development - organized sports - Early SA: board-games, jump rope, bikes, cards, stamps, rocks - Late SA: crafts, models, jigsaw puzzles

risk factors for precocious puberty

- pituitary tumor - genetics (maternal) - taking birth control too early - trauma/injury

helmet safety

- prevents 85% of head injuries - kids MUST wear when riding bike, scooter, skateboard, skis, snowboard

immunity in school age

IgG & IgA are at adult levels

treatment for tinea capitis

antifungal shampoo & lotions

first signs of puberty in females

breast buds then pubic hair , widening of hips, menarche

school age psychosocial development

industry vs inferiority

pediculosis

infestation with lice

puberty

the period of sexual maturation, in which a person has rapid growth of bones & muscles, changes in body shape & size, and development of the body's ability to reporoduce

precocious puberty

the very early onset and rapid progression of puberty, most often in girls

Considerations for lice

- Bag items for 2 weeks to suffocate the bugs - wash linens & toys in hot water - Remove nits daily - DO NOT SEND HOME FROM SCHOOL - DO NOT SCREEN CLASSROOMS - DO NOT SHARE COMBS, BRUSHES, HATS, HELMETS

Which nursing interventions would the nurse perform during the administration of a medication to a school-age child? Select all. A.Explaining to the child why the medication is necessary B.Making use of the child's beliefs of magical thinking C.Encouraging the child's participation in the procedure D. Providing outlets for the child to release any aggression and anger E.Teaching the child the relationship between the use of medication and its effect on the body

.Explaining to the child why the medication is necessary C.Encouraging the child's participation in the procedure D. Providing outlets for the child to release any aggression and anger E.Teaching the child the relationship between the use of medication and its effect on the body

signs of impetigo

1. Inflammation, pain, swelling, warmth, lymphadenopathy 2. clusters of honey-colored crusted lesions

when do we give the HPV vaccine?

11-12 years old (sometimes as early as 9, before child is sexually active)

Ages for rear-facing car seat

2-4 years

ages for front facing car seat

2-7 years

When do permanent teeth erupt?

6 years

ages for booster seat

6-12 years

school age HR

70-80 bpm

tinea captitis

A fungal infection of the scalp characterized by red papules, or spots, at the opening of the hair follicles.

Which event is considered the first sign of puberty in girls? A.Breast development B.Pubic hair distribution C.First menstrual period D.Physiologic leukorrhea

A.Breast development

Which activities should be easier for the school age child due to changes in proportions from the preschool stage of development? Select all. A.Climbing B.Handwriting C.Riding a bike D.Problem solving E.Cooperative play

A.Climbing C.Riding a bike

Which statement would the nurse include in a teaching session for a school-age client and their parent? Select all. A.Parents of school-age children must learn to let go of control B.Strict discipline is the priority over understanding and tolerance C.Peer groups are highly influential during this stage of development D.Your child may wish to be more involved with peer activities than family activities E.When a conflict between peers and parents occur, family values will predominate

A.Parents of school-age children must learn to let go of control C.Peer groups are highly influential during this stage of development D.Your child may wish to be more involved with peer activities than family activities E.When a conflict between peers and parents occur, family values will predominate

Which statement would the nurse make about the maturation of systems in a school-age child? A.The heart grows slower in the school-age child than at any other period of life B.Physical maturity is the school-age child correlates with emotional and social maturity C.The school-age child has less efficient maintenance of blood sugar levels than a preschooler D.Facial proportions change in the school-age child because the face grows slower in relation to the remainder of the cranium

A.The heart grows slower in the school-age child than at any other period of life

Which vaccine would the nurse administer to provide protection from precancerous lesions and cancer of the vulva, cervix and vagina in young girls/women? A. Rotavirus vaccine B. Varicella virus vaccine C. HPV vaccine D. Meningococcal conjugate vaccine

C. HPV vaccine

impetigo

a highly-contagious inflammatory skin disease caused by group A or B strep characterized by clusters of honey-colored crusted lesions

Which fundamental biological change is observed to be similar during the growth of females and males? Select all. A.Detectable changes in voice during puberty B.Appearance of initial pubic hair during early puberty C.Progression of pubic hair growth mid-puberty D.Development of axillary hair and detectable facial hair during mid-puberty E.Obtaining peak height and weight velocities simultaneously during late puberty

B.Appearance of initial pubic hair during early puberty C.Progression of pubic hair growth mid-puberty

Which bacterial condition is suspected when a client with vesiculopustular lesions with honey-colored crusts in the face visits the primary HCP? A.Cellulitis B.Impetigo C.Carbuncle D.Varicella

B.Impetigo

concrete operational stage

Children gain the mental operations that enable them to think logically about concrete events, solve problems, see from other's perspectives, tell time

Industry vs. Inferiority

Child develops skills & knowledge that allow them to make meaningful contributions, they also develop awareness of themselves in relation to others, and some of their values, self-concept, Confidence, feelings of worthiness

school-age cognitive development

Concrete operational thought

where is the safest place in the car to be for school-aged children?

back seat

treatment of precocious puberty

GnRH agonist (Lupron)

only vaccine that prevents cancer

HPV

treatment for pediculosis (Lice)

Permethrin shampoo

Which development-related activity is most important for the nurse to encourage for a hospitalized school-aged child? A.Family contact B.Peer interaction C.Therapeutic play D.Academic studies

D.Academic studies

Which explanation would the nurse provide for the lower overall height differences in girls compared with boys? A.Increase in muscle mass B.Hypertrophy of the laryngeal mucosa C.Maturation of structural appendages of the skin D.Closure of epiphyses because of estrogen secretion

D.Closure of epiphyses because of estrogen secretion

Which recommendation would the nurse make about safe transportation of an 8 year old? A.You should borrow or buy a second car seat B.You should place padding under the child so the seatbelt fits C.You should buy a convertible car seat D.You should have your child in a booster seat in the back seat

D.You should have your child in a booster seat in the back seat

school-age children's attitudes

MEAN, will exploit weaknesses

pain scale used for school-aged kids

Numeric rating (NRS) or FACES (<7y.o.)

vaccines 11-12 years

Tdap, HPV, Meningococcal (MenACWY)

first signs of puberty in males

Testicular enlargement then pubic hair, voice deepens, shoulders widen

how is impetigo spread?

contact

tinea pedis

fungal infection of the foot; athlete's foot

how can we development social skills in school-age kids?

peer groups, clubs, sports

onset of symptoms of precocious puberty in girls

prior to 8y.o.

onset of symptoms of precocious puberty in boys

prior to 9y.o.

what should you do if a permanent tooth falls out?

put it in milk and take to dentist ASAP

when does screening for scoliosis begin?

school age

most important concept for G&D of school-aged children

schooling & developing confidence

How is precocious puberty confirmed?

serum analysis of estrogen or androgen

causes of appendicitis

swelling of tissue, trapped stool, inflammation, constipation

puberty hormonal response

the hypothalamus starts the process producing gonadotropin releasing hormone, which moves to the pituitary gland which releases LH & FSH which goes to the testes & ovaries releasing estrogen & testosterone