NURS 6541 Midterm Exam Review (Week 1-6) Week 1: Growth and Development Safety with Car Seats – remain rear facing for as long as possible until they reach weight or height of seat. - press-room/Pages/AAP-Updates-Recommendations-on-Car-Seats-for- Children.aspx Vaccination Schedules and contraindications – o Hepatitis B – 3 dose series o Rotavirus – 2 dose series o Diphtheria, tetanus, & acellular pertussis (DTaP) – 5 dose series o Haemophilus influenzae type b (HIB) o Pneumococcal conjugate (PCV13) o Inactivated poliovirus (IPV) o Measles, mumps, rubella (MMR) o Varicella o Hepatitis A o Meningococcal o Tetanus, diphtheria, & acellular pertussis (Tdap) o Human papillomavirus (HPV) o Meningococcal B o Pneumococcal polysaccharide (PPSV23) Child Abuse mandatory reporting – any reason to believe that there is abuse or neglect, you do not have to have burden of proof, Failure to thrive causes o Childs environment (loss of emotional bond between parent and child, poverty, problems with child-caregiver relationship, diet, exposure to infections, parasites, or toxins, poor eating habits), abuse, neglect, genes such as Down syndrome, organ problems, hormone problems, damage to the brain or CNS may cause feeding difficulties, heart or lung problems, anemia, GI problems making it hard to absorb nutrients or cause a lack of digestive enzymes, long-term infections, metabolism problems, Breastfed baby’s possible health problems o Lowers risk of asthma or allergies Normal birth weights and growth – birth to 6 months growth ½ - 1 inch a month and gain 5-7 ounces a week. Double birth weight by 5 months
Normal reflexes in newborns o Rooting – goes away at 4 months - check stroked head turns to that side o Suck – when roof of mouth touch baby starts to suck begins 32 weeks and not fully developed until 36 weeks. o Moro – goes away at 3-4 months – startled o Step – goes away 2 months - appears to be taking steps o Tonic neck – goes away 5-7 months old. head relaxed and laying face up is moved to the side, the arm reaches away from body with had partially open o Grasp – goes away 5-6 months – stroke palm of hand and fingers grasp Language development issues o Always check hearing Fine motor skills o Signs of puberty o Tanner stages 1 hair development, papilla above level of chest 2 sparse, long, pigmented, downy hair – hair seen along the labia and base of penis, small mounds and increased diameter of the areolae, enlargement of Scutum and testes and change in texture of scrotal skin 3 considerably darker, coarser, and curlier, hair is spread over pubes, breast and areolae cont to enlarge, length of penis some circumference, and increase growth in testes and scrotum 4 hair is adult like but decreased in total quantity, areolae and papillae elevate above breast, penis is larger in length and circumference, further development of glans penis, distinct darkening of scrotal skin
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