[Exam 4] Chapter 34 – Caring for the Special Needs Child Flashcards Preview

NRSG 206: OB > [Exam 4] Chapter 34 – Caring for the Special Needs Child > Flashcards

Flashcards in [Exam 4] Chapter 34 – Caring for the Special Needs Child Deck (35)
Loading flashcards...
1
Q

What problems may infant run into for development?

A

Failure to develop sense of trust due to frequent hospitalizations.

2
Q

What problems may the toddler run into for development?

A

Developing autonomy because of increased dependency on parent or overinvolvement on parent. Will strugle with motor/language skill development.

3
Q

What problems may preschooler run into?

A

Sense of initiative. Experience limited opportunities for socialization, causing feelings of being withdrawn.

4
Q

What problems may school-age child run into?

A

Lack of sense of industry, due to inability to participate in activites or competitive events. Can’t form relationships.

5
Q

What problems may adolescents run into?

A

May feel as though they are different due to appearance. Can’t develop personal identity.

6
Q

What is vulnerable child syndrome?

A

When parents react to a serious illness or event in child’s past continue to have a psychologically harmful effect on child and parents for many years.

7
Q

Vulnerable Child Syndrome: Risk factors for this?

A

Preterm birth, anoaly, newborn jaundice, handicapping condiiton, accident or illness.

8
Q

Nurse Mx Of Medically Fragile Child and Fam: What to know if Denver II is used for ongoing developmental surveillance?

A

Results should be compared from visit to visit, rather than using it as screening tool

9
Q

Nurse Mx Of Medically Fragile Child and Fam: Over long term, former premature infants are at higher risk for what than typically infants?

A

Developing cognitive delay, cerebral palsy, ADD . learning disabilities, difficulites with socialization and vulnerable child syndrome

10
Q

Providing Routine Well-Child Care to Former Premature Infant: Prior to discharge from NICU, child will be tested for what

A

oxygen desaturation while seated in the car seat.

11
Q

Providing Routine Well-Child Care to Former Premature Infant: When can preemies start recieivng flu vaccines?

A

After 6 months of age.

12
Q

Assessing Growth n Development of Former Preemie: What should you do here before exam?

A

Determine childs adjusted or corrected age. Continue this until 3 years old.

13
Q

Assessing Growth n Development of Former Preemie: Calorie needs?

A

Will need extr calories. Extra clacium and phosphorus.

14
Q

Assessing Growth n Development of Former Preemie: When are they switched to normal formula?

A

Once they demonstrate consistent adequate growth. Usually around 6 months.

15
Q

Assessing Growth n Development of Former Preemie: Signs that they may be ready to attempt spoon feeding?

A

Interest in feeding, decreas ein tongue thrust, and adequte head control

16
Q

Assessing Growth n Development of Former Preemie: What places them at high risk for developmental delay?

A

Comorbidities that ex-preemies exhibit in form of prior and current medical problems.

17
Q

Assessing Growth n Development of Former Preemie: Assess child’s development based on corrected age until when

A

child is 3 years old

18
Q

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is failure to thrive?

A

Term used to describe inadequate growth in infants and children

19
Q

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is the Individuals with Disabilities Education Improve Act do?

A

Mandates government funded care coordinationa nd special education for children up to 3-years of age. Guarantees services that will enhance their development

20
Q

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is the Individuals with Disabilities Education Act do?

A

Provides education for children with special needs through the public school system from ages 3-21 years. Entitled to individualzied education program (IEP).

21
Q

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: Preschool special education available when?

A

FOr ages 3-5. When there is a significant delay present in cognitive, language, adaptive, social-emotional, or motor development domains.

22
Q

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is the Supplemental Security Income program?

A

Cash assitance program. Also qualifies child for stte Medicaid. Covers medical visits, medications, hospitalization.

23
Q

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is the State Childrens Health Insurance Program?

A

Provides low-cost health insurance to elgible children

24
Q

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is Respite care?

A

Provides an opportunity for famileis to take a break from daily intensive caregiving responsibilites.

25
Q

Identifying/Mxing Failure to Thrive/Feeding Disorders in Special Needs Children: What is Hippotherapy?

A

Horseback riding for handicapped, therapeutic horseback riding. Unique movement helps achieve increased flexibility, balance, and muscel strength

26
Q

Meeting Dying Childs Needs According to Developmental Stage: What must be done for infant?

A

Unconditional love and trust. Ensure family is available

27
Q

Meeting Dying Childs Needs According to Developmental Stage: What is done for toddler?

A

Give familiarity and routine. Maximize time with parents, and give facorite toys.

28
Q

Meeting Dying Childs Needs According to Developmental Stage: What to do for ages 3-5?

A

May see death as punishment. correct this misunderstanding.

29
Q

Meeting Dying Childs Needs According to Developmental Stage: what to do for ages 5-10?

A

Give specific, honest details. Encourage child to make decisions.

30
Q

Meeting Dying Childs Needs According to Developmental Stage: what to do for those 10-14 years?

A

Reinforcement of self esteem, self-respect, and a sense of worth.

31
Q

The parents of a 5-year-old with special health care needs talk to the parents of a 10-year-old with a similar condition for quite a while each day. What is the nurse’s interpretation of this behavior?

The nurse has not provided enough emotional support for the parents.
This relationship between the children’s parents is potentially unhealthy.
Support between parents of special children is extremely valuable.
Confidentiality is a pressing issue in this particular situation.
A

Support between parents of special children is extremely valuable.

32
Q

The nurse is caring for a child who has received all possible medical care for cancer, yet continues to experience relapse and metastasis. It is time to make the transition from curative care attempts to palliative care. What is the most important nursing consideration at this time?

The health care professionals should make the decision about the child’s care.
The family may lose a sense of hope, so cancer treatments should continue.
Involve the family in the decision-making process about the shift to palliative care.
Palliative care can take place only at home, so the child should be discharged.
A

Involve the family in the decision-making process about the shift to palliative care.

33
Q

The nurse is caring for a 3-year-old with a gastrostomy tube and tracheostomy who is on supplemental oxygen and multiple medications. The mother is rooming in during this hospitalization. What is the priority nursing action?

Incorporate the mother’s assistance in care when convenient.
Recognize the mother as the expert on her child’s needs and care.
Recommend that the mother go home to get some rest.
Provide family-centered care since the mother is there.
A

Recognize the mother as the expert on her child’s needs and care.

34
Q

The nurse is caring for a child with a developmental disability who is starting kindergarten this year. The mother is tearful and doesn’t want the child to go to school. What is the best response by the nurse?

“Do you need some time alone to collect yourself?”
“You’ve known for a while this time would come.”
“Can I call your husband or a friend for you?”
“It is normal to feel stressed or sad at this time.”
A

“It is normal to feel stressed or sad at this time.”

35
Q

The parents of a child with a developmental disability ask the nurse for advice about disciplining their child. What is the best response by the nurse?

“You should choose methods that are most congruent with your values about discipline.”
“Children like this really can’t follow directions, so they may be very hard to discipline.”
“Punish your child only for socially unacceptable or offending behaviors.”
“Spanking works well for this type of child, as they really don’t like pain.”
A

“You should choose methods that are most congruent with your values about discipline.”

Decks in NRSG 206: OB Class (42):