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69 Cards in this Set

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What other conditions can mimic ADHD?
Hearing disorders, Anxiety, Depression, Absence seizure, Learning disabilities
If you have a child that is 12 months that was born 3 months premature, under what age would you chart the growth?
9 months
During the nutritional assessment, how to you determine the dietary intake?
24 hour recall, food diary, or food frequency questionnaire
(Includes type and amount of foods and liquids)
Antropometric measurements
the science o f measuring the human body as to height, weight, and size of component parts, including skinfolds
Suture lines are palpated up to what age?
6 months
Upon examination of the middle ear of an Asian child, the examiner may note tiny white flecks withing the canal. Is this normal or abnormal?
Normal
If a child exhibits an absent or slow anal reflex what should you consider?
Sexual abuse
How do you assess pain?
P: presence
Q: quality
R: radiation
S: Severity
T: Timing
What is the dosing of Narcan for children?
0.005-0.01 mg/kg
may repeat Q2-3minutes up to 3 doses
Disability
A functional limitation that prevents or interferes with a person's ability to perform age-expected activities
Handicap
A barrier imposed by society, the environment, or one's self in response to perceived differences
Normalization
Cognitive and behavioral strategies used by a family of a child with a chronic condition in order to view it as normal
What is way of definitivly diagnosing Down's?
karyotyping
How often should a Down's kid have his thyroid check?
yearly
What type of disorder is autism?
Neurodevelopmental
Echolalia
Repeating the last word or words heard
When should children be tested for autism?
by 18-24 months
How is autism diagnosed?
based on clinical manifestations and ruling out other disorders
Clinical manifestations of Fragile X
large ears, cupping of the ears, velvet-like skin, slim build, broad and somewhat squinting eyes, large testes, hyperextensbile joints, and MR
What is the IQ of a fragile X kid?
20-50
The leading cause of MR worldwide
Fetal alcohol syndrome
Cao Gao
Asians use to treat minor ailments, rubbing a coin heated in oil on a child's neck, spine, and ribs
Cupping
Latin Americans and Russians, treats headaches or abd pain, vacuuming cups to child's back
What type of light is used to see semen?
Wood's lamp
When is the onset of autism?
before 3 years of age
Severe and pervasive impairment in the development of reciprocal and social iteration language and behavior
PDD-NOS
What are some red flags of autism?
no babbling by 12 months, no gesturing, no single words y 16 months, no two-word sentence by 2, any loss of language or social skills
How many hours a week would an autistic child have early intervention?
15-20 hours a week
Preschool programs of autism is focused on what?
academic skills plus social skills
Who is the guy that said Parent's are the experts. Listen to them?
T. Berry Brazelton
What is the "lest restrictive environment" philosophy
Keep special kids in the environment that is the most normal for kids their age
Treat the special needs child as ___________ as possible.
Normal
Is denial normal for a parent of a special needs child?
Yes in the beginning, but if it lingers then it is maladaptive
What is chronic sorrow?
Even though adjustment continues there are certain points which cause increased stress to the family
When would a family experience chronic sorrow?
initial diagnosis, failure to meet normal developmental milestones, start of school birth of a friend with a normal child, adolescence
What are Brazelton touchpoints?
Key times in a parent's life that makes having a special needs child hard...chronic sorrow
What is the impact of chronic illness/disability on the infant?
Sensory motor experiences are altered, child can't crawl, verbalize
What is the impact of chronic illness/disability on the toddler?
Aware of differences sometimes. unable to feed/dress selves
What is the impact of chronic illness/disability on the preschooler?
Social skills affected. Child is aware of his inability to keep up with normal peers
What is the impact of chronic illness/disability on the school-aged?
normally achieve a sense of accomplishment. Special needs are unable to do and become frustrated
What is the impact of chronic illness/disability on the adolescent?
Most difficult Hard to establish personal identity. Lack of skills is apparent. Difficult to mainstream
EMD
Educatable mentally deficient
IQ 55-70, can learn at a slower pace
Learning disability
can be lost of things...problems with a certain area
Cognitive impairment
IQ <70
TMD
Trainable mentally deficient,
IQ very low, just works on life skills
Down's children have most problems with what body systems?
Cardiac and GI
What do you have to do with positioning a Down's child?
feed with head up so they don't aspirate
Rett's syndrome
initial development is normal and then gradually deterioration mentally and physically, can't control hands --> wringing
ADHD medication: Ridalyn
short acting, impulssivity
ADHD medication: concerta
long acting
ADHD has to be diagnosed before age ____.
7
ADHD medication: Adderol
used for inattentive
ADHD medication: Daytrona
used as a patch
What perinatal infections can cause visual impairment?
TORCH
What is the most common form of child maltreatment?
child neglect
ISFP
Stays in effect until child turn 3
IEP
Goes into effect after ISFP and stays in effect until age 22, guides education, team approach
504 plan
only supposed to be for a year, level down from IEP
What would the IQ of a genius be?
> 130
What would the IQ of a gifted person be?
>120
What would the IQ be of an average child?
90-100
What would the IQ of a mildly cognitively impaired child be?
55-70
What would the IQ of a moderately cognitively impaired child be?
40-55
What would the IQ of a severely cognitively impaired child be?
24-40
What would the IQ of a profoundly cognitively impaired child be?
<25
Why is it important to catch autism early?
Neuroplasticity-can change the cells
What are the three stages of separation anxiety?
Protest, despair, detachment
What medication is the gold standard of opoids?
Morphine
What should the nurse know about meperidine?
Has nervous system reaction possibilities, can only be used for 48 hours