front 1 When taking care of a child in a cast, what should you do? | back 1 Support the skin, do a pulse check, nuero check on the fingers, and educate the patient not to stick anything down the cast or use lotions. |
front 2 Child in traction | back 2 Skin: a non-invasive process Skeletal: Stick pins and needles into bones (invasion process) |
front 3 What is the TRACTION acroynm? | back 3 Temperature, Ropes hanging freely, alignment, circulation, types and location, increase fluid intake, overhead trapeze, no weights on bed/floor |
front 4 What is the most frequent broken bone in children? | back 4 Forearm |
front 5 What is the second most common broken bone in children? | back 5 Clavicle |
front 6 Transverse fracture Oblique fracture Spiral fracture Comminuted Greenstick | back 6 Straight across the bone Angle fracture (compound on big bones) Spiral along bone (check the story) Bone fragments lie in surrounding tissue Compression on side of bone |
front 7 How long does it take for a bone to heal in neonates? | back 7 2-3 weeks |
front 8 How long does it take for a bone to heal in early childhood? | back 8 4 weeks |
front 9 How long does it take for a bone to heal in later childhood? | back 9 6-8 weeks |
front 10 How long does it take for a bone to heal in an adolescent? | back 10 8-12 weeks |
front 11 What is the best way to diagnose a fracture? | back 11 X-Ray |
front 12 The F P's of a fracture? | back 12 Pain Pulse Parasthesia Paralysis Pallor |
front 13 What is the blood test that measures muscle breakdown? | back 13 CPK |
front 14 Compartment syndrome | back 14 condition caused by pressure buildup from internal bleeding or swelling of tissues that puts pressure on nerves and deprives muscle of nutrients |
front 15 S/S of compartment syndrome | back 15 severe pain, sensation of pins and needles, and weakness of the affected area. |
front 16 RICE acroynm | back 16 Rest Ice (no more than 30 minutes at a time) Compression (wet elastic bandage) Elevation (above the heart) |
front 17 ICES acronym | back 17 Ice Compression Elevation Support (casts/splints) |
front 18 What is the most common stress fracture? | back 18 Tibial fracture Seen with sports such as basketball/running/gymnastics. Seen from repeated muscle contraction |
front 19 Torticollis "wry neck" | back 19 Cannot turn your neck one way because your muscles are to stiff. Necks are usually stuck on one side of the body and painful to move to other |
front 20 Kyphosis | back 20 Abnormal convex curvature of the thoracic area of spine (Hunchback of Notre Dame appearance) Most common form is postural and be from TB, arthritis, osteodystrophy, compression fracture |
front 21 Lordosis | back 21 Abnormal curvature of your cervical spine (Looks like they try to show but off since bottom of spine is curved inwards) |
front 22 Scoliosis | back 22 MOST COMMON spinal deformity spine looks like a snake on the radiographs |
front 23 When does scoliosis become noticeable? | back 23 Preadolescent growth spurt, they may complain of "ill fitting clothes." |
front 24 How long does a person have to wear a brace for scoliosis? | back 24 For 3-5 years 23/24 hours a day Make sure they have tight fighting clothes underneath |
front 25 What is DDH? | back 25 Developmental dysplasia of Hip |
front 26 DDH | back 26 Hip instability after birth (from breech birth usually) |
front 27 What are the test used to determine DDH? | back 27 Ortolani (Neonate period; they spread hips out to see if symmetrical) and Barlow (pushs the hips in to see if symmetrical) Also, you can use Galeazzi (Push hips up and see if legs are asymmetrical) |
front 28 Osteomyelitis | back 28 Inflammation and infection of bony tissues |
front 29 Osteomyelitis S/S | back 29 Severe pain, fever, irritability resemble arthritis and leukemia Need a bone culture, start IV antibiotics for 3-4 weeks, x-rays screenings |
front 30 What is septic arthritis also called? | back 30 Suppurative, pyrogenic, or purulent arthritis Most common places: Knee, hip, shoulder |
front 31 S/S of septic arthritis | back 31 Joint is warm, painful, swollen, fever, leukocytosis, inc. sedimentation rate Seen after traumatic injury |
front 32 What is a frequent cause of septic arthritis in sexually active teens? | back 32 Neisseria gonorrhea |
front 33 Osteogenesis Imperfecta | back 33 Brittle bone syndrome INHERETED disease |
front 34 What type of OI is the most common? | back 34 Type 1: blue sclera, normal teeth, presenile deafness, mild bone fragility |
front 35 Juvenile Idiopathic Arthritis (JIA) | back 35 Rheumatoid arthritis in kids Peaks between ages 1-3 and 8-10 |
front 36 What percent of children have a negative rheumatoid factor with JIA? | back 36 90% |
front 37 What are the years of a school age child? | back 37 6-12 start at the shedding of deciduous teeth, and stops when permanent teeth come in and start of puberty |
front 38 What are the biological developments for a school age child? | back 38 2-3 kg per year 2 in per year height between males and females will differ |
front 39 What are the average age of puberty? When does prepubescence occur? | back 39 Females-12 Males-14 Usually, 2 years before puberty |
front 40 What stage of Erikson are school age children at? | back 40 Fourth stage: Industry vs. Inferiority Industry ex: CHild encourage to try new things and explore Inferiority ex: CHild is discouraged from trying new things |
front 41 What is a strong motivator for school age children? | back 41 Peer approval Still seek parents approval but older they get they want to be more independant from parents and seek approval from their peers |
front 42 What can a 6-7 year old help with? | back 42 Wipe tables and counters, put laundry away, and swwp floors |
front 43 What can a 7-9 year old help with | back 43 Load and unload dishwasher, pack their own lunch, and help makes meals |
front 44 What can a 10-11 year old help with | back 44 Change their sheets, clean the kitchen and bathrooms, and do yard work |
front 45 Kohlberg Moral Development | back 45 6-7 years old: Reward and punishment guide choices Older school age: Able to judge an act by the intentions that prompted it Rules and judgments become more founded on needs and desires of others |