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Student Note Slides Conception to Adolescent SU22

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Conception Through Adolescence
Work Slides
Fill in the Nursing care Column and the
Education Column per Instructions On
Dropbox. You may delete the lines and type
in the space for each column.
The Nurse and the Newborn (first 28 days)
2
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1.
2.
3.
4.
5.
Nursing Care:
The nurse should maintain airway, this may
include suctioning, stimulate breathing by
rubbing the newborns feet or cheek.
The nurse should maintain body
temperature of the client, this include
keeping the newborn swaddled, promoting
skin to skin with caregiver or in the warmer.
The nurse should maintain infection control
and prevention with the newborn through
standard precautions: hand hygiene,
vaccinations and administer newborn “eyes
and thighs” medications if not
contraindicated or declined.
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1.
2.
3.
4.
Promote physical contact to foster
attachments as soon as possible.
Monitor weight of the newborn.
5.
Education:
Teaching caregiver to perform frequent
hand hygiene and avoid taking infant into
public places while the immune system is
developing and susceptible to infections.
Promote attachment and teach caregiver
about establishing trust with the newborn
through meeting needs and physical
contact
Encourage caregivers and all visitors to
perform hand hygiene and receive
vaccinations to protect the susceptible
newborn (example, pertussis).
Teach caregiver about maintaining the
proper body temperature for the newborn,
this incudes clothing (hats, socks, blankets)
and physical “skin to skin” contact.
Teach caregiver bulb suctioning to maintain
newborn airway.
The Nurse and the Infant (1month to 1 year)
3
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1.
2.
3.
4.
5.
Nursing Care:
The nurse should be aware and asses
for signs of child abuse, maltreatment
and neglect as mandated reporter.
Assess and provide cognitive stimulation
in well and sick child. Example: talking to
the infant.
Assess and promote language
development in the infant, encourage
parents to name objects that child may
ne focused on.
Assess and provide dietary
recommendations for infant to promote
growth; encourage safe breastfeeding if
possible.
Administer immunizations and assess the
need to adjust schedule with the
considerations of the caregiver.
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1.
2.
3.
4.
5.
Education: Provide education to caregiver
about injury prevention and nutrition:
Teach about the correct use of car seat
and not leaving infants in vehicles, discuss
motor vehicle safety and heat/cold related
injury
Teach about safe sleep and sleep hygiene
to promote and support caregiver. Infants
should sleep on their back in a crib, with
minimal items such as stuffed animals and
pillows to minimize risk of suffocation, SIDS.
Teach about the safe and proper storage
of harmful chemicals and household
products to prevent poisoning. Provide
number and information to Poison Control.
Teach caregiver to introduce a food one a
week at a time to assess for allergies.
Avoid cow’s milk.
Teach about the importance of play and
how it promotes development in the infant.
The Nurse and the Toddler (12 months to 36 months)
4
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1.
2.
3.
4.
5.
Nursing Care:
Assess and monitor growth (height and
weight). Provide interventions such as
supplementation as necessary to promote
growth when appropriate and indicated.
Assess child’s abilities and interaction with
caregiver and in environment, obtain a report
from the caregiver in regards to their
functional abilities.
Assess for injuries, bruises, abrasions, recent
fractures. Assess for signs of abuse,
maltreatment, and neglect and report if any
suspicions.
Asses and monitor development of the
toddlers in comparison with established
developmental milestones. Provide
interventions as necessary to promote growth
when appropriate and indicated.
Assess and address concerns and questions of
the caregiver to provide quality care of the
toddler.
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1.
2.
3.
4.
5.
Education:
Teach caregiver about safety, supervision and
child proofing the environment to reduce the risk
for harm/injury. Discuss water safety to reduce
the risk of drowning.
Teach caregiver to limit “no” answers and
negativism, this allows for limit setting yet
promotion of independence. Provide a modified
environment to promote independence, for
example step stool or lidded cup.
Teaching caregiver to promote language by
talking and reading to the child, discourage the
use of screen activities to replace the parentchild interaction when indicated and
appropriate.
Teach caregiver about recognizing the toddler’s
patterns and urge to urinate/defecate to begin
toilet training.
Teach caregivers to allow toddler to be
independent in eating, offer choices, finger foods,
healthy snacks between meals.
The Nurse and the Preschooler ()
5
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1.
2.
3.
4.
5.
Nursing Care:
The nurse should be aware and asses for
signs of child abuse, maltreatment and
neglect as mandated reporter.
Assess and monitor growth which begins to
slow (height and weight). Provide
interventions such as supplementation as
necessary to promote growth when
appropriate and indicated.
Asses and monitor development of the
preschooler in comparison with established
developmental milestones. Provide
interventions as necessary to promote
growth when appropriate and indicated
Assess and provided opportunities the child
to perform newly learned for skills,
promotes self-esteem and initiative.
Allow child to participate in care, such as
vital signs to lessen fear and anxiety.
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1.
2.
3.
4.
5.
Education:
Teach caregiver to allow preschooler
opportunities to practice newly learned skill such
as tying shoes.
Teach caregiver not to be alarmed by “Why”
questions. Questions may be answered simply and
may not have the meaning caregiver believes it
does.
Teach caregiver to establish rules and
consequences as preschoolers are more
independent and need to understand the confines
of their environment.
Teach caregiver to allow child’s participation in
food preparation to promote healthy eating
habits and decrease “finicky” eating habits.
Teach caregiver about preschooler stress and
reverting such as bed wetting, thumb sucking and
that these behaviors will resolve. Caregiver should
provide child with opportunities to increase selfefficacy and confidence.
The Nurse and School Age Child (6-12)
6
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Nursing Care:

Education:
1.
Growth spurts, girls before boys
1.
Sports
2.
Fine motor skills improve – sports
2.
Peer relationships
3.
Logical, concrete
3.
Sexual education
4.
Puberty, sex education/identity
4.
Stress, expectations
5.
Violence
5.
Latchkey
The Nurse and Adolescent
7
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Nursing Care:
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1.
1.
2.
2.
3.
3.
4.
4.
5.
5.
Education:
What is the purpose of this assignment?
This question is worth 4 points.
8
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This assignment allows us
to anticipate the care
and teaching of clients
and families.
It also allows us nurses to
plan for care based off
of expected growth and
development, keeping in
mind that every client is
individualized in this
process.
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