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 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. 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 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. 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 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. 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 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. 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 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 Nursing Care: 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 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.