Term
Down's syndrome occurs in:
1 in _1_-_2_ births
"_____ __" = extra chromosome
Mother >_4_ Father >_5_
Prognosis is __6__ |
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Definition
1. 800
2. 1,000
3. Trisomy
4. 35
5. 55
6. Broad! |
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Term
These are characteristic of what illness?
Flat back of head, loose ligs, slant eyes, depress nasal bridge, small mouth/hands/feet |
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Definition
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Term
| Down's children have a WIDE VARIATION of cognitive development, but are delayed in langauge and communication, as well as motor development. Typical walking age for them is what? |
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Definition
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Term
| Name 5 serious abnormalities associated with Down's. |
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Definition
1. Septal heart defects
2. Immune deficits (Resp probs 1st 2 yrs)
3. Hearing (BOM)
4. Eye problems
5. Hypothyroid |
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Term
| Because of their poor muscle tone, Down's children are at risk for what? |
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Definition
| Spinal cord compression; be wary of contact sports/activities |
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Term
| What are some special considerations for parents of children w/ Down's? |
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Definition
| Grief and loss, not 'cuddly' bc poor tone, difficulty eating |
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Term
Autism occurs in:
1 in _1_ children
Boys are affected _2_ times more than girls, but girls are more severe
No known cause
Delay in language/social by _3_ yo |
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Definition
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Term
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Definition
Fail to respond to name
Avoid eye contact
Resists cuddling
Screams to be put down
Unaware of others' feelings
Abnormal socially, poor convo
Abnormal voice rhythm
Repeats but doesnt understand
Hand mvmts
Self injury
NEED RITUALS AND ROUTINES! |
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Term
| Fact: There is NO cure for autism but it can be helped with intense language/social training early on |
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Definition
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Term
| What are nursing considerations for an autistic patient? |
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Definition
Room-in rents
Decrease stimulation
What sets them off?
Minimal eye contact
Direct/short communication |
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Term
| True or false: ADHD has a proven connection to food, TV, game, and poor parenting |
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Definition
| FALSE. Familial, s/s <7 yo |
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Term
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Definition
| Inattention, hyperactivity, impulsive (standard), sleep problems. Must be present in at least 2 settings. |
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Term
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Definition
| Be consistent, + reinforcement, psychotherapy and social skills training |
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Term
| Name 5 stimulants that are used for ADHD. What are some side effects with these? |
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Definition
-Ritalin, Adderall, Focalin, Vyvanase, Pemoline
-Nervous, tremor, palps, insomnia, wt loss |
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Term
| List 2 other meds that help ADHD that are not stimulants |
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Definition
1. Straterra
2. Tricyclics (controlled) |
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Term
What are the most common abused substances?
What are 2 substances on the rise? |
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Definition
Alcohol, tobacco, marijuana, inhalants
Meth, pain/anxiety meds |
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Term
| What puts teens at a HRF subs abuse? |
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Definition
| Poor image, poor coping, ADHD, role models that abuse, genetics, abuse/neglect |
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Term
| What are s/s to look for in substance abuse? |
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Definition
| Tremors, appearance, legal, mood swing, poor academics, red/dilated eyes, poor memory/time |
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Term
| What tests are used to diagnose substance abuse? |
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Definition
UA
BA
CBC
Chemical profile
Hx |
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Term
| Nursing mgmt for subs abuse: |
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Definition
ID drug, dose, last use
s/s w/drawal
Social services
Nonjudgmental
Family support |
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Term
Anorexics fear __1__.
They lose _2_% of weight w/out illness.
They are already _3__ and ___4___.
_5__-__5_% die of malnutrition |
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Definition
1. Obesity
2. 25%
3. Thin
4. Overachievers
5. 15-20% |
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Term
Bulimics ____ and ____.
They are ____ and feel ____.
Do they know their eating pattern is abnormal? |
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Definition
Binge; purge
Overweight; depressed
Yes |
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Term
| Nursing considerations for eating D/Os: |
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Definition
Malnutrition
F/E imbalances
Monitor during/after meals
Back to scale 1/wk
*MAKE A CONTRACT!!!*
Nutrition, not weight, is the goal
+ Reinforcement
Give them control |
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