Fundamentals of Nursing, 10 Ed., Potter, Perry, Stockert & Hall, 2020 | Registered Nurse (RN) School Study Aid
APGAR Score
- 1 and 5 Minutes
- Appearance
- Pulse
- Grimace
- Activity and Muscle Tone
- Respiration
- Total Scores
- Gentle Stimulation
- Oxygen
Newborn Assessment
- APGAR
- Umbilical Cord
- 2 Arteries 1 Vein
- Eye Prophylaxis
- Fontanels
- Vitamin K Injection (Phytonadione)
- Gestational Age Assessment (GAA)
- Birth Weight
- Head Circumference
- Length
- Keep Warm
- ID Bands
Age 2 Months - Developmental Milestones
- Holds Head Up, But Unsteady
- Moves Both Arms and Both Legs
- Opens Hands Briefly
- Tracks Objects to the Midline
- Produces Sounds Aside from Crying
- Reacts to Loud Noise
- Social Smile
- Recognizes Parents
- Soothed When Spoken to or Picked Up
Age 4 Months - Developmental Milestones
- Keeps Head Steady Without Support
- Pushes Up on Elbows While on Tummy
- Holds a Toy in Hands
- Moves Hands Towards Mouth
- Cooing
- Turns to Voice
- Chuckles
- Enjoys Looking Around
- Looks at Hands With Interest
- Opens Mouth When Hungry
Age 6 Months - Developmental Milestones
- Sits Propped Up On Hands
- Rolls
- Raking Grasp
- Makes Squealing Noises
- Blows "Raspberries"
- Turn-Taking in Sounds
- Laughs
- Enjoys Looking at Self in a Mirror
- Recognizes Familiar People
- Closes Lips to Signal Fullness
- Puts Objects in Mouth
- Reaches for Desired Toys
Age 9 Months - Developmental Milestones
- Sits Up Independently
- Transfers Objects Between Hands
- Uses Fingers to Pull Food Toward Self
- Produces Various Sounds Like "mamamama" and "bababababa"
- Raises Arms to be Lifted Up
- Separation Anxiety
- Shows Facial Expressions
- Looks When Calling Name
- Smiles or Laughs at Peek-a-boo
- Looks for Dropped Objects Out of Sight
- Bangs Two Items Together
Age 1 Year - Developmental Milestones
- Pulls Up to Stand
- First Steps
- Drinks From an Open Cup with Assistance
- Two-Finger Pincer Grasp
- Understands “No”
- Waves "Bye-Bye"
- "Mama & Dada"
- Plays Pat-A-Cake
- Puts Block in Cup
- Searches for Hidden Toys
Age 18 Months - Developmental Milestones
- Walks Independently
- Climbs On/Off Furniture Without Help
- Drinks from Open Cup Independently
- Scribbles
- Eats with Fingers
- Tries to Use a Spoon
- Stacks Three Blocks
- Attempts Three-word Phrases
- Follows One-step Commands
- Checks While Moving Away
- Points to Objects
- Engages With Toys Simply
- Copies Parent Doing Chores
- Extends Hands for Washing
Age 2 Years - Developmental Milestones
- Kicks a Ball
- Runs
- Walks Up Stairs With Help
- Stacks Six Blocks
- Feeds Self With a Spoon
- Two-Word Phrases
- Points to Book Items as Prompted
- Demonstrates Varied Gestures
- Identifies Body Parts When Prompted
- Shows Empathy
- Holds and Manipulates Objects Simultaneously
- Engages With Multiple Toys
Age 3 Years - Developmental Milestones
- Starts Dressing Independently
- Rides Tricycle
- Stack Nine Block Tower
- Threads Items Together
- Copies Circle
- Uses Fork
- Engages in Two-way Conversation
- 75% Speech Understood by Stranger
- Says First Name
- Avoids Hot Objects When Warned
- Joins Other Kids in Play
Age 4 Years - Developmental Milestones
- Unbuttons Some Buttons
- Catches a Large Ball
- Serves Food or Pours Water With Help
- Copies Line, Circle, Stick Figure
- 100% Speech Understandable
- Identifies Colors
- Cooperative Play
- Imaginary Friends
- Likes Being a “Helper”
- Avoids Danger
Age 5 Years - Developmental Milestones
- Buttons Some Buttons
- Hops on One Foot
- Prints Letters
- Counts to 10
- Uses Simple Rhymes
- >3 Back-and-forth Exchanges
- Answers Simple Questions
- Tells a Story
- Names Some Letters When Pointed
- Follows Rules
- Sings, Dances, Acts
- Does Simple Chores
Child and Elder Physical Abuse Assessment
- Inconsistent Injuries
- Delay in Treatment
- Various Stages of Healing
- Symmetrical Burns
- Sexually Transmitted Infection
- Bloody/Torn Undergarments
- Shaken Baby Syndrome
- Poor Hygiene
- Overmedication
Pediatric Vaccinations - Age 2 Months
- Hepatitis B
- DTaP - Diphtheria Tetanus acellular Pertussis
- RV - Rotavirus
- HiB - Haemophilus Influenzae Type B
- IPV - Inactivated Polio Vaccine
- PCV - Pneumococcal
Pediatric Vaccinations - Age 4 Months
- DTaP - Diphtheria Tetanus acellular pertussis
- RV - Rotavirus
- HiB - Haemophilus Influenzae Type B
- IPV - Inactivated Polio Vaccine
- PCV - Pneumococcal
Pediatric Vaccinations - Age 6 Months
- Hepatitis B
- DTaP - Diphtheria Tetanus acellular pertussis
- RV - Rotavirus
- HiB - Haemophilus Influenzae Type B
- IPV - Inactivated Polio Vaccine
- PCV - Pneumococcal
- Influenza
Pediatric Vaccinations - Age 12 to 15 Months
- Varicella Zoster
- MMR
- Hepatitis A
- DTaP - Diphtheria Tetanus acellular pertussis
- HiB - Haemophilus Influenzae Type B
- IPV - Inactivated Polio Vaccine
- PCV - Pneumococcal
Pediatric Vaccinations Age 4-6 Years
- Varicella Zoster
- DTaP - Diphtheria Tetanus acellular pertussis
- IPV - Inactivated Polio Vaccine
- MMR
Anorexia Nervosa Assessment
- Adolescent Girls
- Fear of Gaining Weight
- Excessive Dieting
- Distorted Body Image
- Decreased Bone Density
- Stress Fractures
- Lanugo
- Amenorrhea
- Anemia
- BMI < 18.5
Bulimia Nervosa Assessment
- Normal Body Weight
- Binge and Purge
- Electrolyte Disturbances
- Alkalosis
- Hypokalemia
- Parotitis
- Enamel Erosion
- Russell's Sign
- Once Weekly For 3 Months
Anorexia Nervosa and Bulimia Nervosa Interventions
- Build Trust
- Plan Caloric Intake
- Supervise Meals
- Supervise Elimination
- Encourage Liquids
- Daily Weights
- Use Matter-of-Fact Statements
- Give Feelings of Control
- Tube Feedings If Further Weight Loss