Care - NCLEX-PN

An infant begins to show signs of anxiety toward strangers between 8 and 12 months of age and may recur until two years of age. This anxiety can show as silence, staring, writhing or crying in the presence of people they don't know.

Object permanence is the understanding that an object still exists even when it can not be seen, heard, or touched. It is often tested by placing an object on a surface, then covering that object and allowing the infant to attempt to uncover it, thus demonstrating a knowledge that the object remains present though it is hidden.

The grasping reflex is the earliest reflex developed by the infant. It is often present at birth: the infant will grasp at objects such as a finger placed into their open palm.

The inferior pincer grasp is the ability to pick up small objects such as by resting the forearm on a surface and pinching using the sides of the thumb and the index finger. It is an important milestone in the development of fine motor skills.

The "grimace" category of the APGAR score actually refers to a wide variety of reflexive behavior. These include sneezing and coughing, crying on stimulation, pulling away, and facial expression.

The APGAR score is calculated one minute after birth, and then again at five minutes after birth. It is common for infants to be born with depressed respiration, cyanosis, and other physical signs of struggle that are quickly resolved within five minutes after birth. If signs of respiratory or cardiovascular distress do not improve by this time, however, emergency intervention may be required.

Molding, or the elongation of the infants head during labor and delivery, is a normal adaptation allowing the relatively large skull to traverse the narrow space of the birth canal. It generally resolves in 1-5 days.

Meconium is a sticky, dark-green to black stool that is the first stool passed by neonates after birth. It is composed of the content of the infant's digestive tract before it has begun drinking milk - primarily water, mucus, bile, lanugo, and intestinal epithelial cells. A newborn that has begun to feed on breastmilk or formula should pass a normal stool (yellow to mustard-green and creamy rather than sticky) within 24 hours.

Pulsatilla is most often given for otitis media when the child is clingy, weepy, refuses fluids, and wants to be held or carried. They may be hot or sensitive to heat and desire fresh air. Belladonna may be used as a pain reliever, and and anti-inflammatory remedy. Arsenicum album is commonly used to treat anxiety and gastrointestinal inflammation. Sepia is most often used to treat female reproductive-related ailments.

Hypericum perforatum (St. John's wort) has shown significant antiviral activity against a wide variety of of enveloped viruses and retroviruses. Melissa officinalis (lemon balm) and a_vena sativa_ (milky oat seeds) are both better known for their sedative effects, and c_rategus spp_ (hawthorne) is used as an antiarrhythmic and mitigates oxidative stress in cardiomyopathies.

Uva-ursi contains the hydroquinone glycosides arbutin and methylarbutin, both of which have shown significant antimicrobial effects in the urinary tract. The other constituents listed have no effect on urinary infections.

Yawning, cramps, and diarrhea are common signs of heroin withdrawal.

Anxiety, nausea, and vomiting are common symptoms of opium withdrawal.

Red yeast rice contains monacolins, which block the production of cholesterol. Monacolin K has the same structure as lovastatin and functions similarly to reduce cholesterol. Nettle is best used as a painkiller, and to treat disorders of the excretory system. Kava is a sedative and anesthetic, and may also be used to treat social anxiety. Lavender has a calming effect, and is effective in inducing sleep.

Black cohosh produces effects similar to those of estrogen.

Behavior therapy is a therapy that achieves results through conditioning. The therapy aims to reinforce desired behaviors and eliminated undesired behaviors.

Bilberry improves microcirculation in the eyes.

Arnica, a herbaceous plant, is the remedy most often used for states of shock after an injury, during which the injured person may refuse medical help due to fear of further injury. Pulsatilla is a plant that may be used for pain in the reproductive organs, restlessness, and other ailments. Nux vomica seeds may be used for gastrointestinal discomfort, anemia and erectile dysfunction. Cimicifuga is a plant that may be used to alleviate neurological disorders.

Calendula flower contains faradiol and the faradiol monoester, powerful anti-inflammatory and antiedematous triterpenoids, which have shown effects comparable to indomethacin. Yellow dock is as a laxative. Red raspberry leaf is a vasodilator, and may exacerbate inflammation. Hawthorne berry can be used to ameliorate symptoms of congestive heart failure.

Berberine has been used alone and in conjunction with fluconazole to successfully treat fluconazole-resistant candida infections. It has also been shown to have an inhibitory effect on Epstein-Barr DNA replication. Red yeast rice may be used to lower cholesterol. G_lycyrrhiza glabra_ can be used to decrease inflammation, and cough, and to promote ulcer-healing. Milk thistle is used as a remedy for hepatic disorders.