Nursing Pediatrics Studienführer, Klassennotizen & Zusammenfassungen

Pediatric Nursing Interventions - ANSWER-Appropriate timing. Establishing trust: little kids are harder to do this with. Explaining the procedure: in terms they understand, call things what they are called. Give choices (if possible): ex do you want a red band aid or blue? Distraction. Vital Signs - ANSWER-Temperature is based on development: 2-3 we can do oral, axillary is safest on any child. Rectal is only method for exact measurement (rarely needed). Pulse is done first on small chi...

When does birth length double? - ANSWER-4 years When does the child sit unsupported? - ANSWER-8 months When does a child achieve 50% of adult height? - ANSWER-2 years When does a child throw a ball overhand? - ANSWER-18 months When does a child speak 2-3 word sentences? - ANSWER-2 years When does a child use scissors? - ANSWER-4 years When does a child tie his/her shoes? - ANSWER-5 years List 2 contraindications to live virus immunization - ANSWER-Immunocompromised child or ...

The nurse is caring for a small child who puts his arm through the side rail just as the nurse is lowering the side rail. The child gets big bruise. The housekeeper asks the nurse what happened. The nurse should: A. tell the housekeeper, since the housekeeper is part of the healthcare team B. restrict information to general statements such as "it was an accident." C. suggest the housekeeper ask the head nurse D. Avoid discussing the accident with the housekeeper - ANSWER-D Which of the ...

Vernix Caseosa - ANSWER-a white cheesy substance adhering to the skin of the neonate. Sheds in about 2 days. Lanugo - ANSWER-a fine downy hair covering the neonate's body; it is lost during the first few weeks of life. Respirations - ANSWER-30-60/min., avg is 40/min; pattern is irregular, quiet, shallow Pulse rate - ANSWER-120-160 bpm Wt - ANSWER-avg birth wt is 7-7.5 lbs Normal wt pattern: dec 5 to 10% of birth wt in 3-4 PP days + then gradually regains wt avg. Wt @ 1 yr old =...

A 6-month old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight is normal for his age. The nurse's best response is: 1. "At 6 months his weight should be approximately three times his birth weight." 2. "Each child gains weight at his or her own pace." 3. "At 6 months his weight should be approximately twice his birth weight." 4. At 6 months a child should weigh about 10 lb more than his or her birth weight." - ANSWER-3. "At 6 months his weigh...

Examples of stress experienced by toddlers - ANSWER-1. separation anxiety from parents, grief reactions 2. regression 3. refusal to eat 4. difficulty sleeping Three phases of separation anxiety and behavioral responses exhibited during each phase - ANSWER-1. protest; clings to parent to force them to stay 2. despair, inactive + withdrawn and regress 3. detachment, denial, after prolonged separation , denies need for parents lvoe, affection to nurses Nursing interventions to reduce sep...

The nurse is caring for a 4-year-old child immobilized by a fractured hip. Which complications should the nurse monitor? a. Hypocalcemia b. Decreased metabolic rate c. Positive nitrogen balance d. Increased production of stress hormones - ANSWER-B What effect does immobilization have on the cardiovascular system? a. Venous stasis b. Increased vasopressor mechanism c. Normal distribution of blood volume d. Increased efficiency of orthostatic neurovascular reflexes - ANSWER-A A young...

emancipated minor - ANSWER-person under 18 who has the same legal rights as an adult family centered care - ANSWER-is a philosophy of care that recognizes the family as the constant in the child's life and holds that systems and personnel must support, respect, encourage, and enhance the strengths and competence of the family (the nurse is a guest in the child's life) family systems theory - ANSWER-suggests that individuals cannot be understood in isolation from one another, but rather a...

Infant: Erikson Stage - ANSWER-trust vs mistrust Toddler: Erikson Stage - ANSWER-autonomy vs shame Preschooler: Erikson Stage - ANSWER-initiative vs guilt School Ager: Erickson Stage - ANSWER-industry vs inferiority Adolescent: Erikson Stage - ANSWER-ego identity vs roll confusion What is the major goal of pediatric nursing? - ANSWER-To improve the quality of healthcare for children and their families Pediatric nursing involves the practice of ___________ health care. - ANSWER-...

The nurse is seeing an adolescent and the parents in the clinic for the first time. Which should the nurse do first? a. Introduce him- or herself. b. Make the family comfortable. c. Give assurance of privacy. d. Explain the purpose of the interview. - ANSWER-ANS: A The first thing that nurses must do is to introduce themselves to the patient and family. Parents and other adults should be addressed with appropriate titles unless they specify a preferred name. Clarification of the purpose of ...