NSG 5442 Exam 3 Comprehensive FNP Study Guide Peds | South College

Comprehensive FNP Study Guide
Based on Chapters 21, 22, 33, and 38
(Pediatric Injury Prevention, Child Maltreatment, Cardiovascular Disorders, Hematologic
Disorders)




Chapter 21: Pediatric Injury Prevention
Unintentional injuries remain the leading cause of death and disability in children and
adolescents.

Injury Terminology
Unintentional Injuries

 Occur without intent to harm
 Examples:
o Motor vehicle crashes (MVCs)
o Drowning
o Falls
o Burns
o Poisonings

Intentional Injuries

 Purposeful acts causing harm
 Examples:
o Child abuse
o Homicide
o Suicide
o Assault




Injury Control Framework
Primary Prevention

Prevents injury before it occurs

Examples:

,  Vaccinations
 Bike helmets
 Car seats
 Swimming lessons

Secondary Prevention

Reduces severity after injury occurs

Examples:

 Seat belts
 Smoke detectors
 Life jackets

Tertiary Prevention

Limits disability after injury

Examples:

 Rehabilitation
 Physical therapy
 Occupational therapy




Motor Vehicle Safety
Rear-Facing Car Seats
 Birth until at least age 2
 Remain rear-facing until maximum height/weight reached

Forward-Facing Seats
 Usually age 2–5 years

Booster Seats
 Until seat belt fits properly
 Usually 4'9" tall

,Seat Belts
 Lap belt: upper thighs
 Shoulder belt: across chest

Exam Tip

MVCs are a leading cause of pediatric death.




Drowning Prevention
Risk Factors
 Lack of supervision
 Home pools
 Open water exposure
 Toddlers

Prevention
 Four-sided fencing
 Swimming lessons
 Life jackets
 Constant supervision

Exam Pearl

Toddlers most commonly drown in residential pools.




Burn Prevention
Common Causes
 Hot liquids
 House fires
 Fireworks
 Electrical injuries

, Prevention
 Water heater <120°F (49°C)
 Smoke detectors
 Fire escape plans




Poisoning Prevention
Common Sources
 Medications
 Household cleaners
 Button batteries
 Cannabis edibles

Management
 Poison Control:
o 1-800-222-1222

Button Battery Emergency

Immediate ED referral.




Violence
Characteristics
 Escalation
 Reciprocity
 Repetition
 Addiction-like cycle

Clinical Assessment

Ask about:

 Home violence
 Bullying