NUR 232 PEDS EXAMS 1 QUESTIONS AND ANSWERS
SET A+
✔✔Primary prevention obesity -✔✔-current diet
-healthy diet
-my plate
-physical activity (60 mins daily)
-behavior modification
avoid fad diets
promote high fiber foods
food diary
✔✔Secondary prevention obesity -✔✔Lipid profile
BG screening
BMI
weight
✔✔Collaborative interventions obesity -✔✔treatment strategies
dietary interventions
pharmacotherapy
surgery
✔✔tertiary prevention obesity -✔✔nutritional counseling
✔✔diet obesity -✔✔low sodium
low fat
low sugar
calorie deficit
high protein/fiber
water
✔✔child pain -✔✔whatever the patient says it is
influenced by culture, experiences, age, family
, THOROUGH PAIN ASSESSMENT IS ESSENTIAL
✔✔Descriptions of pain -✔✔Duration - acute/chronic
location
intensity
frequency
alleviating or aggravating factors
✔✔consequences of untreated pain -✔✔endocrine = increased cortisol/ stress
-weight loss/decreased immunity
Respiratory= decreased functional lung capacity
-pneumonia/ateclatsis
Physical function= muscle atrophy
psychosocial= difficulty maintaining relationships, anxiety, fear
✔✔Individual risk factors for pain -✔✔Communication barriers
cognitive impairment
developmentally disabled
mental health conditions
injury or conditions associated with pain
ex: infants (are nonverbal)
✔✔FLACC pain scale -✔✔Behavioral assessment (subjective) used for
nonverbal(infants etc)
0 (no pain behavior)- 10 (most pain behavior)
FACE- 0= no expression/smile 1= occasional grimace/frown 2= frequent frown/clenched
jaw/quivering chin
LEGS- 0= normal/relaxed 1= uneasy/restless/tense 2= kicking legs drawn up
ACTIVITY - 0=lying quietly/normal 1= squirming/shifting/tense 2= arched/rigid/jerking
CRY- 0= no cry/awake 1= moans/whimpers 2= crying/screams/sobs
CONSOLABILITY- 0= content/relaxed 1= reassured by touch/hugging 2= difficult to
console
✔✔FACES pain scale -✔✔subjective- at least 4 years old to use (may just point)
-have child to face that they feel like
0 (no hurt)- 10 (hurts worst)
✔✔Numeric rating scale -✔✔subjective
children 8 years or older
-ask child to choose number
✔✔Infant response to pain -✔✔-crying
-facial appearance (eyes closed/brows lowered)
-body rigidity
SET A+
✔✔Primary prevention obesity -✔✔-current diet
-healthy diet
-my plate
-physical activity (60 mins daily)
-behavior modification
avoid fad diets
promote high fiber foods
food diary
✔✔Secondary prevention obesity -✔✔Lipid profile
BG screening
BMI
weight
✔✔Collaborative interventions obesity -✔✔treatment strategies
dietary interventions
pharmacotherapy
surgery
✔✔tertiary prevention obesity -✔✔nutritional counseling
✔✔diet obesity -✔✔low sodium
low fat
low sugar
calorie deficit
high protein/fiber
water
✔✔child pain -✔✔whatever the patient says it is
influenced by culture, experiences, age, family
, THOROUGH PAIN ASSESSMENT IS ESSENTIAL
✔✔Descriptions of pain -✔✔Duration - acute/chronic
location
intensity
frequency
alleviating or aggravating factors
✔✔consequences of untreated pain -✔✔endocrine = increased cortisol/ stress
-weight loss/decreased immunity
Respiratory= decreased functional lung capacity
-pneumonia/ateclatsis
Physical function= muscle atrophy
psychosocial= difficulty maintaining relationships, anxiety, fear
✔✔Individual risk factors for pain -✔✔Communication barriers
cognitive impairment
developmentally disabled
mental health conditions
injury or conditions associated with pain
ex: infants (are nonverbal)
✔✔FLACC pain scale -✔✔Behavioral assessment (subjective) used for
nonverbal(infants etc)
0 (no pain behavior)- 10 (most pain behavior)
FACE- 0= no expression/smile 1= occasional grimace/frown 2= frequent frown/clenched
jaw/quivering chin
LEGS- 0= normal/relaxed 1= uneasy/restless/tense 2= kicking legs drawn up
ACTIVITY - 0=lying quietly/normal 1= squirming/shifting/tense 2= arched/rigid/jerking
CRY- 0= no cry/awake 1= moans/whimpers 2= crying/screams/sobs
CONSOLABILITY- 0= content/relaxed 1= reassured by touch/hugging 2= difficult to
console
✔✔FACES pain scale -✔✔subjective- at least 4 years old to use (may just point)
-have child to face that they feel like
0 (no hurt)- 10 (hurts worst)
✔✔Numeric rating scale -✔✔subjective
children 8 years or older
-ask child to choose number
✔✔Infant response to pain -✔✔-crying
-facial appearance (eyes closed/brows lowered)
-body rigidity
