____________________________________________________________________________
Foundations Of Nursing Care of Children
____________________________________________________________________________
What is Family Centered Care?
● Partnerships between families of children, nurses, and providers
○ Child and Family benefit
○ Consider:
■ Cultural diversity
■ Growth and development needs
■ Collaborating with family*
● *Families are the experts*
● *All types of families*
Different Types of Families
● Traditional
● Blended
● Single
● Foster
● Adoptive
● LGBTQ
● Co-parenting
Parenting Styles
● Authoritarian - The child is never allowed to watch
television
● Authoritative - The child can watch TV for 1 hour on
school nights after homework and chores
● Permissive - The child assists in deciding whether they
will watch TV
● Passive/Uninvolved - The child may watch TV whenever
they want
“Healthy Family” Characteristics
● Members:
○ Communicate, interact, and listen to each other
○ Are adaptable and flexible in their roles
○ Seek help for their problems
○ Teach respect for others
○ Have a clear set of family rules, values, and beliefs (additional characteristics ATI
p3)
● *Understanding the “healthy” or “normal” helps the nurse identify when there is abnormal
Pediatric Physical Assessment
● Children are not small adults!
● Ask permission to do something like vitals.
○ Consider the child’s opinion in decisions regarding their care and exam
, ○ Consider age and developmental needs and alter your exam accordingly
○ Praise children for cooperation during exams
● How can I promote acceptable behavior in children???
○ Set clear expectations
○ Make eye contact
○ Validate their feelings and offer sympathetic explanations
○ Allow play
● Environment for exams and care:
○ How should the room look and feel?
○ Explain each step of exam
○ Demonstrate beforehand (doll, parent, self)
○ Allow child to touch equipment
○ Allow comfort and readiness for exam
○ Encourage questions
○ Provide privacy if appropriate
■ Why???
■ Will learn more from them
Physiologic Growth and Temperature →
●
Physiologic Growth and Pulse/Heart Rate
● Newborn: 80 to 180/min (depending on activity)
● 1 week to 3 months: 80 to 220/min (depending on
activity)
● 3 months to 2 years: 70 to 150/min (depending
on activity)
● 2 to 10 years: 60 to 110/min (depending on
activity)
● 10 years and older: 50 to 90/min (depending on activity)
Physiologic Growth and Respirations
● Newborn to 1 year: 30 to 60/min belly breathing
● 1 to 2 years: 25 to 30/min
● 3 to 6 years: 21 to 25/min
● 6 to 12 years: 19 to 21/min
● 12 years and older: 16 to 19/min
Physiologic Growth and Blood Pressure
● BP Readings should be
compared with standard
measurements
● Routine screenings around age 3
● Age, height, and gender all
influence blood pressure
readings
Physiologic Growth
Foundations Of Nursing Care of Children
____________________________________________________________________________
What is Family Centered Care?
● Partnerships between families of children, nurses, and providers
○ Child and Family benefit
○ Consider:
■ Cultural diversity
■ Growth and development needs
■ Collaborating with family*
● *Families are the experts*
● *All types of families*
Different Types of Families
● Traditional
● Blended
● Single
● Foster
● Adoptive
● LGBTQ
● Co-parenting
Parenting Styles
● Authoritarian - The child is never allowed to watch
television
● Authoritative - The child can watch TV for 1 hour on
school nights after homework and chores
● Permissive - The child assists in deciding whether they
will watch TV
● Passive/Uninvolved - The child may watch TV whenever
they want
“Healthy Family” Characteristics
● Members:
○ Communicate, interact, and listen to each other
○ Are adaptable and flexible in their roles
○ Seek help for their problems
○ Teach respect for others
○ Have a clear set of family rules, values, and beliefs (additional characteristics ATI
p3)
● *Understanding the “healthy” or “normal” helps the nurse identify when there is abnormal
Pediatric Physical Assessment
● Children are not small adults!
● Ask permission to do something like vitals.
○ Consider the child’s opinion in decisions regarding their care and exam
, ○ Consider age and developmental needs and alter your exam accordingly
○ Praise children for cooperation during exams
● How can I promote acceptable behavior in children???
○ Set clear expectations
○ Make eye contact
○ Validate their feelings and offer sympathetic explanations
○ Allow play
● Environment for exams and care:
○ How should the room look and feel?
○ Explain each step of exam
○ Demonstrate beforehand (doll, parent, self)
○ Allow child to touch equipment
○ Allow comfort and readiness for exam
○ Encourage questions
○ Provide privacy if appropriate
■ Why???
■ Will learn more from them
Physiologic Growth and Temperature →
●
Physiologic Growth and Pulse/Heart Rate
● Newborn: 80 to 180/min (depending on activity)
● 1 week to 3 months: 80 to 220/min (depending on
activity)
● 3 months to 2 years: 70 to 150/min (depending
on activity)
● 2 to 10 years: 60 to 110/min (depending on
activity)
● 10 years and older: 50 to 90/min (depending on activity)
Physiologic Growth and Respirations
● Newborn to 1 year: 30 to 60/min belly breathing
● 1 to 2 years: 25 to 30/min
● 3 to 6 years: 21 to 25/min
● 6 to 12 years: 19 to 21/min
● 12 years and older: 16 to 19/min
Physiologic Growth and Blood Pressure
● BP Readings should be
compared with standard
measurements
● Routine screenings around age 3
● Age, height, and gender all
influence blood pressure
readings
Physiologic Growth
