Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024
Swift River Pediatrics Exam Study Guide
Solutions
Elijah Williams * - ANSWER✔✔-Educational- Increased
Health- normal
LOC- normal
Pain Level- normal
Psychological needs- normal
Safety- normal
Elijah Williams * - ANSWER✔✔-Knowledge deficit
Elijah Williams- Scenario 1 - ANSWER✔✔-Ask the child and/or parent to verify name/DOB
Ask the child to remove his shoes
Obtain a height and weight for the child
Provide the parent with a urine sample cup
Show the child and the parent to the room
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, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024
Elijah Williams- Scenario 2 - ANSWER✔✔-Allow the child and parent to go to the restroom
Gather a health history from the mother
Obtain vital signs
Explain when the dr will arrive to the room
Take the urine sample to the lab
Elijah Williams- Scenario 3 - ANSWER✔✔-Gather the materials needed for the vision screening
Conduct the vision screening with the child in the hallway
Ask the child and mother to return to the room
Prepare the educational materials
Prepare the vaccines ordered
Elijah Williams- Scenario 4 - ANSWER✔✔-Evaluate the mother's understanding of the material
Explain the child will be getting the MMRV, DTaP, and IPV
Assist the child into the correct position, obtaining assistance from other staff if needed
Administer the vaccines
Allow the mother to comfort the child as needed
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, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024
Elijah Williams- Scenario 5 - ANSWER✔✔-Ensure the child is not having a reaction
Provide documentation to the mother regarding today's vaccines
Remind the mother to call if she has any further questions or concerns
Provide the child with a sticker, with the mother's permission
Ask the mother to schedule the 5-year-old checkup before leaving
Baby Strickland * - ANSWER✔✔-Alteration in thermoregulation
Hypoglycemia
Ineffectual breathing pattern
Baby Strickland * - ANSWER✔✔-Educational- increased
Health- increased
LOC- normal
Pain- normal
Psych- normal
Safety- increased
Baby Strickland- Scenario 1 * - ANSWER✔✔-Obtain heel stick blood glucose level
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, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024
Feed baby 1/2 ounce formula
Notify lab for confirmation blood glucose level
Recheck blood glucose in 45 minutes
Continue to monitor
Baby Strickland- Scenario 2 * - ANSWER✔✔-Position baby in trendelenburg
Suction excessive secretions via bulb syringe and NG tube
Place under oxy hood at 40%
Initiate IV D5 1/4 NS at 6ml/hour
Reassess respiratory system
Baby Strickland- Scenario 3 * - ANSWER✔✔-Assess vital signs
Wrap baby in warm blanket and put hat on baby's head
Reassess temp in 15 minutes
Place baby in radiant warmer
Educate parents on neonatal heat loss
Baby Strickland- Scenario 4 * - ANSWER✔✔-Place infant in isolation radiant warmer
Copyright © Stuvia International BV 2010-2024 Page 4/36
Swift River Pediatrics Exam Study Guide
Solutions
Elijah Williams * - ANSWER✔✔-Educational- Increased
Health- normal
LOC- normal
Pain Level- normal
Psychological needs- normal
Safety- normal
Elijah Williams * - ANSWER✔✔-Knowledge deficit
Elijah Williams- Scenario 1 - ANSWER✔✔-Ask the child and/or parent to verify name/DOB
Ask the child to remove his shoes
Obtain a height and weight for the child
Provide the parent with a urine sample cup
Show the child and the parent to the room
Copyright © Stuvia International BV 2010-2024 Page 1/36
, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024
Elijah Williams- Scenario 2 - ANSWER✔✔-Allow the child and parent to go to the restroom
Gather a health history from the mother
Obtain vital signs
Explain when the dr will arrive to the room
Take the urine sample to the lab
Elijah Williams- Scenario 3 - ANSWER✔✔-Gather the materials needed for the vision screening
Conduct the vision screening with the child in the hallway
Ask the child and mother to return to the room
Prepare the educational materials
Prepare the vaccines ordered
Elijah Williams- Scenario 4 - ANSWER✔✔-Evaluate the mother's understanding of the material
Explain the child will be getting the MMRV, DTaP, and IPV
Assist the child into the correct position, obtaining assistance from other staff if needed
Administer the vaccines
Allow the mother to comfort the child as needed
Copyright © Stuvia International BV 2010-2024 Page 2/36
, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024
Elijah Williams- Scenario 5 - ANSWER✔✔-Ensure the child is not having a reaction
Provide documentation to the mother regarding today's vaccines
Remind the mother to call if she has any further questions or concerns
Provide the child with a sticker, with the mother's permission
Ask the mother to schedule the 5-year-old checkup before leaving
Baby Strickland * - ANSWER✔✔-Alteration in thermoregulation
Hypoglycemia
Ineffectual breathing pattern
Baby Strickland * - ANSWER✔✔-Educational- increased
Health- increased
LOC- normal
Pain- normal
Psych- normal
Safety- increased
Baby Strickland- Scenario 1 * - ANSWER✔✔-Obtain heel stick blood glucose level
Copyright © Stuvia International BV 2010-2024 Page 3/36
, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024
Feed baby 1/2 ounce formula
Notify lab for confirmation blood glucose level
Recheck blood glucose in 45 minutes
Continue to monitor
Baby Strickland- Scenario 2 * - ANSWER✔✔-Position baby in trendelenburg
Suction excessive secretions via bulb syringe and NG tube
Place under oxy hood at 40%
Initiate IV D5 1/4 NS at 6ml/hour
Reassess respiratory system
Baby Strickland- Scenario 3 * - ANSWER✔✔-Assess vital signs
Wrap baby in warm blanket and put hat on baby's head
Reassess temp in 15 minutes
Place baby in radiant warmer
Educate parents on neonatal heat loss
Baby Strickland- Scenario 4 * - ANSWER✔✔-Place infant in isolation radiant warmer
Copyright © Stuvia International BV 2010-2024 Page 4/36
