NURS 341
Exam 1 Study Guide
Introduction to Pediatric Nursing and Family-Centered Care
Differentiate between causes of childhood morbidity and mortality by age group.
Childhood morbitiy:
• Acute illness rates
– 50% = respiratory illness
– 11% = infections
– 15% = injuries
• The new morbidity (social illness)
– Poverty, violence, school failure, divorce
– Children from poor families have more health problems
• Future progress rests more on parent education than on medical advances
Identify factors influencing children’s reactions to illness
• Parent-infant bonding
• Parent grieving
, • Social needs
• Financial burden
• Separation
• Fear of strangers
• Loss of control
• Regression
• Pain
• Bodily injury
• Immobilization
• Reaction to surgery
• Functional disability
• Body image changes
Explore pediatric nursing roles within systems of care for children
• Primary Care
– Outpatient clinics
– Provider’s offices
• Acute Care
– Hospitals
– Urgent care
• Long-term care
– Skilled nursing facilities
• Home and Hospice care
Pediatric nursing roles:
• Hospital staf
• Home care
• Case manager
, • School nurse
• Nurse practitioner
• Educator
• Researcher
Describe the philosophy of family centered care
Review social, biologic, and cultural factors influencing children’s health.
Cultural groups have often have well-defined roles for:
• Roles of family members including children
• Roles and responsibilities of extended family members
• Models of health, disease, and causes of disease
• Expression of pain and causes of pain
• Role of foods that promote health or cure illnesses
• Role of spirituality
Discuss how lifestyle, family structure, and parenting practices affect children’s health.
Social & cultural: Financial, divorce, abuse
Lifestyle influences: Eating patterns, exercise, drugs & alcohol
Biologic influences: Genetics, in-utero exposure, nutrition
Four major parenting styles:
1. Authoritarian
2. Authoritative
3. Permissive
4. Rejecting-neglecting
Exam 1 Study Guide
Introduction to Pediatric Nursing and Family-Centered Care
Differentiate between causes of childhood morbidity and mortality by age group.
Childhood morbitiy:
• Acute illness rates
– 50% = respiratory illness
– 11% = infections
– 15% = injuries
• The new morbidity (social illness)
– Poverty, violence, school failure, divorce
– Children from poor families have more health problems
• Future progress rests more on parent education than on medical advances
Identify factors influencing children’s reactions to illness
• Parent-infant bonding
• Parent grieving
, • Social needs
• Financial burden
• Separation
• Fear of strangers
• Loss of control
• Regression
• Pain
• Bodily injury
• Immobilization
• Reaction to surgery
• Functional disability
• Body image changes
Explore pediatric nursing roles within systems of care for children
• Primary Care
– Outpatient clinics
– Provider’s offices
• Acute Care
– Hospitals
– Urgent care
• Long-term care
– Skilled nursing facilities
• Home and Hospice care
Pediatric nursing roles:
• Hospital staf
• Home care
• Case manager
, • School nurse
• Nurse practitioner
• Educator
• Researcher
Describe the philosophy of family centered care
Review social, biologic, and cultural factors influencing children’s health.
Cultural groups have often have well-defined roles for:
• Roles of family members including children
• Roles and responsibilities of extended family members
• Models of health, disease, and causes of disease
• Expression of pain and causes of pain
• Role of foods that promote health or cure illnesses
• Role of spirituality
Discuss how lifestyle, family structure, and parenting practices affect children’s health.
Social & cultural: Financial, divorce, abuse
Lifestyle influences: Eating patterns, exercise, drugs & alcohol
Biologic influences: Genetics, in-utero exposure, nutrition
Four major parenting styles:
1. Authoritarian
2. Authoritative
3. Permissive
4. Rejecting-neglecting
