Swift River Pediatrics Exam with verified detailed ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
solutions
Elijah Williams - correct answer✔✔Educational- Increased
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Health- normal ||//\\||
LOC- normal ||//\\||
Pain Level- normal
||//\\|| ||//\\||
Psychological needs- normal ||//\\|| ||//\\||
Safety- normal ||//\\||
Elijah Williams - correct answer✔✔Knowledge deficit
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Elijah Williams- Scenario 1 - correct 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
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Elijah Williams- Scenario 2 - correct 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 - correct 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 - correct 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
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Elijah Williams- Scenario 5 - correct 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 - correct answer✔✔Alteration in thermoregulation
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Hypoglycemia
Ineffectual breathing pattern ||//\\|| ||//\\||
Baby Strickland - correct answer✔✔Educational- increased
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Health- increased ||//\\||
, LOC- normal
||//\\||
Pain- normal
||//\\||
Psych- normal ||//\\||
Safety- increased ||//\\||
Baby Strickland- Scenario 1 - correct answer✔✔Obtain heel stick blood glucose level
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
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 - correct 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 - correct 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 - correct answer✔✔Place infant in isolation radiant warmer
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Obtain ordered blood cultures ||//\\|| ||//\\|| ||//\\||
Initiate IV Ampicillin per MD order ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
solutions
Elijah Williams - correct answer✔✔Educational- Increased
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Health- normal ||//\\||
LOC- normal ||//\\||
Pain Level- normal
||//\\|| ||//\\||
Psychological needs- normal ||//\\|| ||//\\||
Safety- normal ||//\\||
Elijah Williams - correct answer✔✔Knowledge deficit
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Elijah Williams- Scenario 1 - correct 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
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Elijah Williams- Scenario 2 - correct 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 - correct 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 - correct 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
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Elijah Williams- Scenario 5 - correct 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 - correct answer✔✔Alteration in thermoregulation
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Hypoglycemia
Ineffectual breathing pattern ||//\\|| ||//\\||
Baby Strickland - correct answer✔✔Educational- increased
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Health- increased ||//\\||
, LOC- normal
||//\\||
Pain- normal
||//\\||
Psych- normal ||//\\||
Safety- increased ||//\\||
Baby Strickland- Scenario 1 - correct answer✔✔Obtain heel stick blood glucose level
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
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 - correct 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 - correct 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 - correct answer✔✔Place infant in isolation radiant warmer
||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
Obtain ordered blood cultures ||//\\|| ||//\\|| ||//\\||
Initiate IV Ampicillin per MD order ||//\\|| ||//\\|| ||//\\|| ||//\\|| ||//\\||
