Pediatric Nursing

Examples of stress experienced by toddlers - 1. separation anxiety from parents, grief reactions 2. regression 3. refusal to eat 4. difficulty sleeping Three phases of separation anxiety and behavioral responses exhibited during each phase - 1. protest; clings to parent to force them to stay 2. despair, inactive + withdrawn and regress 3. detachment, denial, after prolonged separation , denies need for parents lvoe, affection to nurses Nursing interventions to reduce separation anxiety - 1. encourage family contact 2. familiar belonging brought from home 3. provide therapeutic play 4. accept regression 5. consistent routine with familiar staff 6. extra cuddling and holding Example of a coping strategy found amongst toddlers when in stress - throwing games List the major developmental tasks for toddlers - 1. development of autonomy 2.. control environment 3. act of movement with no restraining Identify examples of collaborative efforts to assist toddlers with control and mobility - 1. assist child with ambulation within their control 2. throwing games, vent frustrations 3. child life specialist, modified toys 4. physical therapist, promote strength and flexibility List nursing interventions used to prepare a toddle for a procedure - 1. brief explanations, 5-10 mins, emphasize what the child will see, hear, taste, or feel 2. see age appropriate videos with parents 3. comfort by use of bandages to stop bleeding, avoid deception to gain compliance Identify the initial step to effective pain management and special considerations made for a toddler - 1. assessment, meaning of hurt, what word is used for pain 2. prior pain experience 3. what does your child do when she/he is hurting 4. anything special that need to know about the child in pain List behavioral cues demonstrated by a a toddler when experiencing pain - 1. frowning 2. crying 2. restlessness List physiological cues demonstrated by a toddler when experiencing pain. - 1. rapid pulse