NUR 230 Exam 3 Study Guide | OB Peds Nursing | Galen College

NUR 230
EXAM 3 STUDY GUIDE
OB/Peds
Galen College of Nursing

This document provides a focused study guide
It summarizes key concepts, lecture highlights, and
exam-relevant material to support efficient last-
minute review. The guide is structured to help
students reinforce understanding, identify weak
areas, and prepare confidently for the assessment.

, Exam #3

21st Century Pediatric Nursing

 Health & Health Care Priorities for Children
o Poverty
 Food programs through school
o Hunger
o Lack of healthcare
 Even with healthcare provided by government
 Children will not be denied services
 Case worker
o Child abuse and neglect
o Firearm deaths and violence
 Columbine & Sandy Hook
 Environment plays a big role
o Mental Health
 A lot in children
 Drug abuse scene causes more and more
o Racial and ethnic disparities
o Immigration
 Healthy People 2020
o Goals
 Increase quality and length of life
 Eliminate health disparities
o Leading Health Indicators
 Physical activity
 Overweight and obesity
 Pediatric more and more with type II diabetes
 Tobacco use
 Supposed to card you
 Can have other factors
 Substance abuse
 Narcan & clean needles
 Responsible sexual behavior
 They think its not going to happen to them
 Parents end up raising the grandchild
 Mental health

,  Injury and violence
 Environmental quality
 Immunizations
 No one wants to get vaccinated
 Access to quality health
 Childhood Issues
o Obesity and Type 2 Diabetes
o Childhood Injuries
o Violence
o Bullying
 They change
 Uses social media
 Kids are mean to other kids
o Mental health
 Percentages
o Review page 691 Table 26 – 1
o Review page 692 Box 26-3
 Violence
o Shooter brings in victim and can get out of hand
o Lockdown if there is a shooter
 Suffocation
 SBS Child Abuse
 MVA
 Poisoning
o Prescription drugs
 Drowning
o Children think they can walk on water
 Burns
 3rd & 4th Degree Burns
o 3rd degree = no pain
o 4th degree = through the bone
 Family Centered Care
o Family centered care
 Recognized as the family being the constant in the child’s
life.
 Approach to the planning, delivery, and evaluation of health
care that is grounded in partnerships between healthcare
providers, patients, and the family
 Role Of The Pediatric Nurse

, o Therapeutic Relationships
o Family advocacy and Caring
o Disease prevention and health promotion
o Health teaching
o Injury prevention
o Support and Counseling

Growth & Development

 Growth
o Continuous adjustment in physiological size of child.
o Increase in the size of the child’s body,
o Includes height, weight, bone growth, internal organs.
 Development
o Gradual change throughout the life span
o Maturity results in increased capacity to learn
o Increased ability to adapt to change
o Increase in knowledge and skills.
o Definite, predictable patterns continuous, orderly, and progressive.
 Directional Growth
o Cephalocaudal- Head to Toe
o Head develops first- large and complex
o Infants control head before trunk & extremities
o Hold back erect before they stand
o Use their eyes before their hands,
o Have control of hands before feet.
 Directional Trends
o Proximodistal- Near to far or midline to peripheral.
o Embryonic limb buds that develop into fingers and toes.
o Differentiation
 Simple to complex
 Development goes from broad to more specific
 Refined patterns of behavior.
 Gross muscle movements occur before fine motor.
 Infant – Biologic Development
o Rapid growth
o Fine Motor
o Gross Motor-use of large muscles