EXAM 1 - NURS224 (Seattle Central College - North Cohort
Professor Delthia Wright-Thompson, MN, RN Davis
Advantage for Pediatric Nursing: Critical Components of
Nursing Care. (3rd Edition). Chapters 3, 7, 8, 20
(COMPLETE) Questions With Complete Solutions
What does play look like for a 6 month old infant?
solitary play; play by themselves
What does nutrition look like for a 6 month old infant?
-the first 5 months should be strictly breast milk or formula
-solid food can be given when they can hold their heads up
independently (~6 months)
-nonnutritive sucking: pacifier
-no honey (spores can spread/kill), no microwaves (unequal
warming can cause burns)
What are some ways to reduce the risk of Sudden Unexpected
Infant Death (SUID)?
-position them on their back to sleep (front to play)
-don't place anything in the crib (blankets, toys, pillows)
-no smoking
-get their immunizations
-regulate their temperature (if they're sweating, it's too hot)
-give pacifier to sleep
What are some safety promotion methods
for newborns/infants?
,-water heater should be no more than 120 degrees F (or use a
thermometer to check the temperature)
-do not leave them unattended near/in bodies of water (incl. the
bathtub)
-secure the tops/bottoms of stairs with gates to prevent falling
-car seats should be placed in the backseat/rearfacing
-cover all electrical outlets
When should newborns/infants come in for well-child checks
and immunizations (0-12 months)?
2 mon, 4 mon, 6 mon, 12 mon
What is colic in newborns/infants?
unexplained, frequent crying; unsure of cause, possibly thought
to be gas buildup; ensure that parents are given a break from the
baby/crying to prevent shaken baby syndrome/harm
Where do cancerous tumors (locations) typically develop
in pediatric patients?
lymph and blood (not typically "solid" tumors)
What are the 3 main items in the bone marrow that are
affected by chemotherapy?
RBCs, WBCs, and platelets
What are the 3 main side effects of chemotherapy r/t bone
marrow?
1. Infection (WBCs)
2. Anemia (RBCs)
3. Bleeding (platelets)
, What is the Absolute Neutrophil Count (ANC) and what is it's
significance in pediatric oncology patients?
determines the amount of neutrophils in the body; anything at
500 or below indicates risk for infxn
How can bleeding be prevented for the pediatric patient
receiving chemotherapy?
-avoid contact sports
-avoid injections whenever possible
-no rectal temps
What are the main side effects of
chemotherapy in pediatric patients (besides anemia, infxn, and
bleeding)?
-nausea/vomiting (premedicate prior to appt)
-metallic taste in mouth (may hinder eating/appetite)
-hair falls out, nails/skin are weak
-GI lining is compromised leading to ulcerations in the mouth
and GI tract (may hinder eating/appetite)
-fatigue
-food aversions (may not like foods that they normally enjoy)
Why does hair fall out when receiving chemotherapy?
chemotherapy attacks rapidly growing cells (like cancer); hair,
nails, skin, and GI lining cells also grow rapidly
How does radiation therapy affect skin and how can you
prevent breakdown?
Professor Delthia Wright-Thompson, MN, RN Davis
Advantage for Pediatric Nursing: Critical Components of
Nursing Care. (3rd Edition). Chapters 3, 7, 8, 20
(COMPLETE) Questions With Complete Solutions
What does play look like for a 6 month old infant?
solitary play; play by themselves
What does nutrition look like for a 6 month old infant?
-the first 5 months should be strictly breast milk or formula
-solid food can be given when they can hold their heads up
independently (~6 months)
-nonnutritive sucking: pacifier
-no honey (spores can spread/kill), no microwaves (unequal
warming can cause burns)
What are some ways to reduce the risk of Sudden Unexpected
Infant Death (SUID)?
-position them on their back to sleep (front to play)
-don't place anything in the crib (blankets, toys, pillows)
-no smoking
-get their immunizations
-regulate their temperature (if they're sweating, it's too hot)
-give pacifier to sleep
What are some safety promotion methods
for newborns/infants?
,-water heater should be no more than 120 degrees F (or use a
thermometer to check the temperature)
-do not leave them unattended near/in bodies of water (incl. the
bathtub)
-secure the tops/bottoms of stairs with gates to prevent falling
-car seats should be placed in the backseat/rearfacing
-cover all electrical outlets
When should newborns/infants come in for well-child checks
and immunizations (0-12 months)?
2 mon, 4 mon, 6 mon, 12 mon
What is colic in newborns/infants?
unexplained, frequent crying; unsure of cause, possibly thought
to be gas buildup; ensure that parents are given a break from the
baby/crying to prevent shaken baby syndrome/harm
Where do cancerous tumors (locations) typically develop
in pediatric patients?
lymph and blood (not typically "solid" tumors)
What are the 3 main items in the bone marrow that are
affected by chemotherapy?
RBCs, WBCs, and platelets
What are the 3 main side effects of chemotherapy r/t bone
marrow?
1. Infection (WBCs)
2. Anemia (RBCs)
3. Bleeding (platelets)
, What is the Absolute Neutrophil Count (ANC) and what is it's
significance in pediatric oncology patients?
determines the amount of neutrophils in the body; anything at
500 or below indicates risk for infxn
How can bleeding be prevented for the pediatric patient
receiving chemotherapy?
-avoid contact sports
-avoid injections whenever possible
-no rectal temps
What are the main side effects of
chemotherapy in pediatric patients (besides anemia, infxn, and
bleeding)?
-nausea/vomiting (premedicate prior to appt)
-metallic taste in mouth (may hinder eating/appetite)
-hair falls out, nails/skin are weak
-GI lining is compromised leading to ulcerations in the mouth
and GI tract (may hinder eating/appetite)
-fatigue
-food aversions (may not like foods that they normally enjoy)
Why does hair fall out when receiving chemotherapy?
chemotherapy attacks rapidly growing cells (like cancer); hair,
nails, skin, and GI lining cells also grow rapidly
How does radiation therapy affect skin and how can you
prevent breakdown?
