NSG 320. Pediatrics and Family-Centered Care
NSG 320 FINAL EXAM 2026 WEST VIRGINIA
UNIVERSITY (WVU) ACTUAL SPRING-
SUMMER SEMESTER GRADED A
Dehydration
Vomiting/Diarrhea Can Result in Mild-Severe Dehydration Quickly in Children
Assessment (Dehydration)
-Fontanels➡️Sunken
-Oral Mucosa
-Skin Turgor➡️Observe for Tenting of Skin
-⬆️BP/HR
-Extremities➡️Cap Refills
-Urine Output
-Weight
Cleft Lip/Palate
Most Common Congenital Craniofacial Anomaly
Interventions/Education (Cleft Lip/Palate)
-Lip Surgery Within First Few Months of Life, Palate in Late Infancy/Early Toddler
-Bonding
-Instruct Parents About Proper Feeding/Care➡️Enlargement of Nipple Hole, Stimulate
Suck, Swallow, Rest After Signal
-Use Special Nipples/Cups, Avoid Sucking, No Straws
-Prevent Injury to Suture Line
-Pain Management
-Refer to Cleft Palata Foundation
,NSG 320. Pediatrics and Family-Centered Care
Pyloric Stenosis
Pylorus Becomes Thickened➡️Gastric Outlet Issue
Assessment (Pyloric Stenosis)
-Projectile Vomiting
-Weight Loss
-Hungry
-Dehydration
-FTT
-Olive Shaped Mass in RUQ
Intervention/Education (Pyloric Stenosis)
-Correct Electrolyte/Hydration
-NG for Decompression
-Clear Liquids 4-6hr Post Op
-Advance Diet as Tolerated 24hr Post Op
-Often Vomiting Continues Few Weeks Post Op
Hirschsprung Disease
Congenital Megacolon➡️Lack of Ganglion Cells in Segments of Colon➡️Decreased
Motility/Obstruction
Assessment (Hirschsprung Disease)
-Failure to Pass Meconium, Constipation
-Distended Abdomen
-Vomiting
-FTT
-Ribbon Like Stool
Intervention/Education (Hirschsprung Disease)
,NSG 320. Pediatrics and Family-Centered Care
-Surgical➡️Bowel Resection, Temporary Ostomy
-Colostomy Care
-Monitor Abdominal Girth
-Monitor for S/Sx of Enterocolitis
Intussusception
Telescoping of Intestine
Assessment (Intussusception)
-Sudden, Intermittent Abdominal Pain
-Infants May Pull Knees to Chest
-Sausage Shaped Mass in Upper Mid Abdomen
-Bloody, Mucus Stool (Jelly)
Interventions/Education (Intussusception)
-Air/Barium Enema to Dx/Tx
-Support for Family
Assessment (Casts)
-CMS Checks
FACES
Used >3
-Rates Pain 0-5 Using Diagrams of Faces
OUCHER
Used 3-13
-Rates Pain 0-5 Using Photographs
Visual Analog Scale (VAS)
Used >7
-Rate Pain 0-10
, NSG 320. Pediatrics and Family-Centered Care
Additional Assessment Data (Pain)
-Facial Expression
-Dilated Pupils
-Guarded Movement
-Moaning/Crying
-⬇️Attention Span
-Non Cooperative
-Changes in VS
Temperature (Pediatric Vital Signs)
Normal➡️<37.7C (99.9F)
-Toddler w/ Fever➡️Nonemergent
-Infant (<4 Months) w/ Fever➡️Emergency
Pulse (Pediatric Vital Signs)
Normal➡️100ish
-Higher in Infants➡️Slows as You Grow
-Children <12 w/ Pulse <60 and Symptomatic➡️CPR
Respirations (Pediatric Vital Signs)
Normal➡️20-30ish (Infants/Toddlers), 20ish (Children)
-Higher in Infants➡️Slows as You Grow
BP (Pediatric Vital Signs)
Normal➡️60-80/40-50 (Infants), 100ish/50-70 (Children)
-Lower in Infants➡️Higher as You Age
General (Pediatric Health Assessment)
NSG 320 FINAL EXAM 2026 WEST VIRGINIA
UNIVERSITY (WVU) ACTUAL SPRING-
SUMMER SEMESTER GRADED A
Dehydration
Vomiting/Diarrhea Can Result in Mild-Severe Dehydration Quickly in Children
Assessment (Dehydration)
-Fontanels➡️Sunken
-Oral Mucosa
-Skin Turgor➡️Observe for Tenting of Skin
-⬆️BP/HR
-Extremities➡️Cap Refills
-Urine Output
-Weight
Cleft Lip/Palate
Most Common Congenital Craniofacial Anomaly
Interventions/Education (Cleft Lip/Palate)
-Lip Surgery Within First Few Months of Life, Palate in Late Infancy/Early Toddler
-Bonding
-Instruct Parents About Proper Feeding/Care➡️Enlargement of Nipple Hole, Stimulate
Suck, Swallow, Rest After Signal
-Use Special Nipples/Cups, Avoid Sucking, No Straws
-Prevent Injury to Suture Line
-Pain Management
-Refer to Cleft Palata Foundation
,NSG 320. Pediatrics and Family-Centered Care
Pyloric Stenosis
Pylorus Becomes Thickened➡️Gastric Outlet Issue
Assessment (Pyloric Stenosis)
-Projectile Vomiting
-Weight Loss
-Hungry
-Dehydration
-FTT
-Olive Shaped Mass in RUQ
Intervention/Education (Pyloric Stenosis)
-Correct Electrolyte/Hydration
-NG for Decompression
-Clear Liquids 4-6hr Post Op
-Advance Diet as Tolerated 24hr Post Op
-Often Vomiting Continues Few Weeks Post Op
Hirschsprung Disease
Congenital Megacolon➡️Lack of Ganglion Cells in Segments of Colon➡️Decreased
Motility/Obstruction
Assessment (Hirschsprung Disease)
-Failure to Pass Meconium, Constipation
-Distended Abdomen
-Vomiting
-FTT
-Ribbon Like Stool
Intervention/Education (Hirschsprung Disease)
,NSG 320. Pediatrics and Family-Centered Care
-Surgical➡️Bowel Resection, Temporary Ostomy
-Colostomy Care
-Monitor Abdominal Girth
-Monitor for S/Sx of Enterocolitis
Intussusception
Telescoping of Intestine
Assessment (Intussusception)
-Sudden, Intermittent Abdominal Pain
-Infants May Pull Knees to Chest
-Sausage Shaped Mass in Upper Mid Abdomen
-Bloody, Mucus Stool (Jelly)
Interventions/Education (Intussusception)
-Air/Barium Enema to Dx/Tx
-Support for Family
Assessment (Casts)
-CMS Checks
FACES
Used >3
-Rates Pain 0-5 Using Diagrams of Faces
OUCHER
Used 3-13
-Rates Pain 0-5 Using Photographs
Visual Analog Scale (VAS)
Used >7
-Rate Pain 0-10
, NSG 320. Pediatrics and Family-Centered Care
Additional Assessment Data (Pain)
-Facial Expression
-Dilated Pupils
-Guarded Movement
-Moaning/Crying
-⬇️Attention Span
-Non Cooperative
-Changes in VS
Temperature (Pediatric Vital Signs)
Normal➡️<37.7C (99.9F)
-Toddler w/ Fever➡️Nonemergent
-Infant (<4 Months) w/ Fever➡️Emergency
Pulse (Pediatric Vital Signs)
Normal➡️100ish
-Higher in Infants➡️Slows as You Grow
-Children <12 w/ Pulse <60 and Symptomatic➡️CPR
Respirations (Pediatric Vital Signs)
Normal➡️20-30ish (Infants/Toddlers), 20ish (Children)
-Higher in Infants➡️Slows as You Grow
BP (Pediatric Vital Signs)
Normal➡️60-80/40-50 (Infants), 100ish/50-70 (Children)
-Lower in Infants➡️Higher as You Age
General (Pediatric Health Assessment)
