NUR 203 · Exam 2 Study Guide
🌷🎀🩰🎀🌷
NUR 203
Pediatric Nursing — Exam 2 Study Guide
Infectious Disease · Respiratory · Cardiovascular · Hematologic/Oncologic
🩰 🎀 soft, sweet & exam-ready 🎀 🩰
❀ ⋆｡ ❀ ⋆｡ ❀ ⋆｡ ❀
📊 Test Plan Weighting
Category Weight
I. Infectious & Communicable Diseases ~44%
II. Respiratory Disorders & Airway Emergencies ~18%
III. Cardiovascular Disorders & Procedures ~22%
IV. Hematologic, Immunologic & Oncologic Disorders ~16%
🩰 Page 1 🩰
, NUR 203 · Exam 2 Study Guide
🦠 I. INFECTIOUS & COMMUNICABLE DISEASE
🎀 Priority Nursing Diagnosis — Patient in Isolation
● Risk for Infection (transmission to others) is the top clinical priority — but don't forget the psychosocial side:
Social Isolation / Risk for Impaired Social Interaction / Risk for Loneliness related to isolation precautions,
especially in young children who need normal social contact and developmentally appropriate play.
🦠 Communicable Disease Reference Table
Communicable
Disease Cause Incubation Diagnosis Meds/Tx Nursing Implications
Period
Droplet precautions until 24h
of abx; complete full course
Rapid strep/ (prevent rheumatic
Group A strep Until 24h after Penicillin or
Scarlet Fever 1–7 days throat fever/glomerulonephritis);
(GAS) starting abx amoxicillin
culture sandpaper rash + strawberry
tongue; skin desquamates
later
Airborne precautions; Koplik
8–12 days
spots; 3 C's (cough, coryza,
Measles to Clinical +
Measles 4 days before to Supportive; conjunctivitis); rash spreads
(paramyxo-) symptoms serology
(Rubeola) 4 days after rash Vitamin A head→trunk→extremities;
virus (~14 to (IgM)
watch for otitis media,
rash)
pneumonia, encephalitis
Supportive (O2, Contact + Droplet
3–8 days (longer
Nasal swab suction, fluids); precautions;
Respiratory in infants/
RSV 2–8 days antigen/ palivizumab for suction/humidify; monitor
syncytial virus immunocompro
PCR high-risk hydration & resp status
mised)
prevention closely
Droplet precautions;
2 days before to Clinical/ Supportive, warm/cold compresses to
Mumps Mumps virus 12–25 days 5 days after serology/ analgesics/ parotid area; soft, non-acidic
parotid swelling PCR antipyretics diet; watch for orchitis,
meningitis
Supportive,
antihistamines; Airborne + Contact
1–2 days before Clinical/
Varicella- acyclovir if high- precautions; trim nails,
Varicella 10–21 days rash until ALL PCR/ Tzanck
zoster virus risk — NEVER oatmeal baths; isolate until
lesions crusted smear
aspirin (Reye fully crusted
syndrome)
1 day before to Rapid Oseltamivir Droplet precautions; monitor
Influenza A/B
Influenza 1–4 days 5–7 days after antigen/ (within 48h), high-risk kids (asthma, sickle
virus
symptoms PCR supportive cell, immunocompromised)
Catarrhal stage Droplet precautions; watch
Bordetella Nasopharyn
to ~3 wks after Macrolide abx for apnea/cyanosis in infants;
Pertussis pertussis 5–21 days geal
cough (or until 5 (azithromycin) small frequent feeds;
(bacteria) culture/ PCR
days of abx) humidified O2
🌱 Primary vs. Secondary Prevention
🩰 Page 2 🩰
🌷🎀🩰🎀🌷
NUR 203
Pediatric Nursing — Exam 2 Study Guide
Infectious Disease · Respiratory · Cardiovascular · Hematologic/Oncologic
🩰 🎀 soft, sweet & exam-ready 🎀 🩰
❀ ⋆｡ ❀ ⋆｡ ❀ ⋆｡ ❀
📊 Test Plan Weighting
Category Weight
I. Infectious & Communicable Diseases ~44%
II. Respiratory Disorders & Airway Emergencies ~18%
III. Cardiovascular Disorders & Procedures ~22%
IV. Hematologic, Immunologic & Oncologic Disorders ~16%
🩰 Page 1 🩰
, NUR 203 · Exam 2 Study Guide
🦠 I. INFECTIOUS & COMMUNICABLE DISEASE
🎀 Priority Nursing Diagnosis — Patient in Isolation
● Risk for Infection (transmission to others) is the top clinical priority — but don't forget the psychosocial side:
Social Isolation / Risk for Impaired Social Interaction / Risk for Loneliness related to isolation precautions,
especially in young children who need normal social contact and developmentally appropriate play.
🦠 Communicable Disease Reference Table
Communicable
Disease Cause Incubation Diagnosis Meds/Tx Nursing Implications
Period
Droplet precautions until 24h
of abx; complete full course
Rapid strep/ (prevent rheumatic
Group A strep Until 24h after Penicillin or
Scarlet Fever 1–7 days throat fever/glomerulonephritis);
(GAS) starting abx amoxicillin
culture sandpaper rash + strawberry
tongue; skin desquamates
later
Airborne precautions; Koplik
8–12 days
spots; 3 C's (cough, coryza,
Measles to Clinical +
Measles 4 days before to Supportive; conjunctivitis); rash spreads
(paramyxo-) symptoms serology
(Rubeola) 4 days after rash Vitamin A head→trunk→extremities;
virus (~14 to (IgM)
watch for otitis media,
rash)
pneumonia, encephalitis
Supportive (O2, Contact + Droplet
3–8 days (longer
Nasal swab suction, fluids); precautions;
Respiratory in infants/
RSV 2–8 days antigen/ palivizumab for suction/humidify; monitor
syncytial virus immunocompro
PCR high-risk hydration & resp status
mised)
prevention closely
Droplet precautions;
2 days before to Clinical/ Supportive, warm/cold compresses to
Mumps Mumps virus 12–25 days 5 days after serology/ analgesics/ parotid area; soft, non-acidic
parotid swelling PCR antipyretics diet; watch for orchitis,
meningitis
Supportive,
antihistamines; Airborne + Contact
1–2 days before Clinical/
Varicella- acyclovir if high- precautions; trim nails,
Varicella 10–21 days rash until ALL PCR/ Tzanck
zoster virus risk — NEVER oatmeal baths; isolate until
lesions crusted smear
aspirin (Reye fully crusted
syndrome)
1 day before to Rapid Oseltamivir Droplet precautions; monitor
Influenza A/B
Influenza 1–4 days 5–7 days after antigen/ (within 48h), high-risk kids (asthma, sickle
virus
symptoms PCR supportive cell, immunocompromised)
Catarrhal stage Droplet precautions; watch
Bordetella Nasopharyn
to ~3 wks after Macrolide abx for apnea/cyanosis in infants;
Pertussis pertussis 5–21 days geal
cough (or until 5 (azithromycin) small frequent feeds;
(bacteria) culture/ PCR
days of abx) humidified O2
🌱 Primary vs. Secondary Prevention
🩰 Page 2 🩰
