Pediatric Nursing exam with question and answer 100
% correct
Terms in this set (111)
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 1. protest; clings to parent to force them to stay
behavioral responses exhibited during each 2.despair, inactive + withdrawn and regress
phase 3.detachment, denial, after prolonged separation ,
denies need for parents lvoe, affection to nurses
Nursing interventions to reduce separation 1. encourage family contact
anxiety 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 throwing games
amongst toddlers when in stress
List the major developmental tasks for 1. development of autonomy
toddlers 2. . control environment
3.act of movement with no restraining
Identify examples of collaborative efforts to 1. assist child with ambulation within their control
assist toddlers with control and mobility 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 1. brief explanations, 5-10 mins, emphasize what the child
toddle for a procedure 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 1. assessment, meaning of hurt, what word is used for pain
management and special considerations 2.prior pain experience
made for a toddler 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 1. frowning
toddler when experiencing pain 2.crying
2. restlessness
List physiological cues demonstrated by a 1. rapid pulse
toddler when experiencing pain. 2.rapid respiration
3. perspiration
Identify nursing interventions used for pain 1. form of relaxation, deep breaths
management with a toddler 2.form of distraction
3.transport to treatment room for treatments
4. medical personnel restrains, not parents
5.the parents presence
6.explain in a a few simple words
7. administration of pain meds
Provide examples of fostering autonomy 1. select favoring snacks
and independence when planning for 2.help with dressing change
discharge 3.allow playing if on bed rest ( can play near bed)
4. continue to perform toileting and hygiene skills
5.toys for psychosocial development
6.give independence and allow exploration within safe
guidelines
, List seven reliable devices for accurately *measuring spoon
measuring and administering oral meds *plastic syringes
*calibrated nipple
*plastic medicine cup
*calibrated dropper
*hollow handles medicine spoon
*medicine bottle used to delivery oral meds via syringe
Six methods of med administration that 1. flavored ice pop/small ice cube to suck to numb tongue
encourage child's acceptance 2.mix drop with a small about (1tsp) of sweet tasting
substance
NO honey until age 1 year
3.give a chase of water, juice, soft drink
4. if n/v is a problem, give a carbonated beverage poured
over finely crushed ice before or after
5.when unpleasant tastes pinch the nose and drink med thru
a straw
6.have pharmacist prepare drug in a flavored chewable
lozenge
7. infants will suck forma needless syringe
What two types of meds should never be *enteric or protected coating; could irritate the stomach;
crushed and why? this type of tables is absorbed by small intestine
*Slow release- could be absorbed more rapidly
If med must be crushed what type of food Honey in infants due to botulism
should never be used?
2 methods of restraining for infant or toddler 1. body of larger infant can be securely held
receiving IM injection in vastus lateralis between the nurses arm and body
2.swaddle baby leaving the part of the extremity out that
is receiving the injection
List six meds that should be reviewed by *digoxin
2 profession nurses before administration *chemotherapeutic agents
to infant/child *insulin
*epinephrine
*opoids
*sedatives
According to Ericksons theory of Ritualism the need to maintain sameness and reliability
development why would a toddler view provides sense of comfort. without ritu8als little opportunity
hospitalization as a punishment? to exert autonomy. consequently regression and dependency
occurs
Hearing test for newborn OAE- Otoacoustive Emission measures intensity sound from
the cochlear hair cells in response to clicks from a probe
placed in the ear canal
does not detect neural damage
Detects inner hearing loss
does not detect damage to cranial nerve
% correct
Terms in this set (111)
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 1. protest; clings to parent to force them to stay
behavioral responses exhibited during each 2.despair, inactive + withdrawn and regress
phase 3.detachment, denial, after prolonged separation ,
denies need for parents lvoe, affection to nurses
Nursing interventions to reduce separation 1. encourage family contact
anxiety 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 throwing games
amongst toddlers when in stress
List the major developmental tasks for 1. development of autonomy
toddlers 2. . control environment
3.act of movement with no restraining
Identify examples of collaborative efforts to 1. assist child with ambulation within their control
assist toddlers with control and mobility 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 1. brief explanations, 5-10 mins, emphasize what the child
toddle for a procedure 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 1. assessment, meaning of hurt, what word is used for pain
management and special considerations 2.prior pain experience
made for a toddler 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 1. frowning
toddler when experiencing pain 2.crying
2. restlessness
List physiological cues demonstrated by a 1. rapid pulse
toddler when experiencing pain. 2.rapid respiration
3. perspiration
Identify nursing interventions used for pain 1. form of relaxation, deep breaths
management with a toddler 2.form of distraction
3.transport to treatment room for treatments
4. medical personnel restrains, not parents
5.the parents presence
6.explain in a a few simple words
7. administration of pain meds
Provide examples of fostering autonomy 1. select favoring snacks
and independence when planning for 2.help with dressing change
discharge 3.allow playing if on bed rest ( can play near bed)
4. continue to perform toileting and hygiene skills
5.toys for psychosocial development
6.give independence and allow exploration within safe
guidelines
, List seven reliable devices for accurately *measuring spoon
measuring and administering oral meds *plastic syringes
*calibrated nipple
*plastic medicine cup
*calibrated dropper
*hollow handles medicine spoon
*medicine bottle used to delivery oral meds via syringe
Six methods of med administration that 1. flavored ice pop/small ice cube to suck to numb tongue
encourage child's acceptance 2.mix drop with a small about (1tsp) of sweet tasting
substance
NO honey until age 1 year
3.give a chase of water, juice, soft drink
4. if n/v is a problem, give a carbonated beverage poured
over finely crushed ice before or after
5.when unpleasant tastes pinch the nose and drink med thru
a straw
6.have pharmacist prepare drug in a flavored chewable
lozenge
7. infants will suck forma needless syringe
What two types of meds should never be *enteric or protected coating; could irritate the stomach;
crushed and why? this type of tables is absorbed by small intestine
*Slow release- could be absorbed more rapidly
If med must be crushed what type of food Honey in infants due to botulism
should never be used?
2 methods of restraining for infant or toddler 1. body of larger infant can be securely held
receiving IM injection in vastus lateralis between the nurses arm and body
2.swaddle baby leaving the part of the extremity out that
is receiving the injection
List six meds that should be reviewed by *digoxin
2 profession nurses before administration *chemotherapeutic agents
to infant/child *insulin
*epinephrine
*opoids
*sedatives
According to Ericksons theory of Ritualism the need to maintain sameness and reliability
development why would a toddler view provides sense of comfort. without ritu8als little opportunity
hospitalization as a punishment? to exert autonomy. consequently regression and dependency
occurs
Hearing test for newborn OAE- Otoacoustive Emission measures intensity sound from
the cochlear hair cells in response to clicks from a probe
placed in the ear canal
does not detect neural damage
Detects inner hearing loss
does not detect damage to cranial nerve
