lOMoARcPSD|17103908
lOMoARcPSD|17103908
Pediatric ATI testing material for procrored exam
, lOMoARcPSD|17103908
ATI: Pediatric topics Review
Priority intervention for physical maltreatment:
What are the four types of Maltreatment?
a. Physical abuse: Physical harm or pain
b. Sexual abuse: Sexual contact without consent
c. Emotional abuse: Intimidation, humiliation, threatening.
d. Neglect: Failure to provide physical care (ex: food, clean clothes, emotional
care-ex. Interaction with child, education, and/or health care.
Nursing care/Intervention:
1. Priority-remove child from abusive situation
2. Conduct interview with child and parents individually
3. Mandatory reporting required for suspicion of abuse!
Reinforcing about car seat -pg. 17
a. Rear-facing until 2 years old, in the backseat use lower anchors and tethers to secure
seat. -If available.
b. Position car seat at 45-degree angle. Position harness at or just below infant’s
shoulders.
LevelupRN:
Car seat types: Adhere to height and weight limits of the car seat.
Rear-facing: Birth to 2-4 years old
Front-facing: Age 2-5 years old
Booster seat: Age 5 until seat belts fit properly 9-12 yrs. Old
Key points-
• Rear and front facing car seats-use 5-point harness.
• Position straps at or below the child’s shoulders for rear facing, at or above the
child’s shoulders facing for front facing.
• Chest clip needs to rest at nipple or armpit level- not the abdomen.
, lOMoARcPSD|17103908
. Caring for an infant with following a clip lip repair-
a. What is Cleft Lip? Incomplete fusion of the oral cavity, resulting in an opening
through the upper lip towards the nose. Repair done via cheiloplasty at 2- 3 mths.
b. Nursing care: Prior to surgery: use wide-based nipple and squeeze infant’s cheeks
together during feeding.
c. Post-surgery: Avoid sucking on nipple or pacifier. Use elbow restraints to protect
repair site. Swab incision site with normal saline, dilute hydrogen peroxide, or sterile
water. Apply antibiotic ointment or petroleum jelly to incision site as directed.
ATI-pg 137-Cleft lip
• Monitor integrity of postoperative protective device
• Position infant on back and upright, or on the side during immediate
postoperative time to maintain integrity of the repair.
• Apply elbow restraints to keep infant from injuring the repair site
• Use sterile normal saline, sterile water, or diluted hydrogen peroxide to clean
incision site.
• Apply antibiotic ointment if prescribed
• Gently aspirate secretions of mouth and nasopharynx to prevent respiratory
• complications.
Caring for an infant with clip lip repair. -Level up RN
Feeding:
• Use nipple with wide base, squeeze cheeks together during feeding
• Apply petroleum jelly to operative site
• Utilize elbow immobilizer to protect the site
• Feeding with a syringe or dropper may be recommended
• Avoid pacifier-sucking can disrupt sutures.
Reinforcing teaching about accidental drowning. ATI-pg 272
Nursing care:
Administer oxygen
Monitor vital signs
Administer medication, IV fluids, and emergency medication for complication
that occur 24 hrs. after incident (cerebral edema, respiratory distress).
Use a calm approach with the child and family
Keep the family informed of the child’s status.
, lOMoARcPSD|17103908
Reinforcing teaching about accidental drowning.
• Lock toilet seats when child is home
• Do not leave child unattended in the bathtub
• Even small amount of water will lead to accidental drowning
• Do not leave child unattended in a swimming pool even if child can swim
• Make sure private pools are fenced with locked gates to prevent child from
wandering into the pool area
• Provide life jacket when boating.
Prevent drowning: LevelupRN.
• Do not leave baby unattended around water sources (bathtubs, toilets, cleaning buckets)
• Close bathroom doors. Locked toilet seats.
• Fence off swimming pools
• Ensure kids wear life jacket in and around bodies of water
• Learn how to swim and perform CPR
• Supervised child and around water, including bathtubs
• If near drowning, incident occurs, always brin the child to the hospital-fatalities can occur
hours later)
• Close toilets lids, and don’t have young children
• Be sure all containers e.g bucket with liquids are emptied immediately
Caring for a toddler who has acute diarrhea -pg131 ATI
• Rotavirus: Most common cause of diarrhea in children younger than 5 years.
• Affect children all ages
• Fever
• Onset of watery stools
• Diarrhea 5-7 days
• Vomiting 2 days
• Incubation period 48 hrs.
Oral rehydration therapy:
• Nursing action: Oral rehydration is attempted first for mild and moderate cases of
dehydration.
• Mild: 50 ml/kg rehydration fluid within 4 hrs.
• Moderate: 100 ml/kg rehydration fluid within 4 hrs.
• Replacement of diarrhea losses with 10 ml/kg each stool.
• When a child is unable to drink enough oral fluids to correct fluid losses and
those with severe dehydration or continued vomiting-
• Isotonic solution at 20 ml/kg IV bolus with possible repeat for isotonic and
hypotonic dehydration.
lOMoARcPSD|17103908
Pediatric ATI testing material for procrored exam
, lOMoARcPSD|17103908
ATI: Pediatric topics Review
Priority intervention for physical maltreatment:
What are the four types of Maltreatment?
a. Physical abuse: Physical harm or pain
b. Sexual abuse: Sexual contact without consent
c. Emotional abuse: Intimidation, humiliation, threatening.
d. Neglect: Failure to provide physical care (ex: food, clean clothes, emotional
care-ex. Interaction with child, education, and/or health care.
Nursing care/Intervention:
1. Priority-remove child from abusive situation
2. Conduct interview with child and parents individually
3. Mandatory reporting required for suspicion of abuse!
Reinforcing about car seat -pg. 17
a. Rear-facing until 2 years old, in the backseat use lower anchors and tethers to secure
seat. -If available.
b. Position car seat at 45-degree angle. Position harness at or just below infant’s
shoulders.
LevelupRN:
Car seat types: Adhere to height and weight limits of the car seat.
Rear-facing: Birth to 2-4 years old
Front-facing: Age 2-5 years old
Booster seat: Age 5 until seat belts fit properly 9-12 yrs. Old
Key points-
• Rear and front facing car seats-use 5-point harness.
• Position straps at or below the child’s shoulders for rear facing, at or above the
child’s shoulders facing for front facing.
• Chest clip needs to rest at nipple or armpit level- not the abdomen.
, lOMoARcPSD|17103908
. Caring for an infant with following a clip lip repair-
a. What is Cleft Lip? Incomplete fusion of the oral cavity, resulting in an opening
through the upper lip towards the nose. Repair done via cheiloplasty at 2- 3 mths.
b. Nursing care: Prior to surgery: use wide-based nipple and squeeze infant’s cheeks
together during feeding.
c. Post-surgery: Avoid sucking on nipple or pacifier. Use elbow restraints to protect
repair site. Swab incision site with normal saline, dilute hydrogen peroxide, or sterile
water. Apply antibiotic ointment or petroleum jelly to incision site as directed.
ATI-pg 137-Cleft lip
• Monitor integrity of postoperative protective device
• Position infant on back and upright, or on the side during immediate
postoperative time to maintain integrity of the repair.
• Apply elbow restraints to keep infant from injuring the repair site
• Use sterile normal saline, sterile water, or diluted hydrogen peroxide to clean
incision site.
• Apply antibiotic ointment if prescribed
• Gently aspirate secretions of mouth and nasopharynx to prevent respiratory
• complications.
Caring for an infant with clip lip repair. -Level up RN
Feeding:
• Use nipple with wide base, squeeze cheeks together during feeding
• Apply petroleum jelly to operative site
• Utilize elbow immobilizer to protect the site
• Feeding with a syringe or dropper may be recommended
• Avoid pacifier-sucking can disrupt sutures.
Reinforcing teaching about accidental drowning. ATI-pg 272
Nursing care:
Administer oxygen
Monitor vital signs
Administer medication, IV fluids, and emergency medication for complication
that occur 24 hrs. after incident (cerebral edema, respiratory distress).
Use a calm approach with the child and family
Keep the family informed of the child’s status.
, lOMoARcPSD|17103908
Reinforcing teaching about accidental drowning.
• Lock toilet seats when child is home
• Do not leave child unattended in the bathtub
• Even small amount of water will lead to accidental drowning
• Do not leave child unattended in a swimming pool even if child can swim
• Make sure private pools are fenced with locked gates to prevent child from
wandering into the pool area
• Provide life jacket when boating.
Prevent drowning: LevelupRN.
• Do not leave baby unattended around water sources (bathtubs, toilets, cleaning buckets)
• Close bathroom doors. Locked toilet seats.
• Fence off swimming pools
• Ensure kids wear life jacket in and around bodies of water
• Learn how to swim and perform CPR
• Supervised child and around water, including bathtubs
• If near drowning, incident occurs, always brin the child to the hospital-fatalities can occur
hours later)
• Close toilets lids, and don’t have young children
• Be sure all containers e.g bucket with liquids are emptied immediately
Caring for a toddler who has acute diarrhea -pg131 ATI
• Rotavirus: Most common cause of diarrhea in children younger than 5 years.
• Affect children all ages
• Fever
• Onset of watery stools
• Diarrhea 5-7 days
• Vomiting 2 days
• Incubation period 48 hrs.
Oral rehydration therapy:
• Nursing action: Oral rehydration is attempted first for mild and moderate cases of
dehydration.
• Mild: 50 ml/kg rehydration fluid within 4 hrs.
• Moderate: 100 ml/kg rehydration fluid within 4 hrs.
• Replacement of diarrhea losses with 10 ml/kg each stool.
• When a child is unable to drink enough oral fluids to correct fluid losses and
those with severe dehydration or continued vomiting-
• Isotonic solution at 20 ml/kg IV bolus with possible repeat for isotonic and
hypotonic dehydration.
