Peds Final ATI
Factors influencing loss, grief, and coping ability - ANSInterpersonal relationships, type and
significance of loss, culture and ethnicity, spiritual and religious beliefs, prior experience with
loss, and SES.
Complicated grief - ANSExtends for more than a year following the loss. Includes: intense
thoughts, distressing yearning, feelings of loneliness, distressing emotions and feelings, and
disturbances in personal activities.
Infants/toddler's view of death - ANSHave little to no concept. Mirror parental emotions. May
regress to an earlier stage of behavior.
Preschool children's view of death - ANSEgocentric thinking.
Magical thinking allows for the belief that thoughts can cause an event such as death.
Interpret separation from parents as punishment for bad behavior.
View dying as temporary.
School age children's view of death - ANSStart to respond to logical or factual explanations.
Begin to have an adult concept of death.
Experience fear of the disease and death process which is often displayed through
uncooperative behavior.
May display curiosity about the process.
Adolescent's view of death - ANSHave an adult like concept.
May have difficulty accepting death due to the changes they are personally dealing with.
Rely more on peers than influence of parents, which in the event of a serious illness may
make them feel isolated from their peers.
Physical manifestations of death - ANSSensations of heat when the body feels cold.
Decreased sensation and movements in the lower extremities.
Loss of senses.
Confusion or LOC.
Decreased appetite and thirst.
Swallowing difficulties.
Loss of bladder and bowel control.
Bradycardia and hypotension.
Cheyne-Stokes respirations.
Obstructive uropathy - ANSStructural or functional obstruction in the urinary system.
Inguinal hernia - ANSProtrusion of abdominal organs through the inguinal canal into the
scrotum.
Chordee - ANSVentral curvature of the penis.
, Bladder exstrophy - ANSEversion of the posterior bladder through the anterior bladder wall
and lower
abdominal wall.
Hypospadias - ANSUrethral opening located behind the glans of the penis or on the ventral
surface of
the penile shaft.
Epispadias - ANSMeatal opening located on the dorsal surface of the penis.
Phimosis - ANSNarrowing of the preputial opening of the foreskin.
Varicocele - ANSElongation, dilatation, and tortuosity of the veins superior to the testicle.
Testicular torsion - ANSTesticle hangs free from the vascular structures.
When should repair of genital deformities be performed? - ANSRepair of structural defects
ideally
should be done between 6 to 15 months of age, but before 3 years of age, to minimize
impact on body
image and to promote healthy development.
S/S of obstructive uropathy - ANS■■ Hydronephrosis
■■ Partial obstructions may go undetected.
■■ Possible other genetic disorders (prune belly syndrome, chromosomal anomalies,
anorectal
malformation, defects of the pinna of the ear)
■■ Inability to concentrate urine
■■ Urinary tract infections
■■ Increased urine flow
■■ Metabolic acidosis
S/S of epispadias - ANS■■ Male
☐☐ Widened pubic symphysis
☐☐ Broad, spadelike penis
☐☐ Urethra opened on dorsal surface of the penis
☐☐ Possible exstrophy of the bladder
■■ Female
☐☐ Wide urethra
☐☐ Bifid clitoris
☐☐ Possible exstrophy of the bladder
S/S hydrocele - ANS■■ Enlarged scrotal sac
■■ Possible pain
S/S of variocele - ANS■ Bulge above the testicle when bearing down
■■ Mild to moderate pain
Factors influencing loss, grief, and coping ability - ANSInterpersonal relationships, type and
significance of loss, culture and ethnicity, spiritual and religious beliefs, prior experience with
loss, and SES.
Complicated grief - ANSExtends for more than a year following the loss. Includes: intense
thoughts, distressing yearning, feelings of loneliness, distressing emotions and feelings, and
disturbances in personal activities.
Infants/toddler's view of death - ANSHave little to no concept. Mirror parental emotions. May
regress to an earlier stage of behavior.
Preschool children's view of death - ANSEgocentric thinking.
Magical thinking allows for the belief that thoughts can cause an event such as death.
Interpret separation from parents as punishment for bad behavior.
View dying as temporary.
School age children's view of death - ANSStart to respond to logical or factual explanations.
Begin to have an adult concept of death.
Experience fear of the disease and death process which is often displayed through
uncooperative behavior.
May display curiosity about the process.
Adolescent's view of death - ANSHave an adult like concept.
May have difficulty accepting death due to the changes they are personally dealing with.
Rely more on peers than influence of parents, which in the event of a serious illness may
make them feel isolated from their peers.
Physical manifestations of death - ANSSensations of heat when the body feels cold.
Decreased sensation and movements in the lower extremities.
Loss of senses.
Confusion or LOC.
Decreased appetite and thirst.
Swallowing difficulties.
Loss of bladder and bowel control.
Bradycardia and hypotension.
Cheyne-Stokes respirations.
Obstructive uropathy - ANSStructural or functional obstruction in the urinary system.
Inguinal hernia - ANSProtrusion of abdominal organs through the inguinal canal into the
scrotum.
Chordee - ANSVentral curvature of the penis.
, Bladder exstrophy - ANSEversion of the posterior bladder through the anterior bladder wall
and lower
abdominal wall.
Hypospadias - ANSUrethral opening located behind the glans of the penis or on the ventral
surface of
the penile shaft.
Epispadias - ANSMeatal opening located on the dorsal surface of the penis.
Phimosis - ANSNarrowing of the preputial opening of the foreskin.
Varicocele - ANSElongation, dilatation, and tortuosity of the veins superior to the testicle.
Testicular torsion - ANSTesticle hangs free from the vascular structures.
When should repair of genital deformities be performed? - ANSRepair of structural defects
ideally
should be done between 6 to 15 months of age, but before 3 years of age, to minimize
impact on body
image and to promote healthy development.
S/S of obstructive uropathy - ANS■■ Hydronephrosis
■■ Partial obstructions may go undetected.
■■ Possible other genetic disorders (prune belly syndrome, chromosomal anomalies,
anorectal
malformation, defects of the pinna of the ear)
■■ Inability to concentrate urine
■■ Urinary tract infections
■■ Increased urine flow
■■ Metabolic acidosis
S/S of epispadias - ANS■■ Male
☐☐ Widened pubic symphysis
☐☐ Broad, spadelike penis
☐☐ Urethra opened on dorsal surface of the penis
☐☐ Possible exstrophy of the bladder
■■ Female
☐☐ Wide urethra
☐☐ Bifid clitoris
☐☐ Possible exstrophy of the bladder
S/S hydrocele - ANS■■ Enlarged scrotal sac
■■ Possible pain
S/S of variocele - ANS■ Bulge above the testicle when bearing down
■■ Mild to moderate pain
