NSG 320 - Final Exam Blueprint 570 Questions and Answers.

NSG 320 - Final Exam Blueprint 570
Questions and Answers.
NSG 320 - Final Exam Blueprint 570
Questions and Answers.
Identify minimum urine output per hour for children for children - ANSWER 1 ml/kg/hr



Compare and contrast medication administration principles of nursing care of the adult patient to
nursing care of the pediatric patient - ANSWER · Use play and distraction

· For rectal meds insert 0.5 in for a small child and 1 in for older

· Use pinky for children under 3

· Make sure to select appropriate needle size and length

· Vastus lateralis is preferred for children. Deltoid may be used in children older than 3. Dorsogluteal not
rec until over 5

· 22-25 gauge/ and 5/8-1 inch in young children. volume is 0.5-1ml and school age in 1.5-2ml. Might
have to split the dose into 2 injections

· EMLA!!!!



Develop a pain management plan for a child using a pain scale and assessment findings and appropriate
medications for children - ANSWER · Neonatal and infant pain scale (NIPS)

· Facial expression, cry, breathing pattern, arms, legs, and state of arousal

· Faces, legs, activity, cry, consolability scale (FLACC)

· Use in infants and children up to 7 yeas of age

· Facial expression, position of legs, activity, crying, consolability

· FACES pain scale

· Can use 3 years or older

· Rates pain 0-5 using diagrams of six faces

· OUCHER

· Use in children 3-13 years of age

· Rates pain 0-5 using photographs

,NSG 320 - Final Exam Blueprint 570
Questions and Answers.
· Visual Analog Scale (VAS)

· Use in children and adolescent 7 years and older

· Rate pain 0-10

· Facial expression includes dilated pupils, guarded movement, moaning/crying, decreased attention
span, non-cooperative, changes in VS



Compare and contrast the health assessment of an adult versus a pediatric patient: assessment and vital
signs - ANSWER · Not head-to-toe. Start with least invasive first

· Use age-appropriate language and let the child get involved

· Vital sign stuff is listed in another category above

· Evaluate growth using a standardized growth chart



Health assessment of an pediatric patient - Head - ANSWER · Head circumference 3 years and under

· Fontanels

· Posterior closes 2-3 months

Anterior closes 12-18 months



Head circumference measurements - ANSWER 3 years and under



Posterior Fontanel Closes - ANSWER 2-3 months



Anterior Fontanel Closes - ANSWER 12-18 months



Health assessment of an pediatric patient - Eyes - ANSWER · Visual acuity formally assessed after 3 years
of age

· Corneal light reflex is symmetrical by 4-6 months of age



Visual acuity formally assessed - ANSWER after 3 years of age

,NSG 320 - Final Exam Blueprint 570
Questions and Answers.

Corneal light reflex is symmetrical by - ANSWER 4-6 months of age



Health assessment of an pediatric patient - Ears - ANSWER · 3 years and younger: pinna down and back

· Older than 3: up and back

Red does not equal infection



pinna down and back - ANSWER 3 years and younger



up and back - ANSWER Older than 3



Red does not equal - ANSWER ear infection in pediatrics



Health assessment of an pediatric patient - Mouth and throat - ANSWER · Visible tonsils common in
children

· First two years- age child in months-6 = number of teeth



Visible tonsils - ANSWER common in children



Number of teeth first two years - ANSWER Age child in months - 6



Thorax and lungs Less than 7 - ANSWER Abdominal movement is seen during respirations



Health assessment of an pediatric patient - Heart - ANSWER · Innocent murmurs common in children

· PMI

· Infant to 4 is 4 ICS medial left clavicular

· 4 to 6 is 4 ICS left midclavicular line

· 7 and older is 5 ICS left midclavicular line

, NSG 320 - Final Exam Blueprint 570
Questions and Answers.

Innocent murmurs common - ANSWER in children



Infant to 4 auscultation of heart - ANSWER 4 ICS medial left clavicular



4 to 6 auscultation of heart - ANSWER 4 ICS left mid-clavicular line



7 and older auscultation of heart - ANSWER 5 ICS left midclavicular line



Health assessment of an pediatric patient - Abdomen - ANSWER · Infants and toddlers have rounded
abdomen



Health assessment of an pediatric patient - Musculoskeletal - ANSWER · Toddler normally bowlegged

· Preschooler may appear knock knee

· Feet should face forward



normally bowlegged - ANSWER Toddler



may appear knock knee - ANSWER Preschooler



Assessment Findings - Physical neglect - ANSWER · FTT, lack of hygiene, frequent injuries, dull affect,
self-stimulating



Assessment Findings - Physical abuse - ANSWER · Emotional neglect/abuse

· FTT, enuresis, sleep disturbance, self-stimulating, delayed development



Assessment Findings - Sexual abuse - ANSWER · Lacerations around mouth, genital area, anus

· STI; UTI