NSG 320 - Final Exam Blueprint |\ |\ |\ |\ |\ |\
questions with answers |\ |\
Identify minimum urine output per hour for children for children
|\ |\ |\ |\ |\ |\ |\ |\ |\
1 ml/kg/hr
|\
Compare and contrast medication administration principles of
|\ |\ |\ |\ |\ |\ |\
nursing care of the adult patient to nursing care of the pediatric
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient
· 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
· 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
|\ |\ |\ |\ |\
· 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
|\ |\ |\ |\ |\ |\
· 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
|\ |\ |\ |\ |\ |\ |\
· Head circumference 3 years and under
|\ |\ |\ |\ |\ |\
· Fontanels
|\
· Posterior closes 2-3 months
|\ |\ |\ |\
Anterior closes 12-18 months |\ |\ |\
Head circumference measurements
|\ |\
3 years and under
|\ |\ |\
Posterior Fontanel Closes |\ |\
2-3 months|\
Anterior Fontanel Closes |\ |\
12-18 months |\
, Health assessment of an pediatric patient - Eyes
|\ |\ |\ |\ |\ |\ |\
· Visual acuity formally assessed after 3 years of age
|\ |\ |\ |\ |\ |\ |\ |\ |\
· Corneal light reflex is symmetrical by 4-6 months of age
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Visual acuity formally assessed|\ |\ |\
after 3 years of age |\ |\ |\ |\
Corneal light reflex is symmetrical by |\ |\ |\ |\ |\
4-6 months of age
|\ |\ |\
Health assessment of an pediatric patient - Ears
|\ |\ |\ |\ |\ |\ |\
· 3 years and younger: pinna down and back
|\ |\ |\ |\ |\ |\ |\ |\
· Older than 3: up and back
|\ |\ |\ |\ |\ |\
Red does not equal infection
|\ |\ |\ |\
pinna down and back |\ |\ |\
3 years and younger
|\ |\ |\
up and back
|\ |\
questions with answers |\ |\
Identify minimum urine output per hour for children for children
|\ |\ |\ |\ |\ |\ |\ |\ |\
1 ml/kg/hr
|\
Compare and contrast medication administration principles of
|\ |\ |\ |\ |\ |\ |\
nursing care of the adult patient to nursing care of the pediatric
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient
· 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
· 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
|\ |\ |\ |\ |\
· 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
|\ |\ |\ |\ |\ |\
· 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
|\ |\ |\ |\ |\ |\ |\
· Head circumference 3 years and under
|\ |\ |\ |\ |\ |\
· Fontanels
|\
· Posterior closes 2-3 months
|\ |\ |\ |\
Anterior closes 12-18 months |\ |\ |\
Head circumference measurements
|\ |\
3 years and under
|\ |\ |\
Posterior Fontanel Closes |\ |\
2-3 months|\
Anterior Fontanel Closes |\ |\
12-18 months |\
, Health assessment of an pediatric patient - Eyes
|\ |\ |\ |\ |\ |\ |\
· Visual acuity formally assessed after 3 years of age
|\ |\ |\ |\ |\ |\ |\ |\ |\
· Corneal light reflex is symmetrical by 4-6 months of age
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Visual acuity formally assessed|\ |\ |\
after 3 years of age |\ |\ |\ |\
Corneal light reflex is symmetrical by |\ |\ |\ |\ |\
4-6 months of age
|\ |\ |\
Health assessment of an pediatric patient - Ears
|\ |\ |\ |\ |\ |\ |\
· 3 years and younger: pinna down and back
|\ |\ |\ |\ |\ |\ |\ |\
· Older than 3: up and back
|\ |\ |\ |\ |\ |\
Red does not equal infection
|\ |\ |\ |\
pinna down and back |\ |\ |\
3 years and younger
|\ |\ |\
up and back
|\ |\
