Pediatric Nursing Questions
and Answers
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 behavioral responses exhibited during each
phase - 1. protest; clings to parent to force them to stay
2. despair, inactive + withdrawn and regress
3. detachment, denial, after prolonged separation , denies need for parents lvoe,
affection to nurses
Nursing interventions to reduce separation anxiety - 1. encourage family contact
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 amongst toddlers when in stress - throwing
games
List the major developmental tasks for toddlers - 1. development of autonomy
2.. control environment
3. act of movement with no restraining
,Identify examples of collaborative efforts to assist toddlers with control and mobility
- 1. assist child with ambulation within their control
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 toddle for a procedure - 1. brief
explanations, 5-10 mins, emphasize what the child 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 management and special considerations
made for a toddler - 1. assessment, meaning of hurt, what word is used for pain
2. prior pain experience
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 toddler when experiencing pain - 1.
frowning
2. crying
2. restlessness
List physiological cues demonstrated by a toddler when experiencing pain. - 1. rapid
pulse
2. rapid respiration
3. perspiration
Identify nursing interventions used for pain management with a toddler - 1. form of
relaxation, deep breaths
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 and independence when planning for
discharge - 1. select favoring snacks
2. help with dressing change
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 and administering oral meds -
*measuring spoon
*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 encourage child's acceptance - 1. flavored
ice pop/small ice cube to suck to numb tongue
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
and Answers
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 behavioral responses exhibited during each
phase - 1. protest; clings to parent to force them to stay
2. despair, inactive + withdrawn and regress
3. detachment, denial, after prolonged separation , denies need for parents lvoe,
affection to nurses
Nursing interventions to reduce separation anxiety - 1. encourage family contact
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 amongst toddlers when in stress - throwing
games
List the major developmental tasks for toddlers - 1. development of autonomy
2.. control environment
3. act of movement with no restraining
,Identify examples of collaborative efforts to assist toddlers with control and mobility
- 1. assist child with ambulation within their control
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 toddle for a procedure - 1. brief
explanations, 5-10 mins, emphasize what the child 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 management and special considerations
made for a toddler - 1. assessment, meaning of hurt, what word is used for pain
2. prior pain experience
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 toddler when experiencing pain - 1.
frowning
2. crying
2. restlessness
List physiological cues demonstrated by a toddler when experiencing pain. - 1. rapid
pulse
2. rapid respiration
3. perspiration
Identify nursing interventions used for pain management with a toddler - 1. form of
relaxation, deep breaths
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 and independence when planning for
discharge - 1. select favoring snacks
2. help with dressing change
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 and administering oral meds -
*measuring spoon
*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 encourage child's acceptance - 1. flavored
ice pop/small ice cube to suck to numb tongue
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
