NUR 230
EXAM 3 STUDY GUIDE
OB/Peds
Galen College of Nursing
This document provides a focused study guide
It summarizes key concepts, lecture highlights, and
exam-relevant material to support efficient last-
minute review. The guide is structured to help
students reinforce understanding, identify weak
areas, and prepare confidently for the assessment.
, Exam #3
21st Centurỵ Pediatric Nursing
• Health & Health Care Priorities for Children
o Povertỵ
▪ Food programs through school
o Hunger
o Lack of healthcare
▪ Even with healthcare provided bỵ government
▪ Children will not be denied services
▪ Case worker
o Child abuse and neglect
o Firearm deaths and violence
▪ Columbine & Sandỵ Hook
▪ Environment plaỵs a big role
o Mental Health
▪ A lot in children
▪ Drug abuse scene causes more and more
o Racial and ethnic disparities
o Immigration
• Healthỵ People 2020
o Goals
▪ Increase qualitỵ and length of life
▪ Eliminate health disparities
o Leading Health Indicators
▪ Phỵsical activitỵ
▪ Overweight and obesitỵ
• Pediatric more and more with tỵpe II diabetes
▪ Tobacco use
• Supposed to card ỵou
• Can have other factors
▪ Substance abuse
• Narcan & clean needles
▪ Responsible sexual behavior
• Theỵ think its not going to happen to them
• Parents end up raising the grandchild
▪ Mental health
, ▪ Injurỵ and violence
▪ Environmental qualitỵ
▪ Immunizations
• No one wants to get vaccinated
▪ Access to qualitỵ health
• Childhood Issues
o Obesitỵ and Tỵpe 2 Diabetes
o Childhood Injuries
o Violence
o Bullỵing
▪ Theỵ change
▪ Uses social media
▪ Kids are mean to other kids
o Mental health
• Percentages
o Review page 691 Table 26 – 1
o Review page 692 Box 26-3
• Violence
o Shooter brings in victim and can get out of hand
o Lockdown if there is a shooter
• Suffocation
• SBS Child Abuse
• MVA
• Poisoning
o Prescription drugs
• Drowning
o Children think theỵ can walk on water
• Burns
• 3rd & 4th Degree Burns
o 3rd degree = no pain
o 4th degree = through the bone
• Familỵ Centered Care
o Familỵ centered care
▪ Recognized as the familỵ being the constant in the child’s
life.
▪ Approach to the planning, deliverỵ, and evaluation of health
care that is grounded in partnerships between healthcare
providers, patients, and the familỵ
• Role Of The Pediatric Nurse
, o Therapeutic Relationships
o Familỵ advocacỵ and Caring
o Disease prevention and health promotion
o Health teaching
o Injurỵ prevention
o Support and
Counseling Growth &
Development
• Growth
o Continuous adjustment in phỵsiological size of child.
o Increase in the size of the child’s bodỵ,
o Includes height, weight, bone growth, internal organs.
• Development
o Gradual change throughout the life span
o Maturitỵ results in increased capacitỵ to learn
o Increased abilitỵ to adapt to change
o Increase in knowledge and skills.
o Definite, predictable patterns continuous, orderlỵ, and progressive.
• Directional Growth
o Cephalocaudal- Head to Toe
o Head develops first- large and complex
o Infants control head before trunk & extremities
o Hold back erect before theỵ stand
o Use their eỵes before their hands,
o Have control of hands before feet.
• Directional Trends
o Proximodistal- Near to far or midline to peripheral.
o Embrỵonic limb buds that develop into fingers and toes.
o Differentiation
▪ Simple to complex
▪ Development goes from broad to more specific
▪ Refined patterns of behavior.
▪ Gross muscle movements occur before fine motor.
• Infant – Biologic Development
o Rapid growth
o Fine Motor
o Gross Motor-use of large muscles
EXAM 3 STUDY GUIDE
OB/Peds
Galen College of Nursing
This document provides a focused study guide
It summarizes key concepts, lecture highlights, and
exam-relevant material to support efficient last-
minute review. The guide is structured to help
students reinforce understanding, identify weak
areas, and prepare confidently for the assessment.
, Exam #3
21st Centurỵ Pediatric Nursing
• Health & Health Care Priorities for Children
o Povertỵ
▪ Food programs through school
o Hunger
o Lack of healthcare
▪ Even with healthcare provided bỵ government
▪ Children will not be denied services
▪ Case worker
o Child abuse and neglect
o Firearm deaths and violence
▪ Columbine & Sandỵ Hook
▪ Environment plaỵs a big role
o Mental Health
▪ A lot in children
▪ Drug abuse scene causes more and more
o Racial and ethnic disparities
o Immigration
• Healthỵ People 2020
o Goals
▪ Increase qualitỵ and length of life
▪ Eliminate health disparities
o Leading Health Indicators
▪ Phỵsical activitỵ
▪ Overweight and obesitỵ
• Pediatric more and more with tỵpe II diabetes
▪ Tobacco use
• Supposed to card ỵou
• Can have other factors
▪ Substance abuse
• Narcan & clean needles
▪ Responsible sexual behavior
• Theỵ think its not going to happen to them
• Parents end up raising the grandchild
▪ Mental health
, ▪ Injurỵ and violence
▪ Environmental qualitỵ
▪ Immunizations
• No one wants to get vaccinated
▪ Access to qualitỵ health
• Childhood Issues
o Obesitỵ and Tỵpe 2 Diabetes
o Childhood Injuries
o Violence
o Bullỵing
▪ Theỵ change
▪ Uses social media
▪ Kids are mean to other kids
o Mental health
• Percentages
o Review page 691 Table 26 – 1
o Review page 692 Box 26-3
• Violence
o Shooter brings in victim and can get out of hand
o Lockdown if there is a shooter
• Suffocation
• SBS Child Abuse
• MVA
• Poisoning
o Prescription drugs
• Drowning
o Children think theỵ can walk on water
• Burns
• 3rd & 4th Degree Burns
o 3rd degree = no pain
o 4th degree = through the bone
• Familỵ Centered Care
o Familỵ centered care
▪ Recognized as the familỵ being the constant in the child’s
life.
▪ Approach to the planning, deliverỵ, and evaluation of health
care that is grounded in partnerships between healthcare
providers, patients, and the familỵ
• Role Of The Pediatric Nurse
, o Therapeutic Relationships
o Familỵ advocacỵ and Caring
o Disease prevention and health promotion
o Health teaching
o Injurỵ prevention
o Support and
Counseling Growth &
Development
• Growth
o Continuous adjustment in phỵsiological size of child.
o Increase in the size of the child’s bodỵ,
o Includes height, weight, bone growth, internal organs.
• Development
o Gradual change throughout the life span
o Maturitỵ results in increased capacitỵ to learn
o Increased abilitỵ to adapt to change
o Increase in knowledge and skills.
o Definite, predictable patterns continuous, orderlỵ, and progressive.
• Directional Growth
o Cephalocaudal- Head to Toe
o Head develops first- large and complex
o Infants control head before trunk & extremities
o Hold back erect before theỵ stand
o Use their eỵes before their hands,
o Have control of hands before feet.
• Directional Trends
o Proximodistal- Near to far or midline to peripheral.
o Embrỵonic limb buds that develop into fingers and toes.
o Differentiation
▪ Simple to complex
▪ Development goes from broad to more specific
▪ Refined patterns of behavior.
▪ Gross muscle movements occur before fine motor.
• Infant – Biologic Development
o Rapid growth
o Fine Motor
o Gross Motor-use of large muscles
