Galen Pediatrics System Focused Review | RN-Review Study Guide | Growth & Development, Congenital Heart Disease, Immunizations & More | Galen College of Nursing

GALEN PEDIATRICS SYSTEM FOCUSED REVIEW - RN-REVIEW STUDY GUIDE! ⚠️ Struggling with pediatric nursing concepts? This comprehensive 61-page review guide covers EVERYTHING you need to know for your Galen College Pediatrics exam and NCLEX! This document is a complete system-focused review designed specifically for Galen College of Nursing's RN-Review program. It condenses the most critical pediatric content into an easy-to-understand, visually organized format that will save you HOURS of study time! What's INSIDE This Pediatrics Review Power Pack: Growth & Development Milestones: Erikson's Stages of Development (Trust vs Mistrust, Autonomy vs Shame & Doubt, etc.) Infant Growth: Weight doubles by 6 months, triples by 12 months Toddler Milestones: 50 words by age 2, parallel play, temper tantrums Preschooler: Tricycle at age 3, concrete thinkers, egocentric School-Age: Industry vs Inferiority, social awareness, school phobia Adolescent: Rapid growth, identity vs role confusion, MVC leading cause of injury Appropriate toys for EACH developmental stage! Immunizations & Disease Prevention: Complete pediatric immunization schedule (Birth - 6 years) Contraindications to immunizations Adult immunization schedule (19 years and older) Vaccine Adverse Event Reporting System (VAERS) information Assessment & Interaction with Children: Age-appropriate assessment techniques (Infant, Toddler, Preschooler, School-Age, Adolescent) Vital sign measurements by age group (HR, RR) Pain assessment tools (FACES scale, Visual Analog Scale) Atraumatic care principles Family-centered care philosophy Acute Infectious Diseases: Croup (3-36 months, barking seal cough, corticosteroid treatment) Epiglottitis (H. influenzae type B, tripod position, MEDICAL EMERGENCY!) Bronchiolitis/RSV (November-April, contact isolation, Palivizumab) Tonsillitis (hemorrhage up to 10 days post-op!) Otitis Media (fever, otalgia, pulling at ears) Signs of respiratory distress (retractions, grunting, flaring nostrils) Chronic Diseases: Cystic Fibrosis (autosomal recessive, exocrine gland dysfunction, salty skin, pancreatic enzymes) Nursing management: Chest PT, CPAP, fat-soluble vitamins (A,D,E,K) Congenital Heart Disease (CHD): Cyanotic vs Acyanotic disorders Tetralogy of Fallot (4 defects, Tet spells, knee-chest position!) Transposition of the Great Vessels (medical emergency!) Truncus Arteriosus Coarctation of Aorta (absent femoral pulses!) Atrial & Ventricular Septal Defects Patent Ductus Arteriosus (PDA, indomethacin treatment!) Aortic Stenosis Nursing management for CHD Cardiovascular Disorders: Rheumatic Fever (strep infection, chorea, murmur, prophylactic antibiotics) Kawasaki Disease (strawberry tongue, peeling hands/feet, IVIG, ASA) Gastrointestinal Disorders: Cleft Lip & Palate (surgery timing, Logan bow, feeding techniques) Omphalocele vs Gastroschisis (key differences!) Intussusception (currant-jelly stools, sausage-shaped mass, 1 year) Hirschsprung's Disease (lack of ganglion cells, ribbon-like stools) Hematologic Disorders: Hemophilia (X-linked recessive, prolonged PTT, NO ASA!) Skeletal Disorders: Juvenile Idiopathic Arthritis (NSAIDs, corticosteroids, swimming) Developmental Dysplasia of the Hip (Ortolani sign, Pavlik harness, Spica cast) Scoliosis (adolescent females, rib hump, bracing) Neuromuscular & Neurological Disorders: Neural Tube Defects: Spina Bifida Occulta, Meningocele, Myelomeningocele Muscular Dystrophy (Duchenne, waddling gait, corticosteroids) Cerebral Palsy (non-progressive, scissoring of legs, delayed milestones) Hydrocephalus (VP shunt, signs of ICP) Bacterial Meningitis (strep or N. meningitidis, photophobia, isolate 24 hours) Reyes Syndrome (aspirin + viral infection, rapidly progressing encephalopathy!) Chromosomal Abnormalities: Trisomy 21 (Down Syndrome): flat nose, protruding tongue, simian crease Trauma & Child Abuse: Shaken Baby Syndrome (retinal hemorrhage, bulging fontanels, mandatory reporting!) Physical & Sexual Abuse (spiral fractures, unexplained bruises, fear of caregivers) NGN NCLEX-Style Practice Question: 6-year-old with recurrent strep + conjunctivitis - What should the nurse do FIRST