NURS 306 - Exam 1
1. promote and assist the child in maintaining optimal levels of health while
recognizing the influence of the family on the child's wellbeing: goal of pediatric
nursing
2. mutually beneficial partnership between child, family, and health care team
(and usually community)
recognizes and values the role of the family in the health of the child (stability)
family is child's primary support
family's knowledge of child's health/illness is vital
family is the expert on the child's health condition, usual behaviors, routine,
and needs
Nurses support families as the primary caregiver and decision maker, ac-
knowledge family expertise, consider family needs, and recognize individu-
ality of family: Family-Centered Care
3. improves outcomes and customer satisfaction: benefits of family-centered
care
4. care that minimizes physical care and psychological distress (do no harm)
follows 3 principals: minimize physical stressors, prevent parent-child sepa-
ration, promote sense of control (give choices on control)
examples: utilizing treatment rooms, child life, therapeutic dolls, rooming
patients with parents
always less invasive to most invasive, prevent separation from parents: atrau-
matic care
5. nurse assists child/family to make informed choices and act in child's best
interest
safeguards/advances the interests of children/families by knowing their
needs/resources, informing them of their rights/options, assisting them to
make informed decisions
ensure families are aware of available health services, informed of treat-
ments/procedures, involved in child's care: Child Advocacy
6. parents/guardians generally make choices about their child's health
in some situations, child can consent to procedures without parent's knowl-
edge
refusal of medical care vs neglect - physicians/judicial system advocate for
child
advances in science & technology - increased number of ethical dilemmas
informed consent - comes from parent but involves older child/adolescent
in an emergency, medical care is provided and attempts are made to reach
parents
, NURS 306 - Exam 1
confidentiality - HIPPA, exceptions include a threat to themselves or others: -
Legal, moral & ethical issues
7. emergency room care or any life saving interventions
emancipated minor
minors may seek medical treatment for the following: mental health, pregnan-
cy and sexual care, HIV and STDs testing/treatment, drug or alcohol counsel-
ing/treatment and care for crime-related injury: exceptions for parental consent
8. foundation for providing high-quality nursing care
establish meaningful relationships with children & families yet separate
enough to distinguish own feelings
boundaries are positive, professional, & promote family's control of child's
health (boundaries are often blurred in pediatrics)
blurred boundaries serve nurse's personal needs rather than meeting family's
needs
parents perceive caring as a sign of quality nursing care: therapeutic relation-
ship
9. involves use of open-ended questions, reflection, paraphrasing, acknowl-
edgement of emotions
nonverbal skills: active listening, open posture, eye contact, nod head, note
child/parents' nonverbals
provide information and support on the child's developmental level and use
age-appropriate methods
be honest with parents, parents want to be valued and should be equal
partners in the health care team: therapeutic communication
10. caring for pediatric patients requires professionals from multiple disci-
plines
nurses need to collaborate with other professionals
recognize your limitations and refer to specialized services
nurses often acts as the care coordinator: multidisciplinary approach
11. number of individuals who have died over a period of time: mortality
12. number of infant deaths in first 28 days of life: neonatal mortality
13. number of deaths occurring in first year of life: infant mortality
14. significant decreases in 20th century
disparities still exist
higher rate in ages 1-4 than 5-14: childhood mortality
15. congenital: leading cause of death from birth-1 year
16. unintentional injury: leading cause of death 1-24 years
17. appropriate development
nutrition
, NURS 306 - Exam 1
mental health
oral health (fluoride in water, fluorinated toothpaste after 2 years old to prevent
toxicity)
sexual development (body changes discussed starting at 8-9)
safety & injury prevention
disease prevention (flu: October-April, summer is broken bone season, fall is
GI bugs): health promotion
18. deprivation of essential nutrients can seriously interfere with brain devel-
opment and other functions
requirements change over a child's life and have great influence on child's
physical growth and intellectual development
provides essentials required to maintain health and prevent illness
deficiencies or excess - zinc deficiency can cause cognitive delays
food jag - will only eat one food for a period of time and then moves on,
developmentally appropriate
educate - prevent overweight and ensure all nutrients are eaten
healthy education is behavior, begins as toddler: nutrition
19. inadequate food intake, unsound food practices, easy accessibility of
nutritionally inadequate foods, lack of education: factors contributing to poor
nutrition
20. lower cognitive ability, poor emotional/mental health, increases suscepti-
bility to childhood illnesses, increased risk for mortality and stunted physical
growth: inadequate nutrition is associated with...
21. no, unless constipated
should chose water or milk first
-juice has no nutritional value: is juice recommended?
22. underweight = <5th percentile
healthy = >5 to <85th percentile
overweight = >85 to <95 percentile
Obese = BMI >95 percentile: Weight by percentile
23. electronic media, lack of physical activity, abundance of unhealthy food
choices, genetic influences, poverty (healthy food is expensive), where you
live( inner-city has limited options): obesity causes
24. goal = bell curve: growth charts curve
25. most common cause of death & disability in US children
over past decade, increasing mortality from suicide, poisoning, and falls
suicide is leading cause of injury mortality
unintentional injuries - MVA, fires, drowning, bicycle/pedestrian accidents,
1. promote and assist the child in maintaining optimal levels of health while
recognizing the influence of the family on the child's wellbeing: goal of pediatric
nursing
2. mutually beneficial partnership between child, family, and health care team
(and usually community)
recognizes and values the role of the family in the health of the child (stability)
family is child's primary support
family's knowledge of child's health/illness is vital
family is the expert on the child's health condition, usual behaviors, routine,
and needs
Nurses support families as the primary caregiver and decision maker, ac-
knowledge family expertise, consider family needs, and recognize individu-
ality of family: Family-Centered Care
3. improves outcomes and customer satisfaction: benefits of family-centered
care
4. care that minimizes physical care and psychological distress (do no harm)
follows 3 principals: minimize physical stressors, prevent parent-child sepa-
ration, promote sense of control (give choices on control)
examples: utilizing treatment rooms, child life, therapeutic dolls, rooming
patients with parents
always less invasive to most invasive, prevent separation from parents: atrau-
matic care
5. nurse assists child/family to make informed choices and act in child's best
interest
safeguards/advances the interests of children/families by knowing their
needs/resources, informing them of their rights/options, assisting them to
make informed decisions
ensure families are aware of available health services, informed of treat-
ments/procedures, involved in child's care: Child Advocacy
6. parents/guardians generally make choices about their child's health
in some situations, child can consent to procedures without parent's knowl-
edge
refusal of medical care vs neglect - physicians/judicial system advocate for
child
advances in science & technology - increased number of ethical dilemmas
informed consent - comes from parent but involves older child/adolescent
in an emergency, medical care is provided and attempts are made to reach
parents
, NURS 306 - Exam 1
confidentiality - HIPPA, exceptions include a threat to themselves or others: -
Legal, moral & ethical issues
7. emergency room care or any life saving interventions
emancipated minor
minors may seek medical treatment for the following: mental health, pregnan-
cy and sexual care, HIV and STDs testing/treatment, drug or alcohol counsel-
ing/treatment and care for crime-related injury: exceptions for parental consent
8. foundation for providing high-quality nursing care
establish meaningful relationships with children & families yet separate
enough to distinguish own feelings
boundaries are positive, professional, & promote family's control of child's
health (boundaries are often blurred in pediatrics)
blurred boundaries serve nurse's personal needs rather than meeting family's
needs
parents perceive caring as a sign of quality nursing care: therapeutic relation-
ship
9. involves use of open-ended questions, reflection, paraphrasing, acknowl-
edgement of emotions
nonverbal skills: active listening, open posture, eye contact, nod head, note
child/parents' nonverbals
provide information and support on the child's developmental level and use
age-appropriate methods
be honest with parents, parents want to be valued and should be equal
partners in the health care team: therapeutic communication
10. caring for pediatric patients requires professionals from multiple disci-
plines
nurses need to collaborate with other professionals
recognize your limitations and refer to specialized services
nurses often acts as the care coordinator: multidisciplinary approach
11. number of individuals who have died over a period of time: mortality
12. number of infant deaths in first 28 days of life: neonatal mortality
13. number of deaths occurring in first year of life: infant mortality
14. significant decreases in 20th century
disparities still exist
higher rate in ages 1-4 than 5-14: childhood mortality
15. congenital: leading cause of death from birth-1 year
16. unintentional injury: leading cause of death 1-24 years
17. appropriate development
nutrition
, NURS 306 - Exam 1
mental health
oral health (fluoride in water, fluorinated toothpaste after 2 years old to prevent
toxicity)
sexual development (body changes discussed starting at 8-9)
safety & injury prevention
disease prevention (flu: October-April, summer is broken bone season, fall is
GI bugs): health promotion
18. deprivation of essential nutrients can seriously interfere with brain devel-
opment and other functions
requirements change over a child's life and have great influence on child's
physical growth and intellectual development
provides essentials required to maintain health and prevent illness
deficiencies or excess - zinc deficiency can cause cognitive delays
food jag - will only eat one food for a period of time and then moves on,
developmentally appropriate
educate - prevent overweight and ensure all nutrients are eaten
healthy education is behavior, begins as toddler: nutrition
19. inadequate food intake, unsound food practices, easy accessibility of
nutritionally inadequate foods, lack of education: factors contributing to poor
nutrition
20. lower cognitive ability, poor emotional/mental health, increases suscepti-
bility to childhood illnesses, increased risk for mortality and stunted physical
growth: inadequate nutrition is associated with...
21. no, unless constipated
should chose water or milk first
-juice has no nutritional value: is juice recommended?
22. underweight = <5th percentile
healthy = >5 to <85th percentile
overweight = >85 to <95 percentile
Obese = BMI >95 percentile: Weight by percentile
23. electronic media, lack of physical activity, abundance of unhealthy food
choices, genetic influences, poverty (healthy food is expensive), where you
live( inner-city has limited options): obesity causes
24. goal = bell curve: growth charts curve
25. most common cause of death & disability in US children
over past decade, increasing mortality from suicide, poisoning, and falls
suicide is leading cause of injury mortality
unintentional injuries - MVA, fires, drowning, bicycle/pedestrian accidents,
