Marybelle

what are signs of vision issues in peds - Answers-bumping into walls while walking,falling, sitting really close to TV whats the name of hearing test; 2 types - Answers-whisper test and weber and rhine test how do we assess an pediatric's ear... - Answers-Pull the pinna back and up for children over 3 years of age.Pull the pinna down and back for children under 3 years of age. what to inspect in an pediatrics chest and respiratory - Answers-Size and shape of chest • Chest MovePalp...

Four weeks before the birth of a client's already large child, the primary care provider has told the client that if the baby gets bigger and the baby's lungs are ready, the care provider would like to perform a cesarean birth. The woman asks the nurse what the downside is to having a cesarean rather than a vaginal birth. What is an appropriate response by the nurse? - Answers-"As the baby passes through the birth canal some of the excess fluid is expelled from the lungs, if that doesn...

Talk with the parents to assess their knowledge and how they can help with the child's care. - Answers-An 18-month-old child is admitted for a repeat cardiac catheterization. The parents are continuously present and do everything for the child—dress him, feed him, and even play for him. The nurse wants to prepare the child and the parents for the procedure. Which of the following should be included in the care plan? feed himself and drink from a cup - Answers-In planning care for an 18-m...

A 16 year has a pencil impales in her eye. She is crying hysterically and tries to remove the pencil. What should you do? - Answers-Stabilize pencil and cover both eyes A 1 year old with a fever, narrow complex tachycardia, weak cry, mom says dry diaper for 18 hours. What should you do? - Answers-Start a IV line and give 10ml/kg of fluids A 7 year old stung by bee has hives on most of her body and difficulty breathing and retractions. What should you administer? - Answers-Epinephrine A ...

"A 1-week-old child's mother complains that the child has a transient rash that has splotchy areas of erythema with a central clear pustule. Your microscopic examination of the liquid in the pustule reveals eosinophils. Many rashes and skin lesions can be found first in the newborn period. For the descriptions listed above, select the most likely diagnosis. A. sebaceous nevus B. Pustular melanosis C. Erythema toxicum D. seborrheic dermatitis E. Milia" - C "A nurse calls you...

When auscultating breath sounds of an infant with respiratory syncytial virus, which assessment would the nurse immediately report? Heart rate decrease from 110 to 100 beats/min Oxygen saturation of 90% "Quiet chest" from previous assessment of wheezing." Respiration rate decrease from 40 to 32 breaths/ min - Answers-"Quiet chest" from previous assessment of wheezing." The nurse is preparing to assess the respiratory rate of a crying 15-month-old boy. To get the most acc...

Technique of N/P or O/P suction - Answers-Swaddle child- wrap to contain arms Lay on side - in case they vomit Use soft end catheter (Pedicath) Only go to pharynx (back of throat) to stimulate a cough Distance is the tip of nose to tip of ear Suction what they cough up Know signs of respiratory distress - Answers-Tachypnoea > 60 breaths per minute (newborn - normal up to 50, >6 normal up to 30: RR decreases with age)

3. A nurse is providing home safety information to the parents of an 11-month-old infant. Which of the following should be included? (Select all that apply). A.Avoid grapes and popcorn. B.Rattles and small stuffed animals with buttons are safe. C.Store corrosive chemicals in glass food containers. D.Place house plants on floor rather than hanging from ceiling. E.Position the crib away from windows. - Answers-A. Avoid grapes and popcorn. E. Position the crib away from windows. 4. A n...

Patient Advocate - Answers-- safety of child - representative/consult for the child, family, and other health care providers at team/case management meetings Nurse Educator - Answers-- provides health teaching to the child/parents and or significant other concerning the prevention of illness, promotion or health maintenance. Educates/promotes Primary Prevention: immunization education/administration Educates/promotes Secondary Prevention: lice screenings Educates/promotes Tertiar...

Small Gestational Age or Microsomia - Answers-Infants weighing less than 2,500g What is the cause of Small Gestational Age or Microsomia? - Answers-Smoking What is the process of maturation? - Answers-Development What are the changes in development? - Answers-Skills What is the other name for development? - Answers-Qualitative changes What are the tools used for development? - Answers-DDST & MMDST What is the tool used for development in foreigners? - Answers-DDST or Denver Dev...

Conservation: - Answers-Developmental sequence in children's capacity to understand conservation. Physical factors of volume, weight, and numbers. Understanding that changing the form does not change the amount/volume/mass. Object Permanence: - Answers-Realization that objects that leave the visual field still exist. Temperament: - Answers-Manner of thinking, behaving, or reacting. Characteristic of an individual-way in which a person deals with life. Cognition: - Answers-Process by ...

The nurse should expect hypoactive bowel sounds following appendiceal rupture or if the child has developed peritonitis. Additionally, hypoactive bowel sounds are an expected finding immediately following abdominal surgery, until full peristalsis resumes. The nurse is assessing a school-age child who has an acute spinal cord injury following a sports injury 1 week ago. Identify the area the nurse should tap to elicit the biceps reflex. - Answers-A is correct. The nurse should identify that th...

Which of the signs of physical development is the stablest: a) weight; b) height; c) chest circumference; d) subcutaneus fat layer - Answers-b) height; The correct statement about the characteristic features of early childhood is a) physical development velocity decreases, comparing with the infant; b) replacement of decidous teeth starts; c) physical development velocity increases, comparing with the infant; d) the child does not recognize colours. - Answers-a) physical development v...

As nurses advocating for our patients, we enable children and their families to adjust to changes in the child's health in what ways? - Answers--in their own way and time -meeting the needs of children and adults -raising awareness about resources -meeting psychosocial needs In terms of Case Management, what three things does the nurse consider? - Answers--importance of coordinated inter professional team -family desires -continuity of care

What are the 6 variables that influence the resolution of a crisis in families? - Answers-1. available support system 2. perception of the event 3. coping mechanisms 4. reactions to the child 5. available resources 6. concurrent stress within family Does the age of onset influence the impact of a chronic illness? - Answers-yes Identify two maladaptive coping patterns found in children with special needs that are associated with poorer adaptation - Answers-1. "feels different and wi...

The parents of a 12-month old with HIV are concerned about him receiving routine immunizations. What will the nurse tell them about immunizations? - Answers-"You are concerned about your child receiving immunizations. Let me explain why your child will NOT receive routine immunizations today" The nurse acknowledges a client's fears and then discusses the concerns to clarify any misconceptions. Immunizations and influenza vaccine are recommended to prevent infection. Immunocompromised...

Identify examples of collaborative efforts to assist toddlers with control and mobility - Answers-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 - Answers-1. brief explanations, 5-10 mins, emphasize what the child will see, hear, taste, or feel 2. see age appropriate videos with parent...

At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female adolescent client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m. blood pressure reading was 170/88. The client reports to the UAP that she is upset because her boyfriend did not visit last night. What action should the nurse take first? a. Give the client her 9 a.m. prescription for an oral diuretic early. b. Administer PRN prescription of nifedipine (Procardia) sublinguall...

Philosophy of Nursing - Answers-Seeks to understand the truth, provide a description of nursing, propose an understanding or explanation, examine prediction, critically relate theories models and scientific systems and to fully explore free will. What is a Domain? - Answers-The view or perspective of the discipline. Contains the subject, central concepts, values and beliefs, phenomena of interests, and the central problems of the discipline. How does Domain relate to nursing theory? - Ans...

ealthcare services to workers - Autonomous - Independent Nursing Judgement - Focuses on: Promotion Protection Supervision Of workers health within the context of safe and healthy work environment