Who should you address first, the child or parent? Show
Why is it good to have children sit on their parents lap for doctor visits?
What do we have to worry about with a pediatric patient?
what are changes that are occurring to maternal and child health care?
What are current trends in healthcare?
What is healthy people 2020 purpose?
What individuals in particular find it hard to seek healthcare? when you are a non-citizen and no green card there is a lot of hesitance to seek health care What is the trend with infant mortality rate?
What is the cycle of poverty
NEED TO BREAK CYCLE In what ways are kids different than adults that we need to keep in mind with physical assessments?
What fontanel closes first? What fontanel closes second? What do we need to make sure with fontanels need to make sure they close at correct times otherwise it will restrict growth What happens when fontanels close early? won't allow enough room for brain to grow With preterm birth when do we set dates on fontanels closing? based on anticipated birth What are the approaches to pediatric physical assessment?
What are the different techniques for physical examination? and what do each mean?
When does inspection for physical assessment begin?
What should you do for a patient when you walk into the room regardless of age? What is the tentative sequence of physical examination?
When should vital signs be done? at every visit and if needed more it depends on the acuity of in-patients What history needs to be taken with children? everything that has happened birth and beyond What do we document with children?
How do you measure the head circumference of an infant? tape measure at the broadest part (occiput) and then up and around (should be largest circumference of the head What should you assess with a skin assessment?
What should you do with any extremity when assessing it? compare symmetrical body parts to eachother Why is pediatric skin supposed to be extremely healthy? have not gone through anything that affects circulatory system, perfusion, ext. Where are lymph nodes found? all over the body (superficial ones listed below)
In what areas should a nurse assess for enlarged lymph nodes?
What should you look for with an assessment of the head?
How much control of the head does an infant have?
How does head control improve as child gets older?
Why are kids supposed to sleep on their backs with no blankets or pillows?
How does tummy time help children? learn how to pick their head up to strengthen muscles and get head control How does muscular development of an infant move?
What should you be assessing for infant fontanels?
What should you expect with a fontanel? what is the exception to this?
Exception is with crying because it increases BP and cranial pressure When does the anterior fontanel close? When does the posterior fontanel cranial sutures close? Where are the following sutures found?
What happens if fontanels close too early? the brain and skull are unable to grow What if fontanels close too late?
How do you assess a fontanel? rubbing head to assess fontanel What do you assess of the face?
how do you see if eyes are same on each side? difference of body structure What is normal ear alignment? 10 degrees angle from straight up and down deviation in alignment where they are > 10 degrees from straight up and down
What may be the cause of low-set ear alignment?
What do you assess with nose, mouth and throat?
Crease along the top of the bulb of the nose
Why should the mouth be the last thing examined on a child? because this may produce anxiety for children Identify the following sinuses What do you assess when you are looking at a childs teeth?
When should oral care begin? very early, start by massaging and swaying gums after eating Why should one not put baby to sleep with a bottle?
starts in center and moves its way out What age do you loose your front teeth and your permanent teeth come in? List of teeth and when they erupt and are lost in children When do each permanent teeth erupt? What should you asses with a childs eyes?
abnormal alignment of the eyes How do you test visual fields? cover one eye and move your finger to see when it is lost from field What should you assess with the ears?
how may you assess hearing acuity?
How may you assess hearing of an infant? clap hands or ring a bell to see if the infant reacts to sound How do you assess tympanic membrane? How is the eustachian tube positioned differently with children? in order to see you must pull down and back (adults you pull up and back) What do you do to assess thorax and lungs of a child?
What assessment should be done first if baby is sleeping generally auscultate first if child is sleeping What is the best way to keep a child still in order to do an assessment?
what do you do with auscultating if the infant is crying?
What needs to be done with a cardiac assessment?
What part of stethoscope do you listen for child cardiac assessment?
What are the 3 positions for a child for a cardiac assessment?
What are some atypical sounds you may hear with a cardiac assessment?
know what typical is so you can know when it is atypical (compare with own heart or ask someone else) How should you prepare patient and room for assessment of the abdomen?
What should you do if child is ticklish when you are performing an assessment on their abdomen?
Which nursing intervention promotes cooperation with the assessment of the abdomen in children?
3. maintain a warm environment Should you ever not explain a procedure to the child? no! might not give them a lot of notice, but always let them know in language they understand Should you perform painful procedure first to ensure completion? No because they will become fearful for what is coming up next How do you determine approach for male genitalia assessment? dependent on childs growth and development What should you do to assess male genitalia of infant, toddler, or young child?
What should you be cautious with during an assessment of male genitalia of an adolescent? they are modest and may fear pain or judgement What kind of an assessment is done for prepubescent girls for female genitalia?
What kind of an assessment is done for adolescent girls for female genitalia? speculum examination is not indicated What is our primary focus areas for a musculoskeletal system assessment?
What do we look for with a musculoskeletal system assessment?
What does one assess with a neurologic system assessment?
What do you asses for a cerebral function? What are different settings for care of the ill child?
What are the different locations for care of child in the hospital?
What are the additional layers of complexity for pediatrics in medical surgical?
What do we need to make sure to do for adequate care at home for children? make sure teaching everything What are common stressors and children's response to hospitalization/illness?
Why is the OR such a scary place?
What is an example of a regression symptom? What are the three stages of separation anxiety?
protest stage of separation anxiety child is agitated, resists caregivers, cries, and is inconsolable despair stage of separation anxiety child feels hopeless and becomes quiet, withdrawn, and apathetic detachment stage of separation anxiety child becomes interested in environment; may ignore parents return is detachment stage of separation anxiety good or bad? not good, typically children should be excited to see their parents again What are stressors associated with hospitalization for infants and toddlers?
What are stressors associated with hospitalization for the preschooler age?
What should you do to help the stressors associated with hospitalization of a preschooler?
How can we maintain a safe place at the hospital for children?
During the first 4 days of hospitalization, Erich, age 18 months, cried inconsolably when his parents left him, and he refused the staff's attention. Now the nurse observes that Erich appears to be "settled in" and unconcerned about seeing his parents. The nurse should interpret this as:
3. He may be experiencing detachment What does it really mean when child experiences detachment from separation anxiety?
What should you do if a child is experiencing detachment from separation anxiety? What is a school age-child typical reaction to illness and hospitalization?
What may help a school-age child overcome their fears in the hospital? having them talk about their fears What is a typical reaction to illness and hospitalization with the adolescent?
What are the factors that affect the child's response to hospitalization?
What are some good use of play for an ill child?
Should play for an ill child be structured or unstructured? What needs to occur during initial admitting a child to a hospital?
What is included in a physical examination for a child just admitted to the hospital?
Should parents be involved in the care of a child in the hospital? yes, as much as they want to be involved What may an ill childs family be feeling?
How should the nurse respond to an ill child's family?
What is the preferred location for a procedure for a child? What should the parents or loved one being doing during a procedure? should be providing comfort and support --> encourage this What should you do as a nurse when explaining a procedure to a child and parents? use developmentally appropriate terminology What are some things a nurse needs to keep in mind and do to prep for a procedure on a child?
Should you threaten punishment for a lack of cooperation in a child? Do you force an unwilling parent to stay in the room for a child? What intervention should the nurse take when preparing a child for a procedure?
What should a nurse do to help a child cope with
How can you describe the pain a child may feel to prep them?
Standard precautions for infection prevention apply to what?
this protects ourselves and the patient When do you need informed consent with a child? procedures that involve risk to the child, such as surgery Whose responsibility is an informed consent?
When do you need general consent? routine procedures such as medication administration
What documentation is necessary of the procedure?
What is of paramount importance for all children Who is at greatest risk for injury in children? What is used during a procedure to help calm and keep resistance from a child?
For children when should crib and bed rails be kept up? when using restraints what should you keep in mind?
where do you secure ties of restraints to? Why remove restraints every 1-2 hours? for range of motion movement, repositioning and to offer child food or opportunity to use the bathroom what do you need to make sure to document when using restraints?
What hygiene do you need to keep up with children in the hospital?
What should nutrition look like in the hospital for a child?
Can bottles be propped in hospital? Where can one measure child's temperature?
What is preferred location to measure childs pulse? What do you need to make sure you do when taking childs blood pressure?
Is blood pressure regularly done in infants? not done regularly below age of 3 What type of play is especially helpful for a child who is hospitalized to express their anger and fear?Child Life, Education and Creative Arts Therapy
Play allows children to express themselves in a way that is familiar to them. Medical play allows children to work out (or "play" out) their feelings or anxieties regarding medical experiences. Angry or aggressive feelings may surface during play.
During which phase of separation anxiety is a toddler most likely to cling to the parent quizlet?During the protest phase of separation anxiety the toddler is most likely to cling to the parent. Inactivity is characteristic of the despair stage. Depression and sadness are characteristic of the despair phase. Regression to earlier behavior is also a characteristic of the despair phase.
What is the primary nursing goal for a hospitalized toddler quizlet?Explaining routines and ensuring privacy are helpful goals, but the primary goal for a hospitalized toddler is to prevent separation. A child is sad, does not communicate, and has no interest in playing. In what stage of separation anxiety is the child?
How do I calm my child as a nurse?Tips for Pediatric Nurses to Make Their Child Patients Happy. Practice Calmness. Anxiety is scary and contagious. ... . Talk Through the Experience. ... . Play Music. ... . Get Some Printed Scrubs. ... . Employ Distractions. ... . Offer a Treat. ... . Be Educational. ... . Make Their Physical Comfort a Priority.. |
Which nursing intervention would help a school age child overcome the stage of detachment or denial?
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