Peds #3
What is the special category that encompasses children who have congenital abnormalities, malignancies, gastrointestinal (GI) diseases, or central nervous system (CNS) anomalies
children with special needs
What might cause a false elevation in a tympanic temperature?
crying vigorously
The nurse welcomes the presence of the family in a pediatric unit because it reduces the stressors of hospitalization. Which are common stressors for the hospitalized child? (Select all that apply.)
fear of pain, loss of control, separation
When discussing growth and development with the parents of a child, the nurse explains that nutrition is the single most important influence on:
growth of bones and muscle
Why does obtaining the respiratory rate of an infant require a modified approach from that of an adult?
infants respiratory movement is abnormal
What were some of the major strides in pediatric care made by Dr. Jacobi?
milk stations in the city of New York
What is the single most important influence on the growth and development of muscles and bones in the pediatric population?
nutrition
How should an infant be positioned after a feeding?
on the right side to direct food into the stomach
The parents ask about preparation of their toddler for hospital admission. When does the nurse suggest that the parents tell their toddler of the admission?
only 2 or 3 days before
What is the responsibility of the nurse when a (SRD) safety reminder device has been applied?
remove every 2hrs
What is the correct order for assessment of vital signs in an infant to ensure accuracy of measurements?
respiration, pulse, temp
What was founded by Lillian Wald?
Henry Street Settlement
What broad term is used to describe neglect and abuse of children?
child maltreatment
When measuring the head circumference of an infant, where should the nurse place the take measure?
1. Above the eyebrows and pinnas, and around the occipital lobe.
What is one way to enhance nutrition of a toddler during a hospitalization?
1. Offer nutritious fluids frequently
What is a disadvantage of using a mist tent with a toddler?
1. The wet bedding and clothing must be changed frequently
What should the nurse do to minimize an unpleasant-tasting medication?
Give the medication through a straw
What is the maximum amount of time that a nurse should suction an artificial airway?
No more than 5 seconds
Family centered approach terminates which policies
Set visiting hours, exclusion of family during procedures, discouraging family to stay overnight, restricting parents from reading the chart.
What should be the focus of a practice where the pediatric nurse uses a developmental approach?
Strengths and abilities
How would you explain to a school aged child what taking his blood pressure would feel like?
The cuff will give your arm "a hug" and will show the nurse how the blood goes through the child's arm
Why must the pediatric nurse be cautious about medicating infants and young children?
They are more susceptible to medication effects than adults
What is the purpose of a mist tent?
To liquefy respiratory secretions
Anxiety in parents is a key part in them forgetting teaching. This is normal
Yes, increased level of parent's anxiety can cause parents to forget teaching from nurse
When inserting a feeding tube of an infant, what safety reminder device (SRD) should the nurse most likely use?
a mummy restraint will control the arms and the body of the infant
What should be included in the teaching plan for the parents of a 3-year-old child who has been prescribed an opioid analgesic?
a. The opioid is very effective as a pain control method
A disfiguring injury has the largest developmental impact on which age group?
adolescents
Following a lumbar puncture of a toddler, what should the nurse allow the patient to do?
allow the child to play quietly if they want to
What is the correct way to assess for the presence of jaundice in an African American child?
apply pressure to the gums
What should be done before initiating a gavage feeding?
aspirate stomach contents
When the pediatric nurse is attempting to establish a trusting relationship, what is the most important and lasting thing to do?
be honest
When is the best time to bathe an infant?
before a feeding to prevent vomiting
he nurse clarifies that the family-centered care approach terminates which policies? (Select all that apply.)
rigid visiting hours, exclusion of family during procedures, discouraging family to stay overnight, restricting parents from reading the chart
Where is the typical IV insertion site in an infant younger than 9 months
scalp vein
What stressors do children experience with hospitalization?
separation, fear of pain, and loss of control
.When the newly admitted 2-year-old who was potty-trained before admission begins to wet the bed, the mother is frightened. What statement by the nurse will be most helpful to the mother?
the stress of hospitalization makes children regress a little
They are more susceptible to medication effects than adults
vastus lateralis
