Ch. 29, 30, 31, 32 PEDS review
Newly admitted 2 year old potty trained before admission, nurse does
2-3 days before admission
College counselor encourage safe sex STD common in people younger than
25
Parents prepare child for hospital visit
3 days
Drug awareness to what age group has the largest drug use?
12-13 years old
A 9-month-old child is at the clinic for a wellness check-up. Which assessment finding is of most concern to the pediatric nurse?
The child maintains sitting balance for approximately 1 minute before she falls forward.
Second leading cause in accidental death in 1-4 year olds?
Burns
A young child is brought to the clinic to have tests run regarding an endocrine disorder. The nurse knows that the most common endocrine disorder in children is:
Diabetes mellitus type 1
The nurse addresses the local PTA about accident prevention for adolescents. During the session, the nurse highlights:
Education and review of basic first aid; setting consequences for substance abuse, especially drinking; and discussing the dangers of swimming alone
Nurse teaches that the severity of child with respiratory distress syndrome is most influenced by
Gestational age at birth
Lillian Wald return 20th century founded
Henry Street Settlement
Child with resp. difficulty is placed in mist tent, purpose is?
Liquefy secretions
To prevent accidental poisoning place medicine where?
Locked cupboard
Best approach for maintain remission of leukemia
Long term chemo
IM to a 2 yo, preferred injection site?
Mid thigh
Select the most appropriate nursing diagnosis for a child with a learning disability.
Social isolation related to excess time required for completing school work and limits on play activities
As an integral part of the assessment team for children with learning disabilities, the nurse is aware that the child with a learning disability may present with (select all that apply):
Speech problems Behavior problems Slowed academic progress
Initiating care plan for special needs child
Stress of the hospitalization makes child regress
Caring child cortication nurse assesses
Upper extremity hypertension
Lack of activity and fast food are Causative factors contributing to
Weight gain
Assessing jaundice in black child-
compare color on soles of their feet
Nurse stress regular physical activity, positive effect on children
increase bone and muscle strength
8 year old blood pressure taken
it will hug the arm
Nurse use diagram congenital defects
overriding aorta
By 2 child should be protected against how many diseases?
10
Pediatric nurse recognize significant impact of facial wound
14 year old
Max amount suction a child
5 seconds
Healthy goal 2010 reduce 11% of obesity to?
5%
Average amount of time children spend in media focused activity?
6 ½ hours
The nurse is doing discharge teaching with a new mother regarding the recommended position to lay her infant down for sleep. This position is:
Supine
Child with hemophilia, nurse anticipates finding?
Abnormal PTT
Before perform gavage feeding nurse should?
Aspirate
Some infants and children require gavage feedings. The prudent nurse will check placement of the feeding tube prior to initiating the feeding by:
Aspirating for stomach contents and then injecting air into the feeding tube while listening for gurgling sounds per policy and procedure
Single most preventable cause of death and disease is?
Cigarette smoking
An LPN/LVN works with adolescents diagnosed with depression. When an adolescent is started on an antidepressant, it is critical that the LPN/LVN inform the parents to:
Continue to monitor for suicidal tendencies during the first few weeks of antidepressant therapy.
Lung disease in children caused by?
Environmental smoke
Using anticipatory guidance to give injection to child say to child
Ethan I give you medicine that will sting but only for short while
Select an appropriate nursing diagnosis for the adolescent who is experimenting with tobacco.
Ineffective health maintenance related to smoking tobacco
Sickle cell anemia, child experiences pain and is caused by?
Obstructive blood flow
Weight limit on rear facing safety seat
Up to 20lbs
Because pain is often underestimated in children, the nurse assesses a child's pain by:
Using accepted pain assessment tools, such as the Wong-Baker FACES scale
Attempting to provide info on child, parents don't seem to remember being told why
anxiety
Leading cause to fatal injury younger than 1 is?
asphyxiation
Toddler receives oxygen disadvantages
changing the bedding (check temp)
Pediatric nurse warns students meds children-
giving through a straw
Mother of child with DM, see child's lab results nurse says
please come to a conference room
Communicating with 5 year old
speak in no more than 6 word sentences
Major dental problem is bottle mouth caries offer at bedtime
water
A mother brings her 2-year-old to the medical clinic with burns to his arms. Based on the risk factors, which statements are correct? Select all that apply.
A) The burns occurred at his home. B) The burns are from scalding. C) Toddlers are more vulnerable to accidental burns.
Nurse recognizes child eat adequate amounts of food
Administer large amounts of nutritious fluids
Scoliosis, a lateral curvature of the spine that causes changes in the spine, chest, and hips, is most commonly seen in:
Adolescents
Reduce number of accidents by providing?
Anticipatory guidance
Assessing jaundice in African American child with sickle cell nurse should?
Assess their gums
The parents of a 1-year-old child are concerned because he places "everything" in his mouth. The nurse informs the parents that aspiration of foreign bodies can lead to asphyxiation. Which of the following statements are true? Select all that apply.
Common foods that can be dangerous are round, like grapes, hard candy, nuts, popcorn, and hot dogs. Objects that can be aspirated are coins, beads, buttons, balloons, small toys, or toy parts. Monitor nipples on bottles and pacifiers. Replace if the nipples become worn or detached.
A young mother is at the clinic with her 5-year-old daughter. She has just been diagnosed with iron deficiency anemia. The physician has ordered iron supplements. As the nurse, what instructions would you give the mother?
"Give the iron supplement with citrus fruit juice on an empty stomach."
6 month old with Iron deficient anemia, why not diagnosed earlier?
Happens when maternal source of iron are depleted after 6 months
Care for a child with sickle cell?
Hydration & pain management
Which of the following nursing diagnoses is the highest priority for an infant born with a cleft lip?
Imbalanced nutrition: less than body requirements
A nurse is caring for a 4-year-old child with abdominal pain related to an intestinal obstruction. The nurse knows that the most common cause of intestinal obstruction in a child this age is
Intussusception
A 4-year-old child has a respiratory infection. The physician has ordered Rocephin I.M. for treatment. The LPN/LVN prepares the child for the injection by stating:
Other kids tell me different things about how this feels. Some say it feels like a cat scratch. Will you tell me how it felt to you after we are done?"
A newborn male infant is being assessed by the pediatrician in the nursery. The infant is showing signs of heart failure and an audible machine-like murmur is heard at the upper left sternal border. Further assessment finds a widened pulse pressure and bounding pulses. This assessment data identifies which type of congenital heart disease?
Patent ductus arteriosus
An autistic 8-year-old child is a new admission to the pediatric floor. The nurse realizes that an autistic child has special needs and:
Provides a private room to decrease stimulation from noises and movement
Tetralogy of flow, 4 congenital defects?
Pulmonary stenosis, ventricular septal defect, right ventricular hypertrophy, overriding aorta
In which order do you do vitals on child
R, P, T (lease invasive)
An LPN/LVN hears his 1-year-old Vietnamese patient crying shortly after the parents enter the room. The LPN/LVN enters and observes an object in the mother's hand and bright red welts on the toddler's skin. What is the appropriate nursing intervention?
Recognize the practice of coining.
A young child with cerebral palsy has been assigned to the care of an LPN/LVN. When reviewing the plan of care, the LPN/LVN knows that the primary goal is to:
Reinforce the child's abilities and minimize any limitations caused by the disease.
To prevent accidental poisoning, the nurse educates a parent to:
Remind grandparents to keep their medications out of reach when children visit.
After feeding nurse should position baby where?
Right side
Which of the following is a true statement?
The most important role a nurse can play related to overweight and obese children is education
Obtain Respirations requires modified approach
abdominal
Measuring head circumference place the tape measure where?
above eyebrows and the peanea (top of ear)
Discussing growth and development nutrition is the most important influence on
bones and muscles
Nurse recognize congenital abnormalities grouped into category called
children with special needs
Nurse delays assess temp due to elevation of temp due to
crying vigorously
Therapeutic management or iron deficiency anemia includes administration of
ferrous sulfate
Nurse compresses nail bed child with arm cast for
peripheral circulation
Increased suicides City wide program created
suicide hotline
After feeding the nurse should be
the right side
Assess neonate, pediatric should alert doctor for
the tuft of hair on the sacrum
A child newly diagnosed with juvenile rheumatoid arthritis (JRA) has come to the clinic for a check-up. While there, the parents ask about activities at school. What is the nurse's most appropriate response?
"Talk with the school nurse to arrange for medications and rest periods."
A patient and her newborn son are getting ready to go home. The nurse is doing discharge teaching regarding the use of an infant car seat. Which of the following statements by the patient would be correct?
"The car seat should be secured in the back seat, rear facing until the infant reaches 20 lb."
An 18-month-old child is having difficulty maintaining his respiratory status. His physician orders oxygen therapy per nasal cannula. Which of the following statements is true regarding oxygen therapy for children? Select all that apply.
)Maintaining cannula placement may be difficult as the child is able to remove it from his nares. To assess adequate oxygenation, the nurse checks cannula placement and oxygen saturation using a pulse oximeter every 2 hours and PRN. Oxygen flow by nasal cannula allows constant oxygen delivery even while eating and talking, because the mouth remains unobstructed.
Nurse suggests infant receives supplemental fluoride at?
6 months
Children get how many minutes of physical activity per day?
60 minutes
A 12-year-old tearfully informs the school nurse that she doesn't "fit in." The most appropriate intervention is to:
Be aware that these feelings are common in adolescents and place the girl at risk for substance abuse, depression, and eating disorders.
Establish a trusting relationship with a child most important thing is?
Be honest
Best time to bath infant is
Before bedtime
The nurse must know how to correctly compute medication doses for children. Which of the following is correct regarding dosage calculation for children?
Calculate the proportional amount of BSA to body weight.
Safety reminder device responsibility of nurse is to?
Check it every 2 hours
You work as a nurse in an impoverished area. Your responsibilities include teaching proper oral care for infants. Instruction for prevention of caries includes:
Giving the last bottle before bedtime and wiping off the teeth and gums with a damp wash cloth before bed.
The community health nurse is developing a program on obesity in children and adolescents. The nurse lists the most common factor contributing to overweight children as:
Decreased physical activity
The hospital environment can be frightening and traumatic for children. As a pediatric nurse, you can help alleviate these stressors by:
During preadmission, offer the parents and child a tour of the pediatric unit and inviting the parents to room-in with the child during hospitalization
The school-age child diagnosed with attention deficit hyperactivity disorder (ADHD) has multifactorial nursing considerations. Which of the following are appropriate nursing interventions? Select all that apply.
Educating the parents on discipline, rewarding, accident prevention, and safety needs Explaining medications and possible side effects to the parents, the child, and educators Scheduling routine follow-up appointments for medication management and review
Therapeutic management include administration of what?
Ferasulfate
An LPN/LVN is assisting at a community health fair at the immunization booth. She needs to be prepared to answer parents' questions regarding immunizations. Which of the following statements is accurate?
Following the recommended immunization schedule will protect children against 10 childhood diseases by age 2.
Dr. Abraham Jacoby promoted-milk stations
Milk stations-factory worker institution, mothers come learn hygiene
Feeding tube in 8 month old?
Mummy
An off-duty LPN/LVN is buying groceries and observes a child sitting in the cart ahead. The child raises her shirt and picks at some scabs on her abdomen. The LPN/LVN recognizes that the wounds look like the result of cigarette burns. Her response as a health care professional is to:
Notify the appropriate agency that she has reason to believe a child has been abused.
A nurse is collecting information from a patient's mother while in the clinic. It is suspected that the patient has scarlet fever. Which of the following are signs or symptoms of scarlet fever?
Sandpaper-like red rash White strawberry tongue Pharyngitis
Stability in IV insertion site less than 9 months of age, site is where?
Scalp vein
A distraught mother brings her 7-year-old child into the clinic for testing. The child has missed school due to headaches and abdominal pain. She explains that the pain is worse in the morning but is gone by mid-afternoon. The nurse recognizes these symptoms could be associated with:
School avoidance
The nurse is an integral part of the assessment team for children with learning disabilities. Once the learning disability is established, the nurse's primary intervention for the child is
Seeking appropriate educational referrals
Pediatric nurse use developmental approach
Strengths of the child
Domestic violence, STD's, school failures & MVA's caused by?
Substance abuse
A child has been diagnosed with Down syndrome. In addition to decreased cognitive abilities, she is at risk for physical health problems including:
Upper airway infections, congenital heart defects, hypothyroidism, immune dysfunction, and an increased incidence of leukemia
The nurse uses many communication strategies when talking with children. These strategies include (select all that apply):
Using calm, unhurried voice in a positive way to give directions or information Avoiding phrases that may be misinterpreted or provide more information than the child can understand As a general guide, using sentences whose sum of words is equal to the child's age in years plus one
A 3-month-old at the clinic is to receive an intramuscular injection. The most appropriate site is the:
Vastus lateralis muscle
