#1 + #2 - Foundations and Pediatric Assessment

Pediatric Assent

•Affirms child's participation in the decision-making process about health care (child does not make final decision) •Helps the child to understand his or her health condition as developmentally appropriate for the child •Informs the child of the treatment planned and discuss what he or she should expect •Make sure he or she is not being unduly influenced to make a decision one way or another •Ascertains the child's willingness to participate in the treatment or research

family centered, atraumatic, evidence based

3 goals of pediatric nursing

nasal flaring, head bobbing, retractions

signs of respiratory distress in children

Onset Provocation/Palliation Quality Region/radiation Severity Timing

OPQRST assessment for chief complaint

9-18 months

The anterior fontanelle fuses together between the ages of:

6-8 weeks

When does the posterior fontanel close?

not definite, more for adolescents

age for pediatric assent

12 months

babinski reflex disappears at

continuous, comprehensive, coordinated, family centered, compassionate, culturally competent

characteristics of pediatric care

full minute

check children's heart rate for a ____ due to rate/rhythm abnormalities

5-14 years

common causes of death for children aged ______ -accidents -cancer -suicide

1-4 years

common causes of death for children aged ______ -accidents -developmental, genetic conditions -homicide

0-1 years

common causes of death for children aged ______ -developmental, genetic conditions -premature birth -SIDS

focus of pediatric care

disease prevention, health promotion, and wellness

auscultate

for abdomen exam, ____ before palpation

judge

if a child is a ward of the state, informed consent is obtained from a _____

family centered care

is a philosophy of care that recognizes the family as the constant in the child's life and holds that systems and personnel must support, respect, encourage, and enhance the strengths and competence of the family

positional murmur

murmur only heard in certain positions

least invasive to most invasive

order of pediatric assessment

Observation, palpation, percussion, auscultation, and auscultation

order of physical exam

100mL per kg for 1st 10 kg, 50mL per kg for next 10, 20mL per kg for rest of body weight

pediatric fluid intake requirement calculation

tanner staging

scale for pubertal development

6 months

strabismus (cross eyed) is a normal finding until ___

roles of the pediatric nurse

•Providing direct nursing care to children and their families •Promote optimum growth and development of the child through health education •Being an advocate, educator, and manager •Serving as a collaborator, care coordinator, and consultant

components of health history

◦Demographics ◦Chief complaint and history of present illness ◦Past health history ◦Review of systems ◦Family health history ◦Developmental history ◦Functional history (daily living) ◦Family composition, resources, and home environment