#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