Test 4
1. Describe health promotion for preschoolers. What would be the expected gross motor skills for preschoolers?
-agile while standing -running/ walking/ jumping -can go up and down stairs -walks forward and backward easily
1. Describe ways to assist a child adapting to an extended hospital admission.
-allow visitors and comfort items -familiarize to facility -promote sharing with other children -minimize anxiety -explain all treatments/ procedures/ events -help the child cope
What is the major cause of injuries for adolescents? Identify the risk factors for suicide in adolescents.
-car accidents -RISK FACTORS-depression, mental health, family history, poor school performance, substance abuse, LGBTQ+, being a loner, incarceration
1. What factors should the nurse incorporate when caring for a dying child?
-managing pain and discomfort -providing nutrition -providing emotional support -assisting through the grief process
1. When caring for a school-aged surgical patient, what would be the nurse's priority?
-recognize potential delays -promote continued growth and development -interact successfully with school aged child
1. What advice would the nurse give to parents dealing with toddler tantrums?
-suggest diligence in maintaining structure and routine -avoid triggers such as fatigue and hunger
1. Describe therapeutic play. How does this help with procedures?
-type of play that provides an emotional outlet or improves the child's ability to cope with stress of illness or hospitalization -it eases nerves and helps things go smoother
1. What gross motor skills would the nurse expect a school-aged child to be able to perform? What health screening are appropriate at this age?
-use a 2-wheeled bike -jump rope -dance -play sports Screening-vision and hearing
1. Describe alternative positioning and when it would be beneficial.
-using techniques like therapeutic hugging or sitting on a parent's lap to distract the child. -when getting an IV started
1. Review the pediatric medication administration powerpoint.
...
1. Review administration of gastrostomy tube feedings. How much residual would be required to hold a feed for a school-aged child?
aspirates 15-20 ml of stomach contents before administering a tube feed, replace and feed
1. What are some ways to encourage a school-aged child to cough and deep breath?
use plain language instead of medical jargon
1. How can we prevent medication errors in children?
use the 5 rights -right time, dose, route, medication, patient
1. Which muscle would the nurse give a newborn a hepatitis B vaccine? Which size needle would be used?
vastus laterallis, 5/8-1in needle, 22-25 guage
1. When assessing an infant, what is the best way to listen for respirations?
when the baby is asleep/ quiet, before undressing the baby, therapeutic hugging
1. Before placing an IV in a child, would the nurse check for lab orders before sticking the child? Why?
yes for purpose, length, and types of medications to help determine the site and equipment.
1. What is acrocyanosis?
cyanotic extremities and normal trunk
1. Recognize therapeutic communication for children and families dealing with acute and chronic medical conditions-How would you describe an x-ray to a preschooler?
picture or big camera to take pictures of the body
1. What observations would the nurse observe to confirm attachment between a postpartum mother and her infant?
skin to skin, breastfeeding, eye contact, social vocalizations, maternal milk odors, newborn massage
1. What are Erikson's Stages?
the theory of stages on cognitive development
1. What is the priority learning activity for a 6-month-old infant?
trust
1. When does discharge planning begin?
upon admission
1. Remember which screening charts for visual acuity are used for each age group.
-Tumbling E (if they can identify arm of the E direction) -Allen figures (preschool) -Snellen (6 or older)
1. What would be appropriate nutrition for a toddler?
3 meals, 2 snacks, 1/4 of an adult portion
1. What is priority for the nurse admitting a medically fragile patient?
gaining trust
1. Describe the primitive reflex palmar grasp.
infant reflexively grasps when palm is touched. from birth to 4-6 months
1. If an adolescent does not want a parent present for a physical exam, what would the appropriate response be?
make them comfortable, abide by their wishes, talk to the parent before/after if more information is needed
List foods that could promote calcium intact for adolescents.
milk, yogurt, cheese
1. Why would the nurse use an orogastric tube in a neonate instead of a nasogastric tube?
because infants are nose breathers. it also promotes sucking
1. Remember normal finding for a 12-month-old at a well-child visit.
normal HR and RR, walking, understanding a few words, feeds self with cup and spoon, makes mark on paper, pokes with index finger
