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Family Nursing Study Guide, Study Guides, Projects, Research of Pediatrics

GateWay Community CollegePediatrics

Pediatrics Nursing study guide

Typology: Study Guides, Projects, Research

2019/2020

Uploaded on 02/20/2020

charlie-willems
charlie-willems 🇺🇸

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Exam One
1. Example of an abnormal development of a 3-4-year-old?
Parallel play
2. Documenting a post appendectomy dressing change?
Sutures are intact
No redness
No drainage on dressing
Child tolerated dressing change
3. At 12 to 15 months, a child who is receiving chemotherapy is contraindicated to have what
vaccine?
MMR
4. What immunization is started to be given at 12 to 15 months old?
MMR
5. A 15-year-old who is receiving chemotherapy is missing time from school, at this developmental
stage, what will the 15-year-old be most concerned about?
Change in body image
6. An adolescent has had type 1 diabetes for 5 years and just now stops adhering to disease
control behaviors, why?
Struggle for identity
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Exam One

  1. Example of an abnormal development of a 3-4-year-old? Parallel play
  2. Documenting a post appendectomy dressing change? Sutures are intact No redness No drainage on dressing Child tolerated dressing change
  3. At 12 to 15 months, a child who is receiving chemotherapy is contraindicated to have what vaccine? MMR
  4. What immunization is started to be given at 12 to 15 months old? MMR
  5. A 15-year-old who is receiving chemotherapy is missing time from school, at this developmental stage, what will the 15-year-old be most concerned about? Change in body image
  6. An adolescent has had type 1 diabetes for 5 years and just now stops adhering to disease control behaviors, why? Struggle for identity
  1. You are orienting a 7 year old to the hospital for heart surgery, the patient will have and endo tube and wont be able to talk, but you assure the child that they will be have to talk again after the surgery is over. What is the nurse doing by explaining this procedure? Providing an appropriate part of care
  2. Performing a sexuality assessment on a 15-year-old, they say “I’ve only practiced safe sex”, what should the nurse do? Have them define what safe sex means to them
  3. Parents want to know what behaviors from a child whose parents are going through a divorce are to be expected? Fear of abandonment Verbalizing they are the reason for the divorce Engaging in fantasy to understand the divorce
  4. A mother from a different culture than the nurse sees that the patient’s baby is crying, and the patient ignores the cries, this bothers the nurse, what should the nurse do? Ask the mother about her beliefs about infants crying
  5. What are the best ways to communicate with a 10-year-old patient? Allow them to make decisions for themselves (like making meal choices)
  6. What pain scales are appropriate to use with a 4-year-old patient? FLACC Faces
  7. What is the gross motor milestones for an 18 month old? Jumps in place Throws ball overhand Push and pulls toys
  8. What are normal reflex actions for an 8-month-old patient? Babinski reflex should still be present
  9. What are appropriate techniques to aid in infant care?

Scoliosis

  1. What hormone is responsible for the growth of body hair in adolescents? Androgen
  2. An ER manager gets a call that a patient is arriving soon, and a Chaplin and social worker needs to be arranged for the patient’s arrival, what can the manager suspect happened? Sports injury Car accident
  3. A 15-year-old with a history of seasonal allergies is now presenting with chronic sinusitis, the mother of the adolescent claims the adolescent is a hypochondriac. How should the nurse respond to the mother? Talk with the mother about adolescent development
  4. You are prepping an 8-year-old for surgery, how should you explain the procedure? Focus on simple anatomical diagrams
  5. You are about to start an Ivy on a 3-year-old when he asks if it will hurt, how should the nurse respond? Yes, but not for long
  6. You have a patient who is 12 years old that is bedridden in the hospital, what should the nurse encourage for the 12-year-old? Encourage them to continue schoolwork
  7. What are normal behaviors for an 8-month-old baby Peekaboo Stranger anxiety Stand with furniture
  8. a newborn weighs 7.5 pounds at birth and at one-year weighs 15 pounds, is this weight gain within normal range? This is inadequate weight gain; weight should triple within the first year
  1. What physical milestones should be present at the age of 36 months? Primary dentition is complete Sphincter control
  2. What instructions should you give parents of a 4-year-old about discipline? Be consistent
  3. you have a Vietnamese patient who is avoiding an eye contact, why is this? It is a sign of respect in the Vietnamese culture
  4. a 15-year-old in the ED is vomiting with lower abdominal pain, nausea, and has a possible d/x of testicular torsion what visual assessment supports this diagnosis? Testes are horizontal
  5. A nurse is teaching high school students about STIs, specifically gonorrhea, the students say they all practice safe sex, how should the nurse respond? Explain that gonorrhea is spread by multiple ways
  6. a nurse is giving information about the HPV vaccination to a 16-year-old, what information should the nurse provide? One dose can be given today, the second dose in wonder 2 months, in the final dose in 6 months
  7. A school nurse is identifying bullying, how will the nurse be able to identify both victim and the bully? Poor academic achievement Poor health status Poor education of caregivers
  8. a nurse is preparing to do a lumbar puncture on a school age child, what does the nurse do to prepare for the lumbar puncture? Apply EMLA cream for 60 minutes before procedure
  1. parents of a 4-year-old who is ventilator dependent Ann receives tube feeding wants to orally feed the child, what should the nurse do? Explore options with the family
  2. Managers and Colleagues are concerned about a non-therapeutic nurse-family relationship, why is this? Staff is concerned about interactions with patient and family
  3. 5-year-old Spanish speaking only child has entered kindergarten in an English school the child always cries at school explain why this is happening? Culture shock
  4. What is the most important thing to document when giving an immunization? Any occurrence of adverse reactions
  5. Interpreter guidelines needed when using an interpreter are? Arrange for the same interpreter Illicit one answer in question at a time Introduce the interpreter
  6. A mother reports an active, irritable child with irregular habits, how can this child be described? Child is difficult
  7. A 4-year-old thinks he's in the hospital because he has been bad, how do you explain this? Normal developmental thought at this age
  8. What toys promote imaginary play for 3-year-old? Hand puppets Farm animals Plastic Phone
  9. Before giving a medication to an infant what should be done? Take wait for proper dosage
  10. What indicates a 4-year-old is ready for kindergarten?

A 4-year-old can count to 10, ask questions, and recall stories

  1. According to Duvall’s theory, parents of preschool Twins prepare them for a healthy transition by? Parents state they maintain scheduled play dates
  2. According to Leininger’s theory what theory impacts nursing care? When the nurse incorporates patients’ culture into nursing care
  3. What factors indicate that a mother should seek genetic counseling? Abnormal newborn screening Metabolic disorder history Family history of genetic diseases