| PEDIATRIC NURSING | | GROWTH AND DEVELOPMENT: | When does birth length double? | by 4 years | | | | When does the child sit unsupported? | 8 months | | | | When does a child achieve 50% of adult | 2 years | height? | | | | | When does a child throw a ball overhand? | 18 months | | | | When does a child speak 2-3 word sentences? | 2 years | | | | When does a child use scissors? | 4 years | | | | When does a child tie his/her shoes? | 5 years | | | | | | |
List 2 contraindications for live virus | Immunocompromised child or a child in a | immunization. | household with an immunocompromised | | individual. |
List 3 classic signs and symptoms of measles. Photophobia, confluent rash that begins on the face and spreads dowward, and Koplik’s spots | on the buccal mucosa. | | | List the signs and symptoms of iron | Anemia, pale conjunctiva, pale skin color, | deficiency. | atrophy of papillae on tongue, brittle/ridged/ | | spoon-shaped nails, and thyroid edema. |
Identify food sources for Vitamin A.
Liver, sweet potatoes, carrots, spinach, peaches, and apricots.
What disease occurs with vitamin C Scurvy.
What measurements reflect present | Weight, skinfold thickness, and arm | nutritional status? | circumference. |
List the signs and symptoms of dehydration | Poor skin turgor, absence of tears, dry mucous | in an infant. | membranes, weight loss, depressed fontanel and | | decreased urinary output. | | |
List the laboratory findings that can be Loss of bicarbonate/decreased serum pH, losso expected in a dehydrated child. f sodium (hyponatremia), loss of potassium
(hypokalemia), elevated Hct, and elevated BUN.
How should burns in children be assessed? Use the Lund-Browder chart, which takes into account the changing proportions of the child’s
How can the nurse BEST evaluate the Monitor urine output.
adequacy of fluid replacement in children?
How should a parent be instructed to “child | Lock all cabinets, safely store all toxic | proof” a house? | household items in locked cabinets, and | | examine the house from the child’s point of | | view. |
What interventions should the nurse do | Assess the child’s respiratory, cardiac, and | FIRST in caring for a child who has ingested | neurological status. | a poison? | |
List 5 contraindications to administering | Coma, seizures, CNS depression, ingestion of | syrup of ipecac. | petroleum-based products, and ingestion of | | corrosives. | | |
What instructions should be given by phone to a | Administer syrup of ipecac if the child is conscious. | mother who knows her child has ingested a bottle of | Bring any emesis or stool to the emergency room. Bring | medication? | the container in which the medicine was stored to the | | emergency room. |
Describe the purpose of bronchodilators. Reverse bronchospasm
What are the physical assessment findings for a child with asthma?
Expiratory wheezing, rales, right cough, and signs of altered blood gases.
What nutritional support should be provided | Pancreatic enzyme replacement, fat-soluble | for the child with cystic fibrosis? | vitamins, and a high carbohydrate, high protein, | | moderate fat diet. |
Why is genetic counseling important for the cystic fibrosis family?
The disease is autosomal recessive in its genetic pattern.
List 7 signs of respiratory distress in a | Restlessness, tachycardia, tachypnea, | pediatric client. | diaphoresis, flaring nostrils, retractions, and | | grunting |
Describe the care of a child in a mist tent. Monitor child’s temperature. Keep tent edges
tucked in. Keep clothing dry. Assess child’s
respiratory status. Look at child inside tent.