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Kayla Weber Maternity/Pediatric First Exam Week 1& 3 Growth and development

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Kayla Weber Maternity/Pediatric First Exam Week 1& 3 Growth and development 1. Pediatric Nursing a. Assessment quick review! a. Check for moist membranes, turgor and presence of tears b. Physical Assessment-Pediatr ...

Kayla Weber Maternity/Pediatric First Exam Week 1& 3 Growth and development 1. Pediatric Nursing a. Assessment quick review! a. Check for moist membranes, turgor and presence of tears b. Physical Assessment-Pediatric Variations approach slowly, gain trust c. Focused Interview – take developmental stage into consideration d. Also ask if they family eats dinner together for at least one meal for bonding and social skills e. Kids that grow at a slower rate look at genetic factors f. Nose breathers up to 6 months b. VS… assess RR, HR, TEMP, BP a. HYPOTENSION is a late sign of illness/decompensation in children i. Check CPR for perfusion b. Listen apically to heart for full minute to count heart rate c. Newborn: i. RR: 30-50 ii. HR: 120-160 iii. Systolic BP: 50-70 iv. Weight kg: 2-3 v. Weight lbs.: 4.5-7 d. Infant i. Infants when they cry increases HR and BP ii.Urine output: infant and toddlers: 1-2mL/kg/hr iii. RR: 20-30 iv. HR: 80-140 v. Systolic BP: 70-100 vi. Weight kg: 4-10 vii. Weight lbs: 9-22 e. Toddler i. Urine output: infant and toddlers: 1-2mL/kg/hr ii. RR: 20-30 iii. HR: 80-130 iv. Systolic BP: 80-110 v. Weight kg: 10-14 vi. Weight lbs: 22-31 f. Preschool i. RR: 20-30 ii. HR: 80-120 iii. Systolic BP: 80-110 iv. Weight kg: 14-18 v. Weight lbs: 31-40 g. School age i. RR: 20-30 ii. HR: 70-110 iii. Systolic BP: 80-120 iv. Weight kg: 20-42 v. Weight lbs: 41-92 h. Adolescent i. Urine output: adolescents: 0.5mL/kg/hr ii. RR: 12-20 iii. HR: 55-105 iv. Systolic BP: 110-120 v. Weight kg: >50 vi. Weight lbs: >110 c. Pain a. Flacc Scale i. Used in infants b. Wong-Baker Faces i. Used older children c. Trust parents assessment of child’s pain as they know their child best d. Always re assess pain e. Indication to look for by age i. 0-6months: cry, bodily movement ii. 6.5-12months: resistance, uncooperative iii. 1-3years: aggressive behavior iv. 3-5years: fear of punishment, mutilation, death; verbal abuse v. 5-12years: fear of disability, concern for privacy, words to describe pain vi. >12years: effect on body image, questioning, privacy d. Pews a. Done with every set of VS b. The higher the score, the more intervention is needed c. IF HAVE 3 IN ANY CATEGORY MUST NOTIFY DR!

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