NURSING > STUDY GUIDE > Pediatrics Study Guide Exam 1 Chapters 15-23. Best Exam Materials and the Extra Stuff To Know. (All)

Pediatrics Study Guide Exam 1 Chapters 15-23. Best Exam Materials and the Extra Stuff To Know.

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Identify normal developments at each age: infant, toddler, preschooler, school age, adolescent Normal assessment findings at different developmental stages/ages Appropriate nursing interventions Appropriate teaching Appropriate means of communication to families/patients based on developmental stage FOCUS ON AGES & EXPECTED BEHAVIORS/ASSESSMENTS & HOW THAT AFFECTS NURSING CARE Safety measures to teach parents at different developmental stages Age appropriate vital sign norms: newborn, 1year old Injection sites for infants/children Needle size for infant Proper administration of IV fluids in children Prevention of fluid overload in an infant Reactions to medical diagnoses related to patient age: for example, a 6 years old vs. an adolescent Identify protein rich foods for children Feeding the hospitalized child/infant Engaging the hospitalized child in conversation Separation anxiety Obtaining accurate intake & output in the infant/baby Please add to Mrs. Bump’s lecture notes the nursing interventions of teaching and providing (ROM) Range of Motion exercises to the pediatric patient who has a diagnosis of Cerebral palsy. This is used to prevent contractures. Diagnosis, manifestations, nursing care, treatment, teaching in the following: Bacterial meningitis Increased intracranial pressure (ICP) Lumbar puncture Reye’s syndrome Seizures in children Paralytic strabismus Cerebral Palsy Shaken baby syndrome n Extra Stuff To Know:  Giving care and instructions to parents about acute conjunctivitis o Include teaching to parents – clear away drainage from inner to outer eye  2 year old bacterial meningitis o first nursing action – take vitals  5 year old increase ICP o manifests with s/s – headache, blurred vision, decreased LOC, increased BP  Pedi’s patient – communication interventions o Face directly and speak directly to them, eye level, speak in short sentences  Nurse providing instructions for patient with paralytic strabismus o Teach – eye patch on unaffected eye  Prepare med for child with seizures o Prioritize (Q may not say prioritize) read it like your getting report from another nurse – always prioritizing, anticipating next level of care o Phenotonin – give same time every day  Febrile seizure teaching o How to prevent febrile seizure – keep fever down with antipyretic or cooling measures  Reyes syndrome o Nursing priority – diuretics due to risk of ICP  Child with meningitis – seizure o Nursing priority – safety – pad side rails, turn them on their side  Organize care for child with meningitis o Keep in droplet isolation, keep them calm & quiet, let them rest and heal  Baby brought to ER – non-responsive, lethargic, vomiting, seizures o Suspect – shaken baby syndrome – posturing – not fetal position - read carefully  VS for different ages  25g needle for IM  Prevent fluid overload in infant – burette  Start IV – take in private exam room

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