PEDIATRIC NURSING

| 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 | | | | | | |

PEDIATRIC NURSING

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.

deficiency?

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. | | |

PEDIATRIC NURSING

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

body.

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. | | |

PEDIATRIC NURSING

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. |

RESPIRATORY DISORDERS:

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.

PEDIATRIC NURSING

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.

What