ch 26, 27, 28: intro to peds

Question 1

what is the main goal of pediatric nursing?

Answer 1

improve quality of healthcare of children & their families

Question 2

what types of kids haven’t seen a doctor in awhile?

Answer 2

immigrants

Question 3

health behaviors = ?

Answer 3

health promotion

Question 4

what are health promotion topics for infants, toddlers, & adolescents?

Answer 4

• infants: sleep safety
• toddlers: car safety
• adolescents: substance abuse

Question 5

what are social determinants of health?

Answer 5

• economic stability
• education access & quality
• healthcare access and quality
• neighborhood & environment
• social & community content

Question 6

what should we educate to the parents that should educate their babies, adolescents, & older teens?

Answer 6

• babies: infections
• adolescent: motor vehicles & guns
• older teens: mental health

Question 7

why is health weight a big goal?

Answer 7

children are getting more obese
- sitting all the time
- laptops & phones

Question 8

what are big childhood healthcare problems?

Answer 8

• obesity
• T2DM
• injuries
• violence
• vaping
• mental health problems

Question 9

what is LBW?

Answer 9

low birth weight, a major determinant of neonatal death

Question 10

what is considered LBW?

Answer 10

< 2500 g or 5.5 lbs

Question 11

what is the age range of the lowest death rate?

Answer 11

5 -14 yo

Question 12

which groups of children have an increased morbidity?

Answer 12

• homeless
• poverty
• LBW
• chronic illness
• foreign born adopted
• children in day care

Question 13

what is family centered care?

Answer 13

• knowing family is a constant in child’s life
• family needs to support, respect, encourage & enhance strength of family
• the needs of all the family members should be addressed

Question 14

what is atraumatic care?

Answer 14

giving the most effective care in the least traumatic way
- therapeutic care
- setting & personnel
- interventions
- reducing psychological distress
- minimize physical distress

Question 15

what are the different types of family structures?

Answer 15

• traditional & nuclear
• blended
• extended
• single parent
• bi-nuclear
• polygamous
• communal
• lgbt

Question 16

what is a blended family?

Answer 16

a family where two people come together and add their children from the previous families

Question 17

what is a bi-nuclear family?

Answer 17

a postdivorce family where the family is divided into two - one is lead by mom and one is lead by dad

Question 18

what is a communal family?

Answer 18

a family where they share possessions, resources & property. children are raised by multiple parents

Question 19

how can the nurse help the family in order to help the child?

Answer 19

use their strengths & styles to meet the patient’s needs

Question 20

how should the parents, parent?

Answer 20

always positive reinforcement
- limit setting & discipline
- minimize misbehavior
- have guidelines for discipline

Question 21

what are some potential problems for the child if they were adopted?

Answer 21

• issues of origin
• problems going into adolescence
• cross-racial & international adoptions

Question 22

what are some potential problems for the child if their parents divorced?

Answer 22

• negative impact on children
• hard to tell the children about divorce
• custody b/w parents: divided & joint custody

Question 23

how do you gain consent from divorced parents for their child?

Answer 23

you need to get consent from both/all parties that have custody

Question 24

if you are caring for a child from a different culture, what would you do for them & make sure you are considering their culture?

Answer 24

• being understanding: social, cultural & religion
• know their surrounding environment: schools, peers, community, social media
• understand general things about their race & ethnicity
• if they are in poverty
• give parental education
• land of origin & immigration status
• good resource: cultural humility & healthcare providers’ contribution

Question 25

what is the number one leading cause of children mortality?

Answer 25

firearms

Question 26

what is the second most leading cause of children mortality?

Answer 26

vehicle crashes

Question 27

what does growth mean?

Answer 27

increase in number and size of cells - quantitative

Question 28

what does developmental mean?

Answer 28

gradual change and expansion in complexity - qualitative

Question 29

what does maturation mean?

Answer 29

increase in competence and adaptability

Question 30

what does differentiation mean?

Answer 30

cells and structures are modified and altered

Question 31

what is the single most important influence on growth?

Answer 31

nutrition

Question 32

why is play so important?

Answer 32

• sensorimotor development
• intellectual development
• socialization
• creativity
• self awareness
• therapeutic value
• morality

Question 33

what type of assessments are important?

Answer 33

• screenings
• objective measurements
• assessments for children w/ disabilities

Question 34

what types of genetic factors influence development?

Answer 34

• congenital anomalies
• intrauterine environment, includes bad nutrition
• genetic disorders

Question 35

what is the role of the nurse when it comes to genetic factors influencing development?

Answer 35

• assessing: knowing if it is a genetic abnormality or if the parents are ugly
• document but wait until they are 48 hours old until you want to investigate more
• identify & referral
• educate, care & support

Question 36

why is self concept development so important?

Answer 36

• children have negative thoughts of their body image –> which is why positive reinforcement is important
• self esteem changes: competence, self control, moral worth, worthiness of love and acceptance