Chapter 10

Question 1

8 steps to preparing child and parent for blood collection

Answer 1

• Be calm and confident
• Identify using at least 2 identifies
• Ask about previous blood collection experiences
• Develop a plan
• Get at child’s eye level and explain and demonstrate procedure
• Establish guidelines
• Be honest if child asks if it will hurt
• Encourage parent involvement

Question 2

Age range Response to needles

Answer 2

1-2 yrs: overract to painless procedures, e.g. taking a temp
3-5 yrs: perceive pain as punishment
6-12 yrs: relate pain to past experiences
13-17 yrs: independent and may be embarassed to show fear; need privacy

Question 3

2 ways to decrease needlestick pain

Answer 3

Topical anesthetic EMLA; works after 45-60 min and lasts 2-3 hrs

Oral surcoe- sugar placed on pacifier or nipple; given 2 min prior to procedure and lasts 5 min

Question 4

Where should venipuncture be done on child younger than 2

Answer 4

Only on superficial vein

Question 5

Blood spot testing should be before newborn is how old?

Answer 5

72 hours

Question 6

Venipuncture in an infant/toddler is recommended for which blood test

Answer 6

blood cultures