Chapter 10

Question 1

Who is the Pediatric Patient?

Answer 1

Infancy to 15 years of age
Neonates
Infants
Toddlers
Preschoolers
School age

Question 2

Pediatric @ FH

Answer 2

up to 17 yrs

Question 3

Not fearful of strangers

Answer 3

Birth to 6 months

Question 4

Fear of strangers initially; toddler clinging to parent

Answer 4

6 months to 3 years

Question 5

Increase verbal activity; period of fantasy play

Answer 5

3 to 6 years

Question 6

Period of cognitive growth; cause and effect

Answer 6

6 to 12 years

Question 7

Age of identity; heighten awareness of body

Answer 7

12 to 19 years

Question 8

Infants (Birth – 1 year)

Answer 8

Familiar position
Holding infant (similar to parents)
Steady, soothing voice
Avoid loud stimuli
Separation anxiety (8 months)
Develop memories, ideas & feelings
White coat syndrome (fear of doctor/association)

Question 9

Toddler (1 to 3 years)

Answer 9

Cannot understand more than 1 word for something
Concerned only with what you are going to do to them at the moment
Separation from parents
Do not like to be immobilized (held)
White coat syndrome

Question 10

Preschoolers (3 to 5 years)

Answer 10

Not able to reason logically
Does not understand cause & effect
Favorite question – “Why”
Must see or hear something to understand
Touch equipment (make them feel comfortable)
Must be actively involved
Short attention span
Will not hold still for long

Question 11

School Age Children ( 5 to 10 years)

Answer 11

Think logically and analyze situation (7 years)
Develop fears
Injury, disease, death, separation from loved ones
Accommodating and eager to please (like to know what going to do)
Great age for beginners
Want to perform task correctly
Maintain privacy
Modest and embarrass easily

Question 12

Adolescent or Older Child

Answer 12

Often expected to act like an adult
“Image is Everything”
Need clear expectations
Distracting conversation
Respect privacy and right to make choices (allow them to make a choices)
Pregnancy question (how you should assess)
Assess maturity to determine how to ask question

Question 13

Prepare for Waiting / Imaging Room

Answer 13

Age appropriate toys & activities for children while waiting
Prepare imaging room ahead of time
Tube / image receptor
Accessory devices
Afraid of the dark – dim lights ahead of time (turn on the light before arrive-get everything ready)

Question 14

Approach the kids

Answer 14

Make a suggestion rather than asking a yes or no question
Gives them the opportunity to say No
Give them an option
Same outcome
Employ distraction techniques
Chatter
Continuing to build a rapport with the child
Answer all questions honestly
All ages respond in a positive manner to honesty and friendliness

Question 15

What is a greatest danger of Premature Infant?

Answer 15

Hypothermia

Question 16

Hypothermia

Answer 16

Sources of heat loss are greater
Greater surface area than body mass
Not capable of storing fat needed for warmth (cap on head need to remove

Question 17

Imaging premature infant

Answer 17

Need Surgical scrub/gown on/gloves 20 munities
Consult with nurse in charge of patient
Perform in isolette
Prevent skin from touching IR
Shielding

Question 18

Procedures performed within the department

Answer 18

Elevate room temperature about 20-30 minutes prior to arrival (warmer)
Prepare room prior to removing infant from isolette
Use heat lamps or warming blankets
Isolation precautions
Minimal handling
b/c Heart rate becomes irregular

Question 19

Protection from unnecessary radiation

Answer 19

Collimation (make it fix, adjust to fix the child to hold safety) and shielding
Proper centering and selection of exposure factors (not too light or dark, use to correct one)
Avoid repeats
Employ effective immobilization techniques

Question 20

Method of transporting patient

Answer 20

Child size & nature of illness or injury (not falling)

Question 21

Safety Precautions

Answer 21

Routinely inspect all immobilization equipment to ensure they are working properly (practice before bring the child in)
Children should be supervised at all times

Question 22

Immobilization

Answer 22

Used only when necessary
Should not cause injury to patient or compromise images
Several methods
Sheet
Commercial immobilizers
Assistant (parents)
Explain to the patient/parent about the use of an immobilizer before applying

Question 23

Sheet Immobilizers

Answer 23

Effective

Easily formed into any size or fashion needed

Question 24

Pigg-O-Stat (rule require)

Answer 24

Great for upright positioning for chest and abdominal exams
Up to 2-3 years of age (look for the child & depends on their fix or not)
Requires a complete explanation to parent

Question 25

Tam-em board, baby board, infantainer

Answer 25

Chest and Abdominal imaging

Velcro straps to hold in place

Question 26

Sandbags

Answer 26

Outer covering – strong canvas type
Coarse sand
Pliable

Question 27

Stockinette & ace bandages

Answer 27

Arms and legs

Different sizes depending on child

Question 28

Compression band, head clamp

Answer 28

Prevent movement of entire body

Restricts movement of head

Question 29

Suspected Child Abuse is called

nonaccidental trauma

Answer 29

Battered Child Syndrome

Question 30

Our duty to report suspected cases of abuse or neglect

Answer 30

Consult the radiologist or attending physician