Children and Adolescents Flashcards
What kind of questions might you ask to assess sleep?
With whom does the child sleep?
Bedtime ritual?
What time do they sleep/wake?
Does the child sleep through the night?
Does the child nap?
Does the child have nightmares/night terrors?
What is the sleep environment?
What does confidentiality with adolescents mean for the primary care visit?
Discuss confidentiality
Include terms of confidentiality
Privacy
What are the possible signs of suicide?
Isolation, joking about it, giving away possessions, reckless behavior, change in school performance, etc.
Conductive hearing loss is commonly caused by ____.
Blockage (ear infections or fluid in the ears)
Precocious puberty
Begins too early, 5 or 6 years
Late puberty can result from
Endocrine issues
What conditions are secondary to immaturity of the skin or reaction to soap//detergent?
Eczema and atopic dermatitis
Roseola Infantum rash
Viral infection (common), where there is a fever. Tx the symptoms.
What age group has an increased sebum and oil production that can cause acne
Adolescents
Osgood-Schlatter Lesion
Pain in the lower area of the patellar tension, common in patients who do sports.
Polydactyly
Multiple fingers
Syndactyly
Fused fingers
Adams test
Patient bends over and we can see if the back is even or uneven
Growing pains
Usually in the legs, possibly overuse during the day. Suggest warm bath, massage, and so on
The nurse’s inspection of a young child’s anus reveals the presence of hemorrhoids. How should the nurse best interpret this assessment finding?
Hemorrhoids are unusual in children and could be due to chronic constipation, but may be caused by sexual abuse or abdominal pressure from lesion.
A 4-year-old boy is brought to the emergency department by his parents, who state that he has been crying and saying his “tummy hurts.” Which method would be most appropriate for the nurse to initially assess the problem?
Ask the child to point with one finger where it hurts.
A parent of an ill infant states, “We gave him ibuprofen for a fever, and he had an allergic reaction.” Which response would be most appropriate?
Describe what happens to him when he takes ibuprofen.
What is the expected pulse rate (HR) for children 3 months to 2 years old?
80–150 bpm
What is the expected pulse rate (HR) for children 2 to 10 years old?
70–110 bpm
What is the expected pulse rate (HR) for children 10 years old to adults?
55–90 bpm
What is the best location to assess a pulse rate in children younger than 2 years old?
Apical pulse
What is the best location to assess a pulse rate in children older than 2 years old?
Radial pulses
Normal respiratory rate for infants (<1 yr old)
30 - 60
Normal respiratory rate for Toddlers (1-2 years old)
22 - 37
