Hospitalized Child

Question 1

four anxieties/stressors related to hospitalization

Answer 1

separation anxiety
lack of control (schedule has changed, restrictions)
bodily injury (fear of the unknown)
pain

Question 2

3 phases to separation anxiety

Answer 2

protest (crying, kicking, screaming; don’t want parent to leave)
despair (sad, hiding in corner, won’t interact)
denial (interact with stranger right away) - not normal

Question 3

pain

Answer 3

onset, duration

Question 4

how does your child express pain

Answer 4

ask parent

blow pain away

Question 5

infant pain assessment

Answer 5

behavioral observations (crying, irritability)
physiological (increased HR, BP)
rapid shallow breathing
inconsolable
skin (pale, diaphoretic)
changes in sleep/wake cycle
changes in feeding

Question 6

infants 6 months+ remember pain you inflicted, t or f

Answer 6

true

Question 7

flacc scale pain assessment can be used for this age group

Answer 7

2 months - 7 years

Question 8

what age can you use face pain scale

Answer 8

age 3

Question 9

school age kids - pain behaviors

Answer 9

stall - wait I’m not ready; fear of unknown

Question 10

0-10 pain scale what age can this be used

Answer 10

starts at age 8

Question 11

non pharmacological pain mgmt

Answer 11

distraction
relaxation
behavioral contract

Question 12

distraction methods for pain mgmt

Answer 12

music
focus on something else
blow bubbles
tv show

Question 13

relaxation methods for pain mgmt

Answer 13

swaying/swinging motion (infant)
rub legs/arms
pretend yawn/falling asleep to get them to relax
close your eyes picture favorite place to go

Question 14

behavioral contract methods for pain mgmt

Answer 14

rewards (sticker)

start around 4-5 y.o.

Question 15

medications used for mild to moderate pain

Answer 15

Tylenol (10-15mg/kg/dose q4-6hrs)

ibuprofen - starting at 6 mos of age (5-10 mg/kg/dose q6-8hrs)

Question 16

should you give a child ASA

Answer 16

no

Question 17

what are the two indications for giving a child ASA

Answer 17

kawasaki disease and rheumatic fever

Question 18

what does ASA cause in children

Answer 18

reyes syndrome

Question 19

do we give ibuprofen to children less than 6 months old

Answer 19

no

Question 20

medications used for moderate to severe pain

Answer 20

opiods

combo opiod/non-opiod (tylenol w/codeine)

Question 21

mgmt for children on opiods

Answer 21

monitor respiration’s

Question 22

numbing creams

Answer 22

lmx cream - 1/2 hour before procedure

emla cream - 1 hour before procedure

Question 23

birth weight doubles at

Answer 23

5 months

Question 24

language development at 3 months

Answer 24

coo

Question 25

baby babbles at

Answer 25

6 months

Question 26

baby goes from back to side at what age (rolls)

Answer 26

4 months

Question 27

pincer grasp

Answer 27

9 months

Question 28

kicks ball forward

Answer 28

2 years or 24 mos.

Question 29

object permanence (out of sight/out of mind) - good sign of cognitive development

Answer 29

10 months

Question 30

pulls to stand

Answer 30

9 months

Question 31

creeps (hands and knees)

Answer 31

9 months

Question 32

uses spoon to feed self

Answer 32

18 months

Question 33

builds tower with 2 cubes

Answer 33

15 months

Question 34

push/pull toys

Answer 34

18 months

Question 35

lifts head

Answer 35

2 months

Question 36

voluntarily grasps objects

Answer 36

5 months

Question 37

sequential play (object after another)

Answer 37

11 months

Question 38

sits up unsupported

Answer 38

8 months

Question 39

builds tower with 6 blocks

Answer 39

2 y.o. - 24 months

Question 40

throws ball overhand without falling

Answer 40

18 months

Question 41

rides tricycle

Answer 41

3 y.o.

Question 42

ties own shoe

Answer 42

5 y.o.