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Child Health Nursing > Pediatric Communication and Assessment > Flashcards

Pediatric Communication and Assessment Flashcards

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1
Q

Identify developmentally appropriate communication techniques.
List the normal sequence in the physical examination of children and adolescents
Identify methods and pain assessment tools for assessing pain in the pediatric population

A

SLO for pediatric assessment and communication

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2
Q

you need to make sure that you’re talking to them at the _______ age

A

developmentally appropriate

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3
Q

COMMUNICATE ACCORDING TO PAITENTS ______ LEVEL

A

DEVELOPMENT

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4
Q

avoid sudden movements, speak on their level

Infants: use ______

A

peak a boo

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5
Q

Adolescents: need to encourage them to ______ feelings, also really like their peers

A

express

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6
Q

_______: need to encourage them to express feelings, also really like their peers

A

Adolescents

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7
Q

Neuro assessment for children: use the ____ scale

know this scale and different scenarios

A

AVPU, (alert, verbal, painful, unresponsive)

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8
Q

extremely sleepy, minimal stimulation with an IV placement.

A

lethargic

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9
Q

Resp rate for ages 3-6: _____ breaths per minute

A

20-30

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10
Q

3 yo 100/52 bp, hr 99, rr 45

what is abnormal?

A

( the rr is abnormal)

will be a test question with normal vital signs for children

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11
Q

t/f: your anxiety will make the parents and the children’s worse

A

true

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12
Q

temps on kids tend to be _____ than adults

A

higher

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13
Q

t/f: in children, their body hasn’t matured so it will go crazy with temps, not completely unusual to see a 103 temp

A

true

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14
Q

______ happen when your temp goes from 98 to 103 in like 15 minutes. A rapid change in temperature over a short time frame.

A

Seizures

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15
Q

rapid temp change ______ seizure threshold

A

decreases

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16
Q

What do you need to avoid when communicating with children?

A

metaphors
long sentences

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17
Q

the nurse asks if the child has been “coughing your head off” when assessing them. Is this communication developmentally appropriate?

A

no, it is a metaphor and they will likely take it literally

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18
Q

t/f: a 2 year old can understand a sentence if its short?

A

true

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19
Q

fear: potty, dark, shadows, sleeping alone, weather, loud noises.

A

Fears for 2-4 year olds

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20
Q

Fear: dark, fire, bad guys, taking tests, peer rejection, doctors and shots, bugs and animals.

A

Fears for 5-7 year olds

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21
Q

Fear: bad guys and ghosts, being home alone, dying, sickness, school failure, throwing up at school, peer rejection.

A

fears for 8 -11 year olds

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22
Q

Fear: their safety, sickness, throwing up at school, failure in school or in sports, school presentations, how they look to others, violence and global issues.

A

fears for 12-18 year olds

23
Q

List the correct order for the following assessments that need to be done. Heart rate, blood pressure, temperature, respiratory rate.

A

Resp rate, heart rate, blood pressure, temperature. do painful/most invasive procedures last.

24
Q

Health history: most reliable information usually comes from the ______*

A

caregiver

25
Q

t/f: child is most reliable, go with what the child is saying versus what the parent is saying

A

true

26
Q

acute appendicitis: they usually point right to the ______

A

belly button

27
Q

Radial pulse: has to be at least ___ for it to be accurate

A

two. Take apical until theyre two

28
Q

very useful bc it will tell you if there is an issue with circulation usually before they actually become hypoxic

A

capillary refill

29
Q

if patient is under 30 days old, the ___ is really important. have to do this before you can move onto lumbar puncture stuff.

A

temp. (especially a rectal temp)

30
Q

What color cap do you use for a rectal probe thermometer?

A

red cap

31
Q

t/f; use play and talk at their eye level.

A

true

32
Q

Developmentally appropriate quick neurological assessment: ______

A

AVPU

33
Q

What does AVPU stand for?

A

child is alter
responsive to verbal stimuli
responsive to painful stimuli
unresponsive

34
Q

do the most invasive procedure ______, and the least invasive procedure ______

A

last, first

35
Q

Listen on teddy first
Tea party (increase fluid intake), crazy straw, fun

A

examples of using play

36
Q

their throat is about the size of the patients ____

A

pinky finger

37
Q

book recommends using tongue blade to move the tongue how?

A

side of tonge over instead of ontop

38
Q

age 1 how do you take a tympanic temp?

A

pull pinna down and back

39
Q

age 3 and older how do you take a tympanic temp?

A

pull pinna up and back

40
Q

heart murmurs can be a result of ________ or some other physiological abnormality

A

fever or anemia

41
Q

will probably ______ the diapers and count the number of diapers

A

weigh

42
Q

Where do you check the skin turgor on a child?

A

Abdomen

43
Q

Age (Example: Neonate-Increased muscle tone=acute pain)
Developmental level
Cause and nature of pain
Ability to express the pain

A

influences of pain management

44
Q

Use bubbles, music, play a game, positive self-talk (When I am done, I will be able to…), guided imagery for pleasurable events, pacifier

A

Methods to prepare a child for a painful procedure

45
Q

What scale do you use for an infant?

A

NIPS
and Cries

46
Q

What are factors in a NIPS?

A

breathing
face
arms
legs
cry
arousal

all are 0-1 except crying which is 0-2

47
Q

What are considerations for CRIES scale?

A

crying
oxygen requirement
changes to vital signs
facial expressions
sleeplessness

all scored at 0-2

48
Q

What si the most common pain assessment scale for a child?

A

FLACC

49
Q

What are components of the FLACC scale?

A

Face
Legs
Activity
Cry
Consolability

scored from 0-2

50
Q

Moderate sedation: responds to ______

A

verbal commands

51
Q

What is EMLA medication?

A

topical anesthetic prior to an IV insertion

52
Q

What types of additional medication may be used for chronic pain in peds ?

A

antidepressants/anticonvulsants for chronic/neuropathic pain

53
Q

What is Cognitive-Behavior therapy?

A

a psychological approach for pediatric pain

Child Health Nursing (7 decks)

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