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Pediatric Communication and Assessment Flashcards

Exam 1

1
Q

communicate according to ____________ level

A

developmental level

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2
Q

what should you do when do when communcating with a child?

A

move calmly, avoid sudden movements, eye-level; especially when child is tall

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3
Q

if pt is in adolescent make sure to…

A

encourage them to express ideas and feelings

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4
Q

To access pt cranial nerve 6 on infant

A

play peek a boo

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5
Q

A—Child is ____.
__—Child responds to ____ stimulus.
P—Child responds to _____ stimulus.
U—Child is ______ to any stimulus.

A

Assess level of consciousness. Use the AVPU method:

alert
V - verbal
painful
unresponisve

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6
Q

a baby responds when you say their name?

A

verbal stimuli

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7
Q

under 5 years temps are?

A

higher

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8
Q

if temp rises steadily than child…

A

will not be likily to have a seizure

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9
Q

what should you do during a procedure?

A

keep child busy and be honest about the procedure

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10
Q

extremely sleepy, minimal stimulation with an IV placement

A

lethargic

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11
Q

if temp changes suddenly in 15 mins then a ____ is likely

A

seizure

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12
Q

metaphors and _____ sentences

A

long

should be avoided

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13
Q

children will take metaphors literally

A

example coughing head off will be taken like they are going to cough their head off

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14
Q

helps you breath?

A

example of short sentence

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15
Q

you should use what when working with children

A

paraphrase

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16
Q

Fear of
potty
dark
shadows
sleeping alone
weather
loud noises

A

2-4 yr

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17
Q

Fear of
dark
fire
bad guys
taking tests
peer rejection
doctor & shots
bugs & animals

A

5-7 yr

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18
Q

Fear of
bad guys & ghosts
home alone
dying
sickness
school failure
throwing up at school
peer rejection

A

8-11 yr

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19
Q

Fear of
their safety
sickness
throwing up at school
failure in school or in sports
school presentation
how they look to others
violence and global issues

A

12-18 yr

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20
Q

are physical assessments in a order for children?

A

the order will depend how the child is feeling

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21
Q

do most _______ last and the _____ invasive first

A

invasive
least

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22
Q

who should you get a child’s health history?

A

Whoever provides the most reliable information about the child

use the child as well

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23
Q

who old does a pt have to be to use a radial pulse?

A

at least 2 yr

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24
Q

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

25
Correct order of assessment
Resp rate, heart rate, blood pressure, temperature
26
Use ____ to achieve intervention
Use play - Listen on teddy first - Tea party (increase fluid intake), crazy straw, fun
27
pull the pinna (down/back)
1 yr
28
pull the pinna (up/back)
Age 3 and older
29
Radial pulse is reliable in children ______ ______ ____. under on it is not reliable
over age 2
30
Apical pulse is_______ _______ in children under age 2 (irregular)
more reliable
31
used to determine if circulation is good and if hypoxic is imminent
capillary refill
32
if a pt points to their belly button they may be experiencing
acute appendicits
33
Measuring head circumference Size (Throat); tongue blade (side of the tongue)
HEET physical examination
34
to figure our bm for an infant?
Number of wet diapers/bowel movements (weighing the diapers)
35
To fix a heart murmurs you should...
fever, anemia
36
what are some methods to prepare a child for a pain ful procedure?
Use bubbles, music, play a game, positive self-talk (When I am done, I will be able to… playground), guided imagery for pleasurable events, pacifier
37
Age (Example: Neonate-Increased muscle tone=acute pain) Developmental level Cause and nature of pain Ability to express the pain
Pain management and assessment is influenced by:
38
Pain is _____ _________ in the prediatric population
under treated
39
NIPS CRIES COMFORT
Pain scales to know
40
Crying (0-2) Oxygen requirement (0-2) Changes to vital signs (0-2) Facoal expressions (0-2) Sleeplessness (0-2)
CRIES: Crying, Requiring increased oxygen, Inability to console, Expression, and Sleeplessness - max score of 10
41
32-40 weeks
CRIES: Crying, Requiring increased oxygen, Inability to console, Expression, and Sleeplessness
42
26-40 weeks
Neonatal Infant Pain Scale (NIPS)
43
Breathing (0-1) Face (0-1) Arms (0-1) Legs (0-1) Cry (0-2) Arousal (0-1)
NIPS max is 7
44
CRIES is used for what type of pain?
postoperative pain
45
for prolonged pain what type of pain scale should be used?
COMFORT-neo
46
24-42 weeks
COMFORT-neo
47
Scored at (1-5) each Alertness Calmness/agitation Respiratory response or crying Body movement Muscle tone Facial tension
score of 6-30
48
_________muscle tone=_____ ______in a neonate
Increased acute pain
49
Face (0-2) Legs (0-2) Activity (0-2) Cry (0-2) Consolability (0-2)
FLACC
50
What is the highest score for FLACC
10 and it is on a 0-10 scale
51
Acute pain including postoperative pain, pain in children with cognitive impairment (revised descriptors), and critically ill
This is the type of pain the FLACC scale is used for
52
consists of six cartoon faces from smiling face for "no pain" to tearful face for "worst pain"
Wong-Baker FACES Pain Rating Scale
53
use for children as young as 3 years old
Wong-Baker FACES
54
2 months - 7 years should use what pain scale?
FLACC
55
Consists of six photographs of a white child's face representing “no hurt” to “biggest hurt you could ever have;”
Ochers
56
psychological approach for pediatric pain
Cognitive-Behavior Therapy
57
chronic/neuropathic pain
Antidepressants/Anticonvulsants
58
Topical anesthetic prior to IV insertion
EMLA cream
59
responds to verbal commands (medication impairs cognitive function)
Moderate sedation

Child Health (6 decks)

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