Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Child Health > Pediatric Communication and Assessment > Flashcards

Pediatric Communication and Assessment Flashcards

Exam 1

1
Q

communicate according to ____________ level

A

developmental level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

if pt is in adolescent make sure to…

A

encourage them to express ideas and feelings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

To access pt cranial nerve 6 on infant

A

play peek a boo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

a baby responds when you say their name?

A

verbal stimuli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

under 5 years temps are?

A

higher

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

if temp rises steadily than child…

A

will not be likily to have a seizure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what should you do during a procedure?

A

keep child busy and be honest about the procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

extremely sleepy, minimal stimulation with an IV placement

A

lethargic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

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

A

seizure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

metaphors and _____ sentences

A

long

should be avoided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

children will take metaphors literally

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

helps you breath?

A

example of short sentence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

you should use what when working with children

A

paraphrase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Fear of
potty
dark
shadows
sleeping alone
weather
loud noises

A

2-4 yr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

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

A

5-7 yr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

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

A

8-11 yr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

are physical assessments in a order for children?

A

the order will depend how the child is feeling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

do most _______ last and the _____ invasive first

A

invasive
least

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

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

A

at least 2 yr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

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

A

TRUE

25
Q

Correct order of assessment

A

Resp rate, heart rate, blood pressure, temperature

26
Q

Use ____ to achieve intervention

A

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

27
Q

pull the pinna (down/back)

A

1 yr

28
Q

pull the pinna (up/back)

A

Age 3 and older

29
Q

Radial pulse is reliable in children ______ ______ ____. under on it is not reliable

A

over age 2

30
Q

Apical pulse is_______ _______ in children under age 2 (irregular)

A

more reliable

31
Q

used to determine if circulation is good and if hypoxic is imminent

A

capillary refill

32
Q

if a pt points to their belly button they may be experiencing

A

acute appendicits

33
Q

Measuring head circumference
Size (Throat); tongue blade (side of the tongue)

A

HEET physical examination

34
Q

to figure our bm for an infant?

A

Number of wet diapers/bowel movements (weighing the diapers)

35
Q

To fix a heart murmurs you should…

A

fever, anemia

36
Q

what are some methods to prepare a child for a pain ful procedure?

A

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
Q

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

A

Pain management and assessment is influenced by:

38
Q

Pain is _____ _________ in the prediatric population

A

under treated

39
Q

NIPS
CRIES
COMFORT

A

Pain scales to know

40
Q

Crying (0-2)
Oxygen requirement (0-2)
Changes to vital signs (0-2)
Facoal expressions (0-2)
Sleeplessness (0-2)

A

CRIES: Crying, Requiring increased oxygen, Inability to console, Expression, and Sleeplessness

  • max score of 10
41
Q

32-40 weeks

A

CRIES: Crying, Requiring increased oxygen, Inability to console, Expression, and Sleeplessness

42
Q

26-40 weeks

A

Neonatal Infant Pain Scale (NIPS)

43
Q

Breathing (0-1)

Face (0-1)

Arms (0-1)

Legs (0-1)

Cry (0-2)

Arousal (0-1)

A

NIPS

max is 7

44
Q

CRIES is used for what type of pain?

A

postoperative pain

45
Q

for prolonged pain what type of pain scale should be used?

A

COMFORT-neo

46
Q

24-42 weeks

A

COMFORT-neo

47
Q

Scored at (1-5) each

Alertness

Calmness/agitation

Respiratory response or crying

Body movement

Muscle tone

Facial tension

A

score of 6-30

48
Q

_________muscle tone=_____ ______in a neonate

A

Increased
acute pain

49
Q

Face (0-2)

Legs (0-2)

Activity (0-2)

Cry (0-2)

Consolability (0-2)

A

FLACC

50
Q

What is the highest score for FLACC

A

10 and it is on a 0-10 scale

51
Q

Acute pain including postoperative pain, pain in children with cognitive impairment (revised descriptors), and critically ill

A

This is the type of pain the FLACC scale is used for

52
Q

consists of six cartoon faces from smiling face for “no pain” to tearful face for “worst pain”

A

Wong-Baker FACES Pain Rating Scale

53
Q

use for children as young as 3 years old

A

Wong-Baker FACES

54
Q

2 months - 7 years should use what pain scale?

A

FLACC

55
Q

Consists of six photographs of a white child’s face representing “no hurt” to “biggest hurt you could ever have;”

A

Ochers

56
Q

psychological approach for pediatric pain

A

Cognitive-Behavior Therapy

57
Q

chronic/neuropathic pain

A

Antidepressants/Anticonvulsants

58
Q

Topical anesthetic prior to IV insertion

A

EMLA cream

59
Q

responds to verbal commands (medication impairs cognitive function)

A

Moderate sedation

Child Health (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions