Tutoring Sessions Flashcards
Describe the difference in how a pediatric assessment is performed in younger kids vs. older kids.
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Tutoring Session 1
- Younger kids = toe-to-head
- Older kids = head-to-toe
- Toe-to-head exam for younger children allows the least distressing parts of the exam to be performed first
If you are palpating a child’s abdomen (toddler / preschooler) and the kidney is enlarged or you feel a tumor, what action should you take next as the nurse & why?
Tutoring Session 1
Don’t continue to palpate as this might be a Wilms Tumor
If a child is under 6 years of age, how should you count their respirations?
Tutoring Session 1
Watch their abdomen rise & fall
Symptoms of Respiratory Distress in Infants
Tutoring Session 1
Retractions
* substernal
* intracostal
Head bobbing (infants)
Nasal flaring
Grunting (babies)
What is the formula for estimated “normal” systolic blood pressure in children over 1 year of age?
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Tutoring Session 1
90 mmHg + (2 x age in years)
Pediatric Hypotension Estimates
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Tutoring Session 1
- Neonates = SBP < 60 mmHg
- Infants (1-12 months) = SBP < 70 mmHg
Pediatric Hypotension Estimate for a Neonate
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Tutoring Session 1
SBP < 60 mmHg
Pediatric Hypotension Estimate in Infants (1 - 12 months)
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Tutoring Session 1
SBP < 70 mmHg
What BP reading do you get when the cuff is too large?
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Tutoring Session 1
low BP reading
What kind of BP reading do you get when the cuff is too small?
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Tutoring Session 1
HIGH BP reading
How should the blood pressure cuff compare to the length & circumference of the extremity?
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Tutoring Session 1
- 50 - 75% of the length
- 40% of the circumference
The blood pressure cuff should be what percentage of the length of the extremity?
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Tutoring Session 1
50 - 75%
length
The blood pressure cuff should be what percentage of the circumference of the extremity?
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Tutoring Session 1
40%
circumference
