Unit 7: Nursing Care of High Risk Toddlers, Pre-school and School-Age children

Question 1

It is the leading cause of death in children in over 1 year.

Answer 1

Injury

Question 2

Children under the age of _______ account for over half of all accident deaths during childhood.

Answer 2

5

Question 3

More than half of accidental child deaths are related to ________ and ________

Answer 3

automobiles and fire

Question 4

Accidents can be viewed in terms of the child’s _________, especially ________ about the environment.

Answer 4

growth and development

Question 5

What are the common injuries in children?

Answer 5

1. Motor Vehicle
2. Burns
3. Poisons
4. Drowning
5. Aspirating small objects and putting foreign bodies in ear or nose.
6. Fructure

Question 6

Fill in the blanks
A. Toddler experiences basic fear of loss of ______, fear of _______, fear of _______.
B. _______ and _______ represent additional crisis to the toddler
C. Signs of ________: the specific response of the toddler

Answer 6

A. love, unknown, punishment
B. immobilization, isolation
c. separation anxiety

Question 7

What are the stages of separation anxiety?

Answer 7

1. Protest
2. Despair
3. Detachment or denial

Question 8

This stage of separation anxiety include:
a. prolonged loud crying, consoled by no one but the parent or usual caregiver.
b. continually asks to go home
c. rejection of the nurse or any other stranger

Answer 8

Protest

Question 9

This stage of separation anxiety include:
a. alteration in sleep pattern
b. decrease appetite and weight loss
c. diminish interest in environment and play
d. relative immobility and listlessness
e. no facial expression and smile
f. unresponsive to stimuli

Answer 9

Despair

Question 10

This stage of separation anxiety include:
a. Cheerful undiscriminating friendliness
b. Lack of preference parents

Answer 10

Detachment or Denial

Question 11

Write true if the statement refers to the skin, false otherwise.
1. largest body organ, much more than a passive organ
2. Protects underlying tissues from injury
3. temperature regulation
4. acts as water- tight seal
5. sensory organ

Answer 11

1. True
2. True
3. True
4. True
5. True

Question 12

What are the injuries to skin which result in loss?

Answer 12

• Infection
• Inability to maintain water balance
• Inability to maintain body temperature

Question 13

What are the 2 layers of the skin?

Answer 13

• epidermis
• dermis

Question 14

It is the outermost layer of the skin which acts as a barrier to infection and regulates the amount of water and the body.

Answer 14

Epidermis

Question 15

It is the second and third most common cause of death by trauma in individuals less than 15 years of age for boys and girls.

Answer 15

Burns

Question 16

What are the causative agents of burns?

Answer 16

a. thermal
b. chemical
c. electrical
d. radiation

Question 17

How do you identify the severity of Burn?

Answer 17

1. Thickness/depth of burn - superficial, deep, partial and full thickness
2. Extent of burn
3. Location
4. Duration of exposure
5. Timing of presentation

Question 18

What are the circumstances you need to watch out for with burn patients?

Answer 18

• smoke inhalation injury
• carboxyhemoglobinemia (Carbon monoxide poisoning)
• Cyanide poisoning
• internal electrical injury

Question 19

Why is a child a higher risk burn victim?

Answer 19

• higher proportion of body fluid to smaller muscle and fat mass, thinner skin

Question 20

Why is there higher mortality for child burn victims?