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Pediatrics > Week 1 Health assessments of Peds and Family > Flashcards

Week 1 Health assessments of Peds and Family Flashcards

1
Q

What is avoidance language?

A

When you ask a question and the answer is unrelated.

How was school? I like baseball after school

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2
Q

What is distancing language?

A

“I know this family that has a kid who is a little bit violent”

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3
Q

Why is being aware of nonverbal communication especially important with pediatrics?

A

Because children are much more perceptive to body language

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4
Q

What is confirming behavior?

A

Smiling, eye contact, nonverbal matches verbal

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5
Q

What is disconfirming behavior?

A

Eye avoidance, distracted, nonverbal does not match verbal

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6
Q

in regard to nonverbal communication, the pediatric nurse’s job is to ____

A

use confirming behavior that can be mirrored back

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7
Q

What is abstract communication?

A

Forms of communications beyond written and verbal/nonverbal.

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8
Q

Give some examples of abstract communication

A
  • play
  • art
  • symbols
  • photographs
  • clothing style
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9
Q

When a pediatric client is using a form of abstract communication then nurse can always just____

A

ask about it!

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10
Q

What are the four most important aspects of the initial meeting with the client and family?

A
  • Introduce yourself to the client and then all members of the family
  • Be clear in your role clarification
  • ease into your role
  • Assure privacy
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11
Q

When communicating with an adolecent what are some important clarifications to make?

A
  • No judgment
  • avoid giving adivce
  • confidental unless there is harm to self and others
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12
Q

what are four general guidelines when communicating with children?

A
  • Think developmentally
  • Watch them play and interact
  • Give them time to warm up dont force it
  • Get on their level!
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13
Q

What are some considerations when communicating with infants?

A
  • They understand and respond to nonverbal communication
  • Stranger anxiety at 6mo
  • Seperation anxiety as early as 6 months
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14
Q

Toddlers and preschoolers have a ___ world view

A

Egocentric

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15
Q

The focus of communication with toddlers and preschoolers should be

A

on the child and not other children

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16
Q

What are some communication considerations for early childhood(toddlers and pre-k)

A
  • Be direct and concrete
  • use confirming behavior
  • Consider developmental level when choosing verbage
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17
Q

What are some ways to make a toddler/preschooler more comfortable in the clinical setting?

A
  • Let them touch and play with equiptment
  • Keep their favorite toys nearby
  • Keep non-essential equiptment out of sight
  • Utilize their transition object
18
Q

What are the four main considerations when communicating with a school aged child?

A
  • They are very curious and want to know everything
  • They need simple and honest explainations
  • They are very concerned with body mutiliation
  • They take things very literally so watch what you say
19
Q

What are some considerations to keep in mind when communicating with adolescents?

A
  • They are in a transitional stage and are often confused * identity vs role confusion*
  • They often accept adults outside of their family
  • They are expressive but can be cryptic abstract communication
  • There are always 2 views. Parent and child
20
Q

What are some ways to make the adolescent client more comfortable?

A
  • Listen
  • Dont pry
  • Dont “give advice
  • Clarify terms and assure they understand
  • Talk to the teen first then the parent
21
Q

Play is to a chid as ___ is to and adult

A

Work

22
Q

Watching play allows the nurse to___

A

-Assess development and plan communication style

23
Q

What are some benefits of play?

A
  • Reduces stress
  • Prepares the child for procedures
  • Cope with stress
24
Q

What aspect of play is important to school age children?

A

A sense of accomplishment

25
Q

When taking the health history of a child, it is important to identify the familys _____of healthcare via their past experiences and illnessess

A

perception

26
Q

in a pediatric health history, what unique physiologic data is collected?

A

Birth history
sleep pattern
nutrition
immunizations

27
Q

Family health history is recorded back to ___ generations

A

3

28
Q

When assessing the cultural needs of a family it best tool is to ____

A

just ask

29
Q

Physical assessment of a child take a ___ approach

A

Developmental

30
Q

What are some considerations about physical assesments in children

A
  • consider developmental stage
  • it is stressful to the child and the family
  • the parent should be involved and can coach you on their childs specific needs
  • consider the differences between children and adults
31
Q

What are some ways to reduce the stress of a physical assessment of children?

A
  • Assess least painful to most
  • assess least invasive to most
  • Toe to head is better
32
Q

Child length is measured until ___ after which height is measured

A

2

33
Q

BP should not be taked on a child under ___ unless medically necessary

A

3

34
Q

Measuring the heartrate on a child uner 2 is done via

A

apical heart rate

35
Q

Always count RR before ___. Why?

A

HR

Because measuring the heart rate on a child can be stressfull and may cause the RR to go up or crying to begin

36
Q

A childs skin integrity is measured via the ____ scale

A

BradenQ

37
Q

What age should a child have around 4 teeth?

A

6 months

38
Q

How many teeth should a child have at 12 months?

A

8

39
Q

How many primary teeth do children usually have before adult teeth

A

20

40
Q

How is the AP ratio different in children?

A
  • in infants the AP ratio is almost equal the length

- after 2 years old chest becomes more oval

41
Q

A rounded chest in a child after the age of 2 could indicate what?

A

Chronic respiratory issues

Pediatrics (20 decks)

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