Week 1 Intro to Pediatric Nursing Flashcards
Infant mortality is defined as
number of deaths per 100 live births during the 1st year of life
Perinatal timeframe
24hr after birth
Neonatal time frame?
28 days after birth
post neonatal time frame?
0-365
What pediatric ages have the lowest mortality rate? Why
5-14
Because they are the most supervised
Why do mortality rates have a sharp increase in adolescence?
- Increased risk behaviors
- –Driving
- selective immortality
- underdeveloped frontal lobe leads to poor decision making
What are the three leading causes in adolescent mortality
Injury
Homicide
Suicide
Define morbidity
any condition that limits activity, requires medical attention or hospitalization or results in a chronic condition
Most common morbidity category for 1-4 yo
respiratory
Most common morbidity category for 5-9 yo
respiratory
Most common morbidity category for 10-14
Digestive
Most common morbidity category for 15-19
mental health
The degree of disability of a morbidity is measured by____
Days absent from school/work or days confined to bed
Primary preventions to decrease mortality and morbidity include
Handwashing
Immunizations
Seat belt/car seat education
Well child visits
Secondary prevention to decrease mortality and morbidity include
Hearing and vision checks
Tertiary prevention to decrease mortality and morbidity includes
“how to live with your condition”
Propholatic treatments for recurring utis
IEP’s
In the philosophy of pediatric nursing, it is critically important to be____
Non-judgmental
In pediatric nursing, the nurses role includes advocating for and collaborating with ____
The family
Explain the main philosophy of family centered care
- The nurse acts as an advocate for the child and the family
- The family is the patient as well as the child
- The family should be enabled and empowered to assist in the care of the ped.
- It is a partnership
How is family centered care different from family focused care?
- It has better outcomes
- there is less anxiety
- the patient is isolated and the family has less of a role in the care of the child
What is atraumatic care?
A philosophy of care that focus on care that does as little psychological harm and causes as little physical stress as possible using compassion and empathy.
How can the nurse “do no harm” in terms of atraumatic care?
- Minimize separation
- Promote a sense of control
- Prevent/minimize injury and pain
Explain the pediatric nurses role in the therapeutic relationship
Be caring, respect boundaries, avoid person attachment, offer family guidance towards the best outcomes
What is the primary responsibility of the pediatric nurse?
Family Advocacy
Give an example of how the pediatric nurse can provide indirect health education to a family
The pediatric nurse acts as a model for how to get a child to cooperate
What four qualifications does a patient need to meet to sign an informed concent?
- Capable of understanding
- Need to be the age of majority for the type of care being given
- need to be considered competent
- Need to sign it voluntarily
In WA state, what is the age of majority for reproductive care
there is none
In WA state, what is the age of majority for STD testing and treatment?
14
In WA state, what is the age of majority for mental health care?
13