Week 2 - Growth, Development and Health Promotion from Birth to Adolescence; Pediatric Nursing Assessment with PEWS Flashcards

1
Q

What is the focus of pediatric assessment?

A

Assessment of the child’s physical, developmental, and psychosocial status, including vital signs and pain evaluation.

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2
Q

What should be considered in a developmental nursing assessment?

A

The child’s developmental stage and milestones, using appropriate tools and language.

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3
Q

What are Erikson’s Stages of Psychosocial Development?

A

Stages include Trust vs. Mistrust, Autonomy vs. Shame and Doubt, Initiative vs. Guilt, Industry vs. Inferiority, and Identity vs. Role Confusion.

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4
Q

what are Piaget’s Stages of Cognitive Development?

A

Stages include Sensorimotor, Preoperational, Concrete Operational, and Formal Operational, each representing different ways children think and understand the world.

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5
Q

How should nurses communicate with children and their families?

A

Meet the psychological needs of both child and family, use age-appropriate language, and involve parents in discussions about what is normal for their child

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6
Q

What is included in a background assessment?

A

Caregiver identification, pregnancy and family history, PMHx, medications, immunizations, SDoH, and current health concerns.

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7
Q

What does the Pediatric Assessment Triangle evaluate?

A

It assesses appearance, work of breathing (WOB), and circulation.

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8
Q

What are common pediatric pain assessment tools?

A

FLACC (Face, Legs, Activity, Cry, Consolability), Faces Scale, and Simplified Faces

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9
Q

What is assessed in a neurological examination of a child?

A

Head shape, symmetry, ability to control head, PERRLA, redness/drainage from eyes, hearing, LOC (GCS), cognition, behavior, and motor skills.

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10
Q

What are key elements in cardiovascular assessment in children?

A

Heart rate, blood pressure, presence of murmurs, skin warmth and color, capillary refill, pulses, and edema.

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11
Q

What factors affect medication distribution in children?

A

increased body water percentage, rapid extracellular fluid exchange, decreased body fat, immature liver/kidneys, and lower plasma proteins.

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12
Q

How should nursing interventions differ by developmental stage for infants (0-1 year)?

A

Involve parents in medication administration and ensure comfort through holding.

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13
Q

What strategies should be used for toddlers (1-3 years) during healthcare?

A

Follow routines, involve parents, offer simple choices, and allow interaction with equipment.

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14
Q

What is important for preschoolers (3-6 years) during assessments?

A

Provide opportunities for play and simple choices without yes/no questions.

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15
Q

Infant (0-1 year) - Developmental Stage and Intervention

A

Trust vs. Mistrust; involve parents in medication administration and ensure comfort through holding. Systems: Neurological (reflexes, head control), Cardiovascular (heart rate assessment).

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16
Q

Toddler (1-3 years)

A

Developmental Stage and Intervention
Back: Autonomy vs. Shame and Doubt; follow routines, involve parents, and offer simple choices. Systems: Respiratory (WOB, secretions), GI (nausea, bowel habits).

17
Q

Preschooler (3-6 years) - Developmental Stage and Intervention

A

Initiative vs. Guilt; provide opportunities for play and simple choices without yes/no questions. Systems: Neurological (developmental milestones, motor skills), GU (urine output).

18
Q

School Age (6-12 years) - Developmental Stage and Intervention

A

Industry vs. Inferiority; explain the purpose of drugs in simple terms and seek their assistance. Systems: Cardiovascular (BP, murmurs), GI (nutritional assessment, allergies).

19
Q

Adolescent (12-19 years) - Developmental Stage and Intervention

A

Identity vs. Role Confusion; approach similarly to adults, respecting privacy and sensitivity. Systems: Endocrine (growth patterns), Neurological (cognition, behavior).

20
Q

General Pediatric Assessment - Body Systems Overview

A

Neurological: Head shape, symmetry, LOC, PERRLA, reflexes.
Cardiovascular: Heart rate, blood pressure, pulses, capillary refill, murmurs.
Respiratory: RR, SpO2, WOB, secretions, auscultation.
GI/GU: Nutritional assessment, fluid requirements, bowel sounds, urine output.

21
Q

Pediatric Early Warning System (PEWS)

A

A standardized tool for early recognition of deterioration in hospitalized pediatric patients, assessing age-based features to determine stability.

22
Q

Medication Administration in Pediatrics

A

Consider increased body water percentage, rapid extracellular fluid exchange, immature organ systems, and lower plasma proteins during dosing.

23
Q
A