Peds Basics
Pediatric nursing involves caring for children from birth through what age?
18 years
What care approach minimizes pain, fear, and isolation during healthcare experiences?
Atraumatic Care
What age range is commonly associated with separation anxiety during hospitalization?
6–36 months
What pain scale is used for children 2 months to 7 years or those unable to communicate pain?
FLACC
Name two supports that may reduce caregiver stress.
Respite care, financial assistance, peer support, caregiver groups, psychological therapy, ACT
What 2 things should we ensure when creating a Pediatric Care environment?
A safe and age appropriate environment
What are 2 family-centered care goals that help families maintain control and master care for their child?
Empowerment and Enabling
Name 2 things that should never happen in the pediatric playroom?
Physical exams, medication administration, medical assessments, procedures, or medical discussion, nursing interventions.
In order to calculate a pediatric client's safe medication dose, the provider needs what?
The client's current and accurate weight in Kilograms.
What term describes siblings who may feel overlooked because attention centers on the sick child?
Glass child effect
Name 3 major roles of the pediatric nurse.
Foster family-centered care; educate families; provide health promotion; advocate; provide acute/chronic/end-of-life care
Name 3 ways to provide atraumatic care.
Distraction, allowing choices, play therapy, simple explanations, non-threatening language, pain management, comfort items
Name the three emotional response stages of Separation Anxiety in children.
Protest, Despair, Detachment/Denial
Name 3 things a nurse can do to promote healthy sleep for children in the hospital.
Cluster care when possible, reduce noise and light, maintain bedtime routines, allow comfort items, and plan care around the child’s normal sleep schedule when possible
What are 3 ways the nurse can support a teen client's need for Independence?
Support the teen’s independence by speaking directly to them, respecting privacy, involving them in decisions, and assessing coping or nonadherence concerns.
Why do pediatric anatomic and physiologic differences require closer nursing monitoring than adult clients?
Children may deteriorate more quickly due to these differences.
What are the four core concepts of family-centered care?
Respect and dignity, information sharing, participation, collaboration
Displaying younger developmental behaviors, such as toileting accidents or increased clinginess is called what?
Regression
Name 4 pediatric safety teachings for hospitalized children/families.
Use call bell, report symptoms, use side rails, supervise ambulation, never walk barefoot, do not co-sleep with infants/young toddlers, lock up supplies, prevent touching infusion/monitoring equipment
What does NAPC stand for?
Normalize, Ask, Pause, Connect
Name 4 pediatric anatomic or physiologic differences from adults.
Smaller airway, larger body surface area, less circulating blood volume, immature immune system, immature temperature regulation, higher glucose needs, slower medication metabolism.
Why is asking a child “Can I do this procedure now?” poor atraumatic care, and what is a better approach?
It gives a false choice. Use honest, simple preparation and offer real choices, such as comfort item, position, or caregiver presence.
A 4 yr old patient states. "I got sick because I was bad." What developmental concept is the client displaying?
Magical Thinking
What is the max amount of medication that can be administered by IM injection for the following 3 clients? a) a 3 year old, b) an 8 year old, and c) a 15 year old
A) 1 mL for infants, young children up to 5 yrs of age
B) 1.5 mL for 6-10 years of age
C) 2 mL for 11-18 years or age
A caregiver feels guilty, exhausted, and afraid to admit they need help. How should the nurse apply the NAPC model?
Normalize the stress, ask about coping/support, pause to listen, and connect them with resources such as respite care, counseling, support groups, or social work.