Physical Exam
A normal finding for toddlers is a slightly protuberant what?
What is abdomen?
Pain scale with cartoon faces for children as young as 3
What is the Faces Pain Scale–Revised?
Pediatric doses are based on this measurement
What is weight in KGs
Always calculate meds using this
What is mg/kg?
Developmentally appropriate communication includes getting down to eye level, using simple language, and offering ______ when possible
What are choices?
Preschoolers cooperate best when the nurse uses this strategy
What is demonstrating equipment first?
Infant pain tool using facial expression, cry, and movement
What is the FLACC scale?
(r-FLACC: revised version for those with developmental delays/cognitive impairments/sedated)
Name one non-pharmacological technique for pain relief
What is distraction, guided imagery, parental presence, or therapeutic play?
Measure liquid meds at this part of the meniscus
What is the lowest point/bottom?
Adolescents may give this type of agreement
What is assent?
Head lag after this age is abnormal
What is after 4 months?
Numeric rating scales are appropriate for this age group
What are school-aged children and adolescents?
Typical pediatric acetaminophen dose range
What is 10–15 mg/kg?
Preferred route for pediatric vaccines
Wha is IM (intramuscular)?
voluntarily agreement to a proposed treatment or action after receiving clear, understandable information about the nature, risks, benefits, and alternatives, with the option to decline or withdraw at any time.
What is informed consent?
Toddlers often have this normal gait pattern
What is wide-based gait?
A toddler pointing to a body part is using this type of communication
What is nonverbal pain communication?
This medication class must be used cautiously
What are opioids?
Before giving PO meds to toddlers, assess this
What is ability to swallow safely?
Children and families can bring these from home to help maintain normalcy and ease distress while hospitalized
What is a comfort item (favorite toy, blanket, etc)
Adolescents should always be offered this option during exams
What is a same-gender chaperone?
This vital sign change is often the earliest pediatric pain indicator
What is Tachycardia?
Using medications + non-meds is what principle?
What is multimodal pain management?
High-risk meds require two-nurse what?
What is independent verification or double check?
*can be done with another credentialed provider (MD or RN)
These two skills are essential when communicating with upset or anxious parents during a child’s illness
What are empathy and validation?