Gathering History
Who do you get the majority of medical history from?
Parents/caregivers
When doing a skin assessment on a child, tell them you are checking for this
boo-boos
How should you introduce yourself to your pediatric patient?
Get down on their level
You should check this type of pulse for older children
radial
True or false: A child cannot provide you with a history of what happened to them?
FALSE. While parents provide the majority of the history for their child, you don't want to disregard the child. They often have little details the parent may not have been aware of.
True or False: You should use appropriate medical terminology when explaining things to the child/family so they know you know what you're talking about.
FALSE. Child-friendly terminology is less scary and easier to understand for kids, and their families appreciate this too!
Name a way to connect with your patient before you examine them.
Find something they like- a show, a song, a color- and engage in conversation with them about that first.
Infants are obligated to breathe out of this
their noses
What tool allows you to best assess a child's developmental stage during your exam?
Observation
A 5yo boy, his mother, and his father are in the hospital room after he fell and broke his arm. How many people are you providing education to before discharge?
3! Your patients include the child and his family. He needs to understand what you are telling him, and so does his family. Everyone is involved in his care.
Name something you can do with your equipment to make a child feel more comfortable?
Warm up the stethoscope
Allow them to play with your equipment/listen to heartbeat of their caregiver
Assess their stuffed animal so they know it doesn't hurt
What is one way to get a child to cooperate with taking their blood pressure?
Let them choose which arm to use
This is the best form of communication that a child has, and it helps you create a relationship with them as their nurse.
Play
What are the four scales that exist for pain assessment in kids?
N-PASS- <1yo
FLACC- 1-3yo
Faces- 3-7yo
Numbers- >7yo
Allowing children to participate in their care and choose from appropriate choices gives them this
a sense of control
Because children have less fluid in their bodies, these two things can happen very quickly and have costly effects
dehydration
blood loss