Growth & Development
Infectious Disease
Musculoskeletal
Integumentary
Unfolding Case Study
100
Trust vs. Mistrust
What is the crisis in Erikson's stage of development for infants?
100
Rash and Koplik's spots
What are signs of rubeola/measles?
100
The most common treatment for a child born with Developmental Dysplasia of the Hip (DDH)
What is a Pavlik Harness?
100
The goal of treatment for atopic dermatitis
What is to keep the skin moist/hydrated?
100
Unfolding case study:
A school-age child who recently moved to the U.S. from Israel has come to the clinic for evaluation and clearance to attend school.
Discuss methods of providing atraumatic care to this child.
What are:
-Minimize separation from parents/family
-Use translator if needed
-Utilize Child Life
-Promote sense of control
-Incorporate FCC
-Use age appropriate communication
200
In Erickson's Theory of psychosocial development, this age group is in the stage concerned with a child developing their identity.
What are adolescents?
200
Fever, joint pain, fatigue, and possible circular rash
What are the signs & symptoms of Lyme disease?
200
Uneven hips, uneven shoulders, unilateral rib hump, and uneven waistline
What are signs of scoliosis?
200
With this skin condition, treatment is use of a pediculocide
What is lice or pediculosis capitus?
200
FCC is an important concept in pediatric nursing.
The principles of FCC are...
What are:
-Respect and dignity
-Open & honest communication
-The family is a unit
-The family is a constant
-The family is part of decision-making & active in child's care
-Emotional support
-Peer support (for child or family)
-Recognition of the influence of culture, ethnicity, background, and socioeconomic factors
-ID family's strengths
-Family empowerment
300
Some of the challenges of this age group are arguing with siblings and expressing anger and frustration when things don't go their way.
What are toddlers or preschool age?
300
A highly contagious fungal infection of the scalp
What is tinea capitus?
300
Extreme pain, distal pallor, weak distal pulses, tightness around cast
What are signs of compartment syndrome?
300
First line treatment for scabies
What is a topical scabicide?
300
The nurse is working with the child's family with an interpreter. The nurse learns that the child has an unidentified heart defect and was followed by a cardiologist in Israel. The patient has been hospitalized multiple times for heart failure and has had cardiac catheterization.
The nurse understands that caring for a chronically ill child can have significant impact on the family. Examples of these would be:
What are:
-Financial
-Social
-Housing
-Emotional
-Increased stressors
-Siblings- jealousy
400
The approximate age stranger anxiety/fear begins
What is 8-9 months?
400
The type of isolation required for varicella
What is airborne precautions?
400
A condition, more common on boys, that causes avascular necrosis of the femoral head
What is Legg-Calve-Perthes disease or Perthes disease?
400
Repositioning, pressure off bony prominences, specialized bed or mattress, frequent assessment
What are methods of preventing pressure injury/ulcers?
400
Lack of socialization, inability to engage in certain age-appropriate activities, lack of independence
What are examples of the negative effects of chronic illness on a child?
500
What is parallel play?
500
The bacteria that most commonly causes an infection of the bone and surrounding tissue
What is staphylococcus aureus?
500
A genetic bone disorder that causes low bone mass and joint instability
What is osteogenesis imperfecta?
500
The nurse would discuss these methods for the prevention of diaper dermatitis with parents
What are:
-Frequent diaper changes
-Open to air as much as possible
-Use of skin barriers
-Use of absorbent diapers
500
The child will be admitted to the pediatric cardiac floor for an echocardiogram, cardiac catheterization, and initiation of treatment for heart failure. The nurse assesses the child's pain and will use QUESTT. These stand for:
What are:
-Question
-Use reliable pain scale
-Evaluate behavior and physiologic response
-Secure parental involvement
-Take cause of pain into account
-Take action