Pediatric Assessments/Child Abuse
Can children receive vaccinations when they have a low grade fever?
Yes!
When auscultating the chest of a child with asthma, what would you classically expect to hear?
Expiratory wheeze
What interventions might take place to help children with strabismus correct amblyopia?
Eye patch over the unaffected eye/glasses
What does failure to thrive in an infant describe?
Failure to gain weight as expected/lose of weight
In what age group is separation anxiety most pronounced?
Toddlers
What is the definition of physical abuse?
"physical contact intended to cause feelings of intimidation, pain, injury, or other physical suffering or bodily harm" (Government of Canada, 2019). Another definition is "unreasonable force" by an adult or youth to any part of a child's body.
What medications are usually prescribed for children with asthma?
Inhaled steroids (controllers) and inhaler bronchodilators (relievers)
What is the treatment priority for children with acute otitis media?
Pain control with analgesics such as Tylenol and Advil.
In females with anorexia, what would you expect to happen with their menstrual cycle?
They will have amenorrhea.
What food is often first offered to children post tonsillectomy?
A Popsicle
What kind of fracture is common in children and less common in adults?
Greenstick
When a child is diagnosed with RSV, are antibiotics given?
No, this is a virus, antibiotics only treat bacteria.
What assessments are most important to do for children who have experienced a head injury?
Assess level of consciousness; Check pupils and eye movements to make sure they are equal; Check vital signs to see if there are any acute changes (ie increased in BP and decrease in HR); Assessment of motor activity
What in the 2nd leading cause of death in children. youth and young adults?
Suicide
What group of pain medications are usually most effective for cancer patients?
opioids
How can you help school-aged children prepare for a procedure?
Let them examine equipment, Encourage verbalization of fears, Offer rewards, Offer simple explanations, Involve parents, Allow for choices when possible, Use distraction, Allow them to keep a familiar object with them.
What are home interventions that parents can do to help their child when they have croup?
Breath humidified air in a steamy washroom or go outside in winter to breath in cool air.
If a school nurse is timing a seizure, at what time frame should they call 911?
If the seizures lasts more than 5 minutes.
A formal diagnosis of autism isn't typically made until what age?
2
How are tonsillectomy patients positioned immediately after surgery?
On their sides to facilitate drainage
5-7 days after an injury, what colour would you expect a bruise to be?
Green
What is the nursing priority in gastroenteritis?
What are classic findings noticed in bacterial meningitis?
Nuchal rigidity, high fever, headache
What kind of effect can bullying have on kids?
Increased risk of mental health disorders including suicide; poor academics; poor sleep; poor eating patterns; more health complaints
What pain assessment scale is most appropriate for preschoolers?
The FACES Pain Rating Scale