Safety & Admissions
The person who must provide legal consent before any major procedure can be performed on a pediatric minor.
Who is a parent or legal guardian?
This is the fundamental, golden sequence rule for conducting a physical assessment on a child.
What is using minimal touch first and invasive touch last?
The specialized clear plastic device with an adhesive backing used to capture a urine sample from a non-toilet-trained infant.
What is a pediatric urine collection bag?
The primary physiological reason infants and young children metabolize medications much slower than adults.
What is an immature liver enzyme system?
The type of fluid that must always be used when administering an enema to a child to avoid dangerous fluid and electrolyte shifts.
What is an isotonic solution?
This piece of equipment's side rails must remain fully raised and locked at all times unless the nurse is standing directly at the bedside.
What is a pediatric crib?
The physiological reason why a nurse will measure the head circumference of an infant.
What is to track brain growth and development principles up to age 2 or 3?
The primary role and focus of the practical nurse while a practitioner is performing a lumbar puncture on an infant.
What is positioning, restraint, and monitoring the infant's airway/respirations?
The two acceptable mathematical frameworks used to calculate or determine safe pediatric drug dosages.
What are body weight (mg/kg or lbs) and Body Surface Area (BSA) using a nomogram?
The maximum timeframe an infant should be kept NPO prior to a surgical procedure to prevent severe dehydration.
What is 4 to 6 hours?
Two reasons why standard adult identification band protocols are modified or heavily enforced on a pediatric unit.
What are: infants/toddlers cannot verbalize their names, and they may pull off or swap ID bands?
True or False: Hypotension is an early sign of shock in pediatric patients.
What is False? (Hypotension is a very late, ominous sign of pediatric shock).
The descriptive term for the exact body position an infant or child must be held in to open up the vertebral spaces during a lumbar puncture.
What is a lateral recumbent, flexed C-shape position?
This is the preferred way to counteract the effects of an unpleasant-tasting medication rather than mixing it into an infant's essential formula bottle.
What is following it with an "ice-pop" chaser or mixing it into a small spoonful of applesauce?
The correct position to place an infant in following a gastrostomy or gavage tube feeding to aid gastric emptying and prevent aspiration.
What is the right side (or right side with head elevated)?
These are three acceptable age-appropriate transport devices utilized to safely move a pediatric patient through a hospital corridor.
What are wagons (with safety belts), cribs, strollers, or isolettes/bassinets?
This specific vital sign change is considered a critical medical emergency in infants and young children because it indicates their compensatory mechanisms for shock have failed.
What is bradycardia?
The proper clinical method for gathering a stool specimen from an infant who wears diapers.
What is scraping a sample directly from a freshly soiled, clean diaper?
A child weighs 35.5 lbs. The safe recommended pediatric range is 3–5 mg/kg. This dose out of the options—75mg, 105mg, 150mg, or 200mg—is the only safe dose.
What is 75 mg? (Safe range is 48.4 mg to 80.6 mg).
The anatomical depth limit (in inches) when inserting an enema tube into a pediatric patient.
What is 1 to 4 inches?
This is the most crucial action a practical nurse must take regarding equipment cords, lines, or crib side rails when walking away from an infant's bedside.
What is ensuring all safety measures are fully locked/secured, and lines are out of reach to prevent strangulation or falls?
When assessing an infant who is quietly resting in a parent's arms, these are the first two assessment steps you should complete before touching the child.
What are observation and counting respirations/heart rate? (Data collection using minimal touch first).
These are two critical sites commonly used for venipuncture or blood specimen collection in infants that are rarely used in adults.
What are scalp veins or foot/dorsal foot veins?
This variable is considered the single most important predictor of a pediatric patient's response to any drug therapy.
What is body weight (or metabolic maturity)?
This mechanical device uses a humidified environment mixed with oxygen to assist pediatric patients experiencing severe respiratory distress.
What is a mist tent?