Physiology of Pain
Developmental Consideration
Pain Management
100

Pain that develops in the tissue is what type of pain?

What is Somatic pain

100

T/F: Because their nervous systems are immature, newborns are incapable of perceiving pain.

What is False. 

100

This medication should not be used in infants or children for analgesic or antipyretic purposes because of high risk of Reyes sydrome.

What is Aspirin.

200

Pain that develops within the organs (e.g.,kidney) is categorized as what type of pain?

What is visceral pain? 

200

What is the most common behavioral response to pain in younger infants?
A. Angry facial expression with eyes open
B. Brow lowering, eyes tightly closed, and mouth forming a square
C. Loud crying and pushing away the stimulus
D. Poor feeding and restless sleeping


What is Choice B. 

Brow lowering, eyes tightly closed, and mouth forming a square

200

Which nursing intervention is the priority for a child receiving IV morphine after surgery?

A. Monitor for constipation 

B. Encourage small, frequent meals 

C. Assess respiratory status frequently and have naloxone available 

D. Allow parents to press the PCA button for their child

What is choice C. 

Assess respiratory status frequently and have naloxone available

300

T/F: Children learn to adapt to pain and painful procedures

What is False. 

Repeated exposure to pain or painful procedures can result in an increase in behavioral manifestations (crying, withdrawal, resistance).

300

What behavioral scale for pain is used in nonverbal young children and children with cognitive impairment?


What is r-FLACC 

300

T/F: Meperidine (Demerol) is considered a first-choice agent for pain relief in children

What is False. Meperidine (Demerol), an opioid agonist, is not recommended as a first-choice agent for pain relief in children due to its toxicity on the central nervous system

400

What substances modify the pain sensation? 

What are Neuromodulators?

400

This parasympathetic activity drops in infants as a response to pain.


What is vagal tone

400

__________ involves delivering mild electrical currents through the skin to interfere with pain signal transmission.


What is Transcutaneous electrical nerve stimulation (TENS)

500

Which infant pain assessment tool takes into account gestational age, O2 saturation, and behavioral indicators such as facial expressions?


What is Premature Infant Pain Profile (PIPP)

500

What developmental age group may believe pain is a punishment for misbehaving or having bad thoughts?


What are Preschoolers

500

This nursing principle emphasizes doing everything possible to reduce pain, stress, and trauma in pediatric care.

What is atraumatic care?