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