| Erikson | Pediatric Cardiac Issues | Pediatric Respiratory Issues | Assessment | OB/Foundations |
|---|---|---|---|---|
|
Emphasis on parents ability to nurture & care for child. Allows for development of optimism, trust, confidence, & security
Basic trust vs mistrust
(Birth through 18 months) |
Difference between fetal and neonate circulation
gas exchange process
pressures within the systemic & pulmonary circulation anatomic structures |
Which part of the neonate's respiratory system is the "work horse".
The diaphragm (pg 1030)
|
When is the best time for a nurse to complete a physical assessment?
During a bath. May need more than one session if done at other times.
|
The nurse is caring for a client in labor and delivery with the following history: G2P1000, 39 weeks' gestation in transition phase, FH 135 with early decelerations. The client states, "I'm so scared. Please make sure the baby is ok!" Which of the following responses by the nurse is appropriate?
A. "There is absolutely nothing to worry about." B. "The fetal heart rate is within normal limits." C. How did your first baby die?" D. Was your first baby preterm?"
B. "The fetal heart rate is within normal limits."
Best response. The nurse is providing the client with accurate, reassuring information without guaranteeing that there will definitely be a positive outcome. |
|
Desire to cope & take initiative in developing play scenarios and experiment with what they believe it means to be an adult.
Initiative vs Guilt
(3 - 5 years) |
Most frequent congenital defect seen in infants and children. Give an example
Chromosomal:
Trisomy 21 Turners syndrome in girls (single X) Klinefelter variant in boys (extra X) Marfams syndrome Velocardiofacial syndrome (DiGeorge Syndrome) |
A child with croup is given a diagnosis of Ineffective airway clearance r/t mucosal swelling & obstruction of the upper respiratory track AEB inspiratory stridor, barking cough and hoarseness. What would you include in the parents teaching of signs & symptoms of respiratory distress.
Inc difficulty breathing or worsening symptoms, retractions (tugging in of the skin between, above, or below the ribs w/inspiration), bluish or dusky lips, breathing cool or warm mist does not improve symptoms in 20 minutes, inability to drink much over the past 24 hours, drooling/difficulty swallowing, fever, and lethargy, listlessness or severe agitation (p1045)
|
Which part of the physical assessment on a patient can be delegated by the RN?
Vital sign measurement (not the interpretation)
|
A client has just received synthetic prostaglandins for the induction of labor. The nurse plans to monitor the client for which of the following side effects?
A. Nausea and uterine tetany B. Hypertension and vaginal bleeding C. Urinary retention and severe headache D. Bradycardia and hypothermia
A. Nausea and uterine tetany
These are 2 side effects of prostaglandin administration. none of the others are associated with this medication. |
|
Focus is on the person where the individual defines themselves & their identity, while developing a sense of right from wrong & morality.
Identity vs Role Confusion
(12 - 18 years) |
SIgns and symptoms of patent ductus arteriosus
Symptoms of heart failure
continuous murmur bounding pulses enlarged heart |
Drooling
Dysphagia Dysphonia Distressed inspiratory efforts
Cardinal signs and symptoms of Epiglottis (p1045)
|
What is included in APGAR?
Activity/muscle tone
Pulse/heart rate Grimace (response to stimulation) Appearance (color) Respiration/breathing |
On the 3rd postpartum day a client tells the nurse that she feels sad and that she cries easily. THe nurse should explain about which of the following?
A. These feelings are normal and should diminish when the baby is about a week old. B. The physician will likely order an antidepressant for the client to take at home. C. If the client focuses on the fact that she has a healthy baby, the feelings will cease. D. When the client is home with her family and friends, her sad feelings will disappear.
A. These feelings are normal and should diminish when the baby is about a week old.
- true statement. The client's feelings are normal. |
|
Seek companions, intimacy, satisfying relationships, & love. If unsuccessful can become isolated.
Intimacy vs Isolation
(18 - 40 years) |
Three predominate types of AV septal defects
Partial
Intermediate/transition Complete |
How does the RN prevent medication errors or drug emergencies in pediatric med administrations?
Careful calculations, double checking math, and checking with another RN can prevent errors in med administration (p43)
|
Concept of God
Sources of strength and hope Religious practice Meaning & purpose are examples of...
4 major areas of the spiritual assessment used with the patient or their family of the patient is unable to communicate.
|
A nurse evaluates a patient's response to a nursing intervention. To which aspect of the nursing process is this evaluation most directly related?
A. Goal B. Problem C. Etiology D. Implementation
A. Goal
To evaluate the effectiveness of a nursing action the nurse needs to compare the actual patient outcome with the expected patient outcome. The expected outcomes are the measurable data that reflect goal achievement, and the actual outcomes are what really happened. |
|
Individual self reflects through feelings of contentment or despair depending on their own contributions to life or struggles.
Ego Integrity vs Despair
(65 - death) |
Signs and symptoms of Transportation of the great arteries
Cyanosis at birth, hypoxemia w/supplemental O2, progressive desaturation, acidosis, and heart failure
|
Before administering vaccines what should be screened for in the child?
medical conditions, other prescriptions, and OTC drugs (herbal preparations and food or drug allergies) (p432)
|
What does the 2nd and 3rd B's in BUBBLE EE refer to?
Bladder & Bowel
|
Which is common to the collection of specimens for culture and sensitivity tests regardless of their source?
A. A preservative media must be used. B. Two specimens should be obtained. C. Surgical asepsis must be maintained. D. A morning specimen should be collected.
C. Surgical asepsis must be maintained.
The results of a culture and sensitivity are faulty and erroneous if the collection container or inappropriate collection technique introduces extraneous microorganisms that falsify and misrepresent results. Surgical asepsis (sterile technique) must be maintained. |
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