Podcast
Questions and Answers
When taking in poisons (such as bleach), the higher the pH the more likely it will cause a ______.
When taking in poisons (such as bleach), the higher the pH the more likely it will cause a ______.
burn
How should the nurse administer liquid medications to a crying infant?
How should the nurse administer liquid medications to a crying infant?
Needleless syringe in the buccal cavity
What is skeletal traction?
What is skeletal traction?
The most effective means of traction, applying to a bone with wire pins or tongs.
What is the most important thing for school-aged kids to do for development?
What is the most important thing for school-aged kids to do for development?
A toddler's fine motor skills kick in at ______ months.
A toddler's fine motor skills kick in at ______ months.
What should a nurse do if a toddler regresses during a hospital visit and starts wetting the bed?
What should a nurse do if a toddler regresses during a hospital visit and starts wetting the bed?
What reflex seen when an infant is born is still there when they are a year old?
What reflex seen when an infant is born is still there when they are a year old?
What should you wear while feeding an infant in droplet precautions?
What should you wear while feeding an infant in droplet precautions?
What is the proper way to collect urine for specific gravity for an 18-month-old?
What is the proper way to collect urine for specific gravity for an 18-month-old?
What vaccine is best to give an 18-year-old going to college?
What vaccine is best to give an 18-year-old going to college?
Is it okay for parents to give Tylenol after giving an MMR shot?
Is it okay for parents to give Tylenol after giving an MMR shot?
What is a major contraindication of the Pertussis vaccine?
What is a major contraindication of the Pertussis vaccine?
Head lag should disappear at ______ months.
Head lag should disappear at ______ months.
What is a common food allergen in infants?
What is a common food allergen in infants?
Which vaccines are given at 2 months?
Which vaccines are given at 2 months?
What toy would be appropriate for a 4-year-old in the hospital?
What toy would be appropriate for a 4-year-old in the hospital?
When should a child be able to copy a square and circle?
When should a child be able to copy a square and circle?
When should a child be able to tie shoelaces?
When should a child be able to tie shoelaces?
When should a child learn how to do cursive writing?
When should a child learn how to do cursive writing?
At 6 months of age, a child's legs should not be crossed at the knees.
At 6 months of age, a child's legs should not be crossed at the knees.
If a 9-month-old cannot sit without support, what does this indicate?
If a 9-month-old cannot sit without support, what does this indicate?
To prevent lead poisoning, what should the nurse teach parents for their babies?
To prevent lead poisoning, what should the nurse teach parents for their babies?
When a child is stuttering, what should they never be encouraged to do?
When a child is stuttering, what should they never be encouraged to do?
What is Wilm's tumor?
What is Wilm's tumor?
What is spinal fusion?
What is spinal fusion?
What is concerning about even small cuts in preschoolers?
What is concerning about even small cuts in preschoolers?
What is the biggest thing to watch for with shunt repairs?
What is the biggest thing to watch for with shunt repairs?
School-age children are more ______ learners and learn more by __________.
School-age children are more ______ learners and learn more by __________.
What happens when taking in poisons such as bleach with a high pH?
What happens when taking in poisons such as bleach with a high pH?
How should the nurse administer liquid medications to a crying infant?
How should the nurse administer liquid medications to a crying infant?
What is skeletal traction?
What is skeletal traction?
What is the most important thing for a school-age child in development?
What is the most important thing for a school-age child in development?
At what age do a toddler's fine motor skills begin to kick in?
At what age do a toddler's fine motor skills begin to kick in?
If a toddler regresses during a hospital visit and begins wetting the bed, what should the nurse do?
If a toddler regresses during a hospital visit and begins wetting the bed, what should the nurse do?
What reflex is still present when an infant is one year old?
What reflex is still present when an infant is one year old?
What precautions should be taken for an infant under droplet precautions?
What precautions should be taken for an infant under droplet precautions?
What is the proper way to collect urine for specific gravity in an 18-month-old?
What is the proper way to collect urine for specific gravity in an 18-month-old?
What is the appropriate way to prepare a toddler for surgery?
What is the appropriate way to prepare a toddler for surgery?
What is the best vaccine to give an 18-year-old going to college?
What is the best vaccine to give an 18-year-old going to college?
After giving an MMR shot, is it okay for parents to give Tylenol?
After giving an MMR shot, is it okay for parents to give Tylenol?
What is a major contraindication for the Pertussis vaccine?
What is a major contraindication for the Pertussis vaccine?
At how many months should head lag disappear?
At how many months should head lag disappear?
What is a common food allergen in infants?
What is a common food allergen in infants?
Which vaccines are given at 2 months?
Which vaccines are given at 2 months?
What is an appropriate toy for a 4-year-old in the hospital?
What is an appropriate toy for a 4-year-old in the hospital?
When should a child be able to copy a square and circle?
When should a child be able to copy a square and circle?
At what age should a child be able to tie shoelaces?
At what age should a child be able to tie shoelaces?
At what age should a child learn how to do cursive writing?
At what age should a child learn how to do cursive writing?
At 6 months of age, a child's legs should be crossed at the knees during a well visit.
At 6 months of age, a child's legs should be crossed at the knees during a well visit.
If a 9-month-old cannot sit without support, what does that indicate?
If a 9-month-old cannot sit without support, what does that indicate?
What should parents be taught to prevent lead poisoning in their babies?
What should parents be taught to prevent lead poisoning in their babies?
When a child is stuttering, what should they never be encouraged to do?
When a child is stuttering, what should they never be encouraged to do?
What is Wilms tumor?
What is Wilms tumor?
What is spinal fusion?
What is spinal fusion?
What is concerning about small cuts in preschoolers?
What is concerning about small cuts in preschoolers?
What is the biggest thing to watch for with shunt repairs?
What is the biggest thing to watch for with shunt repairs?
School-age children are more _______ learners and learn more by __________.
School-age children are more _______ learners and learn more by __________.
When taking in poisons (such as bleach), the higher the pH the more likely it will _____
When taking in poisons (such as bleach), the higher the pH the more likely it will _____
How should the nurse administer liquid medications to a crying infant?
How should the nurse administer liquid medications to a crying infant?
What is skeletal traction?
What is skeletal traction?
For development, what is the most important thing for a school age child to do?
For development, what is the most important thing for a school age child to do?
At what age do a toddler's fine motor skills, such as scribbling with a crayon, kick in?
At what age do a toddler's fine motor skills, such as scribbling with a crayon, kick in?
What should the nurse do if a toddler regresses during a hospital visit and starts wetting the bed?
What should the nurse do if a toddler regresses during a hospital visit and starts wetting the bed?
What reflex seen when an infant is born is still present at one year old?
What reflex seen when an infant is born is still present at one year old?
What should be done for an infant in droplet precautions?
What should be done for an infant in droplet precautions?
What is the proper way to collect urine for specific gravity in an 18-month-old?
What is the proper way to collect urine for specific gravity in an 18-month-old?
How should a toddler preparing for surgery be readied by a parent?
How should a toddler preparing for surgery be readied by a parent?
What is the best shot to give an 18-year-old going to college?
What is the best shot to give an 18-year-old going to college?
After giving an MMR shot, is it okay for parents to give Tylenol?
After giving an MMR shot, is it okay for parents to give Tylenol?
What is a major contraindication of the Pertussis vaccine?
What is a major contraindication of the Pertussis vaccine?
At how many months should head lag be gone?
At how many months should head lag be gone?
What is a common food allergen in infants?
What is a common food allergen in infants?
What vaccines are given at 2 months?
What vaccines are given at 2 months?
What toy would be appropriate for a 4-year-old in the hospital?
What toy would be appropriate for a 4-year-old in the hospital?
At what age should a child be able to copy a square and circle?
At what age should a child be able to copy a square and circle?
At what age should a child be able to tie shoelaces?
At what age should a child be able to tie shoelaces?
At what age should a child learn how to do cursive writing?
At what age should a child learn how to do cursive writing?
At 6 months of age, it is normal for a child's legs to cross at the knees during a well visit.
At 6 months of age, it is normal for a child's legs to cross at the knees during a well visit.
If a 9-month-old cannot sit without support, what does that indicate?
If a 9-month-old cannot sit without support, what does that indicate?
To prevent lead poisoning, what should the nurse teach the parent for their babies?
To prevent lead poisoning, what should the nurse teach the parent for their babies?
When a child is stuttering, what should they never be encouraged to do?
When a child is stuttering, what should they never be encouraged to do?
What is Wilm's tumor?
What is Wilm's tumor?
What is spinal fusion?
What is spinal fusion?
What is the concern with even small cuts in preschoolers?
What is the concern with even small cuts in preschoolers?
What is the biggest thing to watch for with shunt repairs?
What is the biggest thing to watch for with shunt repairs?
School age children are more _____ learners and learn more by __________.
School age children are more _____ learners and learn more by __________.
For a diabetes patient that has frequent diabetic ketoacidotic episodes, what is the best test to check compliance?
For a diabetes patient that has frequent diabetic ketoacidotic episodes, what is the best test to check compliance?
What is the biggest recommendation for those who have sickle cell anemia?
What is the biggest recommendation for those who have sickle cell anemia?
What exactly is sickle cell anemia?
What exactly is sickle cell anemia?
A child who is immunocompromised can receive any vaccines.
A child who is immunocompromised can receive any vaccines.
What assessment would mean that a kid's ventricular septal defect is worsening?
What assessment would mean that a kid's ventricular septal defect is worsening?
What condition are myelomeningocele post-op babies most prone to?
What condition are myelomeningocele post-op babies most prone to?
What should the nurse do for an 18-month-old child post-op from cleft palate repair who is really thirsty?
What should the nurse do for an 18-month-old child post-op from cleft palate repair who is really thirsty?
Can a cleft palate repair child use a soft nipple to drink?
Can a cleft palate repair child use a soft nipple to drink?
What lab finding is expected in a child with leukemia who is now experiencing fever and malaise?
What lab finding is expected in a child with leukemia who is now experiencing fever and malaise?
What is a significant clinical sign of epiglottitis?
What is a significant clinical sign of epiglottitis?
In a child with nephrotic syndrome given prednisone, what indicates that the medication has kicked in?
In a child with nephrotic syndrome given prednisone, what indicates that the medication has kicked in?
If a child has diarrhea for 24 hours, what does the nurse expect the specific gravity to be around?
If a child has diarrhea for 24 hours, what does the nurse expect the specific gravity to be around?
Why is an ASO titer done in a child with nephritis?
Why is an ASO titer done in a child with nephritis?
Why give inhaled steroids instead of oral steroids?
Why give inhaled steroids instead of oral steroids?
What assessment finding is consistent with an infant with tracheoesophageal fistula?
What assessment finding is consistent with an infant with tracheoesophageal fistula?
What are the instructions for a scoliosis patient with a back brace?
What are the instructions for a scoliosis patient with a back brace?
Koplik spots are an indication of what condition?
Koplik spots are an indication of what condition?
What is the best way to prevent otitis media in newborns?
What is the best way to prevent otitis media in newborns?
What to expect with a ventricular septal defect?
What to expect with a ventricular septal defect?
How to feed a post-operative 6-week-old pyloromyotomy patient?
How to feed a post-operative 6-week-old pyloromyotomy patient?
Post 4-month-old cardiac catheterization, what is a complication to watch for?
Post 4-month-old cardiac catheterization, what is a complication to watch for?
A cystic fibrosis patient needs increased _____ intake.
A cystic fibrosis patient needs increased _____ intake.
If a patient is in traction and their feet are pale with absent pulses, what should the nurse do?
If a patient is in traction and their feet are pale with absent pulses, what should the nurse do?
What are the care instructions for a fiberglass cast?
What are the care instructions for a fiberglass cast?
Thalassemia major babies need frequent ____.
Thalassemia major babies need frequent ____.
Why does a toddler's abdomen protrude?
Why does a toddler's abdomen protrude?
What is the lab finding in tetralogy of fallot?
What is the lab finding in tetralogy of fallot?
What are the signs of anaphylaxis?
What are the signs of anaphylaxis?
What is urticaria?
What is urticaria?
What is the best intervention after a bone marrow aspiration?
What is the best intervention after a bone marrow aspiration?
Where does the nurse perform a bone marrow aspiration?
Where does the nurse perform a bone marrow aspiration?
Why do children with mononucleosis need a school excuse?
Why do children with mononucleosis need a school excuse?
What is epistaxis?
What is epistaxis?
How can you tell if a kid has leukemia?
How can you tell if a kid has leukemia?
What is the treatment for intussusception?
What is the treatment for intussusception?
What is the biggest primary intervention for autistic kids?
What is the biggest primary intervention for autistic kids?
In what manner should iron deficiency anemia be given to a child?
In what manner should iron deficiency anemia be given to a child?
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Study Notes
Poisoning and pH Levels
- High pH (above 7.45) increases the likelihood of burns from alkaline substances like bleach.
Medication Administration for Infants
- Use a needle-less syringe to administer liquid medication into the buccal cavity.
- Do not mix medication with formula.
- Never close the infant's mouth or nose during administration.
Skeletal Traction
- Most effective traction method involves applying force to a bone using wire pins or tongs.
Child Development Milestones
- School-age children learn through homework and experience a conflict of industry vs. inferiority.
- Toddlers typically begin fine motor skills, such as scribbling, around 18 months.
Hospitalization and Toddler Behavior
- If a toddler regresses and starts wetting the bed during hospitalization, it should be ignored as it may be stress-related.
Reflexes in Infants
- The Babinski reflex should still be present in infants up to one year of age.
Infection Control in Infants
- For infants in droplet precautions, staff should wear gowns and masks and should not allow the infant to leave the room.
Collecting Urine Specimens
- Use a pediatric urine collector to collect urine from an 18-month-old for specific gravity testing.
Preparing Toddlers for Surgery
- Reading appropriate books about surgery can help prepare toddlers mentally.
Vaccination Recommendations
- Meningococcal polysaccharide vaccine is recommended for 18-year-olds heading to college.
- Parents can give Tylenol after an MMR shot without concern.
Vaccine Contraindications
- A major contraindication for the Pertussis vaccine is a history of neurological or seizure disorders.
Growth and Motor Skills
- Head lag should disappear by 4 months of age.
- Fine motor skills such as copying shapes develop around 4 years, while tying shoelaces and cursive writing are mastered by 5 and 8 years, respectively.
Developmental Delays
- A 9-month-old unable to sit without support indicates a possible developmental delay.
Lead Poisoning Prevention
- To prevent lead poisoning, infants should consume milk (rich in Vitamin D) and iron supplements.
Stuttering Management
- Children who stutter should not be encouraged to stop and start speaking over again.
Wilms Tumor
- A malignant kidney tumor in childhood, characterized by abdominal swelling. Requires preoperative chemotherapy/radiation, followed by surgical removal with further treatment.
Spinal Fusion
- Surgical procedure for vertebrae immobilization, requiring patients to be log rolled every two hours post-operation.
Preschoolers and Body Integrity
- Preschoolers may believe even small cuts can severely harm them due to their focus on body integrity.
Shunt Repair Monitoring
- Watch for lethargy post-shunt repair as an indication of potential intracranial pressure issues.
Learning Styles in School Age Children
- They are concrete learners who benefit from demonstration methods of teaching.
Diabetes Management
- Hemoglobin A1C is the best test for monitoring compliance in diabetes due to the lifespan of red blood cells.
Sickle Cell Anemia Management
- Patients should increase fluid intake to mitigate dehydration risks associated with sickle cell crises.
Immunocompromised Children and Vaccines
- Most vaccines can be administered, except for the inactivated polio vaccine.
Ventricular Septal Defect (VSD)
- Worsening of a VSD may be indicated by increased weight gain in the child.
Post-Operative Care
- For infants post-cleft palate repair, provide water in a cup and avoid using any nipple or instruments to feed.
Lab Expectations for Conditions
- In leukemia, expect low hemoglobin levels; for nephrotic syndrome, weight loss indicates prednisone efficacy.
Hyperosmolar Urine
- A child with diarrhea for 24 hours may have a specific gravity around 1.020, higher than the normal range.
Infection Indicators
- Symptoms like drooling and lethargy can indicate epiglottitis.
Hydrocephalus Risk
- Post-operative myelomeningocele infants are prone to developing hydrocephalus.
Feeding after Surgery
- Introduce short interval bottle feedings for infants post-pyloric stenosis procedure.
Mid-Range Lab Values
- In intussusception cases, barium enemas are used for treatment.
Safety Measures for Autistic Children
- Injury prevention is the primary intervention for children with autism.
Iron Deficiency Anemia Treatment
- Administer iron supplements between meals paired with Vitamin C for better absorption.
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