Pediatric Nursing: Children's Health

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Questions and Answers

Which statement best describes pediatric nursing?

  • Administering medications to children under the direct supervision of a physician.
  • Delivering nursing care to individuals from infancy through adolescence, focusing on their holistic development. (correct)
  • Focusing solely on the physical health of children while disregarding their emotional and psychosocial well-being.
  • Providing care exclusively to newborns in neonatal intensive care units.

Why is honesty considered a crucial quality for a pediatric nurse?

  • To ensure the nurse always agrees with the medical staff, avoiding conflicts.
  • To maintain a professional distance from patients and their families.
  • To prevent children from becoming upset or anxious about their treatment.
  • To build trust with children and families, fostering open communication about health concerns. (correct)

How does a pediatric nurse play a role at the primary level of healthcare?

  • Providing health education to children and parents, promoting healthy development and preventing diseases. (correct)
  • Administering complex treatments to children with chronic illnesses in a hospital setting.
  • Managing rehabilitation programs for children with disabilities.
  • Performing surgical procedures on children with congenital abnormalities.

What is the first step a pediatric nurse should take when providing care at the secondary level?

<p>Assessing the needs of the sick child and their family to understand their specific challenges. (A)</p> Signup and view all the answers

In what way does a pediatric nurse contribute to tertiary level care?

<p>By assisting children in returning to their maximum level of functioning after an illness or disability. (A)</p> Signup and view all the answers

Which action reflects family-centered care in pediatric nursing?

<p>Acknowledging the family unit as central to the child's health and involving them in care interventions. (C)</p> Signup and view all the answers

How can a pediatric nurse create a positive environment for the family?

<p>By establishing a supportive atmosphere that encourages family members to actively participate in their child's care. (C)</p> Signup and view all the answers

What is the primary goal of family-centered care?

<p>To empower families to actively participate in their child's healthcare journey. (C)</p> Signup and view all the answers

What educational topics should a pediatric nurse cover with parents?

<p>Growth and development, health promotion, disease prevention, and managing the child's illness. (D)</p> Signup and view all the answers

Why is teaching accident prevention important for parents?

<p>To minimize the risks of injury and promote a safe environment for the child's development. (A)</p> Signup and view all the answers

What should a nurse include in discharge planning for a child?

<p>Provide comprehensive instructions, including medication, follow-up appointments, and nutritional needs. (A)</p> Signup and view all the answers

A pediatric nurse notices a child is consistently withdrawn and avoids eye contact. How should the nurse respond?

<p>Engage the child in gentle conversation, observe their interactions with family, and report concerns to the healthcare team. (C)</p> Signup and view all the answers

A parent expresses fear and uncertainty about their child's upcoming surgery. What is the most appropriate nursing intervention?

<p>Provide a detailed explanation of the surgical procedure, potential risks, and expected outcomes, while offering emotional support. (D)</p> Signup and view all the answers

A child with a chronic illness is non-adherent to their medication regimen. What is the most important action for the pediatric nurse?

<p>Involve the child and family in developing strategies to improve adherence, considering their preferences and challenges. (B)</p> Signup and view all the answers

A pediatric nurse is caring for an adolescent with a terminal illness. What is the priority nursing intervention?

<p>Provide comprehensive palliative care, addressing the adolescent's physical, emotional, and spiritual needs, while supporting the family. (D)</p> Signup and view all the answers

What should the nurse do to maintain the child’s health?

<p>Help the child to achieve his optimal growth and development. (D)</p> Signup and view all the answers

A pediatric nurse is preparing to administer an oral medication to a toddler. Which approach is most appropriate?

<p>Offer the toddler a choice of flavored syrups or a small amount of juice to take with the medication. (D)</p> Signup and view all the answers

A child is scheduled to undergo a painful procedure. Which intervention is most effective in minimizing anxiety and discomfort?

<p>Provide age-appropriate preparation, distraction techniques, and topical anesthetics. (C)</p> Signup and view all the answers

Identify a key component of family-centered care.

<p>The importance of the family unit. (A)</p> Signup and view all the answers

What kind of opportunities does the nurse have in providing health education to parents and children?

<p>All of the above. (D)</p> Signup and view all the answers

Which factor is most important when attempting to communicate with a hospitalized child?

<p>The child’s developmental level (B)</p> Signup and view all the answers

Which nursing action demonstrates advocacy for a child and family?

<p>Providing resources to assist with home care (D)</p> Signup and view all the answers

The pediatric nurse is caring for a 10-year-old child with diabetes. What statement indicates that the child understands proper foot care?

<p>“I should check my feet every day for sores.” (B)</p> Signup and view all the answers

A nurse is teaching a group of parents about safety for toddlers. Which of the following is the most important instruction?

<p>Keep all medications in a locked cabinet. (B)</p> Signup and view all the answers

Which statement by a parent would cause the MOST concern for the pediatric nurse regarding a 3-month-old infant?

<p>“My baby hasn’t gained any weight in the last month.” (C)</p> Signup and view all the answers

A pediatric nurse is preparing to give an intramuscular injection to a 6-month-old infant. Which site is preferred?

<p>Vastus Lateralis (D)</p> Signup and view all the answers

When caring for an adolescent, which approach fosters the greatest sense of trust and cooperation?

<p>Involving the adolescent in decision-making (B)</p> Signup and view all the answers

The mother of a toddler reports that her child has frequent temper tantrums. What is the BEST suggestion the nurse can offer?

<p>Ignore the behavior, provided the child is safe (C)</p> Signup and view all the answers

A pediatric nurse is teaching a group of parents about preventing childhood obesity. Which recommendations should be included?

<p>Limit screen time and promote physical activity (D)</p> Signup and view all the answers

A child with asthma is having difficulty breathing. Which medication should the nurse administer FIRST?

<p>Short-acting beta2-agonist (Albuterol) (B)</p> Signup and view all the answers

A child is admitted with suspected appendicitis. What is the MOST important nursing intervention?

<p>Maintaining NPO status (D)</p> Signup and view all the answers

The mother of a newborn asks the nurse about preventing SIDS (Sudden Infant Death Syndrome). Which instruction is MOST important?

<p>Place the baby on their back to sleep (A)</p> Signup and view all the answers

A child is diagnosed with a urinary tract infection (UTI). What information should the nurse provide to the parents to prevent future infections?

<p>Increase fluid intake. (B)</p> Signup and view all the answers

A 4-year-old child is hospitalized. What action should the nurse take to alleviate the child’s anxiety related to hospitalization?

<p>Encourage the child to verbalize their feelings. (A)</p> Signup and view all the answers

The nurse is preparing to administer medication to a school-age child. Which approach is most likely to gain the child’s cooperation?

<p>Explaining the purpose and effects of the medication in simple terms (B)</p> Signup and view all the answers

A 13-year-old client with type 1 diabetes mellitus is brought to the emergency department. The client is in diabetic ketoacidosis (DKA). Which finding should the nurse expect?

<p>Kussmaul respirations (C)</p> Signup and view all the answers

A family is caring for their child who has leukemia. Which nursing intervention is most important for a child dealing with leukemia?

<p>Reduce risk of infection (C)</p> Signup and view all the answers

What qualities are important in a nurse?

<p>all the above (B)</p> Signup and view all the answers

Flashcards

Pediatric Nursing

The art and science of providing nursing care to children from birth through adolescence, focusing on physical, mental, emotional, and psychosocial development.

Qualities of a Pediatric Nurse

A pediatric nurse is a good observer, honest, sympathetic, patient, loves working with children, interested in family care and able to teach families.

Role of Pediatric Nurse

Promote healthy maturation, provide treatment for diseases, and address disabilities to maximize the child's potential.

Primary Level Role

Promoting health and wellbeing through health education, meeting basic needs, and providing immunizations.

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Secondary Level Role

Nurses provide care for sick children, assess needs, plan and implement care, evaluate the child's condition, and provide health teaching.

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Tertiary Level Role

Assisting children to return to their maximal level of functioning after illness or disabilities.

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Family Centered Care

An approach to care that acknowledges the importance of the family unit as the fundamental focus of healthcare interventions.

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Parent's Education

Providing information about growth and development, health promotion, illness, and discharge planning.

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Child Health Promotion

Providing information on nutritional needs and hygienic care.

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Preventive Aspects

Includes accident prevention, immunizations and periodic examinations.

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Child's Illness Educations

Explaining the nature of the sickness and the care needed.

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Plan for Child's Discharge

Medication details, follow-up appointments, and nutritional needs.

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Study Notes

  • Pediatric nursing focuses on giving care to children from infancy through adolescence.
  • It emphasizes their physical growth, mental, emotional, and psychosocial development.

Qualities of a Pediatric Nurse

  • A good observer of children's conditions and behaviors.
  • Honest and truthful in communication with children and families.
  • Sympathetic, kind, patient, and cheerful in their interactions.
  • Must have a genuine love for working with children.
  • Interested in providing care that includes the whole family.
  • Able to effectively teach children and their families about health and care.

Roles of a Pediatric Nurse

  • These roles are based on primary health care principles.
  • Promoting healthy maturation of the child within their family and community (primary level).
  • Providing healthcare for children who are ill and require treatment (secondary level).
  • Addressing and helping children with disabilities, focusing on maximizing their potential (tertiary level).

Primary Level

  • Health education for the child and parents is vital.
  • Providing for the child's basic needs is important, including immunization.
  • Maintaining the child's health is key at this level.
  • Helping the child achieve optimal growth and development is important.
  • Preventing diseases and their complications is a main goal.

Secondary Level

  • Providing care to sick children and their families involves several steps.
  • Assessing the needs of the child and family is the first step.
  • Planning care based on the assessment is crucial.
  • Implementing the nursing care plan effectively and efficiently is important.
  • Evaluating the child's condition and the effectiveness of the care plan ensures quality care.
  • Providing health teaching to children and their parents empowers them in the care process.

Tertiary Level

  • Assisting children to return to their maximal level of functioning is the ultimate goal.
  • This applies following illness and/or disabilities.

Family-Centered Care

  • Acknowledges the family unit as the fundamental focus of healthcare interventions.
  • Requires the healthcare team to be flexible and creative.
  • Interventions are based on the needs of both the parent and child.
  • Interventions take into account their coping resources.
  • The nurse helps establish a positive environment for family members.
  • Assist families to accept and utilize the care provided.
  • Guiding family members through new experiences in seeking health care utilization is important.

Parent Education

  • Providing health education to parents and their children covers various aspects.
  • Growth and development needs of the child.
  • Child's health promotion and maintenance, including nutritional and hygienic care.
  • Preventive measures like accident prevention, immunization, and periodic examinations.
  • Nature of the child's illness and care needed.
  • Plan for child's discharge, including medication, follow-up, and nutrition.

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