Pediatric Nursing Study Guide
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Questions and Answers

What should you inform someone if the food or drink contains medicine?

  • You should inform them about it. (correct)
  • It is safe to consume without checking.
  • You need to tell the child about it.
  • It can be consumed in any amount.
  • When can a child start eating solid food?

  • After they are 6 months old. (correct)
  • At birth, as they are ready for digestion.
  • When they gain interest in adult food.
  • When the grandparents say it's okay.
  • What knowledge is important regarding enteral feeding?

  • It is only used for patients who cannot eat at all.
  • Understanding the nutritional needs is crucial. (correct)
  • It can be adjusted for taste preferences.
  • It should only be done in a hospital setting.
  • Which information concerning toys at the grandparents' house is important?

    <p>It's concerning if there are no toys at all.</p> Signup and view all the answers

    What is the correct infusion rate for the medication if the order is 125mg/100mL and the available concentration is 25mg/5mL?

    <p>20 mL/hr</p> Signup and view all the answers

    What is the total volume required to administer 125mg at a concentration of 125mg/125mL?

    <p>125 mL</p> Signup and view all the answers

    If a patient weighs 85 kg, how many units of Heparin are needed when the order is 18 units/kg/hr?

    <p>1530 units</p> Signup and view all the answers

    How would you express a dosage of 30 mL/hr in mg/hr if the available concentration is 2mg/250mL?

    <p>2.4 mg/hr</p> Signup and view all the answers

    What is the resulting amount in mL/hr if a dosage of 100 mg/hr is prescribed with an available concentration of 10mg/mL?

    <p>10 mL/hr</p> Signup and view all the answers

    If the order indicates to administer 40 units/kg for a patient weighing 85 kg, what is the total units needed?

    <p>3400 units</p> Signup and view all the answers

    What is the concentration of Heparin in units per mL if the total available is 25,000 units in 250 mL?

    <p>100 units/mL</p> Signup and view all the answers

    What is the value of X in 125mg:125mL = 20mg:X if cross-multiplying?

    <p>20 mL</p> Signup and view all the answers

    Calculating how many mL/hr is equivalent to 2500 units/hr if the concentration is 25,000 units/250 mL?

    <p>25 mL/hr</p> Signup and view all the answers

    Study Notes

    Pediatric Nursing Study Guide (Herzing University)

    • Adolescent Development: Decreased coordination, uneven growth spurts, diminished ability to perform learned skills. Key protective reflexes include righting and parachute reactions.
    • Colic: Inconsolable crying lasting 3+ hours, which typically resolves around 3 months. Caregivers need to meet the infant's needs. Trust vs. Mistrust (Erikson) is a key factor, whereby meeting needs builds trust.
    • Infant Nutrition: Calcium comes primarily from dairy products.
    • Car Seats: Children can face forward when they exceed the weight and height limits listed on the car seat and relevant regulations.
    • Time-Outs: Effective time-outs are explained to children and need parental involvement for explanation, establishing a rule and time.
    • Kindergarten Readiness: Kids may not be demonstrating attention or following the rules, and need time for the adjustment and development in their new routine to be ready for kindergarten.
    • Picky Eaters: Positive and patient behaviors are essential in response to picky eating.
    • 12-Year-Old Expectations: All 20 deciduous teeth should be replaced by 28 permanent teeth.
    • Screen Time: Reinforce suitable use of screen time rather than offering it as a reward.
    • Adolescence (Erikson): The stage of identity vs. role confusion, focusing on the formation of relationships, which is key during this phase.
    • Moral Development (Kohlberg): Focuses on treating others the way you want to be treated.
    • Blood Draws: Therapeutic play, involving a sibling, can be a distraction.
    • Immunizations (HepB): The first dose is given at birth, the second at 1-2 months, and the third at 6-18 months.
    • Pain Transmission: The order of pain transmission is transduction (activation of nociceptors), transmission (relay to the brain), perception (interpreting pain), and modulation (neuromodulators impact pain sensation).
    • Anticipatory Guidance: Focus on safety, hygiene, healthy nutrition, physical activity, and mental health aspects. Don't recommend blood tests or diabetes.
    • Pain Assessment (Pediatrics): Use the FACES scale for ages 3 and up.
    • 4-Year-Old Pain Response: Kids hold the area that hurts and may appear quiet or withdrawn.
    • Ceiling Effect (Medication): The parent might try increasing medication dosage.
    • Medication Rights: Educate the child and understand the right to refuse medication, and the right form, medication, patient, time, route, and patient's understanding of the process.
    • Developmental Surveillance: Comprehensive physical assessment, growth and developmental observation, and communication with the child.
    • New Diagnosis: First consider developmentally appropriate methods when teaching the child and parents about a new diagnosis.
    • School Nurse: Minimize barriers (in the school setting), advocate for necessary screening, and ensure referrals to support student needs.
    • Medication Administration: Follow the required procedure in giving medication to a child.
    • Grandparent Caregiver: Consider providing appropriate play materials and items that will help with keeping the child occupied.
    • Toddler/Preschooler Expectations: Expected weight gain and skills development.
    • Solid Foods: Introduce age-appropriate foods, with considerations for the child's needs.
    • Vegetarian Teenager: Vegetarianism is an acceptable eating pattern if protein and calcium needs are addressed.
    • Enteral Feeding: Educate parents and the child on the procedures related and importance of enteral feedings.
    • Child Admission: Establish parent and child's needs to be met before anything else in the process.
    • Developmental Delays: Ask about the gestational age and week of the baby.

    Medication Calculations (Calculations from Pages 5-7)

    • Calculations: The study pages contain medication calculations. Focus on the examples provided to understand the methods involved. Data and values used in this document are specific to the example and not intended for general use or interpretation.
    • Units and Concentrations: Pay close attention to units (mg, mL, units) and concentrations (mg/mL, units/mL) to ensure accurate calculations.
    • Example problems: Follow each calculation to understand the steps involved in determining the medication doses for the patient in context.
    • Heparin Calculations: For calculating heparin dosages from given orders, avail, weights, and desired results, using the provided examples and values.

    Grouping (Page 8)

    • Group A: Examples of prescribed medications and dosages that need to be considered and the methods that need to be addressed in administering the patients medication and any relevant details.

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    Description

    Explore key concepts in pediatric nursing including adolescent development, infant nutrition, and effective discipline strategies. This study guide covers essential topics like colic, car seat regulations, and kindergarten readiness, helping caregivers support children's growth and health.

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