Briska Exam 3 Sememster 3 PArt 2
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Briska Exam 3 Sememster 3 PArt 2

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Questions and Answers

What is the normal range for oral temperature measurement in children?

  • 35.8-36.6 C (96.6-98 F)
  • 37.0-37.7 C (98.6-100 F)
  • 36.4-37.4 C (97.6-99.3 F) (correct)
  • 36.9-37.5 C (98.4-99.5 F)
  • What is used to measure pain in an infant?

  • OUCHER SCALE (Wong-Baker scale)
  • Faces or FLACC scale
  • FLACC scale (correct)
  • Verbalization pain scale 0-10
  • Why is rectal temperature measurement not desirable in newborns?

  • Because of the danger of irritation to the rectal mucosa (correct)
  • Because it is not accurate
  • Because of the risk of SIDS
  • Because it is uncomfortable
  • Which of the following vaccines contains porcine gelatin and may offend certain cultures?

    <p>Flu nasal spray</p> Signup and view all the answers

    What is the recommended sleeping position to reduce the risk of SIDS?

    <p>Supine sleeping position</p> Signup and view all the answers

    According to the medication administration guidelines, how should oral medications be administered to infants?

    <p>Using a dropper or syringe in the side of the mouth</p> Signup and view all the answers

    What is a common behavior observed in preschool children after hospitalization?

    <p>Regression</p> Signup and view all the answers

    What is the preferred site for subcutaneous and IM injections in children?

    <p>Vastus lateralis</p> Signup and view all the answers

    What is the normal body temperature range for children orally?

    <p>97.6°F (36.4°C) to 100.3°F (37.9°C)</p> Signup and view all the answers

    At what age can oral temperatures usually be taken?

    <p>Children older than 4 to 6 years</p> Signup and view all the answers

    What is the primary concern of children under 5 years old when dealing with death?

    <p>Separation and abandonment</p> Signup and view all the answers

    What is the main goal of pediatric palliative care?

    <p>To alleviate suffering and improve quality of life</p> Signup and view all the answers

    Why is it essential to prioritize pain management in pediatric care?

    <p>Because it is a necessary step before other nursing interventions</p> Signup and view all the answers

    What is the purpose of a Buretrol in IV therapy?

    <p>To control the amount of fluid that can go into the veins</p> Signup and view all the answers

    How can a nurse help reduce a child's anxiety in a hospital setting?

    <p>By allowing parents to stay with the child</p> Signup and view all the answers

    What is a characteristic of a dying child's body temperature?

    <p>It increases, despite feeling cool to the touch</p> Signup and view all the answers

    How can a nurse obtain a urine sample from a toilet-trained infant or toddler?

    <p>By attaching a U-Bag to the perineum</p> Signup and view all the answers

    Why is it essential to maintain fluid balance in children?

    <p>Because they dehydrate rapidly and it can lead to serious health issues</p> Signup and view all the answers

    What is the preferred route for administering fluids to an infant or child who can take them orally?

    <p>Oral</p> Signup and view all the answers

    What happens to the proportion of water in a child's body weight between ages 1 and 2 years?

    <p>It decreases to the adult level of about 60%</p> Signup and view all the answers

    Which symptom indicates a potential adverse reaction to a vaccine that must be reported immediately?

    <p>Fever that lasts longer than 3 days</p> Signup and view all the answers

    What temperature threshold indicates a severe reaction post-vaccination that should be reported?

    <p>Fever of 105°F</p> Signup and view all the answers

    Which vaccine is contraindicated for individuals with an allergy to eggs?

    <p>Measles, Mumps, and Rubella (MMR)</p> Signup and view all the answers

    Which of these screenings are specifically recommended for preschool-aged children?

    <p>Lead level</p> Signup and view all the answers

    In the context of caring for a terminally ill child, which action is most consistent with supporting the family's grief?

    <p>Encouraging the family to focus on positive memories of the child.</p> Signup and view all the answers

    What action should be taken regarding an infant who experiences any fever after vaccination?

    <p>Report the fever immediately if the infant is under 12 weeks old.</p> Signup and view all the answers

    Which of the following is considered a normal reaction to the MMR vaccine?

    <p>Fever occurring 10-14 days post-vaccination</p> Signup and view all the answers

    Which of these is NOT a recommended practice for maintaining comfort in a terminally ill child?

    <p>Administering analgesics via intramuscular injection for optimal absorption.</p> Signup and view all the answers

    Which of these statements regarding pediatric advance directives is TRUE?

    <p>Advance directives can provide guidance for medical decision-making when a parent is unavailable.</p> Signup and view all the answers

    Which of these health promotion measures is specifically recommended for adolescent girls?

    <p>Regular pelvic examinations and Pap smears</p> Signup and view all the answers

    What is a common misconception preschool-aged children have regarding death?

    <p>They believe they may have caused someone's death through thoughts.</p> Signup and view all the answers

    Which developmental milestone indicates that a child has begun to understand the concept of irreversible death?

    <p>School-aged children around 8 or 9 years.</p> Signup and view all the answers

    Which of the following statements best describes adolescents' perception of death?

    <p>They feel they are invulnerable and that death happens only to others.</p> Signup and view all the answers

    When assessing a situation involving a child suspected of being abused, what should be prioritized?

    <p>Documenting observations and physical signs carefully.</p> Signup and view all the answers

    What primary factor contributes to the rising numbers of adolescent deaths due to violence?

    <p>Engagement in risky behaviors and substance use.</p> Signup and view all the answers

    Which statement about the playroom is true?

    <p>A recreation therapist and volunteers must staff the playroom.</p> Signup and view all the answers

    What is the primary purpose of therapeutic play?

    <p>To prepare the child for medical procedures through role play.</p> Signup and view all the answers

    During which stage of healthcare visits does a child typically receive immunizations during infancy?

    <p>At 2 weeks, 2 months, 4 months, 6 months, 9 months, and 12 months.</p> Signup and view all the answers

    What is the best method for building trust with an adolescent during an interview?

    <p>Interview them in private to encourage open communication.</p> Signup and view all the answers

    What is emphasized during routine health screenings for toddlers?

    <p>Assessment of growth, development, and caregiver-toddler relationship.</p> Signup and view all the answers

    What is the typical response of a dying child just before death?

    <p>The child becomes restless, followed by a time of peace and calm</p> Signup and view all the answers

    Why is it essential to maintain fluid balance in children?

    <p>To prevent dehydration, which can occur rapidly in children</p> Signup and view all the answers

    How would a nurse obtain a sterile urine sample from a non-toilet-trained child?

    <p>Straight catheterization</p> Signup and view all the answers

    What is the preferred route for administering fluids to an infant or child who can take them orally?

    <p>Orally</p> Signup and view all the answers

    What happens to the proportion of water in a child's body weight between ages 1 and 2 years?

    <p>It decreases to the adult level of about 60%</p> Signup and view all the answers

    What is a characteristic of a dying child's body temperature?

    <p>It increases, even though the skin feels cool</p> Signup and view all the answers

    What is essential for maintaining health in the body?

    <p>Maintaining fluid balance in body tissues</p> Signup and view all the answers

    Why is it important to monitor electrolyte balance in children?

    <p>To maintain acid-base balance</p> Signup and view all the answers

    What is a critical aspect of caring for a terminally ill child?

    <p>Informing family members of the child's condition</p> Signup and view all the answers

    What is the primary concern when obtaining a urine sample from a toilet-trained infant or toddler?

    <p>Cleaning and drying the perineum</p> Signup and view all the answers

    What physiological change occurs in a dying child just before death regarding their perception of temperature?

    <p>They become unaware of cold sensations despite having cool skin.</p> Signup and view all the answers

    What is the most important reason for keeping family members informed as a child approaches death?

    <p>To ensure they understand the child's physical changes.</p> Signup and view all the answers

    What is the recommended method for obtaining a sterile urine sample from a child who is not toilet trained?

    <p>Perform a straight catheterization.</p> Signup and view all the answers

    At what age does the proportion of water in a child's body weight typically decrease to around 60%?

    <p>Between ages 1 and 2 years.</p> Signup and view all the answers

    What can lead to severe dehydration in children much faster than in adults?

    <p>The body's larger surface area relative to weight.</p> Signup and view all the answers

    What role do electrolytes play in the body, particularly for children?

    <p>They help maintain acid-base balance.</p> Signup and view all the answers

    Which method is likely necessary for maintaining adequate hydration in a seriously dehydrated child?

    <p>Intravenous (IV) fluid administration.</p> Signup and view all the answers

    How does a dying child's behavior typically change just before death?

    <p>They may show restlessness followed by a period of calm.</p> Signup and view all the answers

    What approach should a nurse take when collecting a urine sample from a toilet-trained toddler?

    <p>Use a U-Bag attached to the perineum.</p> Signup and view all the answers

    Why is it essential to maintain fluid balance in children?

    <p>Severe fluid imbalances can occur rapidly.</p> Signup and view all the answers

    Study Notes

    Vaccines

    • Administration routes mainly include oral, with proper storage needed to maintain potency.
    • Potency is sensitive to temperature variations.
    • Common side effects include inflammation signs, such as redness, swelling, tenderness, fever (up to 105°F), irritability, shivering, fatigue, headaches, and muscle/joint pain.
    • Reportable adverse reactions include:
      • Any fever in infants under 12 weeks
      • Fever over 104°F, lasting more than 3 days, or recurring after 24 hours
      • Widening redness, exceeding 3 inches or accompanied by red streaks
      • Total loss of function, anaphylactic symptoms, or prolonged inconsolable crying.

    Normal and Abnormal Side Effects: MMR

    • Delayed reactions for MMR and varicella: fever occurring 10-14 days post-vaccine, rash appearing 2-4 days later.

    Contraindications

    • Children with neomycin allergies should avoid IPV, MMR, Varicella, and certain flu vaccines.
    • Egg allergies contraindicate MMR, Varicella, and influenza vaccines.
    • Post-injection monitoring for 15-20 minutes with an EpiPen available.

    Vaccine Schedules

    • Hepatitis B: Given at birth, 1-2 months, and 6-18 months.
    • Varicella: Administered at 12-15 months and 4-6 years.
    • Respiratory Syncytial Virus: Given at birth - 6 months based on maternal immunity; possible from 8-19 months.
    • Pneumococcal (PCV-13): Doses at 2, 4, 6, and 12-15 months, followed by PCV-23 in adulthood.
    • Diphtheria, Tetanus, Pertussis: 2, 4, 6, 15-18 months, then again at 4-6 years and Tdap at 11 years, every 10 years thereafter.
    • Haemophilus influenzae type b: 2, 4, 6, and 15-18 months.
    • Inactivated Poliovirus: Administered at 2, 4, 6-18 months and again at 4-6 years.
    • Measles, Mumps, Rubella (MMR): Given at 12-15 months and 4-6 years; may require a booster.
    • Influenza: Administered at 6 months, followed by annual vaccinations.
    • Rotavirus: Doses at 2, 4, and 6 months.
    • Hepatitis A: Given to selected populations at 12 months, with adult booster.
    • Meningococcal: Administered at 11 and 16 years.
    • Human Papilloma Virus (HPV): Starting after 11 years, requires 2 doses < 5 months apart or 3 doses for those 15-26 years.

    Medication Administration

    • Pediatric dosages determined by weight (mg/kg) or body surface area charts.
    • Administer oral medications using a dropper/syringe; avoid mixing with food.
    • Older children should have a choice in medications with water/juice.
    • Praise cooperation during administration of medications.

    Ear, Eye, and Nose Drops Administration

    • Ear Drops: Position appropriately and use correct pulling technique based on age; keep patient on their side post-administration.
    • Eye Drops: Same procedure as adults, ensuring proper drop placement.
    • Nose Drops: Child should be positioned with neck extended; hold for one minute post-administration.

    Vital Signs

    • Measurements performed in kg (2.2 lbs = 1 kg); height and weight are essential for medication dosing.
    • Pulse, respiratory rate, and blood pressure readings vary by age group, with specific methods for measurement.
    • Temperature routes depend on age and should be taken with considerations for proper technique.

    Pain Assessment

    • Pain is considered the sixth vital sign, with tools like the OUCHER scale and FLACC scale used to assess pain in children based on behavior and age and.
    • Assessments should be age-appropriate, using verbalization for school-aged children and facial expressions for younger kids.

    SIDS Prevention

    • Key risk factors for Sudden Infant Death Syndrome includes prone sleeping position and sleeping with soft surfaces; recommendations advocate for a supine position until 6 months.

    Separation Anxiety Stages

    • With stages including protest, despair, and detachment, children may experience various emotional responses during hospitalization or loss.

    Palliative Care

    • Focuses on improving quality of life for children with serious conditions, addressing physical, psychosocial, or spiritual needs, and involves interdisciplinary collaboration.

    Recognizing Child Abuse

    • Require a thorough examination and detailed documentation of physical signs and observations of child-caregiver interactions.

    Adolescent Safety Risks

    • Leading causes of death in adolescents arise from risks related to violent behavior, substance use, and risky activities; psychological impacts are significant as well.

    Therapeutic Play

    • Used to assist children in processing their experiences and feelings regarding medical procedures, hence helping them express fears.

    Communication with Families

    • Encourage open discussions about feelings and provide reassurance regarding the child’s care and condition, addressing any fears or concerns.

    Routine Health Screenings

    • Recommended healthcare visits for infants to occur at least six times during the first year for monitoring and preventive care.### Well-Child Visits
    • Scheduled at 2 weeks, 2 months, 4 months, 6 months, 9 months, and 12 months.
    • Immunizations provided to prevent disease.
    • Data collected on growth, development, nutrition, sleep, and caregiver relationships.
    • Weight, height, and head circumference documented.
    • Emphasis on reinforcing education for first-time caregivers.

    Toddler Visits

    • Health care provider (HCP) visits at 15 months for immunization boosters; annual visits thereafter.
    • Routine physical assessments include growth, development, oral hygiene, and parenting skills.
    • Effective information gathering involves family interviews and caregiver-toddler observation.
    • Communicating with toddlers requires realistic options at their comprehension level.

    Preschool Child Health

    • Required immunization boosters for diphtheria-tetanus-pertussis, polio, MMR, and varicella vaccines between ages 4 and 6 years.
    • Recommended screenings: urinalysis, hematocrit, lead level, tuberculin skin testing, and Denver Developmental Screening Test.
    • Importance placed on vision and hearing assessments.
    • Semiannual dental exams recommended.

    School-Aged Child Health

    • Annual physical examinations required.
    • Additional visits for minor illnesses permitted.
    • Twice-annual dental visits recommended for cleanings and fluoride applications.
    • Immunization requirements enforced for school entry.
    • Tdap booster recommended every 10 years; HPV vaccine suggested starting at age 9.

    Adolescent Health Care

    • Routine physical exams covering developmental milestones, school and behavioral problems, and immunizations.
    • Discussion of infection risks related to body piercings and tattoos is essential.
    • Dental checkups every 6 months and addressing dental malocclusions.
    • Regular pelvic exams, Pap smears, and breast self-exam education for girls.
    • Testicular self-examination education for boys is critical.
    • Mental health assessments play a key role in overall health evaluations.

    Advanced Directives in Pediatrics

    • Advance directives can be predetermined by parents/legal guardians for children with terminal illnesses.
    • Implementation in emergencies poses challenges if parents are not present.
    • Clarity is needed to interpret directives in medical crises.

    End-of-Life Care

    • Support grieving families by sharing in their sorrow while providing privacy for expression.
    • Use comforting language to acknowledge grieving processes.
    • Administer pain medication intravenously due to poor absorption when circulation is compromised.
    • Maintain cleanliness of mucous membranes and skin to prevent discomfort.
    • Family education on changes that occur as death approaches helps manage expectations.

    Urine Sample Collection

    • U-Bag used for routine urine sampling from toilet-trained infants and toddlers; requires cleanliness and frequent checks.
    • For non-toilet-trained children, sterile samples obtained via straight catheterization.

    Hydration Importance

    • Water constitutes approximately 77% of body weight at birth, reducing to about 60% by age 2.
    • Rapid dehydration risks in children necessitate prompt hydration interventions.
    • Severe fluid loss can occur from diarrhea, vomiting, or extensive burns.
    • Electrolyte balance is vital to maintaining acid-base homeostasis. IV fluids are used when oral hydration isn’t adequate.

    Vaccines

    • Administration routes mainly include oral, with proper storage needed to maintain potency.
    • Potency is sensitive to temperature variations.
    • Common side effects include inflammation signs, such as redness, swelling, tenderness, fever (up to 105°F), irritability, shivering, fatigue, headaches, and muscle/joint pain.
    • Reportable adverse reactions include:
      • Any fever in infants under 12 weeks
      • Fever over 104°F, lasting more than 3 days, or recurring after 24 hours
      • Widening redness, exceeding 3 inches or accompanied by red streaks
      • Total loss of function, anaphylactic symptoms, or prolonged inconsolable crying.

    Normal and Abnormal Side Effects: MMR

    • Delayed reactions for MMR and varicella: fever occurring 10-14 days post-vaccine, rash appearing 2-4 days later.

    Contraindications

    • Children with neomycin allergies should avoid IPV, MMR, Varicella, and certain flu vaccines.
    • Egg allergies contraindicate MMR, Varicella, and influenza vaccines.
    • Post-injection monitoring for 15-20 minutes with an EpiPen available.

    Vaccine Schedules

    • Hepatitis B: Given at birth, 1-2 months, and 6-18 months.
    • Varicella: Administered at 12-15 months and 4-6 years.
    • Respiratory Syncytial Virus: Given at birth - 6 months based on maternal immunity; possible from 8-19 months.
    • Pneumococcal (PCV-13): Doses at 2, 4, 6, and 12-15 months, followed by PCV-23 in adulthood.
    • Diphtheria, Tetanus, Pertussis: 2, 4, 6, 15-18 months, then again at 4-6 years and Tdap at 11 years, every 10 years thereafter.
    • Haemophilus influenzae type b: 2, 4, 6, and 15-18 months.
    • Inactivated Poliovirus: Administered at 2, 4, 6-18 months and again at 4-6 years.
    • Measles, Mumps, Rubella (MMR): Given at 12-15 months and 4-6 years; may require a booster.
    • Influenza: Administered at 6 months, followed by annual vaccinations.
    • Rotavirus: Doses at 2, 4, and 6 months.
    • Hepatitis A: Given to selected populations at 12 months, with adult booster.
    • Meningococcal: Administered at 11 and 16 years.
    • Human Papilloma Virus (HPV): Starting after 11 years, requires 2 doses < 5 months apart or 3 doses for those 15-26 years.

    Medication Administration

    • Pediatric dosages determined by weight (mg/kg) or body surface area charts.
    • Administer oral medications using a dropper/syringe; avoid mixing with food.
    • Older children should have a choice in medications with water/juice.
    • Praise cooperation during administration of medications.

    Ear, Eye, and Nose Drops Administration

    • Ear Drops: Position appropriately and use correct pulling technique based on age; keep patient on their side post-administration.
    • Eye Drops: Same procedure as adults, ensuring proper drop placement.
    • Nose Drops: Child should be positioned with neck extended; hold for one minute post-administration.

    Vital Signs

    • Measurements performed in kg (2.2 lbs = 1 kg); height and weight are essential for medication dosing.
    • Pulse, respiratory rate, and blood pressure readings vary by age group, with specific methods for measurement.
    • Temperature routes depend on age and should be taken with considerations for proper technique.

    Pain Assessment

    • Pain is considered the sixth vital sign, with tools like the OUCHER scale and FLACC scale used to assess pain in children based on behavior and age and.
    • Assessments should be age-appropriate, using verbalization for school-aged children and facial expressions for younger kids.

    SIDS Prevention

    • Key risk factors for Sudden Infant Death Syndrome includes prone sleeping position and sleeping with soft surfaces; recommendations advocate for a supine position until 6 months.

    Separation Anxiety Stages

    • With stages including protest, despair, and detachment, children may experience various emotional responses during hospitalization or loss.

    Palliative Care

    • Focuses on improving quality of life for children with serious conditions, addressing physical, psychosocial, or spiritual needs, and involves interdisciplinary collaboration.

    Recognizing Child Abuse

    • Require a thorough examination and detailed documentation of physical signs and observations of child-caregiver interactions.

    Adolescent Safety Risks

    • Leading causes of death in adolescents arise from risks related to violent behavior, substance use, and risky activities; psychological impacts are significant as well.

    Therapeutic Play

    • Used to assist children in processing their experiences and feelings regarding medical procedures, hence helping them express fears.

    Communication with Families

    • Encourage open discussions about feelings and provide reassurance regarding the child’s care and condition, addressing any fears or concerns.

    Routine Health Screenings

    • Recommended healthcare visits for infants to occur at least six times during the first year for monitoring and preventive care.### Well-Child Visits
    • Scheduled at 2 weeks, 2 months, 4 months, 6 months, 9 months, and 12 months.
    • Immunizations provided to prevent disease.
    • Data collected on growth, development, nutrition, sleep, and caregiver relationships.
    • Weight, height, and head circumference documented.
    • Emphasis on reinforcing education for first-time caregivers.

    Toddler Visits

    • Health care provider (HCP) visits at 15 months for immunization boosters; annual visits thereafter.
    • Routine physical assessments include growth, development, oral hygiene, and parenting skills.
    • Effective information gathering involves family interviews and caregiver-toddler observation.
    • Communicating with toddlers requires realistic options at their comprehension level.

    Preschool Child Health

    • Required immunization boosters for diphtheria-tetanus-pertussis, polio, MMR, and varicella vaccines between ages 4 and 6 years.
    • Recommended screenings: urinalysis, hematocrit, lead level, tuberculin skin testing, and Denver Developmental Screening Test.
    • Importance placed on vision and hearing assessments.
    • Semiannual dental exams recommended.

    School-Aged Child Health

    • Annual physical examinations required.
    • Additional visits for minor illnesses permitted.
    • Twice-annual dental visits recommended for cleanings and fluoride applications.
    • Immunization requirements enforced for school entry.
    • Tdap booster recommended every 10 years; HPV vaccine suggested starting at age 9.

    Adolescent Health Care

    • Routine physical exams covering developmental milestones, school and behavioral problems, and immunizations.
    • Discussion of infection risks related to body piercings and tattoos is essential.
    • Dental checkups every 6 months and addressing dental malocclusions.
    • Regular pelvic exams, Pap smears, and breast self-exam education for girls.
    • Testicular self-examination education for boys is critical.
    • Mental health assessments play a key role in overall health evaluations.

    Advanced Directives in Pediatrics

    • Advance directives can be predetermined by parents/legal guardians for children with terminal illnesses.
    • Implementation in emergencies poses challenges if parents are not present.
    • Clarity is needed to interpret directives in medical crises.

    End-of-Life Care

    • Support grieving families by sharing in their sorrow while providing privacy for expression.
    • Use comforting language to acknowledge grieving processes.
    • Administer pain medication intravenously due to poor absorption when circulation is compromised.
    • Maintain cleanliness of mucous membranes and skin to prevent discomfort.
    • Family education on changes that occur as death approaches helps manage expectations.

    Urine Sample Collection

    • U-Bag used for routine urine sampling from toilet-trained infants and toddlers; requires cleanliness and frequent checks.
    • For non-toilet-trained children, sterile samples obtained via straight catheterization.

    Hydration Importance

    • Water constitutes approximately 77% of body weight at birth, reducing to about 60% by age 2.
    • Rapid dehydration risks in children necessitate prompt hydration interventions.
    • Severe fluid loss can occur from diarrhea, vomiting, or extensive burns.
    • Electrolyte balance is vital to maintaining acid-base homeostasis. IV fluids are used when oral hydration isn’t adequate.

    Vaccines

    • Administration routes mainly include oral, with proper storage needed to maintain potency.
    • Potency is sensitive to temperature variations.
    • Common side effects include inflammation signs, such as redness, swelling, tenderness, fever (up to 105°F), irritability, shivering, fatigue, headaches, and muscle/joint pain.
    • Reportable adverse reactions include:
      • Any fever in infants under 12 weeks
      • Fever over 104°F, lasting more than 3 days, or recurring after 24 hours
      • Widening redness, exceeding 3 inches or accompanied by red streaks
      • Total loss of function, anaphylactic symptoms, or prolonged inconsolable crying.

    Normal and Abnormal Side Effects: MMR

    • Delayed reactions for MMR and varicella: fever occurring 10-14 days post-vaccine, rash appearing 2-4 days later.

    Contraindications

    • Children with neomycin allergies should avoid IPV, MMR, Varicella, and certain flu vaccines.
    • Egg allergies contraindicate MMR, Varicella, and influenza vaccines.
    • Post-injection monitoring for 15-20 minutes with an EpiPen available.

    Vaccine Schedules

    • Hepatitis B: Given at birth, 1-2 months, and 6-18 months.
    • Varicella: Administered at 12-15 months and 4-6 years.
    • Respiratory Syncytial Virus: Given at birth - 6 months based on maternal immunity; possible from 8-19 months.
    • Pneumococcal (PCV-13): Doses at 2, 4, 6, and 12-15 months, followed by PCV-23 in adulthood.
    • Diphtheria, Tetanus, Pertussis: 2, 4, 6, 15-18 months, then again at 4-6 years and Tdap at 11 years, every 10 years thereafter.
    • Haemophilus influenzae type b: 2, 4, 6, and 15-18 months.
    • Inactivated Poliovirus: Administered at 2, 4, 6-18 months and again at 4-6 years.
    • Measles, Mumps, Rubella (MMR): Given at 12-15 months and 4-6 years; may require a booster.
    • Influenza: Administered at 6 months, followed by annual vaccinations.
    • Rotavirus: Doses at 2, 4, and 6 months.
    • Hepatitis A: Given to selected populations at 12 months, with adult booster.
    • Meningococcal: Administered at 11 and 16 years.
    • Human Papilloma Virus (HPV): Starting after 11 years, requires 2 doses < 5 months apart or 3 doses for those 15-26 years.

    Medication Administration

    • Pediatric dosages determined by weight (mg/kg) or body surface area charts.
    • Administer oral medications using a dropper/syringe; avoid mixing with food.
    • Older children should have a choice in medications with water/juice.
    • Praise cooperation during administration of medications.

    Ear, Eye, and Nose Drops Administration

    • Ear Drops: Position appropriately and use correct pulling technique based on age; keep patient on their side post-administration.
    • Eye Drops: Same procedure as adults, ensuring proper drop placement.
    • Nose Drops: Child should be positioned with neck extended; hold for one minute post-administration.

    Vital Signs

    • Measurements performed in kg (2.2 lbs = 1 kg); height and weight are essential for medication dosing.
    • Pulse, respiratory rate, and blood pressure readings vary by age group, with specific methods for measurement.
    • Temperature routes depend on age and should be taken with considerations for proper technique.

    Pain Assessment

    • Pain is considered the sixth vital sign, with tools like the OUCHER scale and FLACC scale used to assess pain in children based on behavior and age and.
    • Assessments should be age-appropriate, using verbalization for school-aged children and facial expressions for younger kids.

    SIDS Prevention

    • Key risk factors for Sudden Infant Death Syndrome includes prone sleeping position and sleeping with soft surfaces; recommendations advocate for a supine position until 6 months.

    Separation Anxiety Stages

    • With stages including protest, despair, and detachment, children may experience various emotional responses during hospitalization or loss.

    Palliative Care

    • Focuses on improving quality of life for children with serious conditions, addressing physical, psychosocial, or spiritual needs, and involves interdisciplinary collaboration.

    Recognizing Child Abuse

    • Require a thorough examination and detailed documentation of physical signs and observations of child-caregiver interactions.

    Adolescent Safety Risks

    • Leading causes of death in adolescents arise from risks related to violent behavior, substance use, and risky activities; psychological impacts are significant as well.

    Therapeutic Play

    • Used to assist children in processing their experiences and feelings regarding medical procedures, hence helping them express fears.

    Communication with Families

    • Encourage open discussions about feelings and provide reassurance regarding the child’s care and condition, addressing any fears or concerns.

    Routine Health Screenings

    • Recommended healthcare visits for infants to occur at least six times during the first year for monitoring and preventive care.### Well-Child Visits
    • Scheduled at 2 weeks, 2 months, 4 months, 6 months, 9 months, and 12 months.
    • Immunizations provided to prevent disease.
    • Data collected on growth, development, nutrition, sleep, and caregiver relationships.
    • Weight, height, and head circumference documented.
    • Emphasis on reinforcing education for first-time caregivers.

    Toddler Visits

    • Health care provider (HCP) visits at 15 months for immunization boosters; annual visits thereafter.
    • Routine physical assessments include growth, development, oral hygiene, and parenting skills.
    • Effective information gathering involves family interviews and caregiver-toddler observation.
    • Communicating with toddlers requires realistic options at their comprehension level.

    Preschool Child Health

    • Required immunization boosters for diphtheria-tetanus-pertussis, polio, MMR, and varicella vaccines between ages 4 and 6 years.
    • Recommended screenings: urinalysis, hematocrit, lead level, tuberculin skin testing, and Denver Developmental Screening Test.
    • Importance placed on vision and hearing assessments.
    • Semiannual dental exams recommended.

    School-Aged Child Health

    • Annual physical examinations required.
    • Additional visits for minor illnesses permitted.
    • Twice-annual dental visits recommended for cleanings and fluoride applications.
    • Immunization requirements enforced for school entry.
    • Tdap booster recommended every 10 years; HPV vaccine suggested starting at age 9.

    Adolescent Health Care

    • Routine physical exams covering developmental milestones, school and behavioral problems, and immunizations.
    • Discussion of infection risks related to body piercings and tattoos is essential.
    • Dental checkups every 6 months and addressing dental malocclusions.
    • Regular pelvic exams, Pap smears, and breast self-exam education for girls.
    • Testicular self-examination education for boys is critical.
    • Mental health assessments play a key role in overall health evaluations.

    Advanced Directives in Pediatrics

    • Advance directives can be predetermined by parents/legal guardians for children with terminal illnesses.
    • Implementation in emergencies poses challenges if parents are not present.
    • Clarity is needed to interpret directives in medical crises.

    End-of-Life Care

    • Support grieving families by sharing in their sorrow while providing privacy for expression.
    • Use comforting language to acknowledge grieving processes.
    • Administer pain medication intravenously due to poor absorption when circulation is compromised.
    • Maintain cleanliness of mucous membranes and skin to prevent discomfort.
    • Family education on changes that occur as death approaches helps manage expectations.

    Urine Sample Collection

    • U-Bag used for routine urine sampling from toilet-trained infants and toddlers; requires cleanliness and frequent checks.
    • For non-toilet-trained children, sterile samples obtained via straight catheterization.

    Hydration Importance

    • Water constitutes approximately 77% of body weight at birth, reducing to about 60% by age 2.
    • Rapid dehydration risks in children necessitate prompt hydration interventions.
    • Severe fluid loss can occur from diarrhea, vomiting, or extensive burns.
    • Electrolyte balance is vital to maintaining acid-base homeostasis. IV fluids are used when oral hydration isn’t adequate.

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    Description

    This quiz covers the administration and side effects of vaccines, including the importance of correct storage, potential side effects, and adverse reactions that need to be reported.

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