Pediatric nursing the critical components of nursing care 2nd edition rudd
|complete guide a+
,table of contents
chapter 1. Issues and trends in pediatric nursing ..................................................................................... 3
chapter 2. Standards of practice and ethical considerations ................................................................... 9
chapter 3. Family dynamics and communicating with children and families ......................................... 24
chapter 4. Cultural, spiritual, and environmental influences on the child ............................................. 37
chapter 5. End-of-life care ...................................................................................................................... 54
chapter 6. Growth and development ..................................................................................................... 74
chapter 7. Newborns and infants ........................................................................................................... 86
chapter 8. From toddlers to preschoolers ............................................................................................ 100
chapter 9. School-age children ............................................................................................................. 117
chapter 10. Adolescents ....................................................................................................................... 129
chapter 11. Respiratory disorders ........................................................................................................ 141
chapter 12. Cardiovascular disorders ................................................................................................... 160
chapter 13. Neurological and sensory disorders .................................................................................. 180
chapter 14. Mental health disorders .................................................................................................... 195
chapter 15. Gastrointestinal disorders ................................................................................................. 209
chapter 16. Renal disorders .................................................................................................................. 227
chapter 17. Endocrine disorders ........................................................................................................... 240
chapter 18. Reproductive and genetic disorders .................................................................................. 254
chapter 19. Hematologic, immunologic, and neoplastic disorders ...................................................... 268
chapter 20. Musculoskeletal disorders ................................................................................................. 284
chapter 21. Dermatologic diseases ....................................................................................................... 299
chapter 22. Communicable diseases .................................................................................................... 315
,Chapter 1. Issues and trends in pediatric nursing
Multiple choice
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric
populations. Which current trend in the pediatric setting should the nurse expect to find?
A. Increased hospitalization of children
B. Decreased number of uninsured children
C. An increase in ambulatory care
D. Decreased use of managed care
Answer: c
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from
the acute care setting to the ambulatory setting. The number of hospital beds being used has
decreased as more care is provided in outpatient and home settings. The number of uninsured
children in the united states continues to grow. One of the biggest changes in healthcare has
been the growth of managed care.
2. A nurse is referring a low-income family with three children under the age of 5 years to
a program that assists with supplemental food supplies. Which program should the nurse refer
this family to?
A. Medicaid
B. Medicare
C. Early and periodic screening, diagnostic, and treatment (epsdt) program
D. Women, infants, and children (wic) program
Answer: d
, Wic is a federal program that provides supplemental food supplies to low-income women who
are pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the
medicaid early and periodic screening, diagnostic, and treatment (epsdt) program provides for
well-child examinations and related treatment of medical problems. Children in the wic
program are often referred for immunizations, but that is not the primary focus of the program.
Public law 99-457 provides financial incentives to states to establish comprehensive early
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
3. In most states, adolescents who are not emancipated minors must have parental
permission before:
A. Treatment for drug abuse.
B. Treatment for sexually transmitted diseases (stds).
C. Obtaining birth control.
D. Surgery.
Answer: d
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel
may be consulted to verify the status of the emancipated minor for consent purposes. Most
states allow minors to obtain treatment for drug or alcohol abuse and stds and allow access to
birth control without parental consent.
4. A nurse is completing a clinical pathway for a child admitted to the hospital with
pneumonia. Which characteristic of a clinical pathway is correct?
A. Developed and implemented by nurses
B. Used primarily in the pediatric setting
C. Specific time lines for sequencing interventions
D. One of the steps in the nursing process
Answer: c