lOMoAR cPSD| 57629747
Exam 3 PEDS Study Guide
NUR 254
Maternal and Pediatrics (Galen
College of Nursing)
,
, lOMoAR cPSD| 57629747
Child Caring Exam #3 Study Guide
Nur-254 Pediatric Exam 3
Galen College of Nursing
Unit 6: Growth & Development
Growth and development o
Growth: physical “stuff”
Height, weight, size
2x birth weight @6 months; Remember: * weight 3x birth weight @12m; 4x
birth weight @ 30month aka 1.5 years o Development: “skills”
How mature the neuro-system is
Learning and functioning
• Nursing management o Knowing if interventions are effective
based on age-appropriate assessment tools
Pain management – based on both age and cognition
• Pain scales o NIPS (neonatal infant pain scale) less than 2
months
Gives scores according to the following: facial
expression, cry, breathing pattern, arms and legs, state of arousal
Used for neonates under 2 months old o FLACC-
more than 2month (to 7 years old)
Assesses face, lets, activity, cry, consolability Used
for infant older than 2 months
o Wong-Baker Faces (3-4 year old) preschooler
Used for 3 to 4 year olds o Numeric scale (0-10)
8 years and older ( as young as 5 if they understand
value of #)
Can be used earlier ONLY if the child can count and
actually understand the value of numbers Non-pharmacological-
USE first o Containment – blanket (nest) o Positioning- swaddle o
Sucking- pacifier o Kangaroo care- skin to skin o Distraction, relaxation,
o Music, pet, art therapy
• Pharmaceutical o Mild/ Moderate= acetaminophen, NSAIDS
o Moderate/ Severe= Opioids (morphine, diaudid, fentanyl)
o Adjuvant- OTC and lower dose of opioids ( premee)
o Age-appropriate plan of care development
Nursing considerations
• 0-2 years old mouth breathers; 2 and older nose breathers
• Infants (0-1)– can recognize faces – use same nurse
• Preschooler- (3-6)- Magical thinking= PAIN is punishment, others fault, disappear magically School-
age (6-12) WHY? o Ask a lot of questions and want to be involved; WHY?
o Get their input when making a plan of care
o They WANT to make o contributions Understand cause and effect
- Adolescents-(12-18) privacy, confidentiality encourage friends to come visit, establishing Identity o
Exceptions for visits – post op; immunocompromised; contagious
o Priority
Priority actions
Interventions based on patient signs/symptoms
o RED FLAGS tell HCP
Posterior fontanelle open (triangle shaped) after 2m RED FLAG
Anterior Fontanelle open (diamond shape) after 18m Red flag
1
messages.downloaded_by
Exam 3 PEDS Study Guide
NUR 254
Maternal and Pediatrics (Galen
College of Nursing)
,
, lOMoAR cPSD| 57629747
Child Caring Exam #3 Study Guide
Nur-254 Pediatric Exam 3
Galen College of Nursing
Unit 6: Growth & Development
Growth and development o
Growth: physical “stuff”
Height, weight, size
2x birth weight @6 months; Remember: * weight 3x birth weight @12m; 4x
birth weight @ 30month aka 1.5 years o Development: “skills”
How mature the neuro-system is
Learning and functioning
• Nursing management o Knowing if interventions are effective
based on age-appropriate assessment tools
Pain management – based on both age and cognition
• Pain scales o NIPS (neonatal infant pain scale) less than 2
months
Gives scores according to the following: facial
expression, cry, breathing pattern, arms and legs, state of arousal
Used for neonates under 2 months old o FLACC-
more than 2month (to 7 years old)
Assesses face, lets, activity, cry, consolability Used
for infant older than 2 months
o Wong-Baker Faces (3-4 year old) preschooler
Used for 3 to 4 year olds o Numeric scale (0-10)
8 years and older ( as young as 5 if they understand
value of #)
Can be used earlier ONLY if the child can count and
actually understand the value of numbers Non-pharmacological-
USE first o Containment – blanket (nest) o Positioning- swaddle o
Sucking- pacifier o Kangaroo care- skin to skin o Distraction, relaxation,
o Music, pet, art therapy
• Pharmaceutical o Mild/ Moderate= acetaminophen, NSAIDS
o Moderate/ Severe= Opioids (morphine, diaudid, fentanyl)
o Adjuvant- OTC and lower dose of opioids ( premee)
o Age-appropriate plan of care development
Nursing considerations
• 0-2 years old mouth breathers; 2 and older nose breathers
• Infants (0-1)– can recognize faces – use same nurse
• Preschooler- (3-6)- Magical thinking= PAIN is punishment, others fault, disappear magically School-
age (6-12) WHY? o Ask a lot of questions and want to be involved; WHY?
o Get their input when making a plan of care
o They WANT to make o contributions Understand cause and effect
- Adolescents-(12-18) privacy, confidentiality encourage friends to come visit, establishing Identity o
Exceptions for visits – post op; immunocompromised; contagious
o Priority
Priority actions
Interventions based on patient signs/symptoms
o RED FLAGS tell HCP
Posterior fontanelle open (triangle shaped) after 2m RED FLAG
Anterior Fontanelle open (diamond shape) after 18m Red flag
1
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