ATI PROCTORED PEDS, ATI PEDIATRICS PROCTORED EXAM,
PEDS ATI PROCTORED REVIEW
Preschool-Aged Children - Preschool-aged children are very concerned about their body integrity
Body-Integrity - They believe that their insides can leak our from even a small wound.
- Explains reason for their preoccupation with bandages
Preschool (3-6 Years) - IMITATION of adults: providing a stethoscope allows child an opportunity for
THERAPEUTIC play.
- Time based on events, magical thinking, animism, centration.
- Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian safety
- Keep a consistent bedtime routine
Pyloromyotomy - Release of hypertrophied muscle around the pyloric sphincter that causes narrowing of
the pyloric canal.
- Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent
oral feeds.
- There is no incision to the gastric walls or mucosa and NPO is not required.
Cystic Fibrosis - ↑ Protein, Carbs and minerals, to promote weight gain
Nutritional Care - They have difficulty absorbing nutrients due to blockage of pancreatic enzymes by thick
mucus secretions in the pancreas and liver.
- Pancreatic enzymes help breakdown ingested foods so the body can metabolize
nutrients.
- Administering pancreatic enzymes BEFORE eating will enable children to metabolize
nutrients so they can be used more effectively
- Fat content doesn't need to be decreased or eliminated. They have difficulty absorbing
fat due to thick mucus in intestines and the inability of the pancreatic enzymes to reach
the duodenum.
- ↑ of fiber is NOT needed, their stools are bulky because of fat content, but they have
regular bowel movements
- C.F. patients excrete excessive salt through the skin, the child with cystic fibrosis will
likely require additional salt in their diet, especially during activities.
- 85% O2 Sat = mild hypoxemia, as mucopurulent secretions gather in airways, respiratory
compromise worsens and oxygenation becomes impaired and ↓ in O2 Sat is likely seen
Chemotherapy - Low WBC count places the child at risk for infection and isolation with monitoring of
fever is priority.
https://quizlet.com/1132799013/ati-proctored-peds-ati-pediatrics-proctored-exam-peds-ati-proctored-review -f lash-cards/ 1/14
, ↓RBC - Quiet play and best rest, administer O2
↓ Platelet - Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
Dehydration - Assessment, response to parenteral fluids.
the nurse should weigh the patient daily because weight is the most sensitive indicator of
hydration status in clients of all ages.
- Weight is the only measurement the reflects both measurable fluid balance changes
(I/O) and insensible fluid loss (skin and respiratory)
Koplik spots - Maculopapular rash and fever; Rubeola
- Koplik spots: oral lesions that are characteristics of rubeola (measles). The small,
irregular spots with a blue/white center are seen on the Buccal mucosa, which is opposite
the molars, in the prodromal stage of measles.
- Koplik spots appear about 2 days before maculopapular rash appears and are
accompanied manifestations of fever, malaise, conjunctivitis, and other cold
manifestations.
- They begin to fade the second day after the rash appears. Immunity to measles is
conferred by the MMR (Measles-Mumps-Rubella) immunization that children receive @ 15
months.
Rubeola Measles; Maculopapular starts on the face and spreads downward. It desquamates after
about 3-4 days. The rash does not progress to vesicles and crusts like the papules of
chicken pox.
- cephalocaudal rash upper trunk and faceand more confluence as it spreads to the
lower areas of the body.
https://quizlet.com/1132799013/ati-proctored-peds-ati-pediatrics-proctored-exam-peds-ati-proctored-review -f lash-cards/ 2/14
PEDS ATI PROCTORED REVIEW
Preschool-Aged Children - Preschool-aged children are very concerned about their body integrity
Body-Integrity - They believe that their insides can leak our from even a small wound.
- Explains reason for their preoccupation with bandages
Preschool (3-6 Years) - IMITATION of adults: providing a stethoscope allows child an opportunity for
THERAPEUTIC play.
- Time based on events, magical thinking, animism, centration.
- Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian safety
- Keep a consistent bedtime routine
Pyloromyotomy - Release of hypertrophied muscle around the pyloric sphincter that causes narrowing of
the pyloric canal.
- Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent
oral feeds.
- There is no incision to the gastric walls or mucosa and NPO is not required.
Cystic Fibrosis - ↑ Protein, Carbs and minerals, to promote weight gain
Nutritional Care - They have difficulty absorbing nutrients due to blockage of pancreatic enzymes by thick
mucus secretions in the pancreas and liver.
- Pancreatic enzymes help breakdown ingested foods so the body can metabolize
nutrients.
- Administering pancreatic enzymes BEFORE eating will enable children to metabolize
nutrients so they can be used more effectively
- Fat content doesn't need to be decreased or eliminated. They have difficulty absorbing
fat due to thick mucus in intestines and the inability of the pancreatic enzymes to reach
the duodenum.
- ↑ of fiber is NOT needed, their stools are bulky because of fat content, but they have
regular bowel movements
- C.F. patients excrete excessive salt through the skin, the child with cystic fibrosis will
likely require additional salt in their diet, especially during activities.
- 85% O2 Sat = mild hypoxemia, as mucopurulent secretions gather in airways, respiratory
compromise worsens and oxygenation becomes impaired and ↓ in O2 Sat is likely seen
Chemotherapy - Low WBC count places the child at risk for infection and isolation with monitoring of
fever is priority.
https://quizlet.com/1132799013/ati-proctored-peds-ati-pediatrics-proctored-exam-peds-ati-proctored-review -f lash-cards/ 1/14
, ↓RBC - Quiet play and best rest, administer O2
↓ Platelet - Protect child from injury and monitor for bleeding.
- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage
Dehydration - Assessment, response to parenteral fluids.
the nurse should weigh the patient daily because weight is the most sensitive indicator of
hydration status in clients of all ages.
- Weight is the only measurement the reflects both measurable fluid balance changes
(I/O) and insensible fluid loss (skin and respiratory)
Koplik spots - Maculopapular rash and fever; Rubeola
- Koplik spots: oral lesions that are characteristics of rubeola (measles). The small,
irregular spots with a blue/white center are seen on the Buccal mucosa, which is opposite
the molars, in the prodromal stage of measles.
- Koplik spots appear about 2 days before maculopapular rash appears and are
accompanied manifestations of fever, malaise, conjunctivitis, and other cold
manifestations.
- They begin to fade the second day after the rash appears. Immunity to measles is
conferred by the MMR (Measles-Mumps-Rubella) immunization that children receive @ 15
months.
Rubeola Measles; Maculopapular starts on the face and spreads downward. It desquamates after
about 3-4 days. The rash does not progress to vesicles and crusts like the papules of
chicken pox.
- cephalocaudal rash upper trunk and faceand more confluence as it spreads to the
lower areas of the body.
https://quizlet.com/1132799013/ati-proctored-peds-ati-pediatrics-proctored-exam-peds-ati-proctored-review -f lash-cards/ 2/14
