QUESTIONS AND ANSWERS VERIFIED A+
◉School Age (6y - 12y). Answer: Give honest gentle information
Give positive reinforcement
Usually ask "Why"
Watch for loose teeth
Allow them to contribute to care (get dressed, put blood pressure
cuff on)
Be aware of body language-they can see discrepancy
Advance Preparation
Explanation for questions
Emphasize what they can do after surgery like returning back to
sports or school
Encourage sense of control
Play with equipment
◉Adolescent (13 y - 18 y). Answer: Fear loss of privacy
Body image is important
,Let them keep underpants on
Opposite sex is a worry (Girl RN with Male patient)
Give honest information
Explain pain control and pain scale-set up pain goal
Give choices when appropriate
Encourage sense of control
Answer questions-over explain everything
Assume they don't know
Preop Teaching
Wound care post op
◉Peds Learning Styles. Answer: Developmental Stage
<2y - educate parents
2-4y - play therapy
4-7y - experiences, literal
7-12y - hands on want to know whys
>13y - include in discharge teaching
◉PRECEDE. Answer: **PRECEDE**-focusing of change must be on
desired outcome.
,what we want to happen first (what the end goal is)
predisposing to idea
reinforce what we want
enable constructs
diagnosis
evaluation
◉Pregnant Patients: CV. Answer: Blood Volume Increases
CO, SV, HR all increase
EF increases
Cardiac wall thickens
**Scott's Syndrome- Aortocaval compression
(Hypotension in mom, baby HR decreases)
-Keep mom on LEFT side (baby to left)
-R hip tilt helps prevent this
-Table up slightly
◉Pregnant Patients: Resp, GI, Renal, Hepatic. Answer: Respiratory
-makes more alveolar
-Tidal volume increases until 3rd trimester
-Diaphragm elevates
, GI
-slowed GI emptying in 1st trimester
-decreased gastric motility
-Reflux
Renal
-GFR increases
-urine output increases (r/t increased waste products)
Hepatic
-Liver function slightly delayed
-r/t baby is kicking liver of mom (physical manipulation)
◉Pregnancy Complications r/t Surgery. Answer: Most common non-
obsteric surgeries
-appy and chole
-Uterus is retracted for this procedure and will cause Braxton
Hicks**
Fetal Heart Tones: