NRSE 4141 - Peds Exam 2 Study Guide.

Peds Exam 2 Blueprint

Chapter 34
 Emergency treatment of avulsed tooth p. 949
 Recover tooth
 Hold tooth by crown, avoid touching root area
 If tooth is dirty, rinse it gently under running water or saline; be certain to insert
stopper in sink or basin (to avoid tooth loss)
 To reimplant the tooth
 Insert toother into socket; be certain that the lip side (or convex side) is
facing front
 Have child maintain tooth in place by slowly biting down on a piece of
gauze
 Transport child to dentist immediately
 Avoid sudden stops or sharp turns to prevent dislodging tooth
 If reluctant to reimplant tooth
 Place avulsed tooth in suitable medium for transport
 Cold milk
 Saliva- under child’s or parent’s tongue
 If child is holding tooth in mouth, avoid sudden stops to prevent
swallowing tooth
 DO NOT FORGET TO TAKE THE TOOTH
 Bacterial infection education p. 952-953
 Impetigo contagiosa: Staphylococci
 Manifestations
 Begins as a reddish macule then becomes vesicular
 Ruptures easily
 Exudate dries to form heavy, honey-colored crusts
 Pruritus is common
 Systemic effects: minimal or asymptomatic
 Management
 Topical bactericidal ointment (mupirocin) or triple antibiotic
ointment
 Oral or parenteral antibiotics (penicillin) in cases of severe or
extensive lesions
 Vancomycin for MRSA
 Comments
 Tends to heal without scarring
 Autoinoculable and contagious

,  May be superimposed on eczema
 Health education guidance during school years p. 952
 6 years of age
 Prepare parents to expect strong food preferences and frequent refusal of
specific food items
 Prepare parents to except an increasingly ravenous appetite
 Prepare parents for emotionality as child experiences erratic mood
changes
 Help parents anticipate continued susceptibility to illness
 Teach injury prevention and safety, especially bicycle safety
 Encourage parents to respect child’s need for privacy and to provide a
separate bedroom for child, if possible
 Prepare parents for child’s increasing interest outside the home
 Help parents understand the need to encourage child’s interactions with
peers
 7 to 10 years of age
 Prepare parents to expect improvement in health with fewer illnesses,
but warn them that allergies may increase or become apparent
 Prepare parents to expect an increase in minor injuries
 Emphasize caution in selecting and maintaining sports equipment, and
reemphasize safety
 Prepare parents to expect increased involvement with peers and interest
in activities outside the home
 Emphasize the need to encourage independence while maintain limit
setting and discipline
 Prepare parents to expect more demands at 8 years of age
 Prepare fathers to expect increasing admiration at 10 years; encourage
father-child activities
 Prepare parents for prepubescent changes in girls
 11 to 12 years of age
 Help parents prepare child for body changes of pubescence
 Prepare parents to expect growth spurt in girls
 Make certain child’s sex education is adequate with accurate information
 Prepare parents to expect energetic but stormy behavior at 11 years of
age, and becoming more even-tempered at 12 years of age
 Encourage parents to support child’s desire to “grow up” but to allow
regressive behavior when needed
 Prepare parents to expect an increase in child’s masturbation

,  Instruct parents that the child may need more rest
 Help parents educate child regarding experimentation with potentially
harmful activities
 Health guidance
 Help parents understand the importance of regular health and dental
care for the child
 Encourage parents to teach and model sound health practices, including
diet, rest, activity, and exercise
 Stress the need to encourage children to engage in appropriate physical
activities
 Emphasize providing a safe physical and emotional environment
 Encourage parents to teach and model safety practices
Chapter 35
 Tanner Stages: Review figures in chapter *Image Provided*