Pediatric Meningitis Case Study

Pediatric Meningitis Case Study: J.H. is a 2-week-old infant brought to the emergency department (ED) by his mother, who speaks little English. Her husband is at work. She is young and appears frightened and anxious. Through a translator, Mrs. H. reports that J.H. has not been eating, sleeps all of the time, and is “not normal.” 1. What are some of the obstacles you need to consider, recognizing that Mrs. H. does not speak or understand English well? Language barrier, deficient knowledge. Wait time for translator. Fear. If she is an illegal immigrant. Cultural practices. 2. You perform your primary assessment and question Mrs. H. with a translator. Which of these findings are abnormal and need to be reported? (Select all that apply and state rationale.) a. Anterior fontanel palpable and tense: could mean increased ICP b. Pupils equal and +3 c. Temperature 96.8° F rectally. Could be a sign of sepsis. d. Heart rate: 85 beats/min e. Positive Babinski’s reflex f. High-pitched cry g. Refusal of PO intake per mom