NRSG 446 (peds) - Exam 1 STUDY GUIDE | 2025/2026
Terms in this set (113)
- prevent or minimize child's separation from fam
principles of atraumatic care - promote sense of control
- prevent or minimize bodily injury
- start hands off (take in general appearance and interaction)
- ask questions (child's interests)
- HTT doesn't work in order (be flexible)
peds assessment considerations
- start with least invasive (ex. leave IV for last)
- offer option (use this/that, not yes/no)
- look, listen, feel
VITALS:
- infants = start with RR and HR for accuracy
LENGTH and WEIGHT:
- concerned with <3% and >97%
peds vital signs and measurements
- BMI for kids >2 years old
HEAD CIRCUMFERENCE:
- continue until 36 months old
, HEAD AND NECK:
- head growth, fontanelles, and sutures (anterior closes 12-24 months
avg 18 months and posterior closes 2-3 months)
- head tilt (sign of torticollis)
- head lag normal until 4 months
- lymph nodes smaller than 1 cm normal
EYES:
- alignment? drainage?
- visual acuity
- corneal light reflex
EARS:
- placement, shape, and size
- hearing screening
NOSE, MOUTH, THROAT:
- palate intact? erythema? exudate?
- oral health
LUNGS:
- RR
peds physical assessment
- nasal flaring? retractions? accessory muscle use?
CARDIAC:
- some pulsations may be visble
- cap refill <2 sec
* feeling or thrill or buzzing not normal
- murmurs common (listen laying and upright)
GU:
Tanner stages: girls start puberty at 8 (breast bud) and boys at
age 10 (enlargement of scrotum and testes)
- u/o = 1mL/kg/hr
, MS and NEURO:
- watch for symmetrical movement
- strength and tone
- ROM
INFANT:
- non-verbal, cries for needs
- ask fam
TODDLER/PRESCHOOL
ER:
peds pain assessment - pain vs anxiety
- verbal descriptions vs FACES scale
- discuss with fam
SCHOOL
AGE/ADOLESCENT:
- some may think they need to be brave
- less traumatic if parents admin
- drug dose in mg/kg (based on weight)
- crush/dilute in something sweet (not breastmilk or formula)
peds med admin
- IM in vastus lateralis and eventually deltoid
- child <3 pull pinna down and back
- child >3 pull pinna up and back
Terms in this set (113)
- prevent or minimize child's separation from fam
principles of atraumatic care - promote sense of control
- prevent or minimize bodily injury
- start hands off (take in general appearance and interaction)
- ask questions (child's interests)
- HTT doesn't work in order (be flexible)
peds assessment considerations
- start with least invasive (ex. leave IV for last)
- offer option (use this/that, not yes/no)
- look, listen, feel
VITALS:
- infants = start with RR and HR for accuracy
LENGTH and WEIGHT:
- concerned with <3% and >97%
peds vital signs and measurements
- BMI for kids >2 years old
HEAD CIRCUMFERENCE:
- continue until 36 months old
, HEAD AND NECK:
- head growth, fontanelles, and sutures (anterior closes 12-24 months
avg 18 months and posterior closes 2-3 months)
- head tilt (sign of torticollis)
- head lag normal until 4 months
- lymph nodes smaller than 1 cm normal
EYES:
- alignment? drainage?
- visual acuity
- corneal light reflex
EARS:
- placement, shape, and size
- hearing screening
NOSE, MOUTH, THROAT:
- palate intact? erythema? exudate?
- oral health
LUNGS:
- RR
peds physical assessment
- nasal flaring? retractions? accessory muscle use?
CARDIAC:
- some pulsations may be visble
- cap refill <2 sec
* feeling or thrill or buzzing not normal
- murmurs common (listen laying and upright)
GU:
Tanner stages: girls start puberty at 8 (breast bud) and boys at
age 10 (enlargement of scrotum and testes)
- u/o = 1mL/kg/hr
, MS and NEURO:
- watch for symmetrical movement
- strength and tone
- ROM
INFANT:
- non-verbal, cries for needs
- ask fam
TODDLER/PRESCHOOL
ER:
peds pain assessment - pain vs anxiety
- verbal descriptions vs FACES scale
- discuss with fam
SCHOOL
AGE/ADOLESCENT:
- some may think they need to be brave
- less traumatic if parents admin
- drug dose in mg/kg (based on weight)
- crush/dilute in something sweet (not breastmilk or formula)
peds med admin
- IM in vastus lateralis and eventually deltoid
- child <3 pull pinna down and back
- child >3 pull pinna up and back
