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PEDS EXAM 1 (MODULES 1-3) STUDY GUIDE Professor Flynn
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PEDS EXAM 1 (MODULES 1-3) STUDY GUIDE Professor Flynn
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PEDS 2024-2025 EXAM 1 (MODULES 1-3) STUDY GUIDEPEDS 2024-2025 EXAM 1 (MODULES 1-3) STUDY
GUIDE Professor Flynn
● Module 1:
○ Pediatric medical home care model
■ Will benefit children with disparities
■ Is a proactive outreach program that provides:
● Ensures timely well-child care visits
● Coordination of care when needed
● Comprehensive care during vulnerable pt care transitions
● Referrals for both medical and nonmedical needs of the pt and family.
○ Trends in pediatric nursing (obesity, LGBTQ, etc)
■ Obesity
● Has doubled in prevalence since the 1990’s
● Can have lifelong consequences: ○ Diabetes
○ Increased risk of strokes
○ Heart disease
○ Arthritis
○ Certain cancers
○ Hypertension
○ Asthma
○ As well as psychosocial issues
● When discussing it with pts and their families it needs to come across as non-judgmental.
● NO body shaming, parent shaming or embarrassment!
■ LGBTQ community
● Provide nondiscriminatory care
● Assess for risk factors for:
○ Depression
● Suicidal thoughts and behaviors
○ Substance abuse
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, PEDS 2024-2025 EXAM 1 (MODULES 1-3) STUDY GUIDE
○ Bullying, violence, victimization or discrimination ● Provide support and
comprehensive care.
● Use gender-affiriming language with transgender youth.
● If a pt discloses information about identifying a certain way or liking a certain gender, that
information does not by law
need to be shared with parents or other caregivers.
○ Child life specialists
■ Is someone who is an expert in child development ■ They work in pediatric ER’s, ICU’s,
inpatient settings, and clinicas. ■ Roles
● Help with coping skills
● Teaching pts about procedures or tests by using therapeutic play
● Help to normalize hospital procedures and treatments
● They are also liaisons for groups that want to donate or volunteer time
○ Family centered care
■ Is a partnership between the pt, the family, and the nurse. ■ Having the parents of the
child on your side is not only beneficial but also crucial when treating a child. ■ Have
dignity and respect for the child and the family
● Making sure we share information with the family
● Have family participate in care
● Collaborating with the family in determining the planof care. ■ Giving them
access to a fridge for home food storage ■ Providing nursing moms with free food
■ Adapting our nursing schedules to mimic routines at home
○ Relationship-Based Care
■ Open communication
■ Actively engage patient and family
■ Individualized care
○ Pediatric-Medical Home ■ Care coordination
■ Medical and non-medical needs
■ Proactive outreach for well visits
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, PEDS 2024-2025 EXAM 1 (MODULES 1-3) STUDY GUIDE
○ Injury prevention in the hospital setting
■ Two-patient identifiers
● Two patient identifiers must be checked every time apatient is admitted, transported,
transferred, or
discharged; every time a medication or blood product
is administered; every time a laboratory specimen is
obtained, and every time a
procedure is performed, no matter how long the patient has been known to the nurse or
admitted to the facility.
● Issues:
○ Children are so tiny that the bands do not stay on or they take them off.
○ You can't always ask a child for their birthday
■ Fall reductions
● Humpty Dumpty Falls prevention Program ○ Pediatric fall reduction
program.
● Kids are prone to falls, all children under 4 years old must be in a bubble top
crib during their hospital stay.
○ It is crucial to ensure the side rails are up at all times to prevent accidental falls.
○ Culturally competent nursing care
■ Culturally competent care means that the pediatric nurse assesses the patient and/or family’s
cultural and spiritual beliefs, values, and traditions and determines how this can impact and affect
their care.
■ The nurse is obligated by standards of practice and ethics to make an authentic attempt to
understand the cultural beliefs and practices of patients and their families, and accommodate
them to the extent feasible, safe, and in keeping with standards of practice and care.
■ Following dietary accommodations
■ Getting interpreters involved for pts/familys who are hearing impared or who do not speak
english.
● Children and family members are not supposed to be used as interpreters.
■ Schedule accommodations
pg. 3
, PEDS 2024-2025 EXAM 1 (MODULES 1-3) STUDY GUIDE
● Timing care around prayer times
● Sabbath restrictions
● Use of electricity for othrodox jews
■ Treatment accommodations
● Adults who are jehovah’s witnesses may refuselifesaving blood for themselves→ but not for
their children.
■ Gender accommodations
■ Home-care accommodations
■ Knowledge and tolerance of CAM therapies.
○ End of life care
■ It is important to focus on family-centered care.
■ We should provide care that is culturally appropriate, developmentally appropriate,
compassionate, informative, and honest.
■ When possible the nurse should try to accommodate cultural rituals that do not affect the care we
are providing.
■ When talking to children about death, be sure to take into consideration their developmental
level of understanding→ get a child life specialist involved
■ Nurses must be informative and honest in all communication with the family.
■ Treat pt and their families with kindness and compassion ○ Pediatric code situations
■ Family involvement or presence during code situations is a crucial part of providing family-
centered care.
● This way families see that absolutely everything was done to try and save the pt.
● This helps to facilitate the grieving process
● The negative side to this is that the family is seeing their child in the most horrifying and
traumatic situation
■ During a code a nurse is assigned the role of staying with the parents→ This is the nurses sole
job!
● Role includes:
○ Caring for the parents
○ Describing what is going on
pg. 4
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