NURS 305 - Exam 1
What is pediatric nursing? - ANS The practice of nursing involved in the health care of children from
infancy through adolescence (usually about 20 years old)
How many people in the United States are children younger than the age of 18 years old? - ANS
Approximately 73.1 million, accounting for 22% of the population
What are the goals for pediatric nursing? - ANS - The overall goal of pediatric nursing is to promote
and assist the child in maintaining optimal levels of health while recognizing the influence of the
family on the child's well-being
- This goal involves the practice of health promotion and disease prevention as well as assisting with
care during disease or illness
In pediatric healthcare, who is healthcare provided to? - ANS Healthy and ill children
In pediatric healthcare, who are part of the process and often considered an extension of the
patient? - ANS Families
In pediatric healthcare, what must you act as? - ANS A caregiver, educator, and patient/family
advocate
What is the philosophy of pediatric healthcare? - ANS To promote and assist the child in maintaining
optimal levels of care by focusing on the family, providing atraumatic therapeutic care, and using
evidence-based practices
Regarding the philosophy of pediatric healthcare, what is included in focusing on the family? - ANS
Providing family-centered, culturally competent care
Regarding the philosophy of pediatric healthcare, what is included in providing atraumatic
therapeutic care? - ANS Minimizing physical and psychological stress for children and their parents
Regarding the philosophy of pediatric healthcare, what is included in using evidence-based
practices? - ANS Using research findings to establish a plan of care
,What factors affect child health? - ANS - Family
- Genetics
- Society
- Cultural health practices
- Spirituality and religion
- Barriers to healthcare
Regarding factors affecting child care, what is included in the family factor? - ANS - Family structure
- Family roles and function
- Parenting styles and discipline
Regarding factors affecting child care, what is included in the genetics factor? - ANS - Sex
- Race
- Temperament
- Genetically linked diseases
Regarding factors affecting child care, what is included in the society factor? - ANS - Social roles
- Socioeconomic status
- Media
- Violence
- Community
Regarding factors affecting child care, what is included in the barriers to healthcare factor? - ANS -
Finances
- Sociocultural barriers
What is included in health promotion? - ANS - Promote healthy behaviors in children and their
families
- Reduce health disparities
- Enable people to gain control over and improve their health
- Encourage healthy behaviors and ideas
,Regarding Healthy People 2030 and WHO, what is included in health maintenance/supervision? -
ANS - Focus on preventative care
- Provide care at regular and recommended intervals to maintain an optimal state of health and to
identify issues early
Regarding Healthy People 2030 and WHO, what do health maintenance visits include? - ANS - Injury
and disease prevention
- Health promotion/anticipatory guidance (usually once they turn three they're only coming in once
a year)
- Developmental surveillance (observation and parent concerns) and screening (measurements)
Regarding health screening related to growth and development, what will be measured at child
visits? - ANS - Weight
- Length/height
- Head circumference
Regarding health screening related to growth and development, until what age will head
circumference measurements be done? - ANS Usually three years old
Regarding health screening related to growth and development, why is head circumference usually
measured until the child is about three years old? - ANS By this age, the fontanels should have been
well-closed and the brain size will be the size it's going to remain as an adult
Regarding health screening related to growth and development, how are growth charts used? - ANS
- Plot the child's weight, length, and head circumference with the child's age on appropriate growth
chart
- Look for a consistent curve
Regarding health screening related to growth and development, what is the goal associated with
growth charts? - ANS 10-90% consistently
Regarding health screening related to growth and development, what would be considered a "red
flag" on a growth chart? - ANS Deviations from curve
, Regarding health screening related to growth and development, what could indicate that a child is at
risk for failure to thrive and developmental delays on a growth chart? - ANS Falling at/below 5th
percentile
Regarding health screening related to growth and development, what could failure to thrive (FTT) be
caused by? - ANS It could be some sort of inborn error of metabolism where their body isn't
metabolizing food correctly or it could be related to neglect
What is anticipatory guidance? - ANS - Knowing what a child/patient's developmental age is and
what their upcoming developmental needs are
- Teaching caregivers what is needed to meet those needs
What are some examples of anticipatory guidance? - ANS - Bicycle helmets
- Children, adolescents, and media
- Tobacco smoke exposure and tobacco use cessation
- Weight maintenance and weight loss
- Injury prevention
- Violence prevention
Regarding anticipatory guidance, what are the considerations associated with tobacco smoke
exposure and tobacco use cessation? - ANS - Educating family and children about this
- Starting to see a lot more use in teenagers (vaping)
Regarding anticipatory guidance, what are the considerations associated with weight maintenance
and weight loss? - ANS We are doing a lot more promotion of healthy body weight, exercise, and
diet, but unfortunately we are seeing a lot more children and a lot more adolescents with
hyperlipidemia, obesity, and type II diabetes
What are the specific types of screenings performed? - ANS - Metabolic
- Hearing
- Vision
- Iron-deficiency anemia
- Lead
- Hypertension
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