Nursing Care of Children

Question 1

FLACC pain tool age

Answer 1

2 months - 7 years

Question 2

Components of FLACC pain tool

Answer 2

• 0-10 rating
• Face
• Legs
• Activity
• Cry
• Consolability

Question 3

FACES pain tool age

Answer 3

3 years and older

Question 4

Oucher pain tool age

Answer 4

3-13 years

Question 5

Oucher pain tool components

Answer 5

Pictures that show how the child is feeling

Question 6

Non-communicating Children’s Pain Checklist age

Answer 6

3 years and older

Question 7

Non-Communicating Children’s Pain Checklist scoring components

Answer 7

• Observe behaviors for 10 minutes
• Score 0-3 points for each category

Question 8

Non-Communicating Children’s Pain Checklist categories (6)

Answer 8

• Vocal
• Social
• Facial
• Activity
• Body/limbs
• Physiological

Question 9

Patent ductus arteriosus

Answer 9

Fetal ductus arteriosus doesn’t close within minutes - days after birth

Question 10

Blood flow with patent ductus arteriosus

Answer 10

• Aorta to pulmonary artery
• Left to right shunting

Question 11

Patent ductus arteriosus symptoms (7)

Answer 11

• Asymptomatic
• Symptoms of heart failure
• Respiratory distress
• Murmur
• Bounding pulses
• Widened pulse pressure
• Poor feeding

Question 12

Ventricular septal defect

Answer 12

Abnormal opening in the septum between the left and right ventricle

Question 13

Blood shunting in VSD

Answer 13

• Left to right shunting

Question 14

VSD symptoms (3)

Answer 14

• Loud, harsh murmur auscultated at left sternal border
• Mild cyanosis that increases with crying
• Heart failure

Question 15

Atrial septal defect

Answer 15

Abnormal opening in the septum between the left and right atria

Question 16

Blood shunting in ASD

Answer 16

• Left to right shunting

Question 17

ASD symptoms (6)

Answer 17

• Asymptomatic
• Murmur
• SOB with activity
• Frequent respiratory infections
• Dysrhythmias
• Heart palpitations/skipped beats

Question 18

Tetralogy of fallot

Answer 18

• Pulmonary stenosis
• VSD
• Overriding aorta
• Hypertrophy of right ventricle

Question 19

Blood shunting in TOF

Answer 19

• Left to right
• Right to left

Question 20

TOF symptoms (5)

Answer 20

• Cyanosis/hypoxia (tet spells)
• Heart sounds vary depending on defect
• Cardiomegaly
• Heart failure
• Systolic murmur

Question 21

Transposition of great vessels

Answer 21

• 2 main arteries are reversed
• Aorta exits the right ventricle instead of the left
• Pulmonary artery comes from the left ventricle instead of the right

Question 22

Transposition of great vessels symptoms (4)

Answer 22

• Cyanosis
• Heart sounds vary depending on defect
• Cardiomegaly
• Heart failure

Question 23

Coarctation of the aorta

Answer 23

Narrowing of the lumen of the aorta obstructing blood flow from the ventricle

Question 24

Coarctation of the aorta symptoms (7)

Answer 24

• Upper extremities: elevated bp, bounding pulses
• Lower extremities: decreased bp, weak/absent pulses, cool skin
• Dizziness
• Syncope
• Headache
• Epistaxis
• Heart failure

Question 25

Enterobiasis vermicularis

Answer 25

Pinworms

Question 26

Nursing interventions for pinworms (3)

Answer 26

• Trim fingernails short
• Dress in 1 piece pajamas
• Shower instead of baths

Question 27

Education for pinworms (3)

Answer 27

• Pyrantel pamoate will turn GI contents red and stain clothes
• Need to treat the whole family
• Good handwashing

Question 28

Pediculosis capitis

Answer 28

Head lice

Question 29

Education for head lice (8)

Answer 29

• Repeat treatment in 7-10 days
• Teach how to use nit comb and run in sections from scalp to ends
• Cover eyes when treating
• Treat all members of household
• Wash linens, towels, clothes in hot water and dry with hot air
• Seal non-washable items in plastic bag for 2 weeks
• Thoroughly vacuum carpets, car seats, pillows, stuffed animals
• Soak combs, brushes, hair accessories in lice killing agent for 1 hour