Pediatric Communication and Assessment

Question 1

Identify developmentally appropriate communication techniques.
List the normal sequence in the physical examination of children and adolescents
Identify methods and pain assessment tools for assessing pain in the pediatric population

Answer 1

SLO for pediatric assessment and communication

Question 2

you need to make sure that you’re talking to them at the _______ age

Answer 2

developmentally appropriate

Question 3

COMMUNICATE ACCORDING TO PAITENTS ______ LEVEL

Answer 3

DEVELOPMENT

Question 4

avoid sudden movements, speak on their level

Infants: use ______

Answer 4

peak a boo

Question 5

Adolescents: need to encourage them to ______ feelings, also really like their peers

Answer 5

express

Question 6

_______: need to encourage them to express feelings, also really like their peers

Answer 6

Adolescents

Question 7

Neuro assessment for children: use the ____ scale

know this scale and different scenarios

Answer 7

AVPU, (alert, verbal, painful, unresponsive)

Question 8

extremely sleepy, minimal stimulation with an IV placement.

Answer 8

lethargic

Question 9

Resp rate for ages 3-6: _____ breaths per minute

Answer 9

20-30

Question 10

3 yo 100/52 bp, hr 99, rr 45

what is abnormal?

Answer 10

( the rr is abnormal)

will be a test question with normal vital signs for children

Question 11

t/f: your anxiety will make the parents and the children’s worse

Answer 11

true

Question 12

temps on kids tend to be _____ than adults

Answer 12

higher

Question 13

t/f: in children, their body hasn’t matured so it will go crazy with temps, not completely unusual to see a 103 temp

Answer 13

true

Question 14

______ happen when your temp goes from 98 to 103 in like 15 minutes. A rapid change in temperature over a short time frame.

Answer 14

Seizures

Question 15

rapid temp change ______ seizure threshold

Answer 15

decreases

Question 16

What do you need to avoid when communicating with children?

Answer 16

metaphors
long sentences

Question 17

the nurse asks if the child has been “coughing your head off” when assessing them. Is this communication developmentally appropriate?

Answer 17

no, it is a metaphor and they will likely take it literally

Question 18

t/f: a 2 year old can understand a sentence if its short?

Answer 18

true

Question 19

fear: potty, dark, shadows, sleeping alone, weather, loud noises.

Answer 19

Fears for 2-4 year olds

Question 20

Fear: dark, fire, bad guys, taking tests, peer rejection, doctors and shots, bugs and animals.

Answer 20

Fears for 5-7 year olds

Question 21

Fear: bad guys and ghosts, being home alone, dying, sickness, school failure, throwing up at school, peer rejection.

Answer 21

fears for 8 -11 year olds

Question 22

Fear: their safety, sickness, throwing up at school, failure in school or in sports, school presentations, how they look to others, violence and global issues.

Answer 22

fears for 12-18 year olds

Question 23

List the correct order for the following assessments that need to be done. Heart rate, blood pressure, temperature, respiratory rate.

Answer 23

Resp rate, heart rate, blood pressure, temperature. do painful/most invasive procedures last.

Question 24

Health history: most reliable information usually comes from the ______*

Answer 24

caregiver

Question 25

t/f: child is most reliable, go with what the child is saying versus what the parent is saying

Answer 25

true

Question 26

acute appendicitis: they usually point right to the ______

Answer 26

belly button

Question 27

Radial pulse: has to be at least ___ for it to be accurate

Answer 27

two. Take apical until theyre two

Question 28

very useful bc it will tell you if there is an issue with circulation usually before they actually become hypoxic

Answer 28

capillary refill

Question 29

if patient is under 30 days old, the ___ is really important. have to do this before you can move onto lumbar puncture stuff.

Answer 29

temp. (especially a rectal temp)

Question 30

What color cap do you use for a rectal probe thermometer?

Answer 30

red cap

Question 31

t/f; use play and talk at their eye level.

Answer 31

true

Question 32

Developmentally appropriate quick neurological assessment: ______

Answer 32

AVPU

Question 33

What does AVPU stand for?

Answer 33

child is alter responsive to verbal stimuli responsive to painful stimuli unresponsive

Question 34

do the most invasive procedure ______, and the least invasive procedure ______

Answer 34

last, first

Question 35

Listen on teddy first Tea party (increase fluid intake), crazy straw, fun

Answer 35

examples of using play

Question 36

their throat is about the size of the patients ____

Answer 36

pinky finger

Question 37

book recommends using tongue blade to move the tongue how?

Answer 37

side of tonge over instead of ontop

Question 38

age 1 how do you take a tympanic temp?

Answer 38

pull pinna down and back

Question 39

age 3 and older how do you take a tympanic temp?

Answer 39

pull pinna up and back

Question 40

heart murmurs can be a result of ________ or some other physiological abnormality

Answer 40

fever or anemia

Question 41

will probably ______ the diapers and count the number of diapers

Answer 41

weigh

Question 42

Where do you check the skin turgor on a child?

Answer 42

Abdomen

Question 43

Age (Example: Neonate-Increased muscle tone=acute pain) Developmental level Cause and nature of pain Ability to express the pain

Answer 43

influences of pain management

Question 44

Use bubbles, music, play a game, positive self-talk (When I am done, I will be able to…), guided imagery for pleasurable events, pacifier

Answer 44

Methods to prepare a child for a painful procedure

Question 45

What scale do you use for an infant?

Answer 45

NIPS and Cries

Question 46

What are factors in a NIPS?

Answer 46

breathing face arms legs cry arousal all are 0-1 except crying which is 0-2

Question 47

What are considerations for CRIES scale?

Answer 47

crying oxygen requirement changes to vital signs facial expressions sleeplessness all scored at 0-2

Question 48

What si the most common pain assessment scale for a child?

Answer 48

FLACC

Question 49

What are components of the FLACC scale?

Answer 49

Face Legs Activity Cry Consolability scored from 0-2

Question 50

Moderate sedation: responds to ______

Answer 50

verbal commands

Question 51

What is EMLA medication?

Answer 51

topical anesthetic prior to an IV insertion

Question 52

What types of additional medication may be used for chronic pain in peds ?

Answer 52

antidepressants/anticonvulsants for chronic/neuropathic pain

Question 53

What is Cognitive-Behavior therapy?

Answer 53

a psychological approach for pediatric pain