PEDIATRIC NURSING THE CRITICAL COMPONENTS OF NURSING CARE 2ND EDITION
BY KATHRYN RUDD; DIANE KOCISKO
1
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COMPONENTS OF NURSING CARE 2ND
EDITION BY KATHRYN RUDD; DIANE
KOCISKO
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PEDIATRIC NURSING THE CRITICAL COMPONENTS OF NURSING CARE 2ND EDITION
BY KATHRYN RUDD; DIANE KOCISKO
2
Table of Contents
Chapter 1. Issues and Trends in Pediatric Nursing 3
Chapter 2. Standards of Practice and Ethical Considerations 10
Chapter 3. Family Dynamics and Communicating with Children and Families 21
Chapter 4. Cultural, Spiritual, and Environmental Influences on the Child 32
Chapter 5. End-of-Life Care 45
Chapter 6. Growth and Development 61
Chapter 7. Newborns and Infants 73
Chapter 8. From Toddlers to Preschoolers 87
Chapter 9. School-Age Children 104
Chapter 10. Adolescents 116
Chapter 11. Respiratory Disorders 129
Chapter 12. Cardiovascular Disorders 147
Chapter 13. Neurological and Sensory Disorders 162
Chapter 14. Mental Health Disorders 176
Chapter 15. Gastrointestinal Disorders 190
Chapter 16. Renal disorders 206
Chapter 17. Endocrine disorders 219
Chapter 18. Reproductive and Genetic Disorders 234
Chapter 19. Hematologic, Immunologic, and Neoplastic Disorders 249
Chapter 20. Musculoskeletal Disorders 265
Chapter 21. Dermatologic Diseases 279
Chapter 22. Communicable Diseases 294
PEDIATRIC NURSING THE CRITICAL COMPONENTS OF NURSING CARE 2ND EDITION
BY KATHRYN RUDD; DIANE KOCISKO
3
Chapter 1. Issues and Trends in Pediatric Nursing
MULTIPLE CHOICE
- A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
Which current trend in the pediatric setting should the nurse expect to find?
a. Increased hospitalization of children
b. Decreased number of uninsured children
c. An increase in ambulatory care
d. Decreased use of managed care
ANS:: C
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the
acute care setting to the ambulatory setting. The number of hospital beds being used has
decreased as more care is provided in outpatient and home settings. The number of uninsured
children in the United States continues to grow. One of the biggest changes in healthcare has
been the growth of managed care.
DIF: Cognitive Level: Comprehension REF: p. 3
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment - A nurse is referring a low-income family with three children under the age of 5 years to a
program that assists with supplemental food supplies. Which program should the nurse refer this
family to?
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC) program
PEDIATRIC NURSING THE CRITICAL COMPONENTS OF NURSING CARE 2ND EDITION
BY KATHRYN RUDD; DIANE KOCISKO
4
ANS:: D
WIC is a federal program that provides supplemental food supplies to low-income women who
are pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the
Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides
for well-child examinations and related treatment of medical problems. Children in the WIC
program are often referred for immunizations, but that is not the primary focus of the program.
Public Law 99-457 provides financial incentives to states to establish comprehensive early
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
Medicare is the program for Senior Citizens.
DIF: Cognitive Level: Application REF: p. 7
OBJ: Nursing Process Step: Implementation
MSC: Health Promotion and Maintenance
- In most states, adolescents who are not emancipated minors must have parental permission
before:
a. treatment for drug abuse.
b. treatment for sexually trANS:mitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ANS:: D
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel
may be consulted to verify the status of the emancipated minor for consent purposes. Most states
allow minors to obtain treatment for drug or alcohol abuse and STDs and allow access to birth
control without parental consent.
DIF: Cognitive Level: Application REF: p. 12
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment