NUR 4445 Pediatric Assessment

NUR 4445 Pediatric Assessment
1. To be successful in communicating with children we should (12)...
Answer
•Allow children time to feel comfortable.
• Avoid sudden or rapid advances, broad smiles, extended eye contact-- gestures that may be
seen as threatening.
• Talk to the parent if the child is initially shy.
• Communicate through transition objects(like dolls) before questioning child directly.
• Give older children opportunity to talk without parents present.
• Assume a position that is at eye level with the child .
• Speak in a quiet, unhurried, confident voice.
• Speak clearly, be specific, and use simple words and short sentences.
• State directions and suggestions positively.
• Offer a choice only when one exists.
• Be honest with children.
• Allow children to express their concerns and fears.
2. What can a high heart rate mean in a pediatric patient (3)? What about low temperature (2)?
What can respiratory rate tell you about a child?
Answer
• High heart rate
pain, fever, or a cardiac disorder
• Low temperature can be just as concerning; may be due to infection, cardiac disorder.
• Respiratory rate can tell you if a child is in respiratory distress
3. What is the best technique in taking vital signs in a pediatric patient?
Answer
•Al- ways do the least invasive vital sign 1st
-i.e., start with respiratory rate and end with temp
4. What should we be assessing/looking for when taking a child's respiratory rate (4)?
Answer
•Look at the child's chest...
• Feel the child's chest...
• Listen with your stethoscope...
• Always listen for a full minute as children (especially infants) breathe irregularly

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