PRAC 6820 FINAL EXAM Advanced Pediatric Nursing PPracticum ANSWERED 2026/2027 (7pages)

1. What are the main components of a comprehensive pediatric assessment? How would you perform one on a child with a chronic condition? - A comprehensive pediatric assessment includes the following components: history, physical examination, developmental screening, psychosocial assessment, nutritional assessment, and laboratory and diagnostic tests. To perform one on a child with a chronic condition, the nurse should also consider the impact of the condition on the child's growth, development, family, school, and quality of life. The nurse should use ageappropriate communication techniques and tools to elicit information from the child and the family, and involve them in the care plan. 2. What are some common pediatric emergencies that require immediate intervention? How would you recognize and manage them? - Some common pediatric emergencies that require immediate intervention are: respiratory distress or failure, shock, cardiac arrest, seizures, anaphylaxis, poisoning, trauma, and meningitis. To recognize and manage them, the nurse should use the ABCDE approach (airway, breathing, circulation, disability, exposure) to assess the child's condition and prioritize interventions. The nurse should also follow the pediatric advanced life support (PALS) guidelines and algorithms for specific situations. 3. What are some developmental milestones for children from birth to 18 years? How would you assess the developmental status of a child at different ages? - Some developmental milestones for children from birth to 18 years are: - Birth to 1 year: smiling, cooing, babbling, rolling over, sitting up, crawling, standing, walking, saying first words - 1 to 3 years: running, jumping, climbing, throwing, catching, using utensils, drawing shapes, speaking in sentences, following simple commands - 3 to 5 years: riding a tricycle, hopping on one foot, cutting with scissors, copying letters and numbers, telling stories, asking questions - 5 to 8 years: skipping rope, tying shoelaces, writing words and sentences, reading books, doing simple math problems - 8 to 12 years: playing team sports, learning musical instruments, developing hobbies and interests - 12 to 18 years: going through puberty, developing abstract thinking and moral reasoning skills - To assess the developmental status of a child at different ages, the nurse should use standardized screening tools such as the Denver Developmental Screening Test (DDST), the Ages and Stages Questionnaire (ASQ), or the Pediatric Evaluation of Disability Inventory (PEDI). The nurse should also observe the child's behavior and interactions with others. 4. What are some common pediatric chronic conditions that affect the physical and psychosocial well-being of children and their families? How would you provide holistic care for them? - Some common pediatric chronic conditions that affect the physical and psychosocial well-being of children and their families are: asthma, cystic fibrosis, diabetes,