Nursing Intervention Scenarios – Pediatrics
Group #
Instructions: Everyone will be counted off by numbers 1 through 4. All the “ones” will be group 1, etc.
Using the information provided, please create a short skit that summarizes the problem and provides
appropriate nursing interventions. You must provide a brief rationale for your responses/actions.
Roles: recorder/writer, patient, family members, nurse, healthcare provider (if applicable)
There is a space on the next page where the recorder should write information discussed during
preparation for your skit. This is a daily grade for all of you – please do your part to participate.
1. The parents of a 4-month-old are talking with the nurse at a well-child visit. The parents report
having difficulty getting the baby to sleep at night. The baby also wakens during the night crying. The
parents have been letting the baby cry because they are exhausted and also worried about “spoiling” the
child.
2. A five-year-old patient is being scheduled for an inguinal hernia repair. He is visiting with the pediatric
surgeon and staff for a pre-op visit in the clinic. What instructions do you anticipate sharing with the
child and his parents? How will you explain what is going to happen to him in the hospital?
3. A 16-year-old female patient is visiting the county health clinic after finding out that she is pregnant.
She asks that the nurse keep their conversation private and does not want her mother and dad to know
that she is pregnant. How will you as the nurse respond?
4. The parents of twin toddlers are venting their frustrations to the clinic nurse about the difficulties
getting ready for work and daycare each morning. The toddlers are messy with breakfast and always
want to dress themselves. The parents report not having time or patience with this behavior and they
always have to redress the children, which often makes one or both of them late to work. How can you
help them?
5. The parents of a 2 and ½ year-old child are worried and asking for advice on how to discipline their
child. When they get together with friends who also have young children, their child refuses to share
toys or cooperate with the other children. How will you offer them advice?
6. The mother of a four-year-old boy calls the pediatric clinic with concerns about her son “still sucking
his thumb.” How would you respond to her concerns?
7. The parents of a six-year-old girl are concerned that their daughter continues to “wet the bed.” This
is causing her to become more withdrawn and she refuses to spend the night with her friends because
she doesn’t want to have an accident in her friend’s bed. How can you address these parents’ concerns?
8. The parents of an 18-month-old girl express concerns about their child having “horrible tantrums and
crying fits” when they leave her at the daycare center each morning before work. What would you say
to these parents?
9. The parents of a three-year-old son are at a loss about the best way to discipline their child, who
frequently acts out, pinches his younger sister, and refuses to share his toys with others. What advice
would you offer?
10. The parents of a 12-month-old child bring their son to the well-child visit for his routine vaccines.
What strategies would you employ during the painful procedures to help alleviate his discomfort?
Nursing Intervention Scenarios – Pediatrics
Group #
11. While working on the pediatric unit, you are assigned a 10-year-old male patient who has 2nd degree
burns on both arms, his chest, and chin. The burns require frequent dressing changes that are painful.
What interventions would you use to help comfort/distract the child before and during the procedures?
Group # _______________
Member Names:
Recorder’s Name:
Notes on discussion/roles/rationales: