Health Care Adaptations for the Pediatric Patient
NP05L026
Study Guide
References: Foundations of Nursing, 4th Edition, ISBN 0-323-01727-4
Introduction to Maternity & Pediatric Nursing, 4th Edition, ISBN 07216-9334-2
Student Study Assignments: Chapter 22, Leifer; p 494-532 and Chapter 29,p
783-796 and 803-816 Christensen
Terminal Learning Objective: Given a scenario of a pediatric patient, adapt
nursing care to meet the special needs of the pediatric patient IAW Christensen
and Leifer
Enabling Learning Objectives:
A: Contrast elements of a pediatric assessment to elements of an adult
assessment
B: Identify safety measures applicable to nursing care of the hospitalized child
including restraints, positioning and transporting
C: Identify normal vital signs of infants and children at various ages
D: Describe variations in specimen collection for the pediatric patient; including
urine, stool, blood and lumbar puncture
E: Compare the absorption, metabolism and excretion of medications in children
to the absorption, metabolism and excretion of medications in adults
F: Calculate a drug dosage using body surface area and dimensional analysis
G: Determine nursing responsibilities related to the administration of oral and
parenteral medications to the pediatric patient
H: Describe how to adapt nursing procedures related to gastrostomy feedings
and enema administration to the pediatric patient
I: Describe how to adapt nursing procedures related to tracheostomy care,
oxygen administration and airway obstruction to the pediatric patient
J: Describe how to adapt nursing procedures related to preoperative and
postoperative care to the pediatric patient
A: Contrast elements of a pediatric assessment to elements of an adult
assessment
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Health Care Adaptations for the Pediatric Patient
NP05L026
Study Guide
B: Identify safety measures applicable to nursing care of the hospitalized child
including restraints, positioning and transporting
1. List four DOs and four DON’Ts related to safety measures in the hospital
setting.
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2. What are the determinants of mode of transporting a hospitalized infant?
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3. After reviewing box 22-1, p.498 in Leifer, state what negative effects
restraints may have on an infant.
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C: Identify normal vital signs of infants and children at various ages
1. List the average and upper limits for pulse rate for children ages 1-11
months, 4yrs, 8yrs, 12yrs and 18yrs.
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2. List the normal respiratory ranges for children.
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3. What would be a normal blood pressure for both boys and girls at the 50th
percentile at ages: 1 month, 1yr, 6yrs, and 15yrs?
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4. List normal temperature ranges for the four methods of obtaining a
temperature.
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D: Describe variations in specimen collection for the pediatric patient; including
urine, stool, blood and lumbar puncture
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Health Care Adaptations for the Pediatric Patient
NP05L026
Study Guide
E: Compare the absorption, metabolism and excretion of medications in children
to the absorption, metabolism and excretion of medications in adults
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F: Calculate a drug dosage using body surface area and dimensional analysis
1. Which method is considered most accurate?
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2. What is the formula for determining dosages using BSA?
3. Using figure 22-12 p. 510 in Leifer, and the BSA method calculate a childs
dose for a drug that has a normal adult dose of 50 mg. The child is 100
cm tall and weighs 50 pounds.
4. What is the formula for dimensional analysis?
5. An order is for .225g of a drug. Each tablet is 75mg. Using dimensional
analysis how many tablets will you give?
6. An order is for 50 mg of a drug, the drug comes as 10mg/2ml, how many
ml are you going to give?
G: Determine nursing responsibilities related to the administration of oral and
parenteral medications to the pediatric patient
1. What is the preferred method of medication administration for children?
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2. It is appropriate to mix liquid medications with important sources of
nutrition to facilitate administration.
T
F
3. Why is it important not to mix medications in a bottle of juice or water?
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Health Care Adaptations for the Pediatric Patient
NP05L026
Study Guide
4. How would you administer eardrops to a 2 year old patient?
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5. What does O.U, O.D, and O.S stand for?
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6. Describe two methods a nurse may incorporate to reduce pain associated
with injections
H: Describe how to adapt nursing procedures related to gastrostomy feedings
and enema administration to the pediatric patient
______________________________________________________________
______________________________________________________________
______________________________________________________________
I: Describe how to adapt nursing procedures related to tracheostomy care,
oxygen administration and airway obstruction to the pediatric patient
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
J: Describe how to adapt nursing procedures related to preoperative and
postoperative care to the pediatric patient
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________