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Summary NR328/NR 328 Exam 1 Study Guide (Latest 2022/2023) Pediatric Nursing - Chamberlain College of Nursing
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NR328/NR 328 Exam 1 Study Guide (Latest 2022/2023) Pediatric Nursing - Chamberlain College of Nursing

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  • January 23, 2022
  • 6
  • 2022/2023
  • Summary

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  • nr328nr 328 exam 1 study guide latest 20222023 pediatric nursing chamberlain college of nursing

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NR I328 IPediatric INursing IExam I1 IStudy IGuide


Chapter I1: IPerspectives Iof IPediatric INursing Chapter I28: IThe IChild IWith IRespiratory IDysfunction

• Growth Iand IDevelopment:
o I Milestones: • Tonsillitis I(URI) INo ICodeine IPO ITonsillectomy
2 Imonths I– ISocial Ismile I& ICoos If Ichild Iis Iallergic Ito IPenicillin Igive IErythromycin
8 Imonths I– ICombines ISyllables Iex: IDada Risk Ifor Ihemorrhage Is/s Iconstant Iswallowing Ihappens I5 Ito
I10 Idays Iafter Idischarges Iat Ihome.
12 Imonths I- I 2 ISyllables Iex: IDada I& IMama
NO ISTRAW!!!
Obesity I– Iis Ithe Ibiggest Iproblem Iin Position Ion Iside Ior IProne Ifor Iolder Ichildren Ifor Idrainage
th
Ichildhood:I” I95 I%”
• Croup I(URI) IWorse Iat Inight Itime, IBarking Icough,
Dental Icaries I“Cavities” I– Iis Ithe Isingle hoarseness, IInspiratory Istridor,
ImostIcommon Ichronic Idisease Iof
Treatment: ICorticosteroids, IHydrate Ito Ithin Imucous
Ichildhood.

Injury I– Istressful Ienvironment, Iboys, Iand IADHD Ior • Epiglottitis I(URI) I IDroplet IPrecautions, IHIB, IEmergency, IDX
Iby Ia Ilateral INeck IXray, ITreated Iwith Iantibiotics, IBacterial,
IADD I(Hyperactive)
IDo Inot Iopen Itheir Imouth, IHigh Ifever I>104, IDrooling,
Suicide I– Iis Ithe I3rd Ileading Icause Iof Ideath
IMuffledIvoice, Ican Inot Italk, Itripod Iposition, IInspiratory
IinIchildren Iages I10 Ito I19 Iyears Iold.
Istridor, IPrepare Ifor Iintubation
3-4 Imonth Ihead Ishould Ibe Imore Icontrolled
5 Imonth Ihead Ishould Ibe Isupported I(head
Iup)IHead Icontrol Ibefore Istanding
• Bronchiolitis I(LRI) IAKA IRSV, IContact IPrecautions, IEarly
Ithan I28wks IPreterm Igive Ia Ipreventive Imeasure
Gross Imotor Ibefore IFine Imotor
IPalivizumabIa Iprophylaxis Ito Iboost Iup Ithe Iimmune Isystem,
Birth Ito I5mon Iweight Igain I5-7 Ilbs Ievery Iweek
Iinjections Igiven Imonthly, IHX I& IAssessment Iis Ihow Iit Iis IDX
IBy I6 Imon Iweight Ishould Ibe Idoubled I(14 Ilbs Iby

I6Imon)

By I1 Iyr Iweight Ishould Ibe Itripled I(21 • Asthma I(LRI) I2nd Ihand Ismoke, Iobstructive, IUrban Iarea I&
IRoaches/ IPollutants, IObesity, IGerd, IChronic Iinflammation, Iit
Ilbs)IBaby Ihave Ireally Ifast Imetabolisms
Iis Ireversible, IHyper-Responsive ILungs, IAtopic Idermatitis
IEruption I(teeth Icoming Iin) Iat I6 Imon.
I(Eczema) I& IFood IAllergies Ileads Ito IAsthma,
By I11 Imon I= IFine IPincer IGrasp
Peek Ia IBoo I= I8 Ito I10 Imon Emergency IMed I IAlbuterol IAKA IBronchodilator I(shortIacting)
Head Ilag Ishould Ibe Igone Iby I3 Ito I4 Reduces IInflammation I IBudesonide IAKA ICorticosteroids
IRed IZone IDanger I IStatus IAsthmaticus
Imonths.IToddler I= IParallel Iplay

2 ½ Iyear Iold I= I30 Imon HX I& IAssessment Iis Ihow Iit Iis IDX
3 year Iold= I36 Imon
2 years Iold I– I300 Iword Ivocabulary • Cystic IFibrosis I(LRI) IBoth Iparents Ihave Ito Ihave Ithe Igene
I25% Ichild Iwill Ihave Ithe Igene I IAutosomal Irecessive
3 years Iold I– I900 Iword Ivocabulary
Idisease Ichromosome I#7
***Autism Ican Idevelop Ias Iearly Ias I18 I-24 Imon.
IThick IMucus Iin ICF Iß
IAre Ithey Ipointing Iindicting Iwhat Ithey Iwant Ior

Ioffering Iwhat Ithey Iwant Igiving Iit Iback Ior
Break Imucus Iby Igiving Ifluids
Ireassurance Iof Ithe Iobject Ithey Iwere Iplaying
**CF Iis Inot Ionly Irelated Ito IRespiratory Ibut Ialso
ItheIintestines.
IwithIlooking Iback Iat Ithe Iparent.
***Meconium IIleus I(blockage) Iis Ithe I1st Isign
IclinicalImanifestation I(they Iwon’t Ipast Itheir I1st
Toddler Igive Imuch Icontrol Ias Imuch Ias Ithey Ican Iits
Istool)
Iokay Iif Ithey Iwant Ito Iput Ion Itheir Ipants Ibefore Itheir

Ishirt. IWord I“NO” Iis Iokay Iautonomy. IEducate
How Ito IDX: I2 Isweat Itests, IFTT, IGenetic Itesting, Istool Itest Ifor
Ifat I(Pancreatic Iinsufficiency)
Iparents Ito Ilet Ithe Ichild Imakes Ichoices Ifor Itheir

Iselves. IDo Inot Ilet Ithem Iget Ioverwhelmed.
Male Iis Isterile, IFemale Idifficulty Iw/conceiving
Due Ito Imalnutrition Igive IHIGH Iprotein Iand ICalorie IDiet
IFat Isoluble Isupplements I(ADEK)

Assess Ifontanels CPT, IPostural IDrainage, IBreathing Iexercises
– Anterior I(closes I12-18 Imonths)
– Posterior I(closes Iby I2-3 Imonths
URI I IStridor
LRI I IWheezing Iand ICrackles

, o Erickson’s Istages:
Infant I(Birth Ito I1 Iyear Iold) I- ITrust IVs IMistrust
IToddler I(18 Imonths Ito I3 Iyears Iold) I- IAutonomy

IVsIShame I& IDoubt

Pre-schooler I(3 Ito I6 Iyears Iold) I- Iinitiative IVs IGuilt
ISchool IAge I(6 Ito I12 Iyears Iold) I- IIndustry IVs

IInferiority

Teenager I(12 Ito I19 Iyears Iold) I-Identity IVs IIsolation

o Newborn Ireflexes:
Parachute I(late Ireflex)- Icomes Ilater Iat I7-9 Imonths Ihappens Iin Iolder
Iinfants

Tonic INeck- Iwhere Ithe Iarm Iextends Ithe Ihead Ifollows Ithe Iextended
Iarm Ibut Ithe Iopp Iarm Iflexes. IIf Iit Iis Idamaged Iit Iis Ibc Iof Icentral

InervousIsystem. IGoes Iaway Iat I3 Ito I4 Imonths.

Rooting I– I(breastfeeding/eating/Turns Ihead Itoward Ithe Iniple)
Idisappears Iat I3 Ito I4 Imonths

Palmar I– IDisappears Iat I3 Ito I4
ImonthsIPlantar I– Ilasts Iat Iabout I8

Imonths IStepping I– IFrom IBirth Ito I4

Iweeks

Moro I– IDisappears Iby I3 Ito I4 Imonths; INewborn ISymmetrically Iabducts
Iand Iextends Iarms I(*Asymmetrical Imight Iindicate Ifractured Iclavicle)

IBabinski I– IStroke Ioutside Iupward Ifrom Iheel Ialong Ilateral Iaspect Iand

Iacross Iball Iof Ifoot IToes IHyperextend Iand Ibig Itoe IFlare Iout

Idorsiflexes;IDisappears Iat I12 Imonths.

• Family ICentered ICare:
Child’s Ifamily Iwill Iplay Ia Ikey Irole. IInvolve Ithe Iparents Iof Ithe Ichild
Ibecause Ithe Ichild Iwill Itrust Ithe Inurse Imore. I“Family I– Icentered

Icare” Iis Ivery Iimportant, Ifamily Iis Iconstant Iin Ithe Ichild’s Ilife. IInvolve

Ithem IatIthe Ibedside Ifor Ithe Ichild Ibc Ithe Iparents Iare Ian Iextra Ieyes

Iand Iears Iof Ithe Ichild. IYou Ican Idelegate Isimple Itasks Ito Ithe Iparent

Iinvolve Ithe IcareIto Ithe Iparent Ibc Ithey Iare Iin Icharge Iof Ithe Ichild. IIt Iis

Igood Ifor Ithe InurseIto Ihave Ia Igood Irelationship Iwith Ithe Ichild’s Iparents

I(mom Ior Idad).



• Gesell ITheory:
Child’s Idevelopmental Iage Imay Ibe IDIFFERENT Ifrom Ihis/her
Ichronological Iage. IBe Iat Itheir Ilevel Iof Iunderstanding. IThink Ioutside Ithe

Ibox.



• Atraumatic Icare: IStress IFree
Is Iproviding Icare Iwith Ilittle Itrauma Ias Ipossible. IEx: IPreschool Iage Ichild
Ihas Ito Itake Imedication I(oral Icherry Iflavor) Igive Ia Ichild Ia Ichoice Iwhat

Ithey Iwould Ilike Ito Iwash Ithe Imedication Idown Iwith Ilike Ido Ithey Iwant

Iwater Ior Ijuice. IIf Ithis Iwill Ihelp Ithem Itake Itheir Imedication. IInfants Itrust

IVs Imistrust Iit Iis Iall Iphysical Icontact Iholding, Ibeing Ifeed. IYou Iconsole Ian

Iinfant Iif Ithey Iare Igetting Ian Iinjection Iby Imom Ican Ibe Ibreastfeeding

Iby Igetting Ia Ivaccine. ISucking Iwhile Ibeing Ifeed Ior Inot I(breast Imilk Ior

Ipacifier) Iconsoles Ithem Iis Ia Iway Iof IAtraumatic Icare.



• Nursing IProcess
• Health IPromotion Iin IPediatrics
o Key Iissues
o Risk Ifactors:
Obesity I& IDiabetes
Chapter I5: IPain IAssessment Iand IManagement Chapter I6: IChildhood ICommunicable
Iin IChildren Iand IInfectious IDiseases



o I Assessment

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