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NUR3503 Child Exam With Complete Solution
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NUR3503 Child Exam With CompleteSolution
What is the family centred care approach? - Answer The family-cantered care approach
is a healthcare model that recognizes the importance of involving families as active
partners in the care and decision-making process of a Paed patient.
-Collaboration
- Respect & Dignity
-Communication
-Educating the parents and the child
- Individualised care
- Advocacy (Healthcare providers act as advocates for families)
-Respect beliefs and Values
- Respecting that parenting of child remains with the parents
What is Children and family centred care practice? - Answer Children and
family-centred care practice is an approach in healthcare that places the child and their
family at the centre of care delivery. It recognizes the importance of involving both the
child and their family as active participants in decision-making, planning, and
implementation of care.
Main differences between children and adults? - Answer Size difference
Maturity levels
Mental development
Pathophysiology (Immature organ systems, Immune systems, High metabolic rate,
Higher reserve capacity for organ dysfunction)
Response to meds
Healing and Recovery
Growth a development
Communication and Language
Dependency
Social emotional development
,What do children need for growth development? - Answer Nutritious diet
Physical activity
Sleep
Social interaction
Safe environment
Intellectual stimulation
Healthcare Access
Emotional Support
How can growth and development be monitored? - Answer Standardised assessment
tools
Milestones
Regular interaction with health care nurse etc
Emotional development
health and weight percentiles
personal health book (purple)
Parental observations
How effectively can you communicate with children? What are some factors to
consider? - Answer Age appropriate communication
Tone and non0verbal communication
Active listening
Use of play
Use of safe environments
Use of visual aids
Respect and empowerment ( Encourage participation fostering empowerment and
autonomy)
Build trust
Legal obligation
Be non-judgemental
,Why is immunisation important? - Answer It helps prevent spread of infectious diseased
Protects vulnerable populations
Reduces healthcare costs
contributes to population over health and wellbeing
What are some myths surrounding vaccination? - Answer Vaccines cause Autism
Natural immunity is superior to Vaccines
Vaccines contain harmful toxins
Causes serious side affects
What is the first 1000 days of a child's life? - Answer The first 1000 days of a child's life,
starting from conception through the first two years, are critically important for their
long-term health and development and determine outcomes for their future.
Why does a baby drop weight in the first 2 weeks? - Answer Fluid Loss
Meconium Passage:
Adjustment to Feeding: In the early days, babies are adjusting to breastfeeding or
bottle-feeding, and their intake may be relatively small. This can contribute to temporary
weight loss until feeding becomes more established.
Metabolism and Energy Expenditure: Newborns have high metabolic rates and expend
energy rapidly. The energy they receive from feeding might not be sufficient to prevent
initial weight loss.
What interventions can a child nurse use if a child is outside of the percentile growth
charts? - Answer Nutritional assessment & Counselling
Feeding support
Growth monitoring
Development evaluation (occupational therapists, speech therapists, or psychologists,
to address any developmental or behavioural issues)
Referral to paeds
Parent support
Parent education
Collaboration with other professionals (Therapist, Dietician, OT, paediatric
gastroenterologist)
Community resources and support
, What is a Fenton chart? - Answer The Fenton chart is a growth chart designed for
preterm infants, allowing healthcare providers to monitor their growth and development
based on corrected gestational age and compare it to expected patterns for appropriate
interventions.
What age is considered prem? - Answer < 38 weeks
Some example of development tools are: - Answer Ages and Stages Questionnaires
(ASQ): A series of age-specific questionnaires completed by parents or caregivers to
assess a child's development in various domains, including communication, gross and
fine motor skills, problem-solving, and social-emotional development.
Social-Emotional Assessment/Evaluation Measure (SEAM): A tool used to assess
social-emotional development, including social interaction, emotional regulation, and
behaviour, in children aged 1 month to 6 years.
Communication and Symbolic Behavior Scales (CSBS): A comprehensive tool that
assesses communication and symbolic abilities in infants and toddlers, including social
communication, receptive language, expressive language, and symbolic play skills.
Why do we take 2 weeks of the infants age when calculating medication? - Answer We
drop of 2 weeks if baby is full term because baby isn't conceived until 2 weeks pregnant.
Expected weight calculation:
If a child is 12 weeks old and her birth weight was 3.4kg what should her expected
weight be? - Answer answer = 5.4kg
Break down:
Multiply 200g from her current age (12 weeks - this would be 10 as we subtract 2 weeks)
i.e 200x10= 2kg
then we add the birth weight (3.4 kg) i.e 2kg + 3.4 Kg =5.4kg
What are the formal calculations? - Answer 2-12 weeks = 200g/wk
3-6 months = 150g/wk
6-9 months = 100g/wk
9-12 months = 50g/wk
Remember to convert to weeks from months
What you want over what you got by what you have - Answer What you want over what
you got by what you have
Calculate Josh's birth weight:
9 weeks old
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