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Preschool-Aged Children Body-Integrity -:- - Preschool-aged children are very concerned about their body integrity - They believe that their insides can leak our from even a small wound. - Explains reason for their preoccupation with bandages Preschool (3-6 Years) -:- - IMITATION of adults:...

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2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!



ATI Proctored PEDs, ATI Pediatrics Proctored
Exam, PEDS ATI proctored review Questions
& 100% Correct Answers- Latest Test |
Graded A+ | Passed
Preschool-Aged Children


Body-Integrity


✓ -:- - Preschool-aged children are very concerned about their body integrity

- They believe that their insides can leak our from even a small wound.


- Explains reason for their preoccupation with bandages




Preschool (3-6 Years)


✓ -:- - IMITATION of adults: providing a stethoscope allows child an opportunity for

THERAPEUTIC play.

- Time based on events, magical thinking, animism, centration.


- Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian safety


- Keep a consistent bedtime routine




Pyloromyotomy




1|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

✓ -:- - Release of hypertrophied muscle around the pyloric sphincter that causes

narrowing of the pyloric canal.

- Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent

oral feeds.


- There is no incision to the gastric walls or mucosa and NPO is not required.




Cystic Fibrosis


Nutritional Care


✓ -:- - ↑ Protein, Carbs and minerals, to promote weight gain

- They have difficulty absorbing nutrients due to blockage of pancreatic enzymes by thick

mucus secretions in the pancreas and liver.


- Pancreatic enzymes help breakdown ingested foods so the body can metabolize

nutrients.


- Administering pancreatic enzymes BEFORE eating will enable children to metabolize

nutrients so they can be used more effectively


- Fat content doesn't need to be decreased or eliminated. They have difficulty absorbing fat

due to thick mucus in intestines and the inability of the pancreatic enzymes to reach the

duodenum.


- ↑ of fiber is NOT needed, their stools are bulky because of fat content, but they have

regular bowel movements



2|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

- C.F. patients excrete excessive salt through the skin, the child with cystic fibrosis will likely

require additional salt in their diet, especially during activities.


- 85% O2 Sat = mild hypoxemia, as mucopurulent secretions gather in airways, respiratory

compromise worsens and oxygenation becomes impaired and ↓ in O2 Sat is likely seen




Chemotherapy


✓ -:- - Low WBC count places the child at risk for infection and isolation with

monitoring of fever is priority.




↓RBC


✓ -:- - Quiet play and best rest, administer O2




↓ Platelet


✓ -:- - Protect child from injury and monitor for bleeding.

- Quiet play should be encouraged, it will lessen the R/F injury and ↓ hemorrhage




Dehydration


✓ -:- - Assessment, response to parenteral fluids.

the nurse should weigh the patient daily because weight is the most sensitive indicator of

hydration status in clients of all ages.


3|Page | Grade A+| 2024/2025

, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

- Weight is the only measurement the reflects both measurable fluid balance changes (I/O)

and insensible fluid loss (skin and respiratory)




Koplik spots


✓ -:- - Maculopapular rash and fever; Rubeola

- Koplik spots: oral lesions that are characteristics of rubeola (measles). The small, irregular

spots with a blue/white center are seen on the Buccal mucosa, which is opposite the molars,

in the prodromal stage of measles.


- Koplik spots appear about 2 days before maculopapular rash appears and are

accompanied manifestations of fever, malaise, conjunctivitis, and other cold

manifestations.


- They begin to fade the second day after the rash appears. Immunity to measles is

conferred by the MMR (Measles-Mumps-Rubella) immunization that children receive @ 15

months.




Rubeola


✓ -:- Measles; Maculopapular starts on the face and spreads downward. It

desquamates after about 3-4 days. The rash does not progress to vesicles and crusts

like the papules of chicken pox.

- cephalocaudal rash upper trunk and faceand more confluence as it spreads to the lower

areas of the body.


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