Pediatric content for class study info, Study notes of Nursing

Pediatric content for class study info

Typology: Study notes

2025/2026

Uploaded on 03/04/2026

NurseM888
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Pediatric Nursing Today
!!IMPORTANT TO KNOW!!
- !!Atraumatic care and social impacts in pediatric population!!
Health Assessment for Child
For atraumatic care:
oImplementing distraction, allowing choices, play therapy; away
to distract a child and make them feel comfortable while
providing care
Family centered care:
- Allowing the guardian/parent to be present and feel involved in the
care of the child; it builds trust, making the parent feel involved while
making the decision
oRespect and dignity, sharing info, participation, collaboration
oMake a guardian feel included because they know their child
better than you; understanding how the parent cares for child
and incorporating that or allowing that communication
oUnderstand how the parent is viewing the environment
oAdvocate, communicate while being aware of any emotions;
explain in plain language so that
Family and Social Factors
- Cannot control and is not the nurse’s business to be opinionated about
oCultural, beliefs and values, etc
Trauma
- ACE score is a determinant of negative health outcomes being more
prominent amongst those who have an ACE score greater than zero;
meaning that trauma can be result of these negative health outcomes
o Whether it come from drug or alcohol abuse,
- Being exposed to high doses of adversity; flight or fight response being
constantly activated can also be a cause
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Pediatric Nursing Today !!IMPORTANT TO KNOW!!

  • !!Atraumatic care and social impacts in pediatric population!!

Health Assessment for Child

For atraumatic care: o Implementing distraction, allowing choices, play therapy; away to distract a child and make them feel comfortable while providing care Family centered care:

  • Allowing the guardian/parent to be present and feel involved in the care of the child; it builds trust, making the parent feel involved while making the decision o Respect and dignity, sharing info, participation, collaboration o Make a guardian feel included because they know their child better than you; understanding how the parent cares for child and incorporating that or allowing that communication o Understand how the parent is viewing the environment o Advocate, communicate while being aware of any emotions; explain in plain language so that Family and Social Factors
  • Cannot control and is not the nurse’s business to be opinionated about o Cultural, beliefs and values, etc Trauma
  • ACE score is a determinant of negative health outcomes being more prominent amongst those who have an ACE score greater than zero; meaning that trauma can be result of these negative health outcomes o Whether it come from drug or alcohol abuse,
  • Being exposed to high doses of adversity; flight or fight response being constantly activated can also be a cause

Hospitalization for Children

  • Not the time to assess for development when a child is hospitalized due to: o Delaying developmental milestones, impact mental health (most devastated group is school age kids and adolescents; they love achievement and schedules), Stress (negatively influence recovery and health outcomes), physical manifestations without illness Behaviors
  • Early childhood: Cry more, clinginess, irritable. Regressions, fear of punishment
  • Later childhood: Upset, afraid, sad, regression
  • Adolescence: Anxiety, act out, become introverted Development Considerations
  • Infants: consistent caregivers
  • Toddlers: Promote play, offer choices
  • Preschoolers: Allow them to ask questions, promote pretent play
  • School age: Routine Activities and tasks
  • Adolescents: Involved in plan of care, offer choices, respect privacy Response of supports systems
  • Family stress due to child hospitalization
  • Support system response impacts child’s coping
  • Bowen family systems theory Therapeutic Communication: AIDET , five fundaments for effective communication with clients/families;
  1. Acknowledge
  2. Introduce
  3. Duration
  • Engage them with questions about their interests or toys.
  • Let them touch and explore tools to reduce fear. School-Age Children (6 to 12 years):
  • Provide clear but age-appropriate explanations.
  • Respect their modesty and involve them in the process.
  • Use growth charts and BMI evaluations for health tracking. Adolescents (12 to 20 years):
  • Ensure privacy and respect for their independence.
  • Address them directly and ask about their health concerns.
  • Focus on physical, emotional, and social development differences.

To assess vitals for different pediatric age groups,

here are some key steps:

Temperature:

  • Use axillary or non-contact methods first to reduce anxiety.
  • Rectal temperatures may be necessary for infants and toddlers; assistance from parents can help.
  • Oral thermometers are suitable for children aged 4 years and older. Pulse:
  • Use the apical for infants.
  • Apical pulse is often preferred for toddlers and preschoolers.
  • For older children and adolescents, radial or carotid pulse is typically used. Respiratory Rate:
  • Observe for irregular rhythms in newborns and infants.
  • As children age, their respiratory rhythm becomes more regular.
  • Ensure the client is calm for accurate readings. Blood Pressure:
  • Routine checks start at age 3, but younger children may need assessment for cardiac concerns.
  • Use appropriately sized cuffs based on the child's arm circumference.