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1. Baby boy Ellis, 2 hours old, is being evaluated in the newborn nursery by the nursing staff. Findings include T 37°C; apical heart rate 140 bpm; respirations 58 breaths per minute; BP (arms) 70/47, (calves) 62/39; head circumference 34 cm; chest circumference 31 cm; length 48 cm; weight 2,700 g. The infant is crying. (Learning Objectives 1, 2, 3, 4, and 8)
a. Based on the physical findings, what should be the nurse’s priority?
b. What assessments/tests should the nurse expect to be done on this infant?
c. What should the nurse include in the teaching plan for the parents of this infant?
2. Jennifer Collins, 13 years old, is admitted to the pediatric floor with a diagnosis of probable acute rheumatic fever. (Learning Objectives 2, 4, 6, 7, and 8)
a. What would the nurse include when performing an initial assessment?
b. What tests would the nurse expect to be done on Jennifer? The diagnosis of acute rheumatic fever is confirmed.
c. What would the nurse be sure to include in the discharge teaching plan for Jennifer and her family?
1. Ghalib Moghadam, three years old, and his family are recent immigrants from Somalia. He has been referred to the local children’s hospital to be seen at the craniofacial clinic for an unrepaired cleft lip and palate. Ghalib’s parents do not have a good understanding of the English language. (Learning Objectives 2, 5, 6, 7, 8, and 10)
a. What would the nurse know to include in the health history of Ghalib?
b. What would the nurse include in the teaching plan for Ghalib and his parents?
c. What resources could the nurse give the parents to help with emotional support?
d. What would be a major challenge in the nursing care of Ghalib and his family?
1. Jon Allen, 14 months old, is admitted to the pediatric unit of the local children’s hospital for repair of his hypospadias. (Learning Objectives 1, 3, 4, 6, and 8)
a. What information should be gathered in the nursing assessment of Jon’s genitourinary system?
b. What would the nurse know to include in Jon’s postoperative management?
c. When planning postoperative and discharge teaching, what would the nurse include?
1. Bryce Morris, five years old, has been brought to the physician’s office by his mother for a yearly check-up. During the nursing assessment, the nurse notes the following: height 40.5 in, weight 40 lb, BP 108/67, pulse 72, R 22, T 37.0°C. When documenting Bryce’s vital signs, the nurse recognizes Bryce has dropped from the 50th percentile in height and weight one year ago to the 5th percentile now.
Bryce’s mother reports that she is concerned because Bryce seems to have lost his appetite, and she wants to know if this is normal for a five-year-old. She also states that she is “a bit” concerned because Bryce doesn’t seem to want to play anymore and has become very irritable. (Learning Objectives 2, 3, 4, and 8)
a. What further assessments should the nurse make?
b. What diagnostic testing should the nurse expect to be ordered?
Bryce is diagnosed with pauciarticular juvenile idiopathic arthritis.
c. What would the nurse know to include in a teaching plan for Bryce and his family
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