TRINITY VALLEY COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING PEDIATRIC ASSESSMENT – LEVEL II & TRANSITION Student Name: ________________________________ Course: _________________ Patient’s Initials: ____Age: _____ Sex: _______ Date of Contact: ________________ (You may not use your own child or grandchild.) Human Development – Growth & Development Component Area Textbook – What isExpected for Age Client – What Client Demonstrated (Do not copy what was in textbook – give examples) Gross motor Fine motor Language Socialization Cognition Sensory – Vision Sensory – Auditory Sensory – Tactile Sensory – Taste Sensory – Smell Reference: Summary of Analysis: I. Human Development – Growth Charts Instructions: Measure client’s height and weight Calculate client’s BMI (if over 2 years old) Download 3 growth charts from CDC Height for age Weight for age BMI if over 2 (use weight for stature chart if under 2) Graph client information on the growth chart and submit. Do not submit computer generated results Analyze results and write summary – include description of percentiles for each chart Client Height: Client Weight: Client BMI: Include a copy of the completed growth charts with your submission. Summary of analysis of results: I. Human Development – Erickson Stages of Development Major developmental task (what vs. what): Is child meeting or not meeting task? I. Human Development – Play Activities Instructions: Identify at least 5 play activities and at least 5 toys appropriate for this age child. Play activities Toys Reference: II. Perfusion, Gas Exchange & Thermoregulation – Vital Signs Age Appropriate Client’s Results Pulse Respirations Temperature Blood Pressure Reference: Summary of analysis of results: III. Interpersonal Relationships Instructions: Describe the following observed interactions (Must be at least 3 sentences each – describe interactions – not relationship): Between child and primary caregiver Between primary caregiver and the nursing student Between child and the nursing student IV. Nutrition Instructions: Ask primary caregiver to describe average nutritional intake for child for a day or ask them to write down intake for a typical day (including amounts). Go to and from the My Plate Plan find out the recommended number calories and then number of servings in each food group for this age child. If possible, download app, enter daily intake and print the analysis. If not possible, in the table below, determine the difference between the actual intake and the recommended intake. For both #4 and #5, write an analysis of the nutritional intake along with recommendations. 24 Hour Recall Time List food and drink consumed (including approximate amounts) Breakfast: Snacks: Lunch: Snacks: Dinner: Snacks: 24 Hour Analysis of Food Groups Total # Servings Recommended for this age child per day # Servings Patient Consumed from 24 hour recall Grains Proteins Fruits Vegetables Dairy Reference: Analysis of results and recommendations: V. Immunity Recommended Immunizations (Use Texas website) Recommended ages for child to receive immunizations to current age. Client’s age when immunization was actually received (not date) Hepatitis B Rotavirus Diphtheria, Pertussis, Tetanus Haemophilus influenza type B Pneumococcal Inactivated Polio Measles, Mumps, Rubella Varicella Human Papilloma Virus (HPV) Reference (Use current Texas website and not textbook): Summary of analysis of results: Knowledge of Immunizations: MMR (Measles/Mumps/Rubella) What are the side effects of the MMR vaccine? What are the adverse effects of the MMR vaccine? Where would you give the MMR if your client were getting the MMR now? What would be a contraindication for giving this vaccine? What are the nursing implications/interventions for giving this vaccine? What teaching would you give the parents if you gave this vaccine? Discuss rationales you would give to the parents if they did not want to immunize their child because they believe that vaccines cause autism and what the consequences would be if the child does not get immunized. VI. Evidence-based Nursing Practice Instructions: Discuss one evidence-based nursing practice guideline related to health promotion of children this age. Include what the evidence shows. Discuss what the nurse’s role is in implementing this guideline. Evidence-based Nursing Practice Guideline: Reference: VII. Health Promotion Instructions: Identify at least 6 health promotion activities and safety precautions that would be appropriate for this age child Health Promotion Activities Reference: VIII. Safety Instructions: Identify at least 10 safety precautions that would be appropriate for this age child Safety Precautions Reference: N:\Syllabus\CBC Curriculum\Clinical II & Transition Pediatric Assessment Reviewed 03/21
Expert Solution Preview
Introduction:
The following assignment is designed for nursing students enrolled in the pediatric assessment course. The assignment includes various components, such as growth and development analysis, vital signs assessment, nutritional intake analysis, immunization review, evidence-based nursing practice guidelines, health promotion, and safety precautions appropriate for the client’s age. The purpose of this assignment is to assess the students’ knowledge and skills in pediatric nursing and provide them an opportunity to apply it in a real-world scenario.
Answer to Question I. Human Development – Growth Charts:
The growth charts provide an assessment of the physical growth of the child. To complete this task, the student must measure the client’s height and weight, calculate the BMI (if over two years old), download three growth charts from CDC, plot the client’s information on the growth chart, and analyze the results. The analysis should include a description of percentiles for each chart. The student should also keep in mind the expected growth for age as per the component area textbook and compare it with the client’s demonstrated growth.
Answer to Question II. Human Development – Erickson Stages of Development:
Erickson’s stages of development help in the understanding of a child’s psychosocial development. The major developmental task and if the child is meeting that task or not should be evaluated. The student should be able to identify the psychosocial stage in which the child falls and analyze the developmental milestones following the component area textbook.
Answer to Question III. Human Development – Play Activities:
Play activities and toys appropriate for the child’s age should be identified. The student should consider the child’s needs, interests, and cognitive and motor abilities when selecting appropriate activities and toys. The choice of play activities and toys should align with the component area textbook and can be enhanced by research.
Answer to Question IV. Perfusion, Gas Exchange & Thermoregulation – Vital Signs:
Vital signs are a crucial aspect of a child’s assessment. The student should evaluate age-appropriate vital signs such as pulse, respiration rate, temperature, and blood pressure. The results should be compared with the age-appropriate reference range given in the component area textbook. Any deviations from the normal range should be analyzed.
Answer to Question V. Interpersonal Relationships:
Interpersonal relationships play a vital role in a child’s overall growth and development. The student should describe the observed interaction between the child and primary caregiver, primary caregiver, and nursing student, and child and nursing student. The interactions should be analyzed to identify any disruptions or issues that need attention.
Answer to Question VI. Nutrition:
The nutritional intake of the child should be evaluated by asking the primary caregiver to describe the average daily intake or write down the intake for a typical day, including amounts. The student should then go to My Plate Plan and find out the recommended calories and servings in each food group for this age child. An analysis of nutritional intake should be done, and recommendations given based on any discrepancies found.
Answer to Question VII. Immunity:
The student should review the recommended immunizations for this age as per the Texas website and identify the recommended ages for the child to receive immunizations. The client’s age when immunization was actually received should be noted. The student should review the knowledge of immunizations and the nursing implications for giving the vaccine. An analysis of results and summary should be provided.
Answer to Question VIII. Evidence-based Nursing Practice:
The student should discuss one evidence-based nursing practice guideline related to health promotion of children of this age, including what the evidence shows and the nurse’s role in implementing this guideline.
Answer to Question IX. Health Promotion:
The student should identify at least six health promotion activities and safety precautions appropriate for the child’s age. The student should consider the child’s developmental, cognitive, and physical abilities when selecting appropriate activities and precautions.
Answer to Question X. Safety:
The student should identify at least ten safety precautions that would be appropriate for the child’s age, considering the child’s developmental, cognitive, and physical abilities. The student should also consider the current environment and potential hazards.
Conclusion:
Pediatric nursing is a crucial aspect of nursing education. This assignment is designed to assess nursing students’ knowledge and skills in pediatric assessment, including growth and development, vital signs assessments, nutritional intake, immunization reviews, evidence-based nursing practice guidelines, health promotion, and safety precautions for age-appropriate care. Through the various components of the assignment, students are expected to develop critical thinking, problem-solving, and communication skills that are essential in the nursing profession.
