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Whether the setting is a hospital or other healthcare facility, it is important to gather information regarding the child’s history and current status. Information spoken by the child or family is called subjective data. Most subjective data are collected through interviewing the family caregiver and the child.
11) A previously healthy 6-month-old boy is admitted to the hospital because of a 1-day history of fever, lethargy and vomiting… Infant with signs of meningitis (fever, nuchal rigidity, etc.) also found to have hyponatremia most likely due to SIADH caused by CNS pathology
Pediatric healthcare providers should educate patients and families about infection prevention policies that exist in emergency departments, hospitals, and clinics. Remind people to seek emergency care immediately, if indicated, as delaying care may cause harm. Primary care practices should continue to use infection prevention strategies including:
Observing general appearance. The infant or child’s face should be symmetrical; observe for nutritional status, hygiene, mental alertness, and body posture and movements; examine the skin for color, lesions, bruises, scars, and birthmarks; observe hair texture, thickness, and distribution.
At six, your child should have a good set of safety guidelines; rules for riding a bicycle, crossing the street, playing on the playground, and swimming. Accidents will happen, and to deal with the unexpected you should know some first aid. Get a good first aid book for children, and keep a copy on hand for your family.
Some psychologists feel that a child isn't truly ready to read before age seven, but again, that depends on the individual child. Reading requires skills different from repeating words heard in conversation. A child needs to be able to associate a visual symbol (word) with a sound and meaning she already knows.
Because your six-year-old is an adventurer, accidents can happen easily. Six-year-olds seem to be accident prone. Because he's clumsier than he was even six months ago, and can get carried away, you may see lots of scrapes, bruises and slivers.
The best coping mechanism you can have at this age is to lower your expectations for a while, and accept the fact that things won't always go like clockwork. If you can ignore things like bad table manners, for example, your meals might go a little smoother. Try not to let his little habits get to you, either. Much of the resistance will disappear like magic as your child makes the transition of adjusting to school.
Now that your child is in school, it's sometimes a temptation to think she can do more than she is really capable of. Six is still too young, for example, to cook on a stove unsupervised, to be left alone with a baby, or to spend time alone in the house.
Although you may find it hard to believe, six-year-olds like to talk even more than five-year-olds. In show-and-tell, for example, they will tell all if given a chance. Your six-year-old loves to let you know exactly what's on her mind, and in fact, it's very important that she do just that. It's important, too, that a child learn to take turns talking, and to listen.
10) A 2-year-old girl is brought to the emergency department 30 minutes after a syncopal episode. At the time of the episode…
8) A 2-week-old female newborn is brought to the physician because of bruising on her arms and legs for 2 days. She was born…
9) A previously healthy 1-month-old girl is brought to the emergency department because of a 3-day history of cough and difficulty…
Key idea: Distributive shock (septic, anaphylactic or neurogenic) is the only category of shock that leads to decreased SVR and increased CO
Pediatric healthcare providers should consider the child’s clinical presentation, requirement for supportive care, underlying medical conditions, and the ability for caregivers to care for the child at home when deciding whether the child may need inpatient care for COVID-19. For more information, visit Guidance for home care ...
close contact (within 6 feet of someone for a total of 15 minutes or more) with a person with laboratory-confirmed or probable SARS-CoV-2 infection or.
CDC has specific guidance for inpatient obstetric healthcare settings and the evaluation and management of neonates at risk for COVID-19. Additionally, several other organizations have published guidelines related to the treatment and management of adult and pediatric patients with COVID-19:
Viral tests (nucleic acid or antigen) are recommended to diagnose acute infection with SARS-CoV-2. Testing strategies, including clinical criteria for considering testing and recommended specimen type, are the same for children and adults. CDC’s guidance for the evaluation and management of neonates at risk for COVID-19 details specific testing considerations for newborns.
All newborns should be seen by a pediatric healthcare provider shortly after hospital discharge (three to five days of age). Ideally, newborn visits should be done in-person, even during the COVID-19 pandemic, to evaluate feeding and weight gain, check for dehydration and jaundice, ensure all components of newborn screening were completed with appropriate confirmatory testing and follow-up, and evaluate maternal well-being. All healthcare facilities should ensure infection prevention and control policies are in place to minimize chance of exposure to SARS-CoV-2 among providers, patients, and families. For specific recommendations by healthcare facility type and level of community transmission, review Infection Control Guidance for Healthcare Professionals. CDC has additional trainings and information about potential exposures in the workplace for healthcare providers.
Remdesivir. external icon. , which has shown benefits in clinical trial s in adults, is currently available through Emergency Use Authorization or compassionate use programs for children.
Ideally, newborn visits should be done in-person, even during the COVID-19 pandemic, to evaluate feeding and weight gain, check for dehydration and jaundice, ensure all components of newborn screening were completed with appropriate confirmatory testing and follow-up, and evaluate maternal well-being.
To help the nurse discover the child’s needs, the nurse elicits information about the current situation, including the child’s symptoms, when they began, how long the symptoms have been present, a description of the symptoms, their intensity and frequency, and treatments to this time. Health history.
While the nurse is collecting subjective data, the caregiver or child is asked questions about each body system; the body system involved in the chief complaint is reviewed in detail. Allergies, medications, and substance abuse.
Neurologic assessment tools. The nurse uses a neurologic assessment tool such as the Glasgow coma scale ; the use of s standard scale for monitoring permits the comparison of results from one time to another and from one examiner to another; using this tool, the nurse monitors various aspects of the child’s neurologic functioning.
The back and extremities should also be assessed for abnormalities.