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Extend and further strengthen your knowledge about the America’ with...
concepts of Pediatric Nursing with these 40 Nursing Bullets.
These Nursing Bullets are bite-sized information that are easy Nurses’ ‘Fixation’ on
Equipment Largely to
to absorb and best to be read during your reviews for NCLEX or Blame for Toddler’s
the board exams. Death

Hemophilia
Topics

Included topics are:

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Pediatric HIV
Roseola
Tractions
Various diseases afflicting the pediatric clients

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Here are the pediatric nursing bullets:

1. A child with HIV-positive blood should receive inactivated

poliovirus vaccine (IPV) rather than oral poliovirus vaccine
(OPV) immunization.

2. To achieve postural drainage in an infant, place a pillow on

the nurse’s lap and lay the infant across it.

3. A child with cystic fibrosis should eat more calories, protein,

vitamins, and minerals than a child without the disease.

4. Infants subsisting on cow’s milk only don’t receive a

sufficient amount of iron (ferrous sulfate), which will eventually
result in iron deficiency anemia.
! CARE PLANS " EXAMS # MNEMONICS $ NOTES % CAREER ♥ LIFESTYLE
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5. A child with an undiagnosed infection should be placed in
' VIDEOS
isolation. ( NEWS

6. An infant usually triples his birth weight by the end of his

first year.

7. Clinical signs of a dehydrated infant include: lethargy, 160 Nursing Bullets:

irritability, dry skin decreased tearing, decreased urinary Medical-Surgical
output, and increased pulse. Nursing Reviewer

8. Appropriate care of a child with meningitis includes

frequent assessment of neurologic status (i.e., decreasing
levels of consciousness, difficulty to arouse) and measuring the
circumference of the head because subdural effusions and
obstructive hydrocephalus can develop.

9. Expected clinical findings in a newborn with cerebral palsy

include reflexive hypertonicity and crisscrossing or scissoring
leg movements.

10. Papules, vesicles, and crust are all present at the same
time in the early phase of chickenpox.

Chicken Pox. Image via. kidshealth.org

11. Topical
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12. A serving size of a food is usually one (1) tablespoon for

each year of age.

13. The characteristic of Fifth disease (erythema infectiosum)

is erythema on the face, primarily the cheeks, giving a “slapped
face” appearance.

Fifth disease rash.

14. Adolescents may brave pain, especially in front of peers.

Therefore, offer analgesics if pain is suspected or administer
the medication if the client asks for it.

15. Signs that a child with cystic fibrosis is responding to

pancreatic enzymes are the absence of steatorrhea, improved
appetite, and absence of abdominal pain.

16. Roseola appears as discrete rose-pink macules that first

appear on the trunk and that fade when pressure is applied.

17. A ninety-ninety traction (90 degree–90 degree skeletal

traction) is used for fracture of a child’s femur or tibia.

Ninety-ninety traction

18. One sign of developmental dysplasia is limping during

ambulation.

19. A small-for-gestational age (SGA) infant is one whose

length, weight, and head circumference are below the 10th
percentile of the normal variation for gestation age as
determined by neonatal examination.

20. Neonatal abstinence syndrome is manifested in central

nervous system hyperirritability (e.g., hyperactive Moro
reflex) and gastrointestinal symptoms (watery stools).

21. Classic signs of shaken baby syndrome are seizures,

slow apical pulse difficulty breathing, and retinal hemorrhage.

22. An infant born to an HIV-positive mother will usually

receive AZT (zidovudine) for the first 6 weeks of life.

23. Infants born to an HIV-positive mother should receive all

immunizations of schedule.

24. Blood pressure in the arms and legs is essentially the same
in infants.

25. When bottle-feeding a newborn with a cleft palate, hold

the infant’s head in an upright position.

26. Because of circulating maternal antibodies that will

decrease the immune response, the measles, mumps, and
rubella (MMR) vaccine shouldn’t be given until the infant has
reached one (1) year of age.

27. Before feeding an infant any fluid that has been warmed,
test a drop of the liquid on your own skin to prevent
scalding the infant.

28. A newborn typically wets 6 to 10 diapers per day.

29. Although microwaving food and fluids isn’t recommended

for infants, it’s common in the United States. Therefore the
family should be taught to test the temperature of the food or
fluid against their own skin before allowing it to be consumed
by the infant.

30. The most adequate diet for an infant in the first 6 months
of life is breast milk.

31. An infant can usually chew food by 7 months, hold spoon

by 9 months, and drink fluid from a cup by one year of age.

32. Choking from mechanical obstruction is the leading

cause of death (by suffocation) for infants younger than 1 year
of age.

33. Failure to thrive is a term used to describe an infant who

falls below the fifth percentile for weight and height on a
standard measurement chart.

34. Developmental theories include Havighurst’s age periods

and developmental tasks; Freud’s five stages of development;

35. Kohlberg’s stages of moral development; Erikson’s eight

stages of development; and Piaget’s stages of cognitive
development.

36. The primary concern with infusing large volumes of fluid is

circulatory overload. This is especially true in children and
infants, and in clients with renal disease (or any person with
renal disease, for that matter).

37. Certain hazards present increased risk of harm to children

and occur more often at different ages. For infants, more falls,
burns, and suffocation occur; for toddlers, there are more
burns, poisoning, and drowning for preschoolers, more
playground equipment accidents, choking, poisoning, and
drowning; and for adolescents, more automobile accidents,
drowning, fires, and firearm accidents.

38. A child in Bryant’s traction who’s younger than age 3 or

weighs less than 30 lb (13.6 kg) should have the buttocks
slightly elevated and clear or the bed. The knees should be
slightly flexed, and the legs should be extended at a right angle
to the body.

Bryant’s Traction

39. The body provides the traction mechanism.

40. In an infant, a bulging fontanel is the most significant sign

of increasing intracranial pressure.

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