Assignments, Chapter 34, Child Health Assessment
Written Assignments / Learning Objective(s)1.Make a list of nursing diagnoses and expected outcomes for the following clients:
- A mother brings her 5-year-old daughter to a free community clinic for a checkup. She tells the nurse, “We don’t have health insurance, so this is her first checkup. They told me she needs to have her shots before I can sign her up for kindergarten.”
- A father brings his 12-year-old son to the pediatrician for a visit. He tells the nurse, “The school nurse called me and told me he needs to be checked for scoliosis.”
2.Write an outline of the steps you would take to assess the eyes of a 9-year-old for alignment and ability to focus in all fields of vision. / 7
Group Assignments / Learning Objective
1.Divide into small groups. After reviewing the techniques of health assessment for children, choose two members of your group to role-play a nurse performing an assessment of a 12-year-old who is admitted to the hospital for removal of a brain tumor. The rest of the group should provide critique and offer suggestions as needed. Share your role-play with the rest of the class. / 1
2.Divide into five groups. Each group should choose one of the following five 2020 National Health Goals related to health assessment of children to discuss:
- Increase the proportionof children with a diagnosed condition identified through newborn screening who have an annual assessment of services needed and received.
- Increase the proportion of children and youth, 17 years of age and younger, who have a specific source of ongoing carefrom a baseline of 94.3% to a target of 100%.
- Increase the proportion of adolescents aged 12 to 19 years who have had a hearing examination in the past 5 years from a baseline of 79.3% to 87.2%.
- Increase the proportion of preschool childrenaged 5 years and under who receive vision screening from a baseline of 40.1% to a target of 44.1%.
- Achieve and maintain effective vaccination coverage levels for universally recommended vaccines among young children from baselines of 85% (DTaP), 94% (hepatitis B), 57% (Haemophilus influenzae type b), 94% (poliomyelitis), 91% (varicella), and 92% (MMR) to a target level of 90%.
Clinical Assignments / Learning Objective(s)
1.Shadow a nurse who works in pediatric office to experience an assessment of children. Work with a partner to role-play performing an assessment of a child using the techniques you learned from the nurse. / 3
2.Invite a nurse who performs assessments on children and adolescents in a pediatrician’s office to speak to the class about planning nursing care for clients based on these assessments. Ask the nurse to speak about the use of QSEN competencies when planning nursing care. Make a list of nursing interventions appropriate in the assessment of children and adolescents based on QSEN competencies and the nursing process. / 6, 9
Web Assignment / Learning Objective
1.Research one of the following conditions on the Internet, paying particular attention to the nursing care involved in each condition. Based on your research, make a list of expected outcomes for children with the condition you researched and discuss how to evaluate the effectiveness of nursing care based on these outcomes. Conditions include the following:
- Kwashiorkor disease
- Epispadias
- Physiologic splitting