Posted: March 30th, 2022

A 32-year-old female presents to the ED

NURS 6501N Week 11: Concepts of Pediatrics

Scenario 1: A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative. NURS 6501N Week 11: Concepts of Pediatrics

Labs: CBC-WBC 18, Hgb 16, Hct 44, Plat 325, ­ Neuts & Lymphs, sed rate 46 mm/hr, C-reactive protein 67 mg/L CMP wnl

Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2 99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with reddened cervix and + bilateral adenexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram negative diplococci.

Week 11: Concepts of Pediatrics
Pediatric disorders can present unique challenges to patients, families, and healthcare providers. Disorders in these areas are complicated by the fact that young patients can have difficulties communicating symptoms. Furthermore, the manner in which disease and disorders manifest in children may be unique.

APRNs working to support these patients and their loved ones must demonstrate not only support and compassion, but expertise to communicate and guide understanding of diagnoses and treatment plans. This includes an understanding of disease and disorders at the pediatric level. Disorders in children can cause special problems for the patients, their families, and the people who care for them. Disorders in these areas are harder to deal with because young people often have trouble explaining their symptoms. Also, the way that diseases and disorders show up in children can be different.

APRNs who help these patients and their loved ones must not only show support and compassion, but also have the skills to explain diagnoses and treatment plans and help people understand them. This includes being able to understand diseases and disorders in children.

This week, you examine pathophysiology in pediatrics. You apply key terms, concepts, and principles in this area to demonstrate an understanding of the impact they have on altered physiology in children.

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Learning Objectives

Students will:

Analyze concepts and principles of pathophysiology across the lifespan
Learning Resources – NURS 6501N Week 11: Concepts of Pediatrics

Required Readings (click to expand/reduce)
McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

Chapter 14: Cancer in Children, including Summary Review
Chapter 20: Alterations of Neurologic Function in Children (stop at Childhood tumors); Summary Review
Chapter 34: Alterations of Cardiovascular Function in Children (stop at Defects decreasing pulmonary blood flow); Summary Review
Chapter 37: Alterations of Pulmonary Function in Children (stop at Congenital malformations); Summary Review
Chapter 40: Alterations of Renal and Urinary Tract Function in Children, including Summary Review
Chapter 43: Alterations of Digestive Function in Children, including Summary Review
Chapter 46: Alterations of Musculoskeletal Function in Children (stop at Avascular diseases); (start at Cerebral palsy) (musculoskeletal tumors in children); Summary Review
Chapter 48: Alterations of the Integument in Children, including Summary Review
Chapter 50: Shock, Multiple Organ Dysfunction Syndrome, and Burns in Children, including Summary Review
U.S. National Library of Medicine. (2019). Normal growth and development. Retrieved from https://medlineplus.gov/ency/article/002456.htm

Document: NURS 6501 Final Exam Review (PDF document)

Note: Use this document to help you as you review for your Final Exam in Week 11.

Required Media (click to expand/reduce)
Module 8 Overview with Dr. Tara Harris

Dr. Tara Harris reviews the structure of Module 8 as well as the expectations for the module. Consider how you will manage your time as you review your media and Learning Resources throughout the module to prepare for your Knowledge Check and your Final Exam. (3m)

Wyatt, K. (2018, February 4). Pediatrics – Growth and development milestones review [Video file]. Retrieved from https://www.youtube.com/watch?v=ZG60nC3RJwc

Note: The approximate length of the media program is 34 minutes.

Online Media from Pathophysiology: The Biologic Basis for Disease in Adults and Children

In addition to this week’s media, it is highly recommended that you access and view the resources included with the course text, Pathophysiology: The Biologic Basis for Disease in Adults and Children. Focus on the videos and animations in Chapter 20, 34, 37, 40, 43, and 46 that relate to alterations in hematological function in children. Refer to the Learning Resources in Week 1 for registration instructions. If you have already registered, you may access the resources at https://evolve.elsevier.com/

Knowledge Check: Pediatrics
In this exercise, you will complete a 10-20 question Knowledge Check to gauge your understanding of this module’s content. This Knowledge Check will give you an opportunity to review a given scenario or situation to help you determine cause and effect of a given disorder from a pathophysiology perspective. Please note that this is a very formative type of practice for you to help you better prepare for your Final Exam.

Possible topic (sample nursing essay examples by the best nursing assignment writing service)s covered in this Knowledge Check include:

Growth and development
Normal growth patterns
Scoliosis (ortho)
Kawasaki
Alterations in children
Congenital (heart syndrome)
PDAs
Sudden Infant Death Syndrome (SIDS)
Asthma
Lead poisoning and effects on neurological functioning
Sickle cell
Hemophilia
(Note: It is strongly recommended that you take the Knowledge Check at least 48 hours before taking the Final Exam.)

To prepare:

To access your Knowledge Check for this Module, click on the Module Knowledge Checks Student Response link below.
Complete the questions for each scenario.
Module 8 KC Student Response (Word document)

Note: You may submit your Knowledge Check results file at any time during this week. However, it must be submitted by Day 5 of Week 11.

Submission Information

Please save your Assignment using the naming convention “M8KC+last name+first initial.(extension)” as the name.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “M8KC+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Submit Your Assignment by Day 5 of Week 11
To submit this Knowledge Check:

Module 8 Knowledge Check Submission

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