NURS 6501N Week 11: Concepts of Pediatrics
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.
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 PaO
2
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. NURS 6501N Week 11: Concepts of Pediatrics
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.
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.
Learning Objectives
Students will:
- Analyze concepts and principles of pathophysiology across the lifespan
Learning Resources – NURS 6501N Week 11: Concepts of Pediatrics
McCance, K. L. & Huether, S. E. (2019). P
athophysiology: 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.
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 topics covered in this Knowledge Check include:

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