Table Of Content

xxvii A01_BALL7013_07_SE_FM.indd 27 11/4/16 8:36 PM This page intentionally left blank A01_GORD2302_01_SE_FM.indd 4 28/05/15 7:33 pm Brief Contents 1 Nurse’s Role in Care of the Child: Hospital, 19 Alterations in Eye, Ear, Nose, and Throat Community, and Home 1 Function 440 2 Family-Centered Care and Cultural Considerations 17 20 Alterations in Respiratory Function 474 3 Genetic and Genomic Influences 45 21 Alterations in Cardiovascular Function 518 4 Growth and Development 66 22 Alterations in Immune Function 563 5 Pediatric Assessment 98 23 Alterations in Hematologic Function 589 6 Introduction to Health Promotion and 24 The Child With Cancer 610 Maintenance 144 25 Alterations in Gastrointestinal Function 655 7 Health Promotion and Maintenance for the Newborn 26 Alterations in Genitourinary Function 701 and Infant 154 27 Alterations in Neurologic Function 739 8 Health Promotion and Maintenance for the Toddler and Preschooler 166 28 Alterations in Mental Health and Cognitive Function 790 9 Health Promotion and Maintenance for the School-Age Child and Adolescent 182 29 Alterations in Musculoskeletal Function 821 10 Nursing Considerations for the Child in the 30 Alterations in Endocrine Function 861 Community 207 31 Alterations in Skin Integrity 900 11 Nursing Considerations for the Hospitalized Appendix A Physical Growth Charts 942 Child 222 Appendix B Blood Pressure Tables 952 12 The Child With a Chronic Condition 246 Appendix C Dietary Reference Intakes 954 13 The Child With a Life-Threatening Condition and End-of-Life Care 260 Appendix D Selected Pediatric Laboratory Values 956 14 Infant, Child, and Adolescent Nutrition 281 Appendix E Diagnostic Tests and Procedures 959 15 Pain Assessment and Management in Children 310 Appendix F Body Surface Area Nomogram 964 16 Immunizations and Communicable Diseases 333 Appendix G Conversions and Equivalents 965 17 Social and Environmental Influences on the Child 367 Glossary 966 18 Alterations in Fluid, Electrolyte, and Acid–Base Index 978 Balance 404 A00_BALL7013_07_SE_FEP.indd 2 10/7/16 8:52 PM A00_BALL7013_07_SE_FEP.indd 3 10/7/16 8:52 PM This page intentionally left blank A01_GORD2302_01_SE_FM.indd 4 28/05/15 7:33 pm Principles of Pediatric Nursing Caring for Children Seventh Edition Jane W. Ball, RN, CPNP, DrPH Consultant, Trauma System Development, Gaithersburg, Maryland Ruth C. Bindler, RNC, PhD Professor Emeritus, Washington State University College of Nursing, Spokane, Washington Kay J. Cowen, RN-BC, MSN, CNE Clinical Professor, University of North Carolina at Greensboro School of Nursing, Greensboro, North Carolina Michele R. Shaw, RN, PhD Associate Professor, Washington State University College of Nursing, Spokane, Washington 330 Hudson Street, NY NY 10013 A01_BALL7013_07_SE_FM.indd 1 10/11/2016 11:19 am Publisher: Julie Levin Alexander Full-Service Vendor: SPi Global Editorial Coordinator: Sarah Henrich Full-Service Senior Production Editor: Patty Donovan, Portfolio Manager: Katrin Beacom SPi Global Content Producer: Erin Rafferty Manufacturing Manager: Maura Zaldivar-Garcia Editorial Assistant: Erin Sullivan Senior Producer: Amy Peltier Vice President of Sales & Marketing: David Gesell Media Producer and Project Manager: Lisa Rinaldi Vice President, Director of Marketing: Margaret Waples Art Director: Mary Siener Senior Product Marketing Manager: Christopher Barry Cover Credit: A Day In May, painting used Field Marketing Manager: Brittany Hammond with permission from Katie m. Berggren, Director, Publishing Operations: Paul DeLuca www.KmBerggren.com Team Lead, Project Management: Cynthia Zonneveld Printer/Binder: Courier Kendalville Team Lead, Program Management: Melissa Bashe Cover Printer: Courier Kendalville Development Editor: Mary Cook Notice: Care has been taken to confirm the accuracy of information presented in this book. The authors, edi- tors, and the publisher, however, cannot accept any responsibility for errors or omissions or for consequences from application of the information in this book and make no warranty, express or implied, with respect to its contents. The authors and publisher have exerted every effort to ensure that drug selections and dosages set forth in this text are in accord with current recommendations and practice at time of publication. However, in view of ongo- ing research, changes in government regulations, and the constant flow of information relating to drug therapy and reactions, the reader is urged to check the package inserts, pharmacy information, or current online information of all drugs for any change in indications or dosage and for added warning and precautions. This is particularly important when the recommended agent is a new and/or infrequently administered drug. Copyright © 2017, 2015, 2012, 2008, 2004 by Pearson Education, Inc. All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means, electronic, mechanical, photocopying, recording, or likewise. To obtain permission(s) to use material from this work, please submit a written request to Pearson Education, Inc., Permissions Department, 221 River Street, Hoboken, New Jersey 07030. Many of the designations by manufacturers and seller to distinguish their products are claimed as trademarks. Where those designations appear in this book, and the publisher was aware of a trademark claim, the designations have been printed in initial caps or all caps. A note about nursing diagnoses: Nursing diagnoses in this text are taken from Nursing Diagnoses—Definitions and Classification 2015–2017. Copyright © 2014, 1994–2012 by NANDA International. Used by arrangement with John Wiley & Sons Limited. In order to make safe and effective judgments using NANDA-I nursing diagnoses it is essential that nurses refer to the definitions and defining characteristics of the diagnoses listed in this work. Library of Congress Cataloging-in-Publication Data Names: Ball, Jane (Jane W.), author. | Bindler, Ruth McGillis, author. | Cowen, Kay J., author. | Shaw, Michele R., author. Title: Principles of pediatric nursing: caring for children / Jane W. Ball, Ruth C. Bindler, Kay J. Cowen, Michele R. Shaw. Description: Seventh edition. | Hoboken, NJ : Pearson Education, [2017] | Includes bibliographical references and index. Identifiers: LCCN 2016035091| ISBN 9780134257013 | ISBN 0134257014 Subjects: | MESH: Pediatric Nursing | Nursing Assessment--methods | Child | Infant Classification: LCC RJ245 | NLM WY 159 | DDC 618.92/00231—dc23 LC record available at https://lccn.loc.gov/2016035091 2014017177 10 9 8 7 6 5 4 3 2 1 ISBN-13: 978-0-13-425701-3 ISBN-10: 0-13-425701-4 A01_BALL7013_07_SE_FM.indd 2 10/11/2016 11:19 am Dedication We dedicate this book to: • Our families who are ever supportive and understanding about our passion for children and writing, • Our mentors, colleagues, and students who inspire us to apply our knowledge and challenge our thinking, • The children, adolescents, and families with whom we work and who foster our philosophy of pediatric nursing. iii A01_BALL7013_07_SE_FM.indd 3 10/11/2016 11:19 am This page intentionally left blank A01_GORD2302_01_SE_FM.indd 4 28/05/15 7:33 pm About the Authors JANE W. BALL graduated from the to study whether the implementation of a statewide pediatric Johns Hopkins Hospital School of emergency department recognition program improved pediat- Nursing and subsequently received a ric emergency care. In 2010, Dr. Ball received the Distinguished BS from the Johns Hopkins University. Alumna Award from the Johns Hopkins University. She began her nursing career work- ing in the pediatric surgical inpatient, emergency department, and outpa- RUTH C. MCGILLIS BINDLER re- tient clinic of the Johns Hopkins Medi- ceived her BSN from Cornell Uni- cal Center, first as a staff nurse and versity—New York Hospital School then as a pediatric nurse practitioner. of Nursing. She worked in oncology After recognizing a need to focus on the health of children, she nursing at Memorial-Sloan Ketter- returned to school and obtained both a master’s degree of pub- ing Cancer Center in New York, and lic health and a doctorate of public health degree from the Johns then as a public health nurse in Dane Hopkins University Bloomberg School of Public Health with a County, Wisconsin. Thus began her focus on maternal and child health. After graduation, Dr. Ball commitment to work with children as became the chief of child health services for the Commonwealth she visited children and their families of Pennsylvania Department of Health. In this capacity she at home and served as a school nurse. Due to this interest in oversaw the state-funded well-child clinics and explored ways child healthcare needs, she earned her MS in child development to improve education for the state’s community health nurses. from the University of Wisconsin. A move to Washington State After relocating to Texas, she joined the faculty at the Univer- was accompanied by a new job as a faculty member at the Inter- sity of Texas at Arlington School of Nursing to teach community collegiate Center for Nursing Education in Spokane. Dr. Bindler pediatrics to registered nurses returning to school for a BSN. was fortunate to be involved for over 38 years in the growth During this time Dr. Ball became involved in writing her first of this nursing education consortium, which is a combination textbook, Mosby’s Guide to Physical Examination, which is cur- of public and private universities and colleges and is now the rently in its eighth edition. After relocating to the Washington, Washington State University (WSU) College of Nursing. She DC, area, she worked at Children’s National Medical Center on obtained a PhD in human nutrition at WSU, where she taught a number of federally funded projects. The first project in 1986, theory and clinical courses in child health nursing, cultural di- teaching instructors of emergency medical technicians from all versity and health, graduate research, pharmacology, and as- states about the special care children need during an emergency, sessment, and served as lead faculty for child health nursing. Dr. revealed the shortcomings of the emergency medical services Bindler was the first director of the PhD in Nursing program at system for children. This exposure was a career-changing event. WSU and most recently served as Associate Dean for Graduate A textbook titled Pediatric Emergencies: A Manual for Prehospital Programs, which include Master of Nursing, Post-Masters cer- Providers was subsequently developed. A second project led to tificates, PhD, and Doctor of Nursing Practice (DNP) programs. the development of a pediatric emergency education program She recently retired and serves the college and profession as a for nurses in emergency departments to promote improved care professor emeritus, continuing work with graduate students for children. Both of these programs served as a foundation for and research. Her first professional book, Pediatric Medications, other pediatric emergency education developed and sponsored was published in 1981, and she has continued to publish articles by national organizations. For 15 years Dr. Ball managed the and books in the areas of pediatric medications and pediatric federally funded Emergency Medical Services for Children’s health. Research foci have been childhood obesity, type 2 dia- National Resource Center. As executive director, she provided betes, metabolic syndrome, and cardiometabolic risk factors in and directed the provision of consultation and resource devel- children. Ethnic diversity and interprofessional collaboration opment for state health agencies, health professionals, families, have been additional themes in her work. Dr. Bindler believes and advocates about successful methods to improve the health- that her role as a faculty member and administrator enabled care system so that children get optimal emergency care in all her to learn continually, foster the development of students in healthcare settings. After leaving that position, she continues nursing, lead and mentor junior faculty into the teaching role, to be engaged in many projects with a focus on the emergency and participate fully in the profession of nursing. In addition care system. She is a consultant to the American College of Sur- to teaching, research, publication, and leadership, she enhances geons Committee on Trauma, supporting state trauma system her life by professional and community service and by activities development. She recently completed a federally funded project with her family. v A01_BALL7013_07_SE_FM.indd 5 10/11/2016 11:19 am