Pediatrics/Neonatal Care for Advanced Practice Nurses

 
 

Pediatrics/Neonatal Care for Advanced Practice Nurses

  • Contraindications, Intramuscular to Subcutaneous Depo-Provera What should I consider before switching adolescent girls from IM Depo-Provera to the new subcutaneous preparation?
  • Postoperative Pain in Children What is the preferred method of treating pediatric pain following minor surgery, such as an appendectomy?
  • Resuscitation Guidelines Used for Neonates Is it necessary to train emergency department and pediatric department staff in the Neonatal Resuscitation Program in addition to Pediatric Advanced Life Support? How do these programs differ?
  • Use Normal Saline When Suctioning? I have heard that it is not a good idea to use normal saline when suctioning ET tubes in neonates, yet this is still widely practiced. What is the latest evidence?
  • Safe Sleeping in the NICU In the NICU, how can we implement the American Academy of Pediatrics' recommendations for safe sleep and educate parents?
  • Viral Conjunctivitis vs Bacterial Conjunctivitis How can I differentiate viral conjunctivitis from bacterial conjunctivitis? What are your recommendations for management of viral conjunctivitis in school children?
  • Adolescent Angst A mother in my practice is concerned because her 14-year-old daughter screamed, "I wish I was dead" after her mother refused to let her get her tongue pierced. How worried should she be?
  • Underdeveloped Young Child What to do when parents are not interested in or refuse a medical/developmental work-up for a 2-year-old child who is small in size and behind in most developmental milestones?
  • Nasal Moisture in Neonates Have any products been FDA-approved for use in neonates to maintain nasal moisture during prolonged use of nasal continuous positive airway pressure (NCPAP) or high-flow nasal cannula oxygen?
  • Children and Early Vaccinations A child received a vaccination 11 days before his first birthday. The school system says the child should be revaccinated before he attends kindergarten. What should be the resolution?
  • How Should I Evaluate Fractures in Children? What are the most important criteria for evaluating fractures in children?
  • Small Head Size How do I determine whether head growth/circumference is appropriate when small size may be in the family history?
  • Can I Care for Newborns if I Get Vaccinated for Smallpox? What is the thinking about nurses who have been vaccinated for smallpox coming in contact with newborns -- both in postpartum care, NICU, and well-born nursery?
  • Should I Assess for Animal Cruelty? During a routine check-up, the father of a 4-year-old laughingly told me his son pulls the wings off butterflies. Are interventions necessary for this child who is just harming insects?
  • Child Who Is Being Bullied With all the talk of bullying in schools these days, how can I tell if my patients are being bullied? And what can I do to help?
  • Is Melatonin Safe for Children? What are the data on safety and side effects of long-term administration of melatonin? Is there any information on use of melatonin with children?
  • BMI Chart for Children Where can I find a BMI chart to help convince some parents that their child is overweight?
  • Taking an Asymptomatic Child Off Asthma and Allergy Medication What is the best way to remove a child from asthma and allergy medications that may no longer be needed?
  • Ask the Experts - What Are the Legal Considerations in Giving a... A mother brought her 13-year-old daughter to our clinic, requesting that the child be given medroxyprogesterone (Depo-Provera). The child stated that she is not sexually active and does not want the medication. What are the health and legal issues relevant to this situation?
  • Ask the Experts - How Should I Manage Otitis Media in Children With... Recently I have seen a lot more otitis media in children in day care who are not responding to standard-dose amoxicillin. What approaches are appropriate for suspected penicillin-resistant Staphylococcus pneumoniae?