NCLEX-RN 이것만이라도 보고 가자! : Pediatrics │ Nurse Haley

👶 Pediatrics by Nurse Haley

안녕하세요! 오늘의 간호사 Haley 입니다. 이번 포스트는 아동 간호 핵심 포인트를 정리했습니다. Pediatrics part에서 출제율 높은 부분이니까 시험 1-2일전에 무조건 숙지하고 시험 치루시길 바랍니다.

Age	Milestones	NCLEX Tip
2–4 mo	Social smile, head lift	Tummy time!
6 mo	Sits with support, rolls both ways	Start solids (rice cereal)
9 mo	Crawls, pincer grasp	No honey, avoid choking foods
12 mo	Walks with help, says “mama”	Introduce whole milk
2 yr	2-word phrases, runs	Toilet training readiness

💡 성장 지연? “두 가지 이상 영역”이 늦으면 평가 필요!

Age	Vaccines	Notes
Birth	Hepatitis B #1	12시간 내 접종
2 mo	DTaP, IPV, Hib, PCV, RV	기본세트
12–15 mo	MMR, Varicella, Hib, PCV booster	Live vaccines 주의
4–6 yr	DTaP, IPV, MMR, Varicella	학교 전 필수

⚠️ Live vaccines: MMR, Varicella, RV, LAIV 면역저하·임산부 금지!

Disease	Key Findings	Nursing Care
RSV (Bronchiolitis)	Wheezing, retractions, ↓O₂	Droplet/Contact isolation, suction, humidified O₂
Croup	Barking cough, inspiratory stridor	Cool mist, racemic epi, no throat exam!
Epiglottitis	Drooling, tripod posture	Airway first! Intubation 준비, neck exam 금지
Kawasaki	Fever, strawberry tongue, rash	IVIG + Aspirin, Monitor coronary aneurysm

Type	Shunt	Key Findings / Nursing
Tetralogy of Fallot	Right → Left (cyanotic)	Tet spell → knee-chest position, O₂, morphine
PDA	Left → Right	Machine murmur → Indomethacin closes
ASD/VSD	Left → Right	Fatigue, FTT → surgical repair if large

💡 Cyanotic = “Right→Left”, Pink = “Left→Right”

Severity	Signs	Rehydration
Mild	Thirst, dry lips	Oral rehydration (ORS 50 mL/kg/4hr)
Moderate	↓Turgor, tachycardia	ORS 100 mL/kg/4hr
Severe	Sunken fontanel, lethargy, no tears	IV bolus NS 20 mL/kg

⚠️ Child dehydration 시 첫 번째 간호: Airway & O₂ 평가!

정리: 오늘의 간호사 Haley

#NCLEX #Pediatrics #Growth #Vaccines #RSV #Croup #Epiglottitis #Kawasaki #CHD #Dehydration #RNexam #간호요약