405 3 Flashcards

1
Q

Disease with decreased or missing clotting factor

A

Hemophilia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Hemophilia inheritance

A

Male child inherits gene from mother

Female child is a carrier of the disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hemophilia patients should be immunized against

A

Hep B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Hemophilia: 3 preventions of dental injuries

A

Use a soft tooth brush
Regular flossing
Prophyllactic factor administration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Hemophilia: avoid what OTC

A

aspirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Hemophilia: avoid what activity

A

contact sports

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hemophilia: grooming

A

use electric razor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Hemophilia: blood drawing

A

apply firm pressure for 1 full minute, elevate extremity above heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Hemophilia: what common medical procedure should you avoid

A

IM injection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

RICE

A

Rest
Ice
Compression
Elevation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

increases factor VIII activity in hemophilia A

A

Desmopressin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

If a Hemophilia patient has a mild injury they may be prescribed

A

Desmopressin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

If a Hemophilia patient has a serious injury they may be prescribed

A

Replacement factors via IV or PICC line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Patient’s receive both treatments Desmopressin and missing/low factor based on

A

blood tests (factor assay)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

subluxation

A

head of femur slips out of socket

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

subluxation is found in what condition

A

Congenital Dysplasia of Hip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Congenital Dysplasia of Hip is related to

A

fetal position in utero

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Congenital Dysplasia of Hip: birth presentation was probably

A

breech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Ortolani’s Sign

A

Hip click

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Barlow’s Sign

A

palpation of acetabulum (hip socket) slipping back & forth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Congenital Dysplasia of Hip: findings of the affected side

A

extra folds and shorter leg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Triple Diapering

A

hip dysplasia tx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

hip dysplasia tx: ___ harness

A

Pavlik Harness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

hip dysplasia tx: period ___ exams

A

radiology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
hip dysplasia tx: wear the support structures for
23 hours a day
26
Talipes Equinovarus
Club Feet
27
Club Feet: occurrence
congenital
28
Club Feet: tx can include Manual manipulation using
short leg casts during early infancy
29
Club Feet: it may need to be treated with some kind of cast or brace; be sure to ___ child to promote normal G/D
stimulate
30
Scoliosis causes can be ___ or ___
idiopathic or congenital
31
Scoliosis: in cases where there's a congenital cause, the specific cause might be ___ __ or ___ ___
spina bifida | cerebral palsy
32
Scoliosis: brace is worn how much?
18 hours a day
33
Neural Tubes Defects basic definition:
Failure of spinal cord and meninges to close
34
Neural Tubes Defects have several causes, one is: Maternal ___ ___ deficiency
folic acid
35
Neural Tubes Defects assessment: Alpha ____ level elevated 16-18 wks
fetoprotein
36
Neural Tubes Defects assessment: 2 high tech procedures
amniocentesis | sonogram
37
Neural Tubes Defects: to avoid trauma on the fetus, the delivery should be
cesarean
38
Neural Tubes Defects: below the affected area the body will be
paralyzed
39
Neural Tubes Defects: to prevent injury to the sac, position the baby
prone
40
Neural Tubes Defects: keep the sac moist with
NS
41
Neural Tubes Defects: dressing for the sac
sterile dressing with NS
42
Neural Tubes Defects: assess for ___ allergy
latex
43
Surgical Treatment of Neural tube defect: complications include
more nerve damage hydrocephaly infection
44
Neural Tubes Defects: paralysis may cause the need for __ of child patients (as opposed to infants)
catheterization
45
Hydrocephalus: the crying may be
high pitched
46
In addition to the short-term interventions/monitoring after a ventricular-peritoneal shunt, the long term interventions/monitoring also include
adjusting the shunt as the child grows assessing for normal cognitive development
47
Cerebral Palsy definition
Static lesion of the brain causing physical and cognitive impairment
48
Cerebral Palsy causes:
Anoxia at birth Infection Drug exposure trauma
49
Types of Cerebral Palsy: involuntary muscular movement – e.g. jerky movements
Spastic
50
Types of Cerebral Palsy: motor coordination problems
Ataxic
51
Types of Cerebral Palsy: slow writhing movement, sensory impairment (visual, hearing, speech & language)
Athetoid
52
Types of Cerebral Palsy: the 4th type
mixture of all the others
53
Cerebral Palsy: in a newborn the reflexes can be
hyper or hypo
54
Cerebral Palsy: in a newborn watch out for these 2 things
Seizure | Poor feeding
55
Cerebral Palsy: in an older infant (not newborn) or toddler the reflexes will be
primitive
56
Cerebral Palsy: in an older infant (not newborn) or toddler watch out for
drooling delayed motor delayed sensory
57
In Cerebral Palsy the presence of lesion is detected by __ or __
MRI or CT
58
Cerebral Palsy tx
early intervention and MULTI-disciplinary
59
Cerebral Palsy: feed slowly because there's a risk for
aspiration
60
Cerebral Palsy: NDX having to do with movement
Altered comfort r/t spastic movements
61
Cerebral Palsy: Altered comfort r/t spastic movements: intervention: Administer
Muscle relaxants
62
Cerebral Palsy: Altered comfort r/t spastic movements: intervention: ___ exercises
ROM
63
Cerebral Palsy: Altered comfort r/t spastic movements: intervention: Avoid
stress and sudden movement
64
Cerebral Palsy: Altered comfort r/t spastic movements: intervention: Keep to
routine ADL
65
cause or causes of autism are
unknown
66
Autism has a strong ___ basis
genetic
67
Autism: Symptoms usually appear before
18 mos
68
The best people to assess for autism are
parents
69
3 complications of autism
Seizures depression anxiety
70
Autism behaviors: Rejects
close physical contact
71
Autism behaviors: Prolonged
staring at objects
72
Autism behaviors: In______
Inattentiveness
73
Autism behaviors: ___ ____ behaviors
Obsessive repetitive
74
Autism behaviors: R____ behaviors
Ritualistic
75
Autism behaviors: Lack of
empathy
76
Autism: Tx: seizure activity may be treated with
Anticonvulsants
77
Autism: Tx: if mental disorders develop as a complication, you may need to treat with
Antidepressants Tranquilizers Antipsychotics
78
Mental Retardation definition:
deficiency in intellectual functioning IQ below 70/75
79
Preventive Measures against retardation: Prevention of pediatric infections, especially
meningitis
80
Preventive Measures against retardation: ___ vaccination
HIB (influenza B)
81
Preventive Measures against retardation: ___ to detect anomalies during pregnancy
amniocentesis
82
retardation finding: muscle tone
poor
83
retardation finding: newborn reflexes
floppy, hyperreflexia