ch 11 health problems of infant

Question 1

common feeding difficulties infants

Answer 1

-regurgitation/spitting up
-reflux/GERD
-colic (paroxysmal abdominal pain)

Question 2

S+S colic

Answer 2

-abdominal pain/cramping
-loud crying
-drawing legs up to stomach
-cries >3 hrs/day for 3+ days/week for 3+ weeks
-affects infants <3 months old

Question 3

S+S failure to thrive (FTT)

Answer 3

-weight less than 5th percentile
-height normal

Question 4

organic causes failure to thrive (4)

Answer 4

-inadequate caloric intake
-inadequate absorption (CF/celiac)
-increased metabolism
-defective utilization (genetic/metabolic disorder)

Question 5

babies that are high risk for shaken baby syndrome

Answer 5

colic babies

Question 6

nonorganic causes failure to thrive

Answer 6

(no medical reason)
-emotional deprivation
-child abuse/neglect

Question 7

3 types dermatitis in infant

Answer 7

-diaper rash
-seborrheic
-atopic

Question 8

seborrheic dermatitis on scalp

Answer 8

cradle cap

Question 9

seborrheic dermatitis on eyelids

Answer 9

blepharitis

Question 10

S+S atopic dermatitis in infants

Answer 10

-eczema
-pruritic
-associated with allergy
-hereditary tendency

Question 11

Tx dermatitis (order of care)

Answer 11

-hydrate skin
-relieve itching (benadryl, oatmeal bath, hydrocortisone cream)
-reduce inflammation
-prevent and control secondary infection
-nursing considerations

Question 12

Tx diaper rash

Answer 12

-nystatin cream (if yeast infection)
-zinc cream (for barrier protection)

Question 13

2 types dyssomnia

Answer 13

-trouble falling asleep/staying asleep
-difficulty staying awake during day

Question 14

advise for parents with kids experiencing dyssomnia/parasomnia

Answer 14

regular bedtime routine and timing

Question 15

examples parasomnias

Answer 15

-confusional arousals
-sleepwalking
-sleep terrors
-nightmares
-rhythmic movement disorders

Question 16

2 examples disorders of unknown etiology

Answer 16

-sudden infant death syndrome (SIDS)
-apparent life-threatening events (ALTEs)

Question 17

risk factors for SIDS

Answer 17

-siblings of 2+ SIDS victims
-h/o central hypoventilation
-preterm infant experiencing apnea at time of discharge
-infants with 1+ sever ALTEs requiring CPR/vigorous stimulation
-low birth weight
-low apgar scores
-recent viral illness
-male sex
-infants native american/african american

Question 18

plagiocephaly

Answer 18

malformed head
occurs from laying on back a lot

Question 19

practices that can reduce risk of SIDS

Answer 19

-avoid smoking during pregnancy or near infant
-supine sleeping position
-breastfeeding
-firm mattress
-nothing in crib
-avoid bed sharing
-avoid overheating during sleep
(+vary infant head position to prevent plagiocephaly)

Question 20

how to reduce risk/prevent plagiocephaly

Answer 20

-tummy time during waking hours
-vary infant head position

Question 21

unexplained resp pause lasting 20+ secs
(or less than 20 secs accompanied by pallor, cyanosis, bradycardia, hypoTN)

Answer 21

apnea of infancy

Question 22

ALTE

Answer 22

apparent life threatening event