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Maternal Child Health > Chapter 28 > Flashcards

Chapter 28 Flashcards

1
Q

What are signs of tracheoesophageal fistula (TEF)?

A

coughing, choking, cyanosis, apnea

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2
Q

What is an extremely common sign of TEF, or an obstructed esophagus?

A

Drooling

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3
Q

Why is the first stool of the newborn documented?

A

patency of the anus

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4
Q

What is pyloric stenosis caused by?

A

hypertrophy of the pyloric muscles

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5
Q

What is a common sign of pyloric stenosis?

A

projectile vomiting

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6
Q

What is nursing care like for a child with pyloric stenosis?

A

frequent assessment, careful feeding, positioning on the right side after feedings, education and support of the parents

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7
Q

What type of stools are characteristic of malabsorption syndroms?

A

large, bulky, frothy stools

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8
Q

Celiac disease is a disease sensitive to what?

A

gluten

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9
Q

How do you prevent the development of water intoxication?

A

tap water should not be used for enemas with children with megacolon

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10
Q

What type of stools characterize intussusception?

A

currant jelly stool

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11
Q

What is hirschsprung’s disease?

A

absence of ganglionic innervation of the muscle of a bowel segment

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12
Q

What is the treatment o GERD?

A

thickened feedings, burping, and maintaining a Fowler’s position

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13
Q

What does diarrheal stools look like within an infant?

A

water consistency and a greenish color with presence of mucus or blood

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14
Q

What is a common side effect of antimicrobial treatment?

A

C. Diff

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15
Q

What is something that can be used with other contact precautions of C. Diff?

A

Hand washing with soap and water

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16
Q

Whay influence does the GI tract have on infants and children?

A

electrolyte and fluid balance

17
Q

What happens with water exchange and dehydration?

A

The higher the daily exchange of water, the less volume reserve they have when dehydrated

18
Q

What are some rehydrating solutions?

A

commercially prepared electrolyte solutions

19
Q

What is isotonic dehydration?

A

The loss of equal amounts of water and electrolytes.

20
Q

What is hypertonic dehydration?

A

the loss of more water than electrolytes

21
Q

What is hypotonic dehydration?

A

the loss of more electrolytes than water

22
Q

Should infants who are fed via IV be picked up, held, or allowed to suck on a pacifier?

A

Yes, children being fed via IV ned touch to touch care

23
Q

What does I&O record?

A

oral, parenteral intake and suction, wound drainage, sweating, vomiting, urine, stool output

24
Q

What is Kwashiorkor in a deficiency of?

A

protein

25
Q

What is Kwashiorkor characterized by?

A

depigmented white streak of hair

26
Q

What can be used with an infant with thrush?

A

disposable nipples, pacifiers, and bottles

27
Q

What test is used to diagnose pinworm?

A

“Scotch tape test”

28
Q

What is a key nursing intervention for pinworm?

A

preventing the child from scratching the anal area

29
Q

What is characterized by a roundworm life cycle in children?

A

chronic prooductive cough

30
Q

What should the nurse teach parents not to do with poisonous substances in the household?

A

DO NOT store poisonous substances in food containers

31
Q

What is Pica?

A

Eating nonfood items

32
Q

What is Pica characterized by?

A

lead poisoning

33
Q

What is another name for lead poisoning?

A

plumbism

34
Q

What can lead poisoning cause?

A

neurological damage

35
Q

The pathologic disturbance of pyloric stenosis results from:

A

hypertrophy of the pyloric muscle

36
Q

Which menu selections are best for a child with celiac disease?

A

corn tortilla and fresh fruit

37
Q

After surgery for pyloric stenosis, the nurse could anticipate that the infant will:

A

be fed clear liquids within 6 hours

38
Q

Priority teaching for a parent of a child who ingested a foreign body includes:

A

slicing each stool passed to observe for the foreign body

Maternal Child Health (3 decks)

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