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Peds N4 > Exam 1 Blueprint > Flashcards

Exam 1 Blueprint Flashcards

1
Q

Pyloric stenosis symptoms

A
  • Hallmark signs: Projectile vomiting, moveable olive-shaped mass in epigastrium
  • Sunken fontanel, poor skin turgor
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2
Q

Medication calculation

A

Know safe dose of Tylenol

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3
Q

Oral rehydration for diarrhea

A

10mL/kg/stool

  • Use Pedialyte (1/2 str Gatorade)
  • No clear liquids or caffeine
  • No BRAT diet
  • No juice
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4
Q

Measles symptoms

A
  • High fever
  • Conjunctivitis
  • Koplik spots: white spots in mouth
  • Coryza, cough, anorexia, rash maculopapular from face to trunk to extremities

NEVER ASPIRIN (REYES SYNDROME)

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5
Q

Dried milk vs candidiasis

A

You can’t remove yeast with tongue blade, but you can with dried milk

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6
Q

Pain scales

A
  • Neonatal Infant Pain Scale (NIPS) used for 0-28 DAYS
  • FLACC used for 1 month to 7 years
  • FACES used for >7 yrs
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7
Q

Types of Families

A

Nuclear, Extended, Blended, Single parent, Bi-Nuclear, Polygamous, Communal, LGBT+

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8
Q

Nuclear vs Extended vs Blended

A

Nuclear Family: Two parents, married with their biological children

Extended: One parent, one or more children, and one or more related/unrelated members living together

Blended: At least one stepparent, stepsibling, or half-sibling (Brady Bunch)

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9
Q

Communal vs Bi-Nuclear vs Polygamous

A

Single parent: This can be due to divorce, death, etc.

Bi-Nuclear: Joint-Custody

Polygamous: Multi wives or husbands

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10
Q

Single vs. LGBT+

A

Single parent: This can be due to divorce, death, etc.

LBGT+: May or may not be married, tied by children that are biological, adopted, etc.

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11
Q

Asthma symptoms

A
  • Expiratory wheezing, dry cough, restlessness. (common manifestations)
  • Infant: grunting, nasal flaring, retractions
  • Others are prolonged expiration, tachypnea, cyanosis, marked. resp. depression, chronic use of. accessory muscles
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12
Q

Asthma treatment

A
  • Assess and monitor
  • Give humidified oxy prn
  • IV access
  • Position patient in high fowlers
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13
Q

Asthma meds

A
  • Bronchodilators (albuterol inhaler) (most typical)
  • Anti-inflammatories, IV Fluids, Oxygen
  • For kids who play sports, take inhaler before exercising
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14
Q

Asthma diagnosis

A
  • Diagnosed by chest x-ray and showing of symptoms
  • Pulmonary function tests (severity of already diagnosed asthma)
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15
Q

Pain relief for 2 months old prior to needle stick

A
  • Sugar/sucrose on bottle nipples (Sweeties)
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16
Q

Family-centered Care

A

e.g., Allowing siblings to visit, education, family is constant in child’s life when they are in the hospital

Five main principles
- Family is CENTER
- Family should be involved in collabs and communication about care
-Need to be respectful about cultural diversity
- Not all families cope the same way
- All families need a support system (other families)

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17
Q

ESRD diet

A

Low sodium diet, low potassium, fluid restriction, chicken breast!!!, lots of greens

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18
Q

ESRD symptoms

A

coming soon

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19
Q

ESRD treatment

A

coming soon

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20
Q

Immunizations and preventing disease

A

Look up which to give 4 mnth during well baby visit:
RV, DTaP, Hib, PVC 13, IPV

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21
Q

Infant dehydration symptoms/signs

A
  • Weight loss **: if baby loses oz, it is A LOT
  • For each 1% weight loss = 10 ml/kg of fluids lost
  • Depressed fontanel
  • Tenting of skin
  • Poor skin turgor
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22
Q

Lyme disease

A

Tick bites

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23
Q

RSV risk factors

A
  • RVs: Older siblings, daycare, smoking, cup sharing
  • Make sure child is using soap when washing
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24
Q

RSV symptoms

A

Thick mucus, cough, fever

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25
Q

RSV diagnosis

A

Swab test, showing of symptoms

26
Q

RSV treatment

A

Suction, give fluids, Oxy

27
Q

Hemolytic uremic syndrome triad

A

Anemia, ARF, and thrombocytopenia (triad)

28
Q

Hemolytic uremic syndrome labs

A

o Increased BUN & creatine, decreased PLT & HCT,

29
Q

Hemolytic uremic syndrome symptoms

A

c oming soon

30
Q

Hemolytic uremic syndrome treatments

A

coming

31
Q

Epiglottis symptoms

A

tripoding, drooling, saliva, stridor, fever

32
Q

Epiglottis treatment

A

NEVER leave child alone

coming soon

33
Q

Cleft palate repair and language

A

We want to repair as soon as we can to prevent speech delay and enhance language acquisition

34
Q

Infants and additional water

A

No need to add water with BFing

35
Q

Maintenance fluid calculation

A

100ml per kg up to 10 kg

36
Q

Car seat installation

A

REAR FACING & LOCK IN

37
Q

Cystic fibrosis symptoms

A

coming

38
Q

Cystic fibrosis treatment

A

Pancreatic enzyme, ADEK vit, chest physiotherapy, Vibratory vest

39
Q

Cystic fibrosis diagnosis

A

Sweat test

40
Q

Object permanence

A

You hide object but they know it’s still there

41
Q

Animisim

A

Child gives inanimate object human characteristics

42
Q

Herd immunity

A

Majority of community is vaccinated as it cocoons non-vacc person from getting sick

43
Q

Infant vaccine site

A
  • Vastus lateralis anterior lateral thigh for child who cannot walk
  • FACES for >6 yr olds
44
Q

Measure output on child not toilet trained

A
  • Weight diaper for non-trained pt
  • If part pee and part poo, document as mixed
45
Q

Hirschsprung’s Disease symptoms

A

Has not pooped meconium stool in 24-48 hr

46
Q

Hirschsprung’s Disease treatment

A

Surgical removal

47
Q

Hirschsprung’s Disease diagnosis

A

coming soon

48
Q

Sick infant in ED

A

When was the last time they ate? Pooped? Onset of symptoms? How many times was diaper changed?

49
Q

Celiac Disease diet

A

GLUTEN-FREE diet: rice, corn, basically anything with NO wheat
No beer!!!! Have vodka instead ;)

50
Q

Celiac disease symptoms

A

coming

51
Q

Celiac disease treatment

A

coming

52
Q

Most common cause of diarrhea in children

A

Rotavirus so make sure to get vacc-ed

53
Q

Vomiting treatment

A
  • No specific treatment unless they get dehydrated
  • Let them spew it all out
54
Q

Activities for 2-year-old

A

Stacking blocks, Pushing balls, riding tricycle, throw objects

55
Q

Water excess labs

A

Decreased Na+, BUN, HCT, & specific gravity

56
Q

Water excess symptoms

A

coming

57
Q

School age bicycle safety

A

WEAR A HELMET, ELBOW/KNEE PADS, EYE PROTECTION

58
Q

School age obesity

A

Sedentary lifestyle (electronics) and fast food

59
Q

GER Treatment

A

Sit them up!!

60
Q

Infant teething pain

A
  • Cold chewing thing
  • OTC Meds and rub on their gums
61
Q

Pediatric nurse responsibilities

A
  • Basic nursing shit
  • Basic therapeutic relationship
  • Assist in counseling and decisions
  • Education!!
  • Don’t provide financial assistance, it is not your job or place
62
Q

Priority care in MD office

A
  • If pt is grunting, see them first!
    Examples:
  • Mom brings in baby and is 9 months old, grunting; child comes in with belly ache and throwing up, school sent home the kid bc they have measles, child with head lice; see grunting pt first
  • Hospital: post op appendectomy, pain med q4; child with RSV o2 sat at 90% but was 94%; child vomiting after appendectomy, haven’t had BM and is having pain; see RSV pt first

Peds N4 (1 decks)

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