Exam 2

Question 1

Heart defect that causes a “machinery-like” murmur

Answer 1

patent ductus arteriosus

Question 2

Heart defect when the connection between the aorta and the pulmonary artery fails to close

Answer 2

patent ductus arteriosus

Question 3

Aortic stenosis symptoms

Answer 3

decreased cardiac output causes activity intolerance, dizziness, chest pain

Question 4

Coarctation of the aorta

Answer 4

blood pressure/circulation higher in the upper extremities than lower.

Question 5

bounding pulses in the arms and pale, lower extremities with weak pulses indicate what disorder?

Answer 5

coarctation of the aorta

Question 6

heart defect that causes tet spells

Answer 6

tetralogy of fallot

Question 7

management of a cyanotic spell in an infant

Answer 7

knee to chest position, O2

Question 8

what is the condition that is the exception for the no aspirin rule for kids?

Answer 8

rheumatic fever & Kawasaki disease

Question 9

position a child may take to increase blood return to the heart

Answer 9

squatting

Question 10

Drug keeping ductus arteriosus open

Answer 10

Prostaglandin E

Question 11

signs of cancer in children

Answer 11

pain, fever, swollen lymph glands

Question 12

management of hemorrhage in children with cancer

Answer 12

platelet transfusion

Question 13

management of chemo induced nausea

Answer 13

antiemetics 30 m to 1 hour before infusion

Question 14

vaccine management in children with cancer

Answer 14

no live vaccines

Question 15

most common cancer in infancy

Answer 15

neuroblastoma

Question 16

clinical manifestation of a neuroblastoma

Answer 16

firm, nontender, irregular mass in the abdomen

Question 17

wilms tumor manifestation

Answer 17

firm, nontender, mass in the abdomen

Question 18

hodgkins lymphoma clinical manifestations

Answer 18

nontender, painless, enlarged lymph nodes

Question 19

symptoms of a brain tumor

Answer 19

headache and vomiting

Question 20

what helps iron get absorbed?

Answer 20

vitamin C

Question 21

teaching for parents for iron administration

Answer 21

can stain teeth, use straw
will turn stools green and tarry

Question 22

why are toddlers at a higher risk of iron deficiency anemia?

Answer 22

excessive cows milk intake

Question 23

What kind of prophylaxis is used for kids with sickle cell anemia?

Answer 23

penicillin and pneumococcal pneumonia vaccine

Question 24

main treatment for cooley/ beta thalassemia?

Answer 24

blood transfusions: iron overload!

Question 25

symptoms of UTI in a child

Answer 25

incontinence in toilet trained child

Question 26

when are cotton balls used for a urinalysis?

Answer 26

to check for protein

Question 27

phimosis

Answer 27

narrowing of the foreskin

Question 28

cryptorchidism

Answer 28

failure of balls to descent

Question 29

what is the hallmark sign of nephrotic syndrome?

Answer 29

massive proteinuria

Question 30

diet restriction for nephrotic syndrome

Answer 30

low sodium for edema

Question 31

acute glomerulonephritis clinical manifestation

Answer 31

tea/cola colored urine

Question 32

what is a cardinal sign that a child is feeling better?

Answer 32

increase in activity

Question 33

what is avoided after tonsillectomy?

Answer 33

milk products, citrus juice, and red or brown drinks

Question 34

signs of secondary bacterial infection in a child with influenza

Answer 34

prolonged fever or fever during early convalescence

Question 35

infectious mononucleosis care management

Answer 35

no treatment. avoid contact sports in presence of splenomegaly

Question 36

sitting upright and leaning forward with the chin thrust out, mouth open, and tongue protruding (tripod position)

Answer 36

acute epiglottitis

Question 37

nursing alert for acute epiglottitis

Answer 37

no throat inspection! crash cart/airway cart near by

Question 38

precautions for rsv

Answer 38

droplet and contact

Question 39

emergency treatment of choking child

Answer 39

chest thrusts and back blows under 1 year
abdominal thrusts over 1 year

Question 40

Neonate with bilious vomiting, feeding intolerance, distended abdomen, and delay in passage of meconium likely has?

Answer 40

Hirschsprung Disease

Question 41

What is the pull through procedure used to treat in infants?

Answer 41

Hirschsprung disease

Question 42

Ribbon like stools?

Answer 42

Hirschsprung disease

Question 43

Care management for vitals of a infant with Hirschsprung disease

Answer 43

no rectal temps

Question 44

Comfort measure for reduction of GER symptoms

Answer 44

Thicken formula with rice cereal

Question 45

Currant jelly stools can indicate what?

Answer 45

Meckel’s diverticulum

Question 46

Olive-like mass palpated in the abdomen is sign of

Answer 46

hypertrophic pyloric stenosis

Question 47

air enema or saline enema treats

Answer 47

intussusception

Question 48

diet restriction for celiac disease

Answer 48

barley, wheat, rye, and oats

Question 49

what condition requires prophylactic antibiotics prior to dental work?

Answer 49

infective endocarditis

Question 51

Aplastic anemia

Answer 51

bone marrow failure;