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Peds > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

What are we concerned about when the physeal plate (growth plate) breaks?

A

Growth restriction

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2
Q

What is a priority for when a child has a Bryant traction for a broken femur

A

Make sure buttock is off of bed

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3
Q

What are the discharge instructions for a child going home on an antibiotic

A

Finish the medication
How to take it
What it is for
Adverse reactions

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4
Q

What are the normal eating habits of a preschooler

A

Picky eaters
Educate parents on that they are still eating and it is normal
They are still getting proper consumption

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5
Q

At what age does birth weight double

A

6 months

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6
Q

At what age does birth triple

A

12 months

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7
Q

At what age does weight quadruple

A

3 years old

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8
Q

At what age is a child able to walk down the stairs

A

3

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9
Q

What is the leading cause of death in infants

A

Congenital anomalies
Can happen in womb or during birth
Examples- CP, SIDS, clef palate

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10
Q

Health promotion of toddlers

A

Tantrums
Dental

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11
Q

Health promotion of adolescents

A

Sleep more
Hygiene

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12
Q

What is the psychosocial development of a toddler

A

Autonomy

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13
Q

What is another word for pertussis

A

Whooping cough

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14
Q

Where do you assess a newborns HR

A

Apex of the heart

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15
Q

What are signs of puberty in a school age boy

A

Pubic, arm pit, and leg hair
Testicular enlargement
Voice changes
Heigh spikes at end of puberty

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16
Q

What is normal lead value in a one year old

A

4 mcg or lower
Test in a year

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17
Q

What should a parent do if a toddler says there are monsters under there bed

A

Put a night light
Ease the fear

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18
Q

What age should a toddler say a two word phrase “go-bye”

A

30 months

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19
Q

Pre college vaccine

A

Meningococcal

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20
Q

What are some findings that can be seen at a 6 month well check that requires intervention

A

Posterior fontanel lower
Helmet needed if not closing

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21
Q

What reaction will a 18 month old have in the hospital without a parent

A

Anxiety
Scared

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22
Q

What is it when a toddler starts to wet the bed in the hospital but was potty trained

A

Regression
Tell parents it is completely normal

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23
Q

How do you assess the abdomen of a child

A

Without tenderness no guarding
Symmetric shape
Infants- rounded
Bowel sound every 5-30 seconds

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24
Q

What is needed to be done with a patient with spina bifida

A

Cath every 4 hours

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25
Q

When should you assess the ears at a well child visit

A

Last

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26
Q

What are signs of an ear infection

A

Tugging of the ears

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27
Q

When a child has a cleft palate repair how do you soothe them After surgery

A

Hold and rock them

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28
Q

What vaccines does a 12 month old receive

A

MMR and varicella

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29
Q

What symptom occur with sudden rupture of membrane

A

Sudden relief of pain

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30
Q

What side should a patient be put on with a VP shunt

A

Unoperated

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31
Q

What assessment findings can be found with ICP

A

Bulging fontanelles
High pitched cry
Flexed position

32
Q

What age should an infant be able to stand alone without support

A

12 months

33
Q

When should an infant be able to raise head when laying on stomach

A

3 months

34
Q

What medication should be used for JIA (arthritis)

A

Steroids

35
Q

What position should a 5 month old be put in for a lumbar puncture

A

Knee-chest

36
Q

What type of toy can be given to a two year old in a hospital when having a tantrum

A

Something to pound on (hammer)

37
Q

What type of toy is appropriate for a 12 month old

A

Blocks

38
Q

What finding will you find with a 6 month old in pain

A

Furrow brow

39
Q

What is a normal finding of a 3 year old at a well check

A

Standing on one foot

40
Q

What is the normal iron level

A

10-30

41
Q

Nursing priority for suspected meningitis

A

Precautions

42
Q

What are some signs a preschooler might need speech therapy

A

Stuttering
Mispronounced words
Speaking in a nasally tone

43
Q

What are nursing intervention for a school aged kid in the hospital

A

Homework
Games
Personal clothes
Favorite meals/snacks

44
Q

What is a normal behavior from a 10 year old about to get an IV

A

Stalling
Gain control

45
Q

What are some intervention for a blind patient

A

Keep things in same place
Identify loud noises

46
Q

Who can you refer a child to when there is speech concern besides speech therapy

A

Hearing specialist

47
Q

What do you do for amblyopia

A

Place patch on good eye

48
Q

What is the proper teaching for pink eye

A

Finish eye drops
Inner canthus to outer canthus
Wash hands
Keep eye clean

49
Q

What is it called when you can’t see distance (nearsightedness)

A

Myopia

50
Q

What is the best way to teach a child to read lips

A

Speak at an even rate

51
Q

What is the reason for well visits

A

Early detection

52
Q

What is a neural tube defect

A

Spina bifida

53
Q

What is a sign a 11 month old is having a CNS infection

A

Bulging fontanelles

54
Q

How can you help an 8 month old with CP sit

A

Prop with pillows

55
Q

When taking a toddlers vitals what should you do

A

Tell them what you are doing

56
Q

What is a spina bifida patient allergic too

A

Latex (strawberry and banana)

57
Q

How would you take the temp of a patient with a myelomenigocele

A

Axillary

58
Q

What actions should be taken for a seizure

A

Place them on there side
Remove hazards
Airway

59
Q

What teaching should be done for iron deficiency medication

A

Do not take with milk
Take with orange juice

60
Q

What is the risk for low platelet count

A

Bleeding

61
Q

What are interventions for a 3 year old receiving surgery

A

Have parent stay with them
Keep you
Perform quickly

62
Q

What is the goal for the plan of care for a hemi pelagic patient

A

Safety

63
Q

What should be included in the plan of care for a 6 year old with bacterial meningitis

A

Semi Fowlers
Neuro/seizure precaution
Precautions
Antibiotics

64
Q

What is the pain scale for a 2-6 month old

A

FLACC

65
Q

Newborn pain scale

A

NIPS

66
Q

What deficiency is most worried about in toddlers

A

Iron deficiency

67
Q

What is normal behavior from adolescents receiving surgery

A

Concerned about body image

68
Q

What can you advocate for when a big surgery is happening

A

PCA pump

69
Q

Trust vs mistrust

A

Birth- 1 year

70
Q

Autonomy vs shame

A

1-3 years

71
Q

Initiative vs guilt

A

3-6

72
Q

Industry vs inferiority

A

6-12

73
Q

Identity be role confusion

A

12-20

74
Q

Restraint for a 2 year old

A

Elbow

75
Q

Signs and symptoms of ICP

A

Sleepy

Peds (3 decks)

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