FINAL Flashcards

1
Q

When a child decompensates ventilation wise in the ER, what should you get ready to do?

A

Intubation

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2
Q

Acute glomerulonephritis lab values

A

Decreased creatinine and BUN, protein in urine, Positive ASO titer

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3
Q

What is Azotemia?

A

VERY high levels of blood in urine

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4
Q

What does Sickle cell in a child cause?

A

hypoxemia, curved shaped cells not carrying O2

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5
Q

What are Late symptoms of ICP?

A

dysaribit and deciborate position, pupil response

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6
Q

What does Umbilical cord compression cause?

A

variable decelerations

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7
Q

What causes Symptoms of Vomiting and severe stomach pain and what should you prepare for?

A

prepare for surgery, appendicitis

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8
Q

What does a Rheumatic fever diagnosis cause and where does it come from?

A

Comes from strep, causes rash, myocarditis, subcutaneous nodules and corio.

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9
Q

How do you calculate NAEGLES RULE

A

Add sevens days from first day of last period, subtract 3 months

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10
Q

How to calculate percentage of weight loss?

A

weight loss divided by birthweight x 100

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11
Q

How do you educate parents about Atrial septal defect in an infant about what the heart sounds like?

A

loud murmur (whoosh)

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12
Q

Sign a child is bleeding after a tonsillectomy

A

swallowing a lot

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13
Q

What infusion do you give for Nephrotic syndrome for plasma volume and to decrease edema?

A

Albumin

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14
Q

What symptoms will a Newborn with esophageal atresia/ esophageal fistula have?

A

vomiting, excessive choking, coughing, cyanosis

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15
Q

What are Rheumatic fever lab findings?

A

positive ASO titer, elevated ESR and CRP

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16
Q

What is the Opening of meatus at top of penis?

A

Epispadias

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17
Q

What is important to monitor for Placenta previa?

A

make sure patient does not hemorrhage

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18
Q

Why do we offer sitz bath?

A

if they tore, no straining

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19
Q

What should we prioritize for a Vasoocclusive (sickle cell) crisis?

A

Pain and hydration

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20
Q

What does Strawberry tongue and palms and feet peeling indicate and what should be given?

A

Kawasaki disease give aspirin and gamma globulin

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21
Q

What is a Sign of Acute glomerulonephritis in urine?

A

blood in urine

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22
Q

What are Signs a child will show you that they are being mistreated

A

cry when parent comes

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23
Q

What should be done Right after a baby is born?

A

dry them off, evaporation

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24
Q

What is the Main concern for patient in labor?

A

pain

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25
Q

What is Epistaxis and what should be done?

A

nosebleed lean forward and pinch bridge of nose

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26
Q

What is an Assessment finding with intussusception?

A

abdominal pain with jelly like stool

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27
Q

Sickle cell crisis lab value to except

A

Decreased hemoglobin

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28
Q

A nurse is assessing a client with fishy odor and grey discharge- what is this?

A

Bacterial vaginosis

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29
Q

How long are antibiotics taken for myocarditis?

A

5 weeks

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30
Q

For Wilms tumor, what do you not want to do?

A

do not palpate the stomach

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31
Q

A Baby born 5 mins ago is cyanotic, tachypnea, tachycardic- what is this?

A

transposition of the great vessels

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32
Q

A Child is brought in from a house fire, what is the main priority?

A

airway

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33
Q

Where are Immunizations administered in an infant?

A

vastus lateralis

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34
Q

What Immunizations are administered during pregnancy?

A

tetanus, hep b, pertussis, diphtheria, flu

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35
Q

What lab value is low in a Severely dehydrated child?

A

low potassium

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36
Q

When a child is crying excessively and goes cyanotic what position should they be put in?

A

Knee-chest

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37
Q

Frequent swallowing after a TNA indicates what?

A

bleeding

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38
Q

Positive signs of a pregnancy

A

ultrasound, heart rate, feel the baby

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39
Q

When can a child go back to school after impetigo?

A

Stay home until crusted over

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40
Q

What is Hirschsprung disease?

A

lack of peristalsis in large intestine which can cause constipation and then a bowel obstruction

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41
Q

What is a Iron pill suppose to be taken with?

A

orange juice

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42
Q

What Heart defect has different blood pressures in upper and lower extremities?

A

coartation of the aoarta

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43
Q

What is done to test Hip dysplasia?

A

Ortolani maneuver

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44
Q

What is it when a Pregnant woman is a at risk for crackles in lung and shortness of breath?

A

cardiac decompensation

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45
Q

What should be used for Administration of albuterol?

A

spacer

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46
Q

What is a Hirschsprung’s disease diet

A

high protein, high calorie, low fiber

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47
Q

What is needed when your feeding a baby and it becomes cyanotic?

A

Stop feeding

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48
Q

What is needed when Moms blood type is O?

A

Needs rhogam

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49
Q

Heart cath assessment post op

A

circulation, bleeding, hematoma, apply pressure above it if bleeding

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50
Q

Teaching for parent with child with cystic fibrosis

A

chest physiotherapy, personal diet with pancreatic enzymes

51
Q

What Vaccine protects kids from serious GI infection?

A

rotavirus

52
Q

what Meds help prevent postpartum hemorrhage?

A

Oxytocin, misoprostol, hemabate

53
Q

What should you Monitor bulimic patients for?

A

heart problems

54
Q

What is a Sign a patient had preeclampsia?

A

hypertension

55
Q

What is a Normal weight loss percentage for a newborn?

A

10

56
Q

What are nursing interventions for when a patient is blind?

A

identify noises, describe placement of things, keep things in same spot

57
Q

Bacterial meningitis cerebrospinal fluid

A

cloudy, elevated protein, decreased glucose

58
Q

A newborn Weight is 4,660 g what is a concern?

A

diabetes, check glucose

59
Q

What type of room should a RSV patient be in?

A

Private room

60
Q

What is a Pyloric stenosis finding

A

projectile vomiting

61
Q

What will help a 16 year old in hospital for surgery

A

interact with people same age

62
Q

What should be done when Feeding a child with rsv?

A

low stimulating environment, pulse ox monitor, cluster care, small frequent feedings

63
Q

Would you nasal suction a child with ICP

A

No it will cause more pressure

64
Q

GERD position after feeding

A

upright

65
Q

After an Epidural is administered what assessment should be done?

A

BP cause is can drop

66
Q

How can you assure that breastfeeding is accurate?

A

6-8 wet diapers a day

67
Q

What does a Anticholinergic do?

A

dilate bronchioles

68
Q

Diaper rashes can be avoided by

A

use zinc barrier cream, change frequently, use disposable diapers

69
Q

Ortolani sign is doing what with babies hips

A

outward movement

70
Q

Lab finding that shows a UTI

A

WBC over 5,000

71
Q

What restraints should be used after Cleft lip repair

A

elbow restraints

72
Q

Leopold maneuver position

A

right sacral anterior

73
Q

What should a Congenital heart defect reading be between?

A

between 3%

74
Q

How can Pancreatic enzymes be taken?

A

can be taken whole or sprinkled on food

75
Q

A spiral fracture can be an indication of what

A

Abuse

76
Q

Word for breaking water and what to assess

A

amniotomy, assess heart rate

77
Q

What type of Burn is pink and blistering

A

Partial thickness

78
Q

What can To much digoxin and Lasix cause

A

low potassium

79
Q

What is the purpose of amniotic fluid?

A

cushions the baby, helps baby grow, creates thermal environment

80
Q

Signs of ADHD

A

distractibility, hyperactivity, inattentive, impulsivity

81
Q

4 Modes of heat loss

A

convection, conduction, evaporation, radiation

82
Q

When a Toddler burns their hand what do you do first

A

wash it with cool water

83
Q

What is the most important instructions for poison ivy?

A

do not scratch

84
Q

What defects are caused with Tetralogy of fallot

A

ventricular septal defect, overriding aorta, right ventricular hypertrophy

85
Q

Where would burns be that indicates child abuse

A

both hands or feet would be brunt

86
Q

What treatment is needed for a Barky cough, stridor, and retractions

A

Nebulizer

87
Q

Signs of mag toxicity while in labor

A

absent deep tendon reflexes, decrease urine and RR

88
Q

What is true about tubal ligation

A

highly unlikely to become pregnant again, use protection, not protected against STI

89
Q

What should be done when the Fundus is deviated to the right with a boggy uterus

A

empty bladder

90
Q

Nephrotic syndrome manifestations

A

generalized edema, dark urine with high protein

91
Q

Cardiac encouragement

A

small frequent feedings, cluster care, hold the child

92
Q

What is the infection that is caused by Bacteria with recurrent diaper

A

candida albicans

93
Q

What is the Bishop score

A

if able to get an induction looking at cervix, Dilation effacement, station fetal presentation

94
Q

Ischial spine level of baby

A

0

95
Q

Priority finding for a Six year old with active seizure presenting to ED

A

weight

96
Q

What must be done before giving IV immunoglobulin

A

check allergies, right dose, exp date, document make sure it isn’t cloudy, secure child’s arm while infusing

97
Q

Pregnant person lying flat on back symptom

A

Dizziness

98
Q

Common physiological change during pregnancy

A

50% more cardiac output

99
Q

What do true labor contractions feel like

A

first start in back then abdomen

100
Q

What Inappropriate thing to not do for a client with placenta previa

A

Can not check cervix

101
Q

Mom is concerned about Irregular mild contraction and has been cleaning all day, what do you tell her

A

Nesting about to go into labor, early signs of labor

102
Q

What does a absent(passive) seizure look like

A

staring

103
Q

When a shunt is placed on the right side, what side should the patient lay on

A

Left

104
Q

When a patient presents with bradycardia and vomiting you should not administer this med

A

Digoxin

105
Q

What kind of patient should you put in the same room with a leukemia patient

A

Nephrotic syndrome

106
Q

Another name for pertussis

A

whooping cough

107
Q

What can you give to a pt who just had a tonsillectomy

A

Ice chips

108
Q

What is Maternal serum alpha protein test

A

Spinal defects

109
Q

Most reliable contraceptive

A

IUD

110
Q

What do you prepare for if the pt has a Saturated perineal pad before birth

A

prepare for c-section

111
Q

What should the patient do before an amniocentesis

A

empty bladder

112
Q

Danger symptoms of preeclampsia

A

blurred vision, upper right abdomen pain, headache

113
Q

Before administering pain meds to a patient in labor what should you check

A

Check cervix

114
Q

Mom expresses concerns about a 16 hour post partum baby, what is the best response

A

Well let’s look at the baby

115
Q

What is PKU

A

genetic digestive disorder, does not need under special lights
Can’t have —- ??

116
Q

What should you always tell a pregnant patient to do

A

Drink water

117
Q

Neonatal abstinence scoring orders

A

kangaroo-swaddling, morphine, continue scoring as prescribed, needs weaned off of scoring

118
Q

Respiratory distress actions for baby

A

oxygen, surfactant, monitor O2, ABG

119
Q

A pt is 28 wks pregnant with iron deficiency, what should they do

A

take iron, watch for kick counts/contractions signs of labor, hydrate

120
Q

While doing the Assessment of a newborn one arm and both legs are flaccid what can this indicate

A

broken clavicle, more reflex is normal in a newborn

121
Q

Reflex in newborn

A

Moro

122
Q

What are normal findings of a child in resp distess

A

uncooperative/agitated nasal flaring retraction, remain in bed
it is normal for 200ml output

123
Q

Indications of Coarctation of aorta and action to take

A

high bp-heart failure
Decompensating= intubate
digoxin

124
Q

What does an amniotic fluid embolism do

A

Goes straight to moms heart and dies