FINAL Flashcards
When a child decompensates ventilation wise in the ER, what should you get ready to do?
Intubation
Acute glomerulonephritis lab values
Decreased creatinine and BUN, protein in urine, Positive ASO titer
What is Azotemia?
VERY high levels of blood in urine
What does Sickle cell in a child cause?
hypoxemia, curved shaped cells not carrying O2
What are Late symptoms of ICP?
dysaribit and deciborate position, pupil response
What does Umbilical cord compression cause?
variable decelerations
What causes Symptoms of Vomiting and severe stomach pain and what should you prepare for?
prepare for surgery, appendicitis
What does a Rheumatic fever diagnosis cause and where does it come from?
Comes from strep, causes rash, myocarditis, subcutaneous nodules and corio.
How do you calculate NAEGLES RULE
Add sevens days from first day of last period, subtract 3 months
How to calculate percentage of weight loss?
weight loss divided by birthweight x 100
How do you educate parents about Atrial septal defect in an infant about what the heart sounds like?
loud murmur (whoosh)
Sign a child is bleeding after a tonsillectomy
swallowing a lot
What infusion do you give for Nephrotic syndrome for plasma volume and to decrease edema?
Albumin
What symptoms will a Newborn with esophageal atresia/ esophageal fistula have?
vomiting, excessive choking, coughing, cyanosis
What are Rheumatic fever lab findings?
positive ASO titer, elevated ESR and CRP
What is the Opening of meatus at top of penis?
Epispadias
What is important to monitor for Placenta previa?
make sure patient does not hemorrhage
Why do we offer sitz bath?
if they tore, no straining
What should we prioritize for a Vasoocclusive (sickle cell) crisis?
Pain and hydration
What does Strawberry tongue and palms and feet peeling indicate and what should be given?
Kawasaki disease give aspirin and gamma globulin
What is a Sign of Acute glomerulonephritis in urine?
blood in urine
What are Signs a child will show you that they are being mistreated
cry when parent comes
What should be done Right after a baby is born?
dry them off, evaporation
What is the Main concern for patient in labor?
pain
What is Epistaxis and what should be done?
nosebleed lean forward and pinch bridge of nose
What is an Assessment finding with intussusception?
abdominal pain with jelly like stool
Sickle cell crisis lab value to except
Decreased hemoglobin
A nurse is assessing a client with fishy odor and grey discharge- what is this?
Bacterial vaginosis
How long are antibiotics taken for myocarditis?
5 weeks
For Wilms tumor, what do you not want to do?
do not palpate the stomach
A Baby born 5 mins ago is cyanotic, tachypnea, tachycardic- what is this?
transposition of the great vessels
A Child is brought in from a house fire, what is the main priority?
airway
Where are Immunizations administered in an infant?
vastus lateralis
What Immunizations are administered during pregnancy?
tetanus, hep b, pertussis, diphtheria, flu
What lab value is low in a Severely dehydrated child?
low potassium
When a child is crying excessively and goes cyanotic what position should they be put in?
Knee-chest
Frequent swallowing after a TNA indicates what?
bleeding
Positive signs of a pregnancy
ultrasound, heart rate, feel the baby
When can a child go back to school after impetigo?
Stay home until crusted over
What is Hirschsprung disease?
lack of peristalsis in large intestine which can cause constipation and then a bowel obstruction
What is a Iron pill suppose to be taken with?
orange juice
What Heart defect has different blood pressures in upper and lower extremities?
coartation of the aoarta
What is done to test Hip dysplasia?
Ortolani maneuver
What is it when a Pregnant woman is a at risk for crackles in lung and shortness of breath?
cardiac decompensation
What should be used for Administration of albuterol?
spacer
What is a Hirschsprung’s disease diet
high protein, high calorie, low fiber
What is needed when your feeding a baby and it becomes cyanotic?
Stop feeding
What is needed when Moms blood type is O?
Needs rhogam
Heart cath assessment post op
circulation, bleeding, hematoma, apply pressure above it if bleeding
Teaching for parent with child with cystic fibrosis
chest physiotherapy, personal diet with pancreatic enzymes
What Vaccine protects kids from serious GI infection?
rotavirus
what Meds help prevent postpartum hemorrhage?
Oxytocin, misoprostol, hemabate
What should you Monitor bulimic patients for?
heart problems
What is a Sign a patient had preeclampsia?
hypertension
What is a Normal weight loss percentage for a newborn?
10
What are nursing interventions for when a patient is blind?
identify noises, describe placement of things, keep things in same spot
Bacterial meningitis cerebrospinal fluid
cloudy, elevated protein, decreased glucose
A newborn Weight is 4,660 g what is a concern?
diabetes, check glucose
What type of room should a RSV patient be in?
Private room
What is a Pyloric stenosis finding
projectile vomiting
What will help a 16 year old in hospital for surgery
interact with people same age
What should be done when Feeding a child with rsv?
low stimulating environment, pulse ox monitor, cluster care, small frequent feedings
Would you nasal suction a child with ICP
No it will cause more pressure
GERD position after feeding
upright
After an Epidural is administered what assessment should be done?
BP cause is can drop
How can you assure that breastfeeding is accurate?
6-8 wet diapers a day
What does a Anticholinergic do?
dilate bronchioles
Diaper rashes can be avoided by
use zinc barrier cream, change frequently, use disposable diapers
Ortolani sign is doing what with babies hips
outward movement
Lab finding that shows a UTI
WBC over 5,000
What restraints should be used after Cleft lip repair
elbow restraints
Leopold maneuver position
right sacral anterior
What should a Congenital heart defect reading be between?
between 3%
How can Pancreatic enzymes be taken?
can be taken whole or sprinkled on food
A spiral fracture can be an indication of what
Abuse
Word for breaking water and what to assess
amniotomy, assess heart rate
What type of Burn is pink and blistering
Partial thickness
What can To much digoxin and Lasix cause
low potassium
What is the purpose of amniotic fluid?
cushions the baby, helps baby grow, creates thermal environment
Signs of ADHD
distractibility, hyperactivity, inattentive, impulsivity
4 Modes of heat loss
convection, conduction, evaporation, radiation
When a Toddler burns their hand what do you do first
wash it with cool water
What is the most important instructions for poison ivy?
do not scratch
What defects are caused with Tetralogy of fallot
ventricular septal defect, overriding aorta, right ventricular hypertrophy
Where would burns be that indicates child abuse
both hands or feet would be brunt
What treatment is needed for a Barky cough, stridor, and retractions
Nebulizer
Signs of mag toxicity while in labor
absent deep tendon reflexes, decrease urine and RR
What is true about tubal ligation
highly unlikely to become pregnant again, use protection, not protected against STI
What should be done when the Fundus is deviated to the right with a boggy uterus
empty bladder
Nephrotic syndrome manifestations
generalized edema, dark urine with high protein
Cardiac encouragement
small frequent feedings, cluster care, hold the child
What is the infection that is caused by Bacteria with recurrent diaper
candida albicans
What is the Bishop score
if able to get an induction looking at cervix, Dilation effacement, station fetal presentation
Ischial spine level of baby
0
Priority finding for a Six year old with active seizure presenting to ED
weight
What must be done before giving IV immunoglobulin
check allergies, right dose, exp date, document make sure it isn’t cloudy, secure child’s arm while infusing
Pregnant person lying flat on back symptom
Dizziness
Common physiological change during pregnancy
50% more cardiac output
What do true labor contractions feel like
first start in back then abdomen
What Inappropriate thing to not do for a client with placenta previa
Can not check cervix
Mom is concerned about Irregular mild contraction and has been cleaning all day, what do you tell her
Nesting about to go into labor, early signs of labor
What does a absent(passive) seizure look like
staring
When a shunt is placed on the right side, what side should the patient lay on
Left
When a patient presents with bradycardia and vomiting you should not administer this med
Digoxin
What kind of patient should you put in the same room with a leukemia patient
Nephrotic syndrome
Another name for pertussis
whooping cough
What can you give to a pt who just had a tonsillectomy
Ice chips
What is Maternal serum alpha protein test
Spinal defects
Most reliable contraceptive
IUD
What do you prepare for if the pt has a Saturated perineal pad before birth
prepare for c-section
What should the patient do before an amniocentesis
empty bladder
Danger symptoms of preeclampsia
blurred vision, upper right abdomen pain, headache
Before administering pain meds to a patient in labor what should you check
Check cervix
Mom expresses concerns about a 16 hour post partum baby, what is the best response
Well let’s look at the baby
What is PKU
genetic digestive disorder, does not need under special lights
Can’t have —- ??
What should you always tell a pregnant patient to do
Drink water
Neonatal abstinence scoring orders
kangaroo-swaddling, morphine, continue scoring as prescribed, needs weaned off of scoring
Respiratory distress actions for baby
oxygen, surfactant, monitor O2, ABG
A pt is 28 wks pregnant with iron deficiency, what should they do
take iron, watch for kick counts/contractions signs of labor, hydrate
While doing the Assessment of a newborn one arm and both legs are flaccid what can this indicate
broken clavicle, more reflex is normal in a newborn
Reflex in newborn
Moro
What are normal findings of a child in resp distess
uncooperative/agitated nasal flaring retraction, remain in bed
it is normal for 200ml output
Indications of Coarctation of aorta and action to take
high bp-heart failure
Decompensating= intubate
digoxin
What does an amniotic fluid embolism do
Goes straight to moms heart and dies
