final peds

Question 1

Pain assessment scales

Answer 1

Nonverbal:
FLACC (face, legs, activity, cry, consolability)
NIPS (neonatal/infant)
Verbal:
FACES

Question 2

GERD s/s

Answer 2

-low weight
-spitting up recurrently
-irritability/excessive crying
-stomach pain/heart burn
-stridor, gagging, choking

Question 3

GERD management

Answer 3

-thickened feedings with rice cereal
-smaller more frequent feedings
-elevate HOB
-Histamine 2 receptors
-PPI
-surgical resection for severe complications
-NG tube feedings for severe reflux/failure to thrive

Question 4

Hirschsprung s/s

Answer 4

abdominal distention
vomiting
feeding intolerance
constipation
failure to pass meconium in first 48 hrs
ribbon like smelly stools
explosive diarrhea

Question 5

Hirschsprung treatment

Answer 5

-surgical removal of affected colon
-temporary colostomy

Question 6

Hirschsprung nursing management

Answer 6

-measure abdominal girth daily
-pain control
-patient teaching
-encourage low fiber, high calorie, high protein diet
-decrease Na in diet to improve nourishment