Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Dressler 3rd Semester > Module 2 G.I. and G.U. disorders > Flashcards

Module 2 G.I. and G.U. disorders Flashcards

1
Q

Tx for Cleft lip

A

Surgery Cheiloplasty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Tx for Cleft palate

A

Surgery Palatoplasty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Tx for Tracheoesphageal Fistula

A

Surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Tx for Pyloric Stenosis

A

Pyloroplasy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Tx for Celiac Disease (spruce)

A

Gluten free diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Tx for Hirshprungs (Agaglionic megacolon)

A

Bowel resection Temp colostomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Tx for Intersusseption

A

Barium enema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Tx for Meckles divirticulum

A

Surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Tx for Hernia

A

Herniorraphy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Tx for Gastroenteritis

A

Prevent dehydration Isolate child

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Tx for Appendicitis

A

Appendectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Tx for Colic

A

Slow feed/ Burping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Tx for Gerd

A

Thickened feeds

Fundoplication (Severe)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Tx for Lactose intolerance

A

Lacoste free diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Tx for Cystic fibrosis

A

Pancrease with meals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Tx for Pin worms

A

Antihelmetics Short fingernails

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Tx for Lead poisoning

A

Chelation therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Symptoms of Cleft lip

A

Open fissures in upper lip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Symptoms of Cleft palate

A

Inability to suck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Symptoms of Tracheaesophageal Fistula

A

Coughing choking cyanosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Symptoms of Pyloric stenosis

A

Projectile non bilious vomiting Olive like mass Visible peristalsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Symptoms of Celiac disease Spruce

A

.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Symptoms of Hirshrungs Agaglionic megacon

A

Ribbon like stools

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Symptoms of Intesusseption

A

Mucousy bloody stools

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Symptoms of Meckles divirticulum

A

Bleeding after 2 years if age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Symptoms of Hernia

A

Painless mass at site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Symptoms of Gastroenteritis

A

NVD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Symptoms of Appendicitis

A

Rebound tenderness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Symptoms of Colic

A

Infant pulling up arms and legs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Symptoms of GERD

A

Vomiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Symptoms of Lactose intolerance

A

NVF after feeds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Symptoms of Cystic fibrosis

A

Failure to they’ve Stetorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Symptoms of Pinworms

A

Anal itching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Symptoms of Lead poisoning

A

Low cognitive functioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Pyloric sphincter is located at the _____ of the stomach

A

bottom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Congenital means your

A

born with it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Cleft lip usually happens in the _____ week of gestation

A

7-8th week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Disorder where baby has difficulty sucking because seal is not created

A

cleft lip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

how do we feed babies with cleft lip

A

little rubber syringe to back of throat slowly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

what can the baby lose with cleft lip when it goes untreated

A

sucking reflex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

When is it ok to perform a Chieloplasty

A

When baby has stable weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

How do we position baby post op Cheiloplasty

A

Side or back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What do we use so we can have support going across suture line (Cheiloplasty)

A

Logans bar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

After feeding in cleft lip babies what should we do

A

wipe mouth with water, cleanse incision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

How long should we be feeding baby with rubber tip syringe after Cheiloplasty

A

7-10 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

What is a major cause of Cleft palate

A

Low folic acid during pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

When does cleft palate usually incur during gestation

A

7th to 12th week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Congenital defect where nasopharynx and nose combine

A

Cleft palate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

What is the baby at risk for in Cleft palate

A

Failure to thrive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Frequent ear and respiratory infections, unable to suck, are common S&S of

A

Cleft palate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

When should a Palatoplasty be done (Cleft palate)

A

before 18 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

What are 3 parent teaching in cleft palate

A

Child may need speech therapy
Hold child upright with burping frequently
limit feeding time to 20-30 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Pre-op for cleft palate what may we fit for feeding

A

Obdurator

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

For post-op care of (Palatoplasty) cleft palate what are 3 things we must do

A

No sucking for 7-10 days
avoid disrupting suture line
feed by spoon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

Diet for Post op cleft palate Palatoplasty

A

Clear liquids –> Full liquids –> Soft diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Abnormal opening of trachea usually smaller is called

A

Tracheo-esophageal fistula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

What are 3 S&S of Tracheo-esophageal fistula

A

Coughing
Choking
Cyanosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

3 nursing for Tracheo-esophageal fistula

A

Keep NPO
HOB 30 degress +
prevent aspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

how can surgery go for Tracheo-esophageal fistula

A

Piece of colon may be transferred to close it up because it can produce peristalsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

3 nursing post op Tracheo-esophageal fistula

A

Pacifier
Elevate HOB
Gradually increase feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

symptoms dont occur for pyloric stenosis until

A

3rd week of life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

3 S&S of pyloric stenosis

A

Projectile vomiting
Hunger
Small Round Mass in RUQ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

How might the small round mass in pyloric stenosis look like

A

Olive like

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

What kind of tube do we use for pyloric stenosis

A

JJ tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

3 pre op care for pyloric stenosis

A

NGT for decompression
thickened formula
I/O

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

How do we position baby post op pyloric stenosis

A

Right side with HOB elevated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

How do we feed baby post op pyloric stenosis

A

small amounts of water 3-4x –> 1/4 formula –> 1/2 formula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

Also known as a food virus

A

Gastroenteritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

2 S&S of Gastroenteritis

A

Water stools

Abdominal cramps and pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

3 diagnostic tests for Gastroenteritis

A

Stool analysis
Serum IgA
Pt. interview

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

What are 2 things that we must avoid giving to pt. with Gastroenteritis

A

milk products

OTC meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

How do we feed babies with Gastroenteritis

A

5-15 cc every 30 min until vomiting halts, then 30cc / 30min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

along with clear liquids what diet can we implement for a patient with Gastroenteritis

A

BRAT diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
74
Q

BRAT diet stands for

A

Bread
Rice
Apple sauce
Tea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
75
Q

If weight is under 10% we diagnose it with

A

Failure to thrive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
76
Q

Colic in babies usually happens within

A

1st year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
77
Q

Abdominal pain caused by spasm of the intestines

A

Colic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
78
Q

3 S&S of Colic

A

Loud cry High pitch
Pull up of arms and legs
Spitting up mucus and undigested formula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
79
Q

Kids with Shaking baby syndrome are usually diagnosed with

A

Colic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
80
Q

How should we feed pt. with Colic (3)

A

Slowly
frequent burping
rocking gently

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
81
Q

GERD stands for

A

Gastroesophageal Reflux

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
82
Q

Relaxation of cardiac sphincter allows gastric contents to return to esophagus

A

GERD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
83
Q

3 S&S of GERD

A

Vomiting
Weight loss
irritability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
84
Q

In Severe GERD what surgery is done

A

Fundoplication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
85
Q

Anchoring the esophagus is called

A

Fundoplication

86
Q

3 Nursing for mild GERD

A

thickened formula
upright position
Meds to reduce acid

87
Q

What should we teach parents with babies who have GERD (2)

A

how to use GT

Aspiration precautions

88
Q

Lactose intolerance can lead to

A

Failure to thrive

89
Q

3 S&S of Lactose intolerance

A

Abdominal distention
Cramps
Diarrhea

90
Q

What can mom take to help with Lactose intolerance

A

Lactate pill

91
Q

Lack of pancrease enzyme, thick secretions, decreased motility are s&s of

A

Cystic fibrosis

92
Q

What are 3 things we might see in a patient with Cystic fibrosis

A

Steatorrhea (Bulky stools)
Meconium ileus
Prolapsed rectum

93
Q

What can we tell family to do, that might help with baby complying to diet

A

Eat at sametime

94
Q

What can we give for Cystic fibrosis pre-meal

A

Pancrease

95
Q

Allergy to gluten is called

A

Celiac Disease (Gluten Enteropathy or Sprue)

96
Q

When can Celiac Disease present itself

A

6mo-2years

97
Q

3 S&S of Celiac Disease

A

Frequent Large bulky stools
FTT
Anorexia

98
Q

What are 3 Diagnostic tests for Celiac Disease

A

Stool analysis
Serum IgA
Small bowel biopsy

99
Q

What diet may we put baby on for Celiac Disease

A

Mediterranean diet (Poultry+Fish)

100
Q

Can cause partial or complete bowel obstruction, absence of ganglion cells in bowel

A

Hirschsprung’s Disease

101
Q

No nerve endings and risk for vomiting stool

A

Hirschsprung’s Disease

102
Q

3 S&S of Hirschsprung’s Disease

A

Meconium ileus
Ribbon like stools
Potential for Enterocolitis

103
Q

Inflammation of small intestine, malabsorption of nutrients and water

A

Enterocolitis

104
Q

Hirschsprung’s Disease puts child at risk for

A

Sepsis

105
Q

How do we diagnose Hirschsprung’s Disease

A

Rectal biopsy

106
Q

Too many enemas can cause

A

Brain damage, intoxication

107
Q

What is the tx. for Hirschsprung’s Disease

A

Abdominal resection colostomy

108
Q

3 nursing post op Hirschsprung’s Disease

A

NGT
Strict I/O
IV fluids

109
Q

Severe abdominal pain, vomiting bile, and currant jelly stools are S&S of

A

Intussusception

110
Q

Babies with Intussusception have a potential for

A

Shock

111
Q

What are 5 S&S of Shock

A 
Increased pulse 
Rigid Abdomen 
Pallor
Diaphoresis 
Hypotension
112
Q

Rigid abdomens happen when there is

A

internal abdominal bleeding

113
Q

How do we diagnose Intussusception

A

Barium enema

114
Q

How can we tx. Intussusception

A

Exploratory laparotomy with resection

115
Q

Protrusion of organ through the peritoneum

A

Hernia

116
Q

When stomach and muscles are coming up through diaphragm this is a

A

Severe case of a Hernia

117
Q

What must we avoid or tell kid to avoid with a Hernia

A

Pressure, straining

118
Q

If Incarcerated (Strangulated hernia) what may occur

A

Necrosis (blood flow)

119
Q

colicky babies tend to have

A

Umbilical hernias

120
Q

What is the diet for Hernias

A

Clear liquids

121
Q

What are 3 S&S of Appendicitis

A

Elevated WBC
Elevated temp 103+
abdominal pain and rebound tenderness at McBurney’s point

122
Q

Pain in RLQ is a classic sign of

A

Appendicitis

123
Q

if appendix ruptures what might it lead to

A

Peritonitis

124
Q

What are 3 nursing for Hernia post op

A

Early ambulation
No laxatives
NPO

125
Q

3 S&S of lead poisoning

A

Lower cognitive functioning
Hearing impairments
Growth delays

126
Q

What therapy may be used for Lead poisoning

A

Chelation therapy (absorb the lead)

127
Q

How do we implement Chelation therapy

A

3 weeks then 2 weeks off then 3 weeks on again

128
Q

What must we not do if child has been poisoned

A

induce vomiting

129
Q

Secondary drowning is also known as

A

Aspiration Pneumonia

130
Q

When do kidneys start to work

A

30-32 week gestation

131
Q

When we suspect a fever what can we do

A

First line test

132
Q

What might a fever cause

A

UTI

133
Q

How do we perform a first line test

A

Get a sterile specimen doing clean catch

134
Q

Patient must sit still for what 2 diagnostic procedures

A

IVP, VCUG

135
Q

Cysto is another word for

A

Bladder

136
Q

VCUG stands for

A

Voiding Cystourethrography

137
Q

How is a Voiding Cystourethrography (VCUG) done

A

injection of dye to fill bladder and observe emptying

138
Q

4 telltale signs of UTI

A

Dysuria
Nocturia
Polyuria / Oliguria
Enuresis

139
Q

What is the major cause of UTI 2-6 years

A

Holding of urine

140
Q

What can we drink to keep tract acidic

A

Cranberry juice

141
Q

10+ diapers is a sign of

A

UTI

142
Q

How might the urine smell and look in UTI’s

A

Ammonia smell, mucousy discharge

143
Q

Classic sign of UTI is when child develops

A

Enuresis

144
Q

What can we use to diagnose if baby is diapered

A

U bag

145
Q

What is a common med used in UTI

A

Bactrim

146
Q

SG decreased with increased Protein is a sign of

A

UTI

147
Q

Micturition is

A

the passing of urine

148
Q

what is the minimum time to hospitalize a infant under 1 year with a diagnosis of UTI and why

A

72 hours, so we don’t run the risk of it becoming nephritis

149
Q

What are 2 common side effects of Bactrim

A

SJS, photosensitivity

150
Q

What is the proper cleaning direction after Micturition

A

Front to back

151
Q

What is the ideal frequency for urination

A

3-4 hours

152
Q

Why must we avoid bubble baths

A

kills normal flora

153
Q

Presence of marked amounts of protein in the urine, edema, and hypoalbuminemia is

A

Nephrotic Syndrome (Nephrosis)

154
Q

Nephrosis may be related to

A

thymus T-cell dysfunction

155
Q

Nephrosis is seen in males usually in what age

A

2-7

156
Q

4 S&S of Nephrosis

A

Edema (anasarca)
Ascites
Weight gain
Listless

157
Q

A telltale sign in males of Nephrosis is

A

Enlarged scrotum

158
Q

What will a urine exam reveal for Nephrosis

A

Albumin high, Few RBC’s

159
Q

What is a major nursing intervention for Nephrosis

A

Turn and position frequently

160
Q

Prednisone may cause

A

weight gain

161
Q

Nephrosis puts child at great risk for developing

A

Pneumonia

162
Q

What must we avoid in diet if edema is present (Nephrosis)

A

Salt

163
Q

What is one thing we must document frequently (daily) for Nephrosis

A

Abdominal Girth

164
Q

How do we measure Abdominal Girth

A

Lay child flat, same place each day

165
Q

Steroids (prednisone) causes decreased ______ which cause decreased _______

A

protein

edema

166
Q

Because of prednisone what must we not perform during acute phase

A

Vaccinations or immunizations

167
Q

Allergic reaction to group A beta-hemolytic strep infection

A

Acute Glomerulonephritis

168
Q

What is the peak age for Acute Glomerulonephritis

A

6-7 years

169
Q

Dehydration in Acute Glomerulonephritis will lead to

A

Hypokalemia (increased creatinine)

170
Q

What are 3 S&S of Acute Glomerulonephritis

A

Edema in AM in periorbital area
Oliguria
Increased Temp

171
Q

How might the Urine be in Acute Glomerulonephritis

A

Smoky brown or bloody, high in all lab levels

172
Q

Nitrogen can cause toxicity and a

A

change in mental status

173
Q

Excessive amounts of nitrogen due to kidney failure

A

Azotemia

174
Q

3 nursing for Acute Glomerulonephritis

A

Bed rest
Fluid RESTRICTION
prophylactic abx. to prevent sleep

175
Q

Diet for Acute Glomerulonephritis

A

Low salt

176
Q

Nephroblastoma (one of the most common malignancies in early life)

A

Wilms tumor

177
Q

When does Wilms tumor usually occur

A

in utero

178
Q

Surgery must occur within ___ for Wilms tumor

A

48 hours

179
Q

How do we diagnose Wilms tumor

A

IVP

180
Q

What must we avoid for pt. with Wilms tumor

A

Pressure on abdomen

181
Q

Excessive amount of fluid in the sac that surrounds the testicle and causes scrotum to swell, sometimes confused with Hernia

A

Hydrocele

182
Q

Undescended testicle

A

Cryptorchidism

183
Q

In Cryptorchidism sperm cells ______ because more warm

A

Deteriorate

184
Q

If both testes are involved in Cryptorchidism what can happen

A

sterility

185
Q

When must surgery occur for Cryptorchidism

A

Before 6 years of age

186
Q

Orchiopexy improves what condition

A

Cryptorchidism

187
Q

Congential defect where urinary meatus is located on the lower portion of the shaft

A

Hypospadias/Epispadias

188
Q

When is surgery usually performed for Hypospadias/Epispadias

A

before 18mo for potty training purposes

189
Q

Enuresis is defined by

A

Urinary incontinence after continence has been attained

190
Q

When should parent seek tx. for Enuresis by

A

6-7 years

191
Q

Which diagnostic test permits visualization of the upper GI tract

A

Endoscopy

192
Q

FTT is below what percentile

A

3rd

193
Q

What is the best support for caring for FTT

A

encourage mother to participate in childcare

194
Q

3 s&s of pinworms

A

itching
irritability
restlessness

195
Q

Intussusception Stools are

A

Currant jelly

196
Q

What % of body is H20

A

77

197
Q

What should we do before we add potassium to diet

A

Check if voiding properly

198
Q

greatest threat to life in isotonic dehydration is

A

hypovolemic shock

199
Q

If a child has pinworms what will happen

A

any family member with S&S will be treated

200
Q

How should we place infant after feeding with GERD

A

prone with head elevated

201
Q

earliest sign of Hirschsprung’s disease is

A

Meconium ileus

202
Q

First feeding coughing and choking usually means

A

Tracheo Esophageal atresia

203
Q

Used to reduce edema in nephrotic syndrome

A

Steroids

204
Q

Child with Nephrotic syndrome is at risk for

A

skin breakdown

205
Q

What statement shows parents understanding of hypospadias

A

surgery should be done before 18mo

206
Q

What instructions will we give parents for babies with acute glomerulonephritis

A

Bed rest 2 weeks

207
Q

In acute glomerulonephritis what can we expect

A

Hypertension

208
Q

Wilms tumor is usually diagnosed when

A

routine physical is given

209
Q

urinary output looks like what for acute glomerulonephritis

A

smoky brown

210
Q

Children receiving steroids should be

A

monitored closely for signs of infection

211
Q

When weighing diapers 1gm is = to

A

1ml

212
Q

Child with nephrotic syndrome should not be receiving

A

Immunizations

Dressler 3rd Semester (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions