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Pedia Flashcards

1
Q

Newborn vital signs

A

Heart rate: 120-140 bpm
Respiratory rate: 30-60 breaths/minute with periods of
apnea.

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2
Q

Transfers an object from hand-to-hand

A

7 months

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3
Q

Putting his feet to his mouth when lying in supine

A

5 months

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4
Q

Displays anxiety with strangers

Able to sit without support

A

8 months

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5
Q

Blood pressure is taken as a routine part of the vital signs at
the age of.

A

3 years old

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6
Q

Teaching as to when will be the cord separation

A

10-14 days

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7
Q

Signs of cord infection

A

Red and swollen around the cord
Discharges that is purulent and malodorous
Oozes yellowish pus
Continues to bleed

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8
Q

Teaching on when to remove safely the cord clamp?

A

For at least 24 hours if no oozing is noted.

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9
Q

Types of circumcision:

A

Gomco technique, Mogen clamp, and plastibell

procedure.

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10
Q

Post circumcision, the Plastibell falls by itself

A

Usually about a week (5 to 8 days)

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11
Q

Assessment to a newborn post circumcision

A

Assess for bleeding, swelling, and wait to urinate

before discharging the neonate.

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12
Q

Describe stools of a breast-fed baby

A

Golden yellow, mushy, more frequent

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13
Q

Describe stools of a formula/milk-fed baby

A

Pale yellow, firm, putty-like,

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14
Q

Newborn not infected from mother with HIV

A

If the baby isn’t infected, he or she will lose the
mother’s antibodies and start to test negative for HIV
sometime between 6 and 18 months of age.

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15
Q

Fifth disease

A

Erythema Infectiosum

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16
Q

Signs of newborn with hypoglycemia

A

Jitteriness, tremors, weak cry, lethargy,

Poor feeding, Floppy posture, possibly seizures

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17
Q

Signs of newborn that is withdrawing form drugs.

A

High-pitched cry, shrill cry, irritable, fist sucking.

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18
Q

Signs of cord infection.

A

Redness (erythema), malodorous, and purulent

discharge.

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19
Q

Commonly affected brought by acute rheumatic fever.

A

Mitral valve

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20
Q

Describe the characteristic cough of croup

A

Bark-like or barky cough

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21
Q

Expiratory grunting

A

An abnormal breath sounds when an infant breathes

out against a closed glottis.

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22
Q

Low set ears are commonly seen in?

A

Down Syndrome

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23
Q

Treatment used in diabetes insipidus

A

DDAVP (Desmopressin) is administered in the evening to prevent
night time water craving and enuresis.

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24
Q

In hyperthyroidism, what serum level is increased?

A

High circulating level of T4

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25
Q

Treatment for congenital hip dysplasia during neonatal

age.

A

Pavlik harness

holding hips in wide abduction

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26
Q

Sign to report as increased intracranial pressure.

A

Widened, tense, and bulging fontanel

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27
Q

Rota virus is primarily spread by.

A

Fecal-oral route (contact isolation)

28
Q

Hemolytic disease in newborn is caused by?

A

Rh and ABO incompatibility

29
Q

Initial feeding given to a newborn is usually

A

50 to 60ml

30
Q

TPN in newborn is administered thru

A

Indwelling cath superior vena cava and umbilical
artery. For stimulation, newborn is provided with a
pacifier (nonnutritive sucking).

31
Q

Nipple feeding is usually avoided in the newborn with

respiratory rate greater than?

A 
60/minute because of the increased danger of
pulmonary aspiration (gavage feeding preferred)
32
Q

SGA is primarily caused by

A

Placental insufficiency

33
Q

Phototherapy is required if serum bilirubin result is

A

13 mg/100 m in full term infant

5mg less than is normal

34
Q

Phototherapy is required in premature infant with bilirubin

A

15 mg /100ml in premature infant

Morethan 5 is abnormal

35
Q

Developmental growth when child comes to sit and crawls

A

8 months

36
Q

Chills in newborn may result

A

Metabolic acidosis and hypoglycemia

37
Q

Zidovudine (Retrovir)

A

Can reduce the rate of passing HIV from mother to
baby by two-thirds.
Zidovudine slows the growth of the virus.

38
Q

Breast feeding HIV mother to recommend.

A

HIV can be passed to the baby through breast milk, it’s
better to bottle feed your baby if you are infected
with HIV.

39
Q

Adverse side effects of phototherapy

A

Dehydration

40
Q

Child does not cry when IV is inserted

A

Highly suspicious of child abuse

41
Q

Dehydration assessment

A

Check for urine out put

42
Q

HCG is used to treat pediatric cases of.

A

Undescended testis

43
Q

To administer oral Iron

A

Use straw and give Vitamin C to aid in absorption

44
Q

Management for toxic iron ingestion (drug)

A

Desferal (deferoxamine)

45
Q

Most common illness in Cystic fibrosis

A

Respiratory infections and bronchiectasis due to
altered viscosity of mucus may cause atelectasis due
to tenacious mucus. Affecting digestive system too.
Infertility mostly in males (congenital absence of vas
deferens.

46
Q

Gland involved in cystic fibrosis

A 
Exocrine gland (pancreas and liver), in cystic fibrosis,
pancreas is involved secreting pancreatic enzyme
47
Q

Diagnostic test for cystic fibrosis (CF)

A

Sweat Chloride test (pilocapine iontophoresis)

48
Q

Cystic fibrosis (background knowledge)

A
  1. Pancreatic enzymes inability to reach the
    duodenum, causing impairment of digestion and
    impairment of nutrients. Viscous, tenacious, thick
    mucus causing atelectasis, emphysema, abdominal
    distention
  2. Is an autosomal recessive trait.
49
Q

Developmental stage of 7 mos. Old child

A

Can transfer object from hand to hand and sit alone wl

out support.

50
Q

Chelating agent is indicated in?

A

Lead poisoning

51
Q

Acute Glomerulo Nephritis (AGN)

A

Is a result of an antigen-antibody response to bacteria

beta-hemolytic streptococci

52
Q

Bacteria associated with glomerulonephritis

A

Group A beta-hemolytic streptococci

53
Q

Diet prescribed to a client with AGN

A

Decreased sodium intake,

Fluid restriction if urine output is decreased

54
Q

Antecedent of glomerulonephritis

A

Throat infection

55
Q

Age group commonly afflicted with AGN

A

Common in children

56
Q 
Lead poisoning (windowsills, stair rails)
Ingest flakes, of paint, putty,
A

Plumbism

57
Q

Electrolyte imbalance associated with Salicylates poisoning.

A

Hypokalemia due to renal tubular mechanism.

58
Q

The most widely used antidote for iron, arsenic, mercury,

antimony, and gold poisoning.

A

A chelating agent

Dimercaprol or Deporoxamine (Desferal)

59
Q

Respiratory center is affected in aspirin overdose yields to

A 
Metabolic alkalosis (due to elimination of carbon
dioxide)
60
Q

Projectile vomiting, has olive-size bulge under right ribcage

A

Pyloric stenosis

61
Q

In giving enema in infants, to avoid the danger of water

intoxication, do not use.

A

Tap water and soap suds but may use mineral oil or

isotonic saline

62
Q

A condition with Vitamin ADEK deficiency and failure to thrive

A

Celiac disease

63
Q

A condition commonly associated with cystic fibrosis and

celiac disease with “currant-jelly” stool

A

Intussusception

64
Q

Blood gas disorder associated with pyloric stenosis

A

Metabolic alkalosis

65
Q

A condition mainly in boys and associated with Down’s syndrome wherein the colon dilates as stool is impacted

A

Hirschsprung’s disease

66
Q

What to check before administering MMR

A

Allergy to eggs and should be skin tested first for

sensitivity. MMR vaccine contains eggs.

Bullets (23 decks)

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