Pedia

Question 1

Newborn vital signs

Answer 1

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

Question 2

Transfers an object from hand-to-hand

Answer 2

7 months

Question 3

Putting his feet to his mouth when lying in supine

Answer 3

5 months

Question 4

Displays anxiety with strangers

Able to sit without support

Answer 4

8 months

Question 5

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

Answer 5

3 years old

Question 6

Teaching as to when will be the cord separation

Answer 6

10-14 days

Question 7

Signs of cord infection

Answer 7

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

Question 8

Teaching on when to remove safely the cord clamp?

Answer 8

For at least 24 hours if no oozing is noted.

Question 9

Types of circumcision:

Answer 9

Gomco technique, Mogen clamp, and plastibell

procedure.

Question 10

Post circumcision, the Plastibell falls by itself

Answer 10

Usually about a week (5 to 8 days)

Question 11

Assessment to a newborn post circumcision

Answer 11

Assess for bleeding, swelling, and wait to urinate

before discharging the neonate.

Question 12

Describe stools of a breast-fed baby

Answer 12

Golden yellow, mushy, more frequent

Question 13

Describe stools of a formula/milk-fed baby

Answer 13

Pale yellow, firm, putty-like,

Question 14

Newborn not infected from mother with HIV

Answer 14

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.

Question 15

Fifth disease

Answer 15

Erythema Infectiosum

Question 16

Signs of newborn with hypoglycemia

Answer 16

Jitteriness, tremors, weak cry, lethargy,

Poor feeding, Floppy posture, possibly seizures

Question 17

Signs of newborn that is withdrawing form drugs.

Answer 17

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

Question 18

Signs of cord infection.

Answer 18

Redness (erythema), malodorous, and purulent

discharge.

Question 19

Commonly affected brought by acute rheumatic fever.

Answer 19

Mitral valve

Question 20

Describe the characteristic cough of croup

Answer 20

Bark-like or barky cough

Question 21

Expiratory grunting

Answer 21

An abnormal breath sounds when an infant breathes

out against a closed glottis.

Question 22

Low set ears are commonly seen in?

Answer 22

Down Syndrome

Question 23

Treatment used in diabetes insipidus

Answer 23

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

Question 24

In hyperthyroidism, what serum level is increased?

Answer 24

High circulating level of T4

Question 25

Treatment for congenital hip dysplasia during neonatal | age.

Answer 25

Pavlik harness | holding hips in wide abduction

Question 26

Sign to report as increased intracranial pressure.

Answer 26

Widened, tense, and bulging fontanel

Question 27

Rota virus is primarily spread by.

Answer 27

Fecal-oral route (contact isolation)

Question 28

Hemolytic disease in newborn is caused by?

Answer 28

Rh and ABO incompatibility

Question 29

Initial feeding given to a newborn is usually

Answer 29

50 to 60ml

Question 30

TPN in newborn is administered thru

Answer 30

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

Question 31

Nipple feeding is usually avoided in the newborn with | respiratory rate greater than?

Answer 31

``` 60/minute because of the increased danger of pulmonary aspiration (gavage feeding preferred) ```

Question 32

SGA is primarily caused by

Answer 32

Placental insufficiency

Question 33

Phototherapy is required if serum bilirubin result is

Answer 33

13 mg/100 m in full term infant 5mg less than is normal

Question 34

Phototherapy is required in premature infant with bilirubin

Answer 34

15 mg /100ml in premature infant Morethan 5 is abnormal

Question 35

Developmental growth when child comes to sit and crawls

Answer 35

8 months

Question 36

Chills in newborn may result

Answer 36

Metabolic acidosis and hypoglycemia

Question 37

Zidovudine (Retrovir)

Answer 37

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

Question 38

Breast feeding HIV mother to recommend.

Answer 38

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

Question 39

Adverse side effects of phototherapy

Answer 39

Dehydration

Question 40

Child does not cry when IV is inserted

Answer 40

Highly suspicious of child abuse

Question 41

Dehydration assessment

Answer 41

Check for urine out put

Question 42

HCG is used to treat pediatric cases of.

Answer 42

Undescended testis

Question 43

To administer oral Iron

Answer 43

Use straw and give Vitamin C to aid in absorption

Question 44

Management for toxic iron ingestion (drug)

Answer 44

Desferal (deferoxamine)

Question 45

Most common illness in Cystic fibrosis

Answer 45

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.

Question 46

Gland involved in cystic fibrosis

Answer 46

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

Question 47

Diagnostic test for cystic fibrosis (CF)

Answer 47

Sweat Chloride test (pilocapine iontophoresis)

Question 48

Cystic fibrosis (background knowledge)

Answer 48

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.

Question 49

Developmental stage of 7 mos. Old child

Answer 49

Can transfer object from hand to hand and sit alone wl | out support.

Question 50

Chelating agent is indicated in?

Answer 50

Lead poisoning

Question 51

Acute Glomerulo Nephritis (AGN)

Answer 51

Is a result of an antigen-antibody response to bacteria | beta-hemolytic streptococci

Question 52

Bacteria associated with glomerulonephritis

Answer 52

Group A beta-hemolytic streptococci

Question 53

Diet prescribed to a client with AGN

Answer 53

Decreased sodium intake, | Fluid restriction if urine output is decreased

Question 54

Antecedent of glomerulonephritis

Answer 54

Throat infection

Question 55

Age group commonly afflicted with AGN

Answer 55

Common in children

Question 56

``` Lead poisoning (windowsills, stair rails) Ingest flakes, of paint, putty, ```

Answer 56

Plumbism

Question 57

Electrolyte imbalance associated with Salicylates poisoning.

Answer 57

Hypokalemia due to renal tubular mechanism.

Question 58

The most widely used antidote for iron, arsenic, mercury, | antimony, and gold poisoning.

Answer 58

A chelating agent | Dimercaprol or Deporoxamine (Desferal)

Question 59

Respiratory center is affected in aspirin overdose yields to

Answer 59

``` Metabolic alkalosis (due to elimination of carbon dioxide) ```

Question 60

Projectile vomiting, has olive-size bulge under right ribcage

Answer 60

Pyloric stenosis

Question 61

In giving enema in infants, to avoid the danger of water | intoxication, do not use.

Answer 61

Tap water and soap suds but may use mineral oil or | isotonic saline

Question 62

A condition with Vitamin ADEK deficiency and failure to thrive

Answer 62

Celiac disease

Question 63

A condition commonly associated with cystic fibrosis and | celiac disease with "currant-jelly" stool

Answer 63

Intussusception

Question 64

Blood gas disorder associated with pyloric stenosis

Answer 64

Metabolic alkalosis

Question 65

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

Answer 65

Hirschsprung's disease

Question 66

What to check before administering MMR

Answer 66

Allergy to eggs and should be skin tested first for | sensitivity. MMR vaccine contains eggs.