PEDIA (Respi and Renal)

Question 1

1 year old

Answer 1

20 - 40

Question 1

Newborn

Answer 1

40 - 90

Question 2

2 – 3 years old

Answer 2

20 - 30

Question 3

5 years old

Answer 3

20 - 25

Question 4

10 years old

Answer 4

18 - 22

Question 5

15 and above

Answer 5

12 - 20

Question 6

Lack of surfactant within 24 hours of life

Answer 6

Respiratory Distress Syndrome

Question 7

method used to determine RDS

Answer 7

Silverman Anderson Scoring

Question 8

1st sign of RDS

Answer 8

1 RR with retraction

Question 9

major sign of RDS

Answer 9

Expiratory Grunting

Question 10

other s/sx of RDS:

Answer 10

Xiphoid retraction
Flaring nasal flares
Cyanosis
Respiratory acidosis

Question 11

Management for RDS:

Answer 11

• Head elevated
• Proper suctioning
• 02 administration with 1 humidity
• Client placed on CAP & PEEP - Positive End Expiratory
• Monitor for acidosis
• Surfactant replacement

Question 12

Telescoping or invagination of one portion of the bowel into the other

Answer 12

INTUSSUSCEPTION

Question 13

ASSESSMENT FOR INTUSSEPTION:

Answer 13

VOMITING
ABDOMINAL PAIN
PASSAGE OF BLOOD per rectum

Question 14

TRIAD OF INTUSSEPTION

Answer 14

Colicky abdominal pain
Currant jelly stool
Sausage shaped mass

Question 15

air or fluid exerts pressure on area involved to lessen, diminish or rid the intestine of prolapse

Answer 15

Hydrostatic reduction

Question 16

indications that intussusception has reduced itself

Answer 16

brown stool

Question 17

absence of ganglion cells needed for peristalsis

Answer 17

HIRSCHPRUNG’s DISEASE

Question 18

HIRSCHPRUNG’s DISEASE

• abdominal distention
• failure to pass meconium within 24 hours

Answer 18

Neonatal Period

Question 19

HIRSCHPRUNG’s DISEASE

• Ribbon like stool
• Constipation
• Foul smelling stool
• Diarrhea
• Vomitus of fecal materials

Answer 19

Early childhood

Question 20

Diagnostic procedures that reveals narrowed portion of the bowel

Answer 20

Barium enema

Question 21

Diagnostic procedures that reveals absence of ganglion cells

Answer 21

Rectal biopsy

Question 22

Diagnostic procedures that reveals dilated loops on intestines

Answer 22

Abdominal X- ray

Question 23

Diagnostic procedures that reveals failure of intestinal sphincter to relax

Answer 23

Rectal manometry

Question 24

diet for hirschprung disease:

Answer 24

*Increase CHON
*Increase Calorie
* dec residue diet - pasta foods
* no raisin/ prunes

Question 25

proteinuria > 3.5 g/day

Answer 25

Nephrotic Syndrome

Question 26

proteinuria < 3.5 g/day

Answer 26

Nephrotic Syndrome

Question 27

triad of nephrotic syndrome

Answer 27

Proteinuria
Hypoalbuminemia
Edema

Question 28

triad of nephritic syndrome

Answer 28

Hematuria
Hypertension
Edema

Question 29

diet for nephrotic syndrome:

Answer 29

• inc CHON
• dec Na+
• inc K+

Question 30

treatment for hirschprung disease

Answer 30

Corticosteroid therapy (Prednisone)

Question 31

• Primary peripheral, periorbital edema
• Moderate proteinuria
• Gross hematuria (smokey urine)
• Hyperkalemia
• HTN

Answer 31

ACUTE GLOMERULONEPHRITIS

Question 32

diet for acute glomerulonephritis

Answer 32

Dec K+
Inc Fe
Dec Na+

Question 33

a malignant tumor, most common intraabdominal and kidney tumor of childhood.

Answer 33

Neuroblastoma (Wilm’s Tumor)

Question 34

assessment for wilms tumor

Answer 34

• swelling or mass within the abdomen
• firm, nontender, confined to 1 side
• deep within the flank
• urinary retention or hematuria or both
• anemia
• pallor, anorexia and lethargy