pediatric final exam Flashcards

1
Q

asking a pt about her concerns helps promote

A

understanding of individualized care

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2
Q

(FMLA) how many weeks does it provide after childbirth?

A

12 weeks

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3
Q

critical thinking results in

A

problem prevention in designing nursing care

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4
Q

what decreases sperm production

A

heat, tight pants, and environmental toxins

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5
Q

first sign of puberty in

boys and girls

A

breasts begin to develop.

testicles get bigger

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6
Q

gametes contain…?

A

23 chromosomes

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7
Q

folic acid supplement can prevent neural tube defects such as

A

spina bifida

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8
Q

sperm ejaculated near the cervix can survive

A

up to five days and can cause pregnancy before ovulation

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9
Q

Chadwick’s sign

A

dark bluish or purplish discoloration of the vaginal tissue, vulva, or cervix, which is caused by an increase in venous (from the veins) blood flow to the area

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10
Q

nageles rule

A

add 7 days subtract 3 months

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11
Q

recommend to pt. eating dry toast or crackers before getting out of bed to alleviate

A

nasuea in the morning

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12
Q

the positive signs of pregnancy

A

fetal heart sounds, ultrasound scanning of the fetus, and palpation of fetal movements

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13
Q

hyperemisis graviderum

A

Excessive nausea and vomiting that interferes with food and fluid balance. Low-birth weight. Dehydration leads to reduction of blood oxygen and nutrients to the fetus.

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14
Q

morning sickness

A

mild nausea and vomiting

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15
Q

bleeding accompanied by abdominal or lower back pain is typical for manifestation for

A

abruptrio placentae

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16
Q

rh incompatibility

A

-baby is rh positive and the mother is negative.

a RH mother will receive RH immune globulin (rogam) at 28 weeks (also at birth)

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17
Q

why do women take insulin during pregnancy?

A

oral hypoglycemics cross the placenta

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18
Q

a sudden excessive weight gain, swelling of the feet, hands, and face is the first sign of…?

A

gestational hypertension

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19
Q

calcium glucanate reverses the effect of

A

magnesium sulfate

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20
Q

magnesium sulfate is a central nervous system depressant to prevent seizures. Should you have this at the bedside for preeclampsia?

A

yes

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21
Q

placenta previa

A

placenta partially or totally covers the mother’s cervix

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22
Q

gestational diabetes

A

only during pregnancy

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23
Q

what marks the end of the third stage of labor ?

A

(expulsion of placenta) uterus contracts to size of a grapefruit

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24
Q

amniotic fluid should be clear. greenish color indicates meconium was passed and is associated with

A

fetal compromise

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25
Q

boggy fundus needs to be

A

massaged. (boggy fundus indicates hemorrhaging)

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26
Q

in an emergency situation the nurse can

A

baptize a child

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27
Q

bladder distension can cause

A
uterine atony( loses tone) 
have pt void after massaging the uterus
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28
Q

rooting reflex

A

when the corner of the baby’s mouth is stroked or touched. The baby will turn his or her head and open his or her mouth to follow

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29
Q

how do you facilitate breastfeeding?

A

full breast in mouth, nipple faces the roof of the mouth, and should not be painful

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30
Q

infants level of maturation refers to

A

how well developed the infant is at birth and how well their organs function out of the uterus

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31
Q

how to check tube placement when administering a gavage

A
check for stomach fluids and, check
the pH(under 5) of the fluid. Return the stomach fluids
into the stomach.
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32
Q

fetal distress may occur in the post term infant because…?

A

the placental function becomes inadequte

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33
Q

nursing care for an infant with hydrocephalus

A

fetal surgery or shortly after birth to prevent brain damage.
observe for signs of increased cranial pressure (ICP) or infection at the operative site.

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34
Q

post op care for surgical repair of a cleft lip

A

prevent infant from sucking or crying. Never position on abdomen

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35
Q

testing PKU should be obtained how many hours after birth

A

48 to 72 hours after birth

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36
Q

appropriate room assignments for hospitalized children

A

do not assign teenagers with infants or senile older adults

37
Q

illness during early adolescence (12-15) is seen as a

A

threat to body image

38
Q

apical pulses are advised for children under

A

5 years of age

39
Q

ear drops for an infant (child 3 and under)

A

down and back

40
Q

ear drops for a child

A

up and back

41
Q

common treatment for amblyopia

A

eye patch

42
Q

how do you prevent reyes syndrome

A

up to date flu and varicella (chickenpox) vaccines

Do Not Give aspirin to a child with chicken pox

43
Q

RICE

A

rest, ice, compression, and elevation

44
Q

normal capilary refill

A

less than 3 seconds

45
Q

penicillin is used for group …?

A

group A beta hemolytic strep

46
Q

why would a child be swallowing repeatedly after a tonsillectomy

A

bleeding

47
Q

When does pulmonary edema appear in a child with smoke inhalation?

A

6 to72 hours after exposure

48
Q

tet squat

A

returns venous flow

49
Q

parameters for dioxin in an infant

A

HR must be above 100

50
Q

mother ask why her infant is suffering from clubbing of the fingers

A

lack of oxygen

clubbing of the fingers is a sign of hypoxia

51
Q

a child with rheumatic fever needs?

A

penicilin for a minimum of 5 years

52
Q

acid base imbalance of vomiting

A

metabolic alkalosis

53
Q

diarrhea acid base balance

A

metabolic acidosis

54
Q

rapid breathing

A

Respiratory alkalosis

55
Q

how should the nurse administer iron supplements

A

with orange juice

56
Q

vomiting is an outstanding symptom of

A

pyloric stenosis

57
Q

the antidote for acetaminophen

A

mucomist or acetylcysteine

58
Q

an illial conduit diverts urine to the colon. The urine is then

A

excreted with the feces

59
Q

how does an adults skin differ from a child’s skin?

A

children absorb more

60
Q

first aid treatment of a second degree thermal burn

A

cold water

61
Q

a purple flush indicate return of sensation with extreme pain

A

improvement of frostbite

62
Q

Tay sachs disease

A

is a deficiency of hexoamnisdase

63
Q

s/s of ketoacidosis

A

Fruity-smelling breath, Fast, deep breathing, and Nausea

Lab values include ketonuria, decreased serum bicarbonate concentration (decreased CO2), low pH hypertonic dehydration.

64
Q

what is a macular, vesicular, pusturlar, papular types of

A

lesions

65
Q

a child with varicella is contagious for

A

6 days after the rash

66
Q

comvax is a hepatitis b vaccine that should be given to infants born to

A

hepatitis b positive moms 12 hours after birth

67
Q

vaccines contraindicated to a child allergic to eggs

A

flu and yellow fever

68
Q

the nurse should teach adolescence to take all their prescribed medications to avoid microorganisms becoming…?

A

resistant

69
Q

discrediting parents threatens the child’s security and creates…?

A

anxiety

70
Q

the risk of death decreases when there is a definite

A

plan of action

71
Q

how to describe a person who is bulimic? s/s

A

Calluses on the back of the hands/knuckles, compulsive eater, episodes of binge eating with induced vomiting. Binge-purge cycle. Muscle weakness, tooth decay

72
Q

large amounts of vitamin C can be

A

passed during breastfeeding and it can cause colic

73
Q

hospital policy’s in the 1960s

A

mom was intensely sedated, visitors were restricted, and delayed

74
Q

allergic salute

A

does not include productive cough

75
Q

what should be in a natural disaster preparedness kit

A

flashlight, blankets, batteries, food for 5 days, water, transistor radio, medications, first aid kit, cash

76
Q

know what a hyperbaric oxygen therapy is for what?

A

wounds, decompression illness, and carbon monoxide poisoning

77
Q

When mag sulfate is given the first reaction is

A

flushed face

this is normal

78
Q

Signs of hemorrhagic shock

A

Low BP, high pulse, and respirations

79
Q

macule

A

flat lesions that are less than 1 cm in size

80
Q

vesicle lesion

A

small fluid-filled sacs or blisters

81
Q

pustular lesion

A

blister-like sores filled with pus

82
Q

papular lesion

A

a solid, raised area, usually less than 1 cm in diameter, with distinct borders

83
Q

prenatal visit frequency for a normal pregnancy

A

conception to 28 weeks- every 4 weeks
29 to 36 weeks- every 2 to 3 weeks
37 weeks to birth- weekly

84
Q

the rubella vaccination is contraindicated for

A

pregnancy

85
Q

recommended silver nitrate to prevent

A

blindness in newborns

86
Q

what pelvis is most favorable for vaginal birth

A

gynecoid

87
Q

HGC is the basis for

A

a pregnancy test

88
Q

dyspareunia

A

painful intercourse