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M.H.R School Of Nursing > Pediatrics Exam 10 > Flashcards

Pediatrics Exam 10 Flashcards

1
Q

MEDICAL EMERGENCY

Drooling/ Tripod position

A

Acute Epiglottitis

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2
Q

Twilight Croup

A

Acute Spasmotic Laryngitis

Sudden @ night onset

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3
Q

Most prevalent nutritional disorder in the US

A

Iron deficiency Anemia

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4
Q

Sickle cell –>bone marrow cant produce any more RBC’s

A

Aplastic Crisis

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5
Q

• Painful episode
• Distal ischemia and pain
Sickle Cell

A

Vasocclusive Crisis

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6
Q

Type of -Sickle Cell Crisis

–>spleen enlarged – working hard to remove abnorm rbc → blood pools to spleen

A

Sequestration Crisis

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7
Q

¾ of circulation pulls in spleen=hypovolemic shock

A

Sequestration Crisis

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8
Q

Greatest risk for Kawasaki Disease (KD)

A

boys < 1 yo

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9
Q

Consider KD in

A

any child w/ rash & fever of unknown origin

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10
Q

protrusion of abd contents through the abd wall @junction of the umbilical cord and abdomen

A

Omphalocele

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11
Q

Omphalocele develops

A

btwn 6-8wks

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12
Q

stricture of the anus

A

Imperforate Anus

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13
Q

Occurrence of Imperforate Anus

A

7th week of intrauterine life

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14
Q

S/S of Imperforate Anus

A

No Stool in 24h

Fistulas = difficult to repair, typically want to retract

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15
Q

Contraindicated w/ Imperforate Anus

A

Rectal Temps

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16
Q

RN Mgmnt - Imperforate Anus

A

Irrigate w/ NS after ALL BM
NPO
IV Fluids
NG tube for decompression

17
Q

Highest Incidence of Cleft Palate

A

North American Indian
Cleft lip & palate= boys
Lip= girls

18
Q

Cleft Lip and Palate

19
Q

Cleft Lip

20
Q

Primary Pallet formed by

A

7 wks gestation

21
Q

Secondary Pallet formed by

A

~13 wks gestation

22
Q

Lip unites at

A

~5-6 weeks gest

23
Q

Maxillary processes fuse to form

A

primary palate by week 7 gestation

24
Q

Palatal processes fuse to form

A

secondary palate by week 13

25
Q

close cleft lip and pallet; usually preformed in stages; wait for baby to get older.

A

Palatoplasty

26
Q

hyper-nasality (pinch your nose and talk)

A

resonance asc w/ cleft palate/ lip

27
Q

omit sounds or substitute sounds

A

articulation:

asc w/ cleft palate/ lip

28
Q

Least likely to exhibit cleft palate

A

African American

29
Q

Tx of Choice for cleft palate

A

Plastic Sx- Palatoplasty

30
Q

Failure of the esophagus to develop as a continuous passage

A

EA: Esophageal Atresia

31
Q

Failure of trachea and esophagus to separate into distinct structures.

A

TEF: Tracheoesophageal Fistula (TEF)

32
Q

Esophagus ends in a blind pouch; No connection to the trachea

33
Q

( TEF w/o atresia)

fistula is present between otherwise normal esophagus and trachea

A

H – type

34
Q

esophagus ends in a blind pouch

fistula to stomach (80-90%)

A

Proximal (EA with TEF):

M.H.R School Of Nursing (32 decks)

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