Pediatrics Exam Flashcards
- Why do Nurses tell Moms to talk to their Babies
Bonding
How often do Healthy Infants gain weight
Monthly
Factors of DUCTUS ARTERIOSIS
a. Every baby is born with a little hole in their ( This is a murmur)
b. It will close in the first 10-15 hours of life
c. It will permanently close in 3 weeks
- What is Patent Ductus Arterioisus (PDA)
a. When the “Hole” doesn’t close
b. This happens in the TOP of the heart
- The 4 Cardiac Defects are
a. Ventricular Septal Defect (VSD)
b. Atrial Septal Defect (ASD)
c. Patent Ductus Arteriosus (PDA)
d. Tetrology of Fallot (TOF)
- Select all that apply Question for Tet Spells (“To their Knees”)
a. Calm Child
b. Supplemental Oxygen
c. Morphine and Propanolol (A Beta-blocker)
- Clubbing is usually a late sign of what?
Tetrology of Fallot
- What must you have to get Rheumatic Fever
a. You must have a positive Strep virus to get Rheumatic Fever
When is a good time to get good Heart and Lung assessment for an 8 month old?
a. When they are sleeping
What can you not give with Reye Syndrome
Aspirin
- Why do you not give antibiotics for Croup?
a. Because Croup is viral and not bacterial and antibiotics should only be prescribed for bacterial issues
S/S are Diuretic Rash, Vesicles…..
Varicella – Chicken Pox
- Position Babies should sleep in
a. Laying on Back – (Supine)
- Always Remember ABC’s when answering any question
a. Airway
b. Breathing
c. Circulation
- What Pain Scales are used for Infants and Toddlers
FLACC is the answer for Infants and Toddlers
- 9 mo. old w/ Acute Otitis Media
Infection –(Pulling at the Ears)
- Epiglotitis has almost been completely eradicated by what?
the HIB Vaccine
- In a case of Epiglotitis you would stage Oxygen and intubation tools
stage Oxygen in the room and intubation tools nearby
What are two treatments for Croup
Humidity and Mist
- 4 Defects for Flow
a. VSD
b. TOF
c. PDA
d. ASD
- Treatment of GERD –
a. Upright
b. Burp
c. Thicken Formula w/ rice
- In Seizure patients - PRIORITY ONE
AIRWAY!!!!!
What is not done for s seizure patient?
- Nothing in the Mouth for a seizure Patient
- What do you do If your first measurement of the baby’s head puts you in the 95 percentile?
Re measure first
What is the Cleft lip = Rule of 10’s
10 wks. 10 lbs. Hemoglobin > 10
What Manifestations does a Diagnosis of Strep need?
Needs STREP plus Two Major manifestations -or-
STREP plus One Major and two minor Manifestions
MAJORS - Carditis, Polyarthritis, Chorea, Erythema Marginatum, Subcutaneous modes
MINORS - Arthralgia, Fever, Prolonged Pand R wave intervals, Elevated ESR & CRP (Lab Work)
S/S and Treatment of Hydrocephalus
Irritability, High pitched cry, Anterior Fontanel Bulge
VP Shunt from the Ventricle in the Brain to the peritoneal cavity
What to say To the Mom whose baby has club Foot
a. Assure her that it is not her fault
Is the Femur anterior to the Hip
Yes
Recommended site to medicate for ages <3
Vastis Lateralis
Part of treatment plan for Cleft Lip
Uses a Elbow Stabalizer
What is an ENT
- Ottolaryngalogist
Common side effect of Albuterol
- Albuterol – Elevates all vitals
The main outcome of a Tylonol Overdose
Liver Damage
Two best Interventions for Lead Poisoning
- Lead Poisoning Prevention and Education
- S/S are RLQ abdominal Pain w/ Nausea –
Appendicitis – Call 911
- Nursing Intervention for Acute Gloerulonephritus
– You want to weigh daily
- Nursing Intervenbtion for Nephrotic Syndrme
– No Salt added Diet
Common reason for UTI in kids
Urinary Stasis – Holding their Pee
Good Knowledge of Hydrocortisones
“A little goes a long way”
One known fact of Cerebral Palsy
- Cerebral Palsy – It is what it is.. It does not progress
Is the statement “Infanst just need to maintain weight True?
Yes
The question involves a 3 and under prone to choking –
Grapes is the answer . It is not Popcorn & nuts or Hard Candy or Hot dogs
Figuring IV Maintenece
Weight in kg, then: -allow 100 mL/kg for the first 10 kg -allow 50/ mL/kg for the second 10 kg - allow 20 mL/kg for the remainder This will give a daily answer. Divide by 24 for the hourly and always round to whl. #'s
Figuring Rehdration
Multiply Maintenance total time 1.5 and that is the daily volume needed to re-hydrate.
This number divided by 24 is the hourly.