Pediatrics Exam Flashcards

1
Q
  1. Why do Nurses tell Moms to talk to their Babies
A

Bonding

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2
Q

How often do Healthy Infants gain weight

A

Monthly

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3
Q

Factors of DUCTUS ARTERIOSIS

A

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

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4
Q
  1. What is Patent Ductus Arterioisus (PDA)
A

a. When the “Hole” doesn’t close

b. This happens in the TOP of the heart

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5
Q
  1. The 4 Cardiac Defects are
A

a. Ventricular Septal Defect (VSD)
b. Atrial Septal Defect (ASD)
c. Patent Ductus Arteriosus (PDA)
d. Tetrology of Fallot (TOF)

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6
Q
  1. Select all that apply Question for Tet Spells (“To their Knees”)
A

a. Calm Child
b. Supplemental Oxygen
c. Morphine and Propanolol (A Beta-blocker)

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7
Q
  1. Clubbing is usually a late sign of what?
A

Tetrology of Fallot

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8
Q
  1. What must you have to get Rheumatic Fever
A

a. You must have a positive Strep virus to get Rheumatic Fever

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9
Q

When is a good time to get good Heart and Lung assessment for an 8 month old?

A

a. When they are sleeping

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10
Q

What can you not give with Reye Syndrome

A

Aspirin

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11
Q
  1. Why do you not give antibiotics for Croup?
A

a. Because Croup is viral and not bacterial and antibiotics should only be prescribed for bacterial issues

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12
Q

S/S are Diuretic Rash, Vesicles…..

A

Varicella – Chicken Pox

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13
Q
  1. Position Babies should sleep in
A

a. Laying on Back – (Supine)

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14
Q
  1. Always Remember ABC’s when answering any question
A

a. Airway
b. Breathing
c. Circulation

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15
Q
  1. What Pain Scales are used for Infants and Toddlers
A

FLACC is the answer for Infants and Toddlers

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16
Q
  1. 9 mo. old w/ Acute Otitis Media
A

Infection –(Pulling at the Ears)

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17
Q
  1. Epiglotitis has almost been completely eradicated by what?
A

the HIB Vaccine

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18
Q
  1. In a case of Epiglotitis you would stage Oxygen and intubation tools
A

stage Oxygen in the room and intubation tools nearby

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19
Q

What are two treatments for Croup

A

Humidity and Mist

20
Q
  1. 4 Defects for Flow
A

a. VSD
b. TOF
c. PDA
d. ASD

21
Q
  1. Treatment of GERD –
A

a. Upright
b. Burp
c. Thicken Formula w/ rice

22
Q
  1. In Seizure patients - PRIORITY ONE
A

AIRWAY!!!!!

23
Q

What is not done for s seizure patient?

A
  1. Nothing in the Mouth for a seizure Patient
24
Q
  1. What do you do If your first measurement of the baby’s head puts you in the 95 percentile?
A

Re measure first

25
Q

What is the Cleft lip = Rule of 10’s

A

10 wks. 10 lbs. Hemoglobin > 10

26
Q

What Manifestations does a Diagnosis of Strep need?

A

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)

27
Q

S/S and Treatment of Hydrocephalus

A

Irritability, High pitched cry, Anterior Fontanel Bulge

VP Shunt from the Ventricle in the Brain to the peritoneal cavity

28
Q

What to say To the Mom whose baby has club Foot

A

a. Assure her that it is not her fault

29
Q

Is the Femur anterior to the Hip

A

Yes

30
Q

Recommended site to medicate for ages <3

A

Vastis Lateralis

31
Q

Part of treatment plan for Cleft Lip

A

Uses a Elbow Stabalizer

32
Q

What is an ENT

A
  • Ottolaryngalogist
33
Q

Common side effect of Albuterol

A
  1. Albuterol – Elevates all vitals
34
Q

The main outcome of a Tylonol Overdose

A

Liver Damage

35
Q

Two best Interventions for Lead Poisoning

A
  1. Lead Poisoning Prevention and Education
36
Q
  1. S/S are RLQ abdominal Pain w/ Nausea –
A

Appendicitis – Call 911

37
Q
  1. Nursing Intervention for Acute Gloerulonephritus
A

– You want to weigh daily

38
Q
  1. Nursing Intervenbtion for Nephrotic Syndrme
A

– No Salt added Diet

39
Q

Common reason for UTI in kids

A

Urinary Stasis – Holding their Pee

40
Q

Good Knowledge of Hydrocortisones

A

“A little goes a long way”

41
Q

One known fact of Cerebral Palsy

A
  1. Cerebral Palsy – It is what it is.. It does not progress
42
Q

Is the statement “Infanst just need to maintain weight True?

A

Yes

43
Q

The question involves a 3 and under prone to choking –

A

Grapes is the answer . It is not Popcorn & nuts or Hard Candy or Hot dogs

44
Q

Figuring IV Maintenece

A
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
45
Q

Figuring Rehdration

A

Multiply Maintenance total time 1.5 and that is the daily volume needed to re-hydrate.
This number divided by 24 is the hourly.