Peds 1 Flashcards
a) what care? leukopenia secondary to chemotherapy?
b) urine specific gravity normal range?
c) urine specific gravity when diarrhea?
a) check temp
b) 1.005 to 1.030 normal
c) grater than 1.030(fluid overlado less than 1.005)
a) what is intussusception?
b) DX?
c) manifestations?
d) treatment?
a) intestine slides into an adjacent part of the intestine
b) abdominal ultrasound
c) Sudden abdominal pain
Sausage-shaped mass
Stoll mixed with blood(red currant jelly)
abdominal tender
d) Air enema w/ or w/o contrast
a) cleft lip and palate. what care?
b) acute glomerulonephritis manifestations?
c) 4Y or 5Y? copying a circle?
d) 4Y or 5Y print first name?
a) suction catheter to gently remove the infant’s oral secretions PRN
clean the incision with saline or sterile water
b) Periorbital edema and hypertension
c) 4Y
d) 5Y
a) 9M infant supposed to do what?
b) What s/s are alerting the nurse to the possibility of epiglottitis?
c) What is epiglottitis?
a) should be able to sit unsupported by 8M
to vocalize vowel sounds
b) drooling, restless, absence of coughing, NOT hoarseness
c) inflammation and swelling of the epiglottis
a) what needs to be reported? ventricular septal defect
b) Patent ductus arteriosus (PDA), manifestations?
c) GARD, what position should be?
a) Weight gain of 1.8kg
loud, harsh murmur
b) systolic murmur
wide pulse pressure
bounding pressure
HF
c) be placed 30 degrees for 1hr after feeding
a) After 6hr pyloromyotomy. what food?
b) What is pyloromyotomy?
c) Manifestation pyloric stenosis
a) small, frequent bottle-feeding
b) to treat hypertrophic pyloric stenosis
(this is a genetic disorder)
c) projective vomiting
constant hunger
olive-shaped mass RUQ
dry mucus membranes(dehydration)
a) what is a celiac disease?
b) recommended food?
c) moderate dehydration manifestations?
a) immune reaction to eating gluten
b) scrambled eggs
Gluten is primary in wheat and rye.
So, NO plan flour pastry, wheat cereal and rye toast
c) Tachypnea,dec urinary, sunken fontanel, and slightly increased HR
a) myelomeningocele repair, complication?
b) what is myelomeningocele?
c) manifestations
a) Hydrocephalus(abnormal buildup of cerebrospinal fluid)
b) spinal bifida repair
a) otitis teaching?
b) sickle cell anemia and experiencing a Vaso-occlusive crisis
what should teach?
a) Massage the anterior area of the infant ear following administration
Ear drop should warm or room temp,
hyperextended the infant’s neck is nasal medication
b) Maintain the child on bed rest
Cold compress is a contraindication because enhances vasoconstriction,
DO NOT decrease fluid intake, they need to INCREASE to prevent sickling!
a) rotavirus?
b) Enterobius vermicularis (pinworm)
c) what is epistaxis?
a) The most common cause of diarrhea younger than 5Y
diarrhea 5-7days, vomiting for 2days
b) Perform a tape test over the anus at night 3
eggs can survive 2-3 wks. on surfaces
c) nosebleed
a) Cleft Lip & Cleft Palate, post-ope
b) For isolated cleft lip?
c) For CP or CL and CP?
d) Complications?
a) apply elbow restraints
NPO for 1st 4 hrs
Nothng in mouth
b) wide-based nipple
c) one-way valve
d) Ear infections and hearing loss
Speech and language impairment
Dental problems
GERD
care
Thicken infant’s formula with 1 tsp. to 1 tbsp. rice cereal per 1oz formula
Avoid: Caffeine, OJ(citrus),spicy or fried foods
HOB elevated during and after meals (at least 30 degrees);
a) Hirschsprung’s disease?
b) manifestations
c) diet?
d) post-ope
a) Failure to pass meconium within 24-48 after birth
b) Foul-smelling, ribbonlike stool
c) High-protein/calorie and low-fiber diet
d) ostomy is only temporary
Appendicitis
a) manifestations
b) pt no longer have pain means?
c) Post-op
a) RLQ pain
Decrease or absent bowel sounds
rigid abdomen
rapid, shallow breathing
Fever
b) appendix ruptured
c) NG tube
assess for bowel sounds
Meckel’s Diverticulum
a) manifestations
b) pre-ope
c) post-ope
a small outpouching extending from the wall
a) Rectal bleeding (painless)
abdominal pain
bloody mucus stools
b) blood transfusion if hypovolemia
c) NPO
NG tube
Acute glomerulonephritis
a) manifestations?
b) care?
a) oliguria, facial edema, HTN,
hematuria, proteinuria;
Cloudy, tea-colored urine(smoky brown)
b) Monitor for skin break down (at risk due to edema)
Encourage frequent turning and repositioning
Nephrotic syndrome
a) what is it?
b) S/S
c) care
a) protein pee out
urine dipstick +2 protein
b) weight gain over period of days or weeks,
Facial and periorbital edema(dec thro day)
GI swelling
hyperlipidemia
anorexia
Decreased frothy urine
c) Monitor daily weights
measure abdominal girth daily
Medications: Corticosteroids
Hemolytic Uremic Syndrome (HUS)
a) S/S
c) care
a) occur after a period of V/D,
occasionally occurs after varicella, measles, or UTI
loss of appetite,
bruising, purpura, or
Anuric
rectal bleeding
HTN in severe form
c) I&Os, daily weights, fluid replacements
treat HTN, correct electrolyte
peripherally inserted central catheter
a) PICC line will last?
a) several weeks with proper care
PICC doesn’t need an immobilizer
they use a local anesthetic
(they don’t need to go OP)
a) fractured right femur and is in Brayan traction.
what position?
b) fracture of an epiphyseal plate. what effect?
c) juvenile idiopathic arthritis.what not encourage?
a) The buttocks are elevated slightly off of the bed.
younger than 3Y
b) Normal bone growth can be affected
c) daytime nap, can promote stiffness
should be moist heat, pool therapy is good
