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PEDS Flashcards

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1
Q

The nurse caring for a client who is receiving oxytocin (Pitocin) should

A

monitor the fetal heart rate.

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2
Q

Oxytocin

A

produces uterine contractions

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3
Q

Oxytocin

A

can cause fetal anoxia

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4
Q

The umbilical cord normally contains

A

two arteries and one vein

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5
Q

RhoGam

A

given to unsensitized Rh-Negative mother after delivery or abortion of an Rh-positive infant

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6
Q

Given to fetus to prevent the development of sensitization

A

RhoGam

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7
Q

Direct Coomb’s test

A

done on the cord’s blood after delivery

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8
Q

if both are negative and neonate is Rh-positive

A

mother is given RhoGam

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9
Q

Administration of RhoGam is given at

A

26 to 28 weeks gestation

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10
Q

RhoGam is ineffective against

A

RH-positive antibodies already in maternal circulation

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11
Q

Circumoral cyanosis

A

bluish discoloration around the mouth

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12
Q

The purpose of administering vitamin K to a neonate is to

A

increase the prothrombin time

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13
Q

The fetus of a pregnant woman that acquires rubella may develop

A

congenital rubella syndrome

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14
Q

blindness, deafness, heart defects, mental retardation, cleft lip and palate

A

congenital rubella syndrome

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15
Q

Breastfeeding

A

has an antidiabetogenic effect

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16
Q

teach Diabetic mother to use less

A

insulin

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17
Q

Growth

A

refers to the process which results in an increase in size

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18
Q

Development

A

refers to increases in complexity of form or function

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19
Q

Maturation

A

refers to the total way in which a person grows and develops, as dictated by inheritance

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20
Q

Ordinal position

A

has a bearing on development

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21
Q

Apgar score

A

used to determine major body systems responses to birth

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22
Q

Infant mortality rate

A

defined by the number infant deaths per 1,000 live births

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23
Q

The higher the score of the Apgar system

A

the better the neonate’s condition is, with a maximum total of ten

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24
Q

Nasal flaring

A

sign of respiratory distress

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25
Q

Sunken eyes and fontanel

A

suggests dehydration in an infant

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26
Q

Lack of eye muscle control is present in all

A

newborns

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27
Q

At birth eye function

A

limited but matures fully during the early years

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28
Q

Normally a child achieves 20/20 vision acuity by

A

6 to 7 years of age

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29
Q

The normal respiratory range for a newborn

A

30 to 80 breaths/minute

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30
Q

The anterior fontanel closes by

A

12-18 months of age

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31
Q

The posterior fontanel ossifies usually by the end of the

A

second month

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32
Q

Depressed fontanels means the child is

A

dehydrated

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33
Q

Bulging fontanels

A

increased Inter-cranial Pressure (ICP)

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34
Q

Lanugo

A

fine hair

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35
Q

Lanugo

A

on the skin of the newborn tends to disappear during the first week of life

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36
Q

The normal vital signs for a newborn I hour after birth

A

HR 140 bpm, R 50

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37
Q

Strabismus

A

normal in the first month of life

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38
Q

Small white dots on the nose

A

milia

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39
Q

milia on the nose are

A

Normal

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40
Q

Vernix caseosa

A

cheese like substance that covers the skin of the neonate

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41
Q

Normal on the infant’s skin

A

Vernix caseosa

42
Q

thought to protect the skin from infection

A

Vernix caseosa

43
Q

The circumference of the newborn infant’s head is expected to be

A

equal or slightly larger than the chest

44
Q

average head circumference of neonates

A

13 to 14 inches

45
Q

Newborn babies like

A

human faces and simple patterns

46
Q

Check for urine retention after the

A

circumcision of the neonate

47
Q

A soft swollen area on the newborn infant’s scalp that extends over the suture lines

A

caput succedaneum

48
Q

caput succedaneum

A

no nursing intervention necessary

49
Q

The umbilical cord normally contains

A

two arteries and one vein

50
Q

A breast –fed baby has 6 to 10 small

A

loose, golden yellow stools per day

51
Q

A formula fed baby has

A

dark green, pastry stools

52
Q

A 5% weight loss is normal among

A

healthy newborns, some few days after delivery

53
Q

Willingness and motivation to breastfeed are

A

important for successful breastfeeding

54
Q

The signs and symptoms of hypoglycemia in the newborn

A

jitteriness and lethargy

55
Q

The nurse should perform a hell stick to check for hypoglycemia

A

which can cause jittery movements in a neonate

56
Q

Signs and Symptoms of cocaine addicted neonate

A

constant crying, jitteriness, and poor feeding emesis, respiratory distress and seizures

57
Q

A cocaine addicted neonate typically experience withdrawal

A

8-10 hours after birth

58
Q

Vitamin K

A

Vitamin K

59
Q

is given to neonates to promote blood clotting and prevent hemorrhage

A

Vitamin K

60
Q

Ophthalmia neonatorum

A

an acute conjunctivitis of the newborn infant

61
Q

often caused by Neisseria gonorrhoeae and Chlamydia trachomatis

A

Ophthalmia neonatorum

62
Q

A 0.5% erythromycin solution

A

instilled in the neonate’s eye to prevent chlamydial ophthalmia and gonococcal ophthalmia

63
Q

Indirect Coombs test

A

during the prenatal period can show previous exposure to Rh-positive antigens

64
Q

direct Coombs test

A

done on umbilical cord blood

65
Q

positive result usually indicates Rh incompatibility

A

direct Coombs test

66
Q

RhoGam

A

administered to women at risk for Erythroblastosis fetalis within 72 hours after birth

67
Q

RhoGam

A

Give within 72 hours after birth

68
Q

Treatment of Erythroblastosis fetalis includes a

A

combination of phototherapy and exchange transfusion

69
Q

Severe jaundice

A

may cause Kernicterus

70
Q

Kernicterus

A

accumulation of bilirubin in the brain tissue

71
Q

may cause severe brain damage, may leave newborn mentally retarded, and frequently results in death

A

Severe jaundice

72
Q

Children with PKU need to avoid

A

sweetner Aspartame (Nutra Sweet)

73
Q

Children with PKU need to avoid sweetner Aspartame (Nutra Sweet)

A

because it is converted to phenylalanine in the body

74
Q

The 3 classic signs of congenital hip dysplasia

A

i) unequal skin folds (ii) limitation of abduction (iii) unequal knee height

75
Q

The Ortolani’s sign or Ortlani’s click is considered diagnostic for

A

congenital hip dysplasia

76
Q

A body (spica cast)

A

maintains the legs in a frog-like position (with hips abducted

77
Q

used to treat congenital dislocations of the hip

A

A body (spica cast)

78
Q

The infant with Down’s syndrome often has

A

slanting eyes and low set ears

79
Q

The most desirable behavioral state to test infant responses is

A

quiet-alert

80
Q

A sign of adequate hydration in a neonate is

A

six to eight wet diapers a day

81
Q

Umbilical cord care

A

cleaning the cord stump three times per day with alcohol until the cord falls off in 1 to 2 weeks

82
Q

Newborn infants should not be discharged before

A

meconium stool is observed and recorded

83
Q

Meconium stools shoud be expected between

A

24 and 48 hours

84
Q

Any remark that indicates dissatisfaction with the infant may indicate a problem with

A

attachment or bonding

85
Q

When caring for a neonate receiving phototherapy the nurse should

A

remember to reposition the neonate frequently

86
Q

PKU

A

phenylketonuria

87
Q

As part of your discharge instruction, tell the mother of a neonate to have the child tested for PKU (phenylketonuria) between

A

48 and 72 hours after birth

88
Q

Denver Development Screening Test

A

evaluates the development level of social, motor and language skills in children ages 1 month to 6 years

89
Q

Physiological jaundice, in contrast to pathological jaundice

A

appears between the third and fifth day of life and last for a week

90
Q

Extracorporeal membrane oxygenation (ECMO) is used with

A

meconium aspiration syndrome to oxygenate the blood while the lungs heal

91
Q

One outstanding symptom of a child with Down syndrome

A

a deep straight line across the palm

92
Q

SIMIAN crease

A

a deep straight line across the palm

93
Q

One of the most distinctive features of infants with down syndrome at birth is

A

decreased muscle tension and strength called hypotonia

94
Q

decreased muscle tension and strength

A

hypotonia

95
Q

Because phenylalanine is found in all natural protein foods

A

a synthetic food providing enough protein for growth and tissue repair must be substituted

96
Q

inspect the gluteal and popliteal folds of the hips to assess for

A

congenital hip dysplasia

97
Q

heart rate of the newborn infant should be determined by

A

auscultation of the apical pulse

98
Q

Mongolian spots

A

bluish discoloration of the skin

99
Q

Mongolian spots

A

common in black babies disappear in the first year of life

100
Q

When measuring the head circumference, the nurse measures the head slightly

A

above the eyebrows and pinnae to the occipital prominence

NURSING (18 decks)

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