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peds againn Flashcards

1
Q

cleft palaparte leads to diff in

A

sucking and feeding

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2
Q

cleft palate surgery frame time

A

age 6-24 months

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3
Q

post op interventions for cleft palate

A

-pharm and non pharm pain managementment (soothing)
-uncontrolled pain causes crying which stresses the surgical site and causes hemm
=poistion child upright, supine poistion after feedings
-elbow restraints
-DONT USE HARD OBJECTS SUCH AS UTENSILS, TONGUE DEPRESSORS, APCIFIFERS, STRAWS
-remove elbow restraints per policy

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4
Q

pinworms spread by

A

inhaling or swllowing pinworm eggs which are found in food, drinks toys and linenes

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5
Q

symtoms of pinworm

A

during nght, the pinwom lays thousands of micropscopic eggs around your anus and results in ANAL ITCHING and troubled sleep

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6
Q

pinworm is treated with

A

antiparasticic medications

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7
Q

tapeworm

A

poor appetite
inadq nutritents absopted
-weight loss

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8
Q

tapeworm is transmitted from

A

ingestion of food cotaminated with feces or undercooked meat from an infectied animal

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9
Q

ringworm

A

skin infection cause by fungus

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10
Q

hook worm

A

blood sucking

causes intestinal bleeding and anemia

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11
Q

scabies spread

A

highly contahious

direct person to person contact (nursing facility, day care, prision)

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12
Q

symtoms of scabies

A

intense itching esp at night

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13
Q

treatment for scabies

A

1-2 application of scabicide cream

  • for infants and children, massge permethrin into all surface skins from head to feet and avoid eyes
  • ALL PERSON IN CLOSE CONTACT should seek treatment
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14
Q

to prevent reinfection of scabies

A

wash clothing and linens should be washed and dried on the hottest settings
-. Nonwashable belongings can be sealed in plastic bags for ≥3 days because scabies mites can survive away from skin for only 2-3 days. Fumigation of living areas is not necessary.

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15
Q

epitaxis mangement

A

direct continous pressure for 10 mins to promote clot formation

  • cold cloth or ice pack
  • keep client quiet and calm
  • treat at home unless breathing is impaired
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16
Q

bowlegs resolves

A

common as they learn how t walk

rsolves by 18-24 months

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17
Q

healthy infant finding of the chest

A

ular chest shape with the front-to-back (anteroposterior) diameter approximately equal to the side-to-side (lateral) diameter is an expected finding

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18
Q

s3 heart sounds in indants and children

A

normal

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19
Q

scolosis sis always

A

abnormal

20
Q

bacterial meningitis manesitiatations

A 
fever or hypothermia
seizures
high pitched
poor feeding
bulging fontannele
21
Q

dental avulsion

A

permanent tooth sepearted from the mouth

22
Q

priority of dental avulsion

A

rinse and reinsert the tooth into gingical socket and gold it in place until stbalized by the dentisist

23
Q

reimplantation time period of dental avulsion

A

within 15 mins of injufry to reseatblish blood supply which increases the probability of the tooth survival

24
Q

if the tooth cannot be reinserted

A

it should be kept moist by submerging it in commerically perpared solution (hanks salt solution), or cold milk, sterile saline, ORRR as a last resport under the tongue

25
Q

do not do what to dental avulsion

A

scrubbing the root would damage it, so jus gently rinse with sterile saline or clean running water

26
Q

putting the tooth in water

A

hypotonic soultion

lyses the cells and kills the tooth

27
Q

wrapping the tooth in something

A

would dry it out

28
Q

first action with esophageal atresis

A

suction

29
Q

signs of boutlism

A 
constipation
diff feeding
decreased head control
dimished deep tendon reflexes
-these require promtp intevention bc of resp failure
30
Q

celeiac diet education

A
  • cleint need to be gluten free diet for the rest of their lives
  • eating even small amt of fluten will damage the vili even if they dont have sysmtoms
  • Deficient vitamins (mainly fat-soluble vitamins), iron, and folic acid should be replaced.
  • Processed foods (eg, chocolate candy, hot dogs) may contain “hidden” sources of gluten so READ THE LABEL
31
Q

never leave what clients alone

A

seizure

32
Q

varicella zoster lesiosn

A

prutitic and painful and fever

33
Q

supportive measures of varciella zoster

A
  • cool oatmeal baths and topical antihistamines (diphrehdryamine) all to the lesions for itching
  • acetameinphen for pain or fever
34
Q

immunoscomprised clients are at risk (varicella)

A

severe disseminated varviella, pneumonia

and should recive antiviral thepu

35
Q

variceela vaccine in immuncomprised

A

cant get it bc it is live

36
Q

first intervention for hemophilia A

A

factor VII then CT

37
Q

hemopilia A clients with head injury are at risk for

A

intracrnial bleeding

38
Q

when intracranial or another form of bleeding suspected in hemophilia A

A

adm VIII bc body cannot form clot without it

39
Q

pyrloic stenosis symtom onset

A

3-5 2k

common in first bron boys and cause if unknown

40
Q

pyloric stenosis presents as

A

projectile vomiting followed by hunger, emsis is no bilious

  • poor weight gain and often drhydated (suken fontennel, decreased skin tugor, delayed cap refill)
  • amt milk consumed and tchnique such as adq burping should be assessed to ensure there is noe xcesive air swllowwoing or overfeedng
  • mebtalblic alkalosis
41
Q

hyperbiliruubemia

A

normal finding and not related to pyrloic stenosis

42
Q

in CF the thick mucus prevents what

A

prevents pancreatic enzymres from reaching small intestines–> resulting in malabsorption of cabs, fat and proteins and inability to absorb fat soluble vitamines (ADEK)

43
Q

gi symtoms of CF

A

-gas
=abdominal crmaping
-diagrea
-steohrreathey are enteric coated
-capsules can be sprinkled on applesauce, yogurt or acidic soft room temp foods
-capsules should be swllowed whole and NOT BE CURSHED OR CHEWEDcurshed or chewed
-dont take capsules with milk

44
Q

nutritional therpy for cystic fibroris

A

adm pancreatic enzyme with or before every meal or snakcs

-

45
Q

hirschprung disease clinical features (expected findings)

A
  • bilious vomiting(green bike)
  • abdominal distention
  • failure to pass mcenoum for 24-48 hours
  • failure of the internal anal spinter to relax
  • sytmoms of distal intesintal obstruction
46
Q

ftal complication if hirschepsring

A

entercolitis (inflmmation of the colon)—>sepsis and death

47
Q

entercolotis signs

A

presents as fever, lethagy, explosvie foul smelling dirrhea, rapdily worsening abdominal distentioni

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