Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB > Peds test 2 > Flashcards

Peds test 2 Flashcards

1
Q 
RR and ages 
Newborn
Infant
Toddler
Young child 
older child
Adult
A 
NB-6weeks- 30-60
Infant- 6 weeks to 6months 25-40
Toddler-1-3yr 20-30
young children 3-6 yrs 20-25
Older children 10-14 years 15-20
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Grunting 3

A

Abnormal breath sound on expiration due to glottic closure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Stridor 3

A

High pitch, audible inspiration, upper airway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

With kids- one thing that is different about inspiration vs expiration

A

The inspiration is usually softer and longer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Peak flow how and what is personal best?

A

Measures the maximum flow of air (in L/s) that can be forcefully exhaled in 1 second
Taken twice a day over 2 weeks when well and we can use a chart.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Upper airway problems 6

A 
Pharyngititis/tonsillitis
Adenoiditis
Influenza 
Laryngitis
croup 
Epiglottitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Lower airway Respiratory problems 8

A 
Bronchiolitis/RSV
Pneumonia 
bronchitis
Pertussis
TB
Asthma
Cystic fibrosis
SIDS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is Pharyngitis/tonsillitis.
Usually caused by
S?S 6

A

A sore throat.
Strep Group A
Sore throat, fever, swallowing issues, HA, ab pain, scarlatinform rash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Group A s/s 4

A

Exudate, strawberry tongue, patachiae, scarltiniform rash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Complications of group a strep

A

Scarlet fever, rheumatic fever, rheumatic heart disease, glomerulonephritis, peritosillar or retropharyngeal abcess, osteomyelitis, septic arthritis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q 
Tonsilectomy 
one sign to indicate bleeding
no-4?
no drinks 2
pluse 3 s/s of hem
A

Freaquent swallowing-
bleeding, no coughing, blowing nose, using straws
no citrus or red/brown drinks
Restlessness, tachycardia, tachypenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Croup s/s
how long?
6

A

Lasts 3-5 days

no fever, stridor, seal like cough, hoarsness, worse at night, can develop the bad s/s of respiratory impairment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What do you need to watch for with croup?

A

Bacterial tracheitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

age for croup

A

3months-5years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What causes croup? 6

A

Viral, parainfluenza, adenovirus, influenza, RSV, measles, mycoplasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How to treat croup 5

A

Rest, fluids, steam, cortico, racemicepinephrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What almost always causes epiglottitis?

A

Influenza b

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Epiglottitis is a what and s/s 7

A

medical emergency high fever, toxic appearance, severe sore throat, drooling, refusal to lay back, anxiety, respiratory distress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

tx epiglottitis
never- 2
keep blank close

A

insist child lay back or look down their throat, leave alone

emergency airway equipment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

RSV 4 one- precautions

A

WET!, pretty much always viral, contagious (droplet and contact), peaks around 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Pertussis s/s 3
age worse?
Precautions?

A

Paroxysmal coughing, whoop, coughing lasts for a long time. 3 moths and younger greatest risk for death, droplet and contact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Complications of pertussis 7

A

Hypoxia, apnea, pneumonia, seizures, encephalopathy, weight loss and death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is Cystic Fibrosis
where? 3
One thing to remember and one sign

A

A progressive, genetic disease that causes persistent lung infections and limits ability to breathe over time.
Sticky mucus in lungs, pancreas and other organs
They have a hard time breaking down food
Salty skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

2 devices for cystic fibrosis

A

ThAIRapy vest, Flutter mucus clearance device

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

S/S of cysitic fibrosis 4 you don’t know

A

Abdominal distention, steatorrhea, meconium illeus in new borns,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Age of toddler

A

1-3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What movements of a toddler

how many blocks can an 18 month old stack?

A

Walking, running, stand on tiptoes, climbs, builds block tower, kicks a ball, pulls/carries toys
4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Language in toddlers 2

A

10 words young-250 words old 2-4 word sentences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q 
Vital signs in the toddler 
HR
BP 
RR
What scale to use for pain
A

HR 70-110
RR-20-30
BP 90-105/55-70
FLACC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

When are the chambers of the heart formed?

A

2-8 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Describe the heart in kids under seven

A

It lies more horizontally so the apex is higher in the chest and the heart rate is much higher in infants putting them at risk for a decreased cardiac output.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q 
Heart rates
Newborn
Infant
Toddler
preschooler
schools age
adolescence
A 
120-180
80-150
70-120
65-110
60-100
60-90
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q 
BP 
Newborns
infants
toddlers
school age
adolescent
A 
50-70 systolic
65-100/55
80-110/55-75
80-120/60-75
90-130/70-80
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What is hypertension defined as in kids

A

Consistently greater than the 95th percentile for gender, age, and height.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What are the five points of the heart and where are they

A 
Aortic- Right 2nd intercostal space
pulmonic-left 2nd intercostal space
ERBs Left third space
tricuspid
lower left sternal 
Mitral-5th intercostal medial to mid-clavicular
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

S1 and S2

A

s1 is AV valves

s2 is semilunar valves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Arteriogram-
another name for it
5 things about care

A 
Cardiac cath 
keep pressure dressing on change after one day
keep clean and dry
no bath/ strenuous exercise 3 days
watch for dehydration
bed rest straight for 4-8hrs
38
Q

Why is digitalis given to children?

A

Prevent arrhythmias during and after cardiac cath.

39
Q

Why is digitalis given to children?

A

Prevent arrhythmias during and after cardiac cath.

40
Q

Congenital heart diseases associated with which chromosomal defects

A

Downs, turner, cleft palate, prader-willi syndrome

41
Q

Transposition of the great arteries

A

Aorta+ pulmonary artery switched

42
Q

Total anomalous pulmonary venous connection and one thing to remember

A

Pulmonary veins don’t connect normally and come out of the R atrium
Most incompatible with life.

43
Q

Truncus arteriosus

A

Only one major art comes out of the heart to supply systemic And pulm circ

44
Q

Dijoxin what does it do

A

Increases contractility-helps the heart pump stronger.

45
Q

When to withhold digoxin?

When not to give oral

A

<60 bpm in an adolescent, <90 bpm in an infant.

with food

46
Q

Infective endocarditis what is it
Infects 3
who is at higher risk 3

A

Bacteria colonize on the thrombi and platelets that form on damaged endothelium and valves
Chambers, septum or valves
Prosthetic valves/CHD/Invasive stuff

47
Q 
Acute Rheumatic fever 
what causes it? 3 areas
What is it from?
what age is more likely
how long?
A

Antibody response cross reacts with antigens on cardiac mm neuronal and synovial tissue
Group A strep
5-15
2-4 weeks

48
Q

What does Acute rheumatic fever cause? 3

effects 4

A

Carditis, arthritis, chorea

joints, CNS, skin, subcut tissue

49
Q

How long does Acute Rheumatic fever last and one thing to remember

A

6-12 weeks

may recur

50
Q

S/s of ARF

3 what joints?

A

Fever, painful joints ankle, knees, elbows wrists, red hot

51
Q

Major criteria of ARF 5

A

Migratory polyarthritis, carditis, erythema marginatum, syndenham chorea, subcut nodules

52
Q

Minor criteria of ARF 4

A

Arthralgia, fever, first degree heart block, elevated inflam markers ESR and CRP

53
Q

tx ARF

A

Penicillin

54
Q

tx ARF

A

Penicillin

55
Q

What is Kawaski disease

A

Acute, systemic, necrotizing pan-vasculitis affecting medium-sized arts

56
Q

What does kawasaki disease do?

A

autoimmune disease that causes damage to epithelial walls of vessels causing coronary art dilation

57
Q

What can kawaski diseases cause

A

Coronary art aneurysms

58
Q

s/s of Kawasaki disease 7

A

Conjunctivitis, red tongue, swollen lymph, rash, edema, peeling, vasculitis

59
Q

Tx for Kawasaki

3 things

A

IVIG, Asprin for a long time no live vaccines

60
Q

What are the congenital defects that decrease pulmonary blood flow

A

Tetralogy of Fallot and tricuspid atresia

mother teresa was with a fellow

61
Q

What are the congenital defects that increase pulmonary blood flow

A 
Atrial septal defect
ventricular septal defect
atrioventricular canal defect
patent ductus arteriosis
A duck went down two septic canals.
62
Q

What are the congenital heart defects that obstruct blood flow?

A

Coarctation of the aorta and aortic and pulmonary stenosis

2 stans walked up an arch

63
Q

What congenital heart birth defects cause mixed blood?

A

Transposition of the great arteries
Total anomalous pulmonary/ventricular connection
Truncus Arteriosis
hypoplastic left heart syndrome
The totally great trunk was wrapped in plastic

64
Q

What congenital heart defect causes cyanosis

A

ToF, Atresia, truncus, transposition

65
Q

Tetralogy of fallot 4 things that cause it

A

Pulmonary stenosis, right ventricular hypertrophy, overriding aorta, ventricular septal defect

66
Q

Tetralogy of fallot 4 things that cause it

A

Pulmonary stenosis, right ventricular hypertrophy, overriding aorta, ventricular septal defect

67
Q

s/s of Tet of fal 5

A

Blue babes, loud and harsh murmur, tet or blue spells, anoxic spells, squating

68
Q

one thing to remember with decreased pulm blood flow congenital heart defects

A

Polycthemia

69
Q

Where to listen for ASD? when?

A

Pulmonic valve area during systole

70
Q

Murmur with VSD

A

Loud holosystolic at left sternal border

71
Q

one thing to remember about septal defects

A

usually Spontaneously close

72
Q

What happens in the atrioventricular canal defect

A

Failure of the endocardial cushions to fuse causes

low ASD and a High VSD to meet and clefts in valves

73
Q

One thing to remember about atrioventricular canal defect

A

These kids are really wet

74
Q

Patent ductus arteriosis tx

A

Prostaglandin inhib and surgical ligation

75
Q

what is coarctation of the aorta

A

narrowing of the aorta neer the ductus art

76
Q

s/s of coarctation of the aorta 5

A

epistaxis, leg pain with activity, HA, dizzy, higher BP up high lower BP down low

77
Q

s/s of coarctation of the aorta 5

A

epistaxis, leg pain with activity, HA, dizzy, higher BP up high lower BP down low

78
Q

RSV s/s 8

A

rapid onset, wheezes decreased breath sounds, low grade fever, cyanosis, tachypnea, tachycardia, poor feeding, apnea

79
Q

What is the treatment for RSV? 1

Don’t what?

A

supportive care

Do not breastfeed due to aspiration risk. RR 64 to high to feed.

80
Q

Which resp illnesses do we hear stridor in? 2

A

Croup, epiglottitis

81
Q

What are risk factors for acute otitis me? 8

A

Child angle of estuation tubes, teething, facial deformities, not breastfeeding, bottle propping, down syndrome, strep, secondhand smoke, recurrent URI, bacterial conjunctivitis, allergies,

82
Q

What are three biggest nursing problems with pertussis?

A

Poor nutrition and gas exchange, and dehydration.

83
Q

Strabismus

A

Eyes don’t properly align when looking at something

84
Q

Astigmatism

A

distorted vision

85
Q

Ptosis

A

droopy eyelid

86
Q

Hyperopia

myopia

A

Far and near

87
Q

When to treat acute otitis media with antibiotics 5

A

The child is younger than 6 months
the child is older than 6 months sever signs
the child is younger than age 2 with bilateral
the child has craniofacial abnormalities,
immunosuppression, downs or cochlear implants
the child can’t be monitored by parent for the first 3 days

88
Q

What is otitis media with effusion

A

Its om without any s/s

89
Q

points to listen to heart

A 
aortic - r 2nd
pulmonic-l 2nd
erbs L 3rd
tricuspid- L 4th 
mitral- 5th mid clavicular
90
Q

Hypoplastic left heart syndrome

A

All structures on left side of heart are under developed

OB (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions