Week 2 TUES Flashcards
What do you always check before a procedure?
Pts allergies
T or F down syndrome childrens milestones are often delayed
TRUE
If maternal age is older what is the risk for delivery of a baby with down syndrome
Higher risk for downs baby
If baby has down syndrom what is the risk for congential heart defects
Higher risks
What vitamin should women be taking in childbearing years
Folic acid
What should you always assess after applying a cast to a child
- ALWAYS assess circulation
A patient with a family history of neural tube defects shares that she plans to start a family soon. Which of the following supplements does her nurse practitioner recommend?
A. Folic Acid
B. Vitamin D
C. Calcium
D. Vitamin A
A. Folic Acid
Which characteristic is true of cerebral palsy?
A. It’s reversible
B. It’s progressive
C. It results in intellectual disability
D. It appears during the first 2 years of life
D. It appears during the first 2 years of life
The nurse is caring for an extremely active 13-year-old adolescent who has recently been prescribed a back brace to treat scoliosis. Which intervention will bemostcritical to the success of treatment?
A. Ensuring treatment compliance with the treatment regimen
B. Teaching the parents about the disease and its treatment
C. Asking how the adolescent feels about wearing the brace
D. Showing the adolescent how the brace works and when to wear it
A. ensuring treatment compliance
A nurse is teaching a group of parents about Trisomy 21. The nurse knows their teaching has been effective when the parents state which of the following as the underlying cause?
A. Nondisjunction
B. Deletion
C. Duplication
D. Translocation
A. Nondisjunction
- a cell division error
What do myelomeningocele, cerebral palsy, and Trisomy 21 have in common? SELECT ALL THAT APPLY.
- The pathophysiology stems from a central nervous system deficit (either brain, spine or both) that occurred as a result of an injury or genetic error that occurred either during the pre, or peri-, or postnatal period of life.
- These conditions often result in developmental delays in one or more areas of development.
- Screening, monitoring, referral, follow up, and care coordination are important nursing interventions for pediatric nurses who work with children with these conditions and their families.
- These conditions are all progressive and result in early death.
- These conditions will require life long management by an interprofessional team.
1, 2, 3, and 5
A 5 year old girl, diagnosed with myelomeningocele is admitted to the hospital for a corrective surgical procedure. Choose four questions from below that you would ask when obtaining the health history that would help plan nursing care.
- What is the child’s current mobility status?
- Is there a family history of myelomeningocele?
- What is the child’s bowel and bladder function and regimen?
- Does the child have a history of hydrocephalus with presence of a shunt?
- Does the child have a known latex sensitivity?
- Were there any complications during the pregnancy of birth of this child?
- Did the mother take prenatal folic acid supplements?
1, 3, 4, and 5
- do they use any equipment to help mobility
- is the child developmentally progressing?
- do they need help?
- what interventions are needed?
- Is there something wrong with the shunt
- changes in cognition could be from information
- make sure to use non-latex equipment
A 7-year old child with cerebral palsy is admitted to the hospital. What information below is most important for the nurse to gain in the history?
A. Age that child learned to walk
B. Parents’ expectations of the child’s development
C. Functional status related to eating and mobility
D. Birth history to identify cause of the cerebral palsy.
C, functional status related to eating and mobility
-all may be assessed later but they aren’t priorities
The nurse is caring for a 2 year-year-old child with myelomeningocele. When teaching about care related to neurogenic bladder, which response by the parent would indicate that more teaching is indicated?
- “If I routinely catheterize my child, the risk of infection from urine staying in the bladder too long will be decreased”.
- “I know it will be important for me to catheterize my child for the rest of their life”.
- “I will always use latex-free catheters”.
- “I will wash the catheter with warm soapy water after each use”.
- important for me to cath y child rest of their life
- promote ind. throughout life
- 6-7 y.o. can usually do own caths with supervision
The nurse is caring for a child with Down Syndrome. What should the nurse’s priority focus be?
A. Teaching hygiene skills to the child to increase self-esteem
B. Screening for anomalies and teaching about prevention of respiratory infection
C. Finding opportunities to increase socialization for the child and the family
D. Expecting walking at age 1 year and toilet training at 2 years old
B. screening
- just looking to refer
- downs has higher risk of infection
- more likely to have congenital defects
