Week 3 HEENT Flashcards

1
Q

A childs skull is non ______ as opposed to an adults whos is

A

Rigid

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2
Q

What are the two main fontanels?

A

Posterior

Anterior

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3
Q

When do posterior fontanels close?

A

2-3 months

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4
Q

When do anterior fontanels close?

A

9-18 months

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5
Q

If a fontanel is sunken it means ____

A

Dehydration

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6
Q

If a fontanel is bludging it means_____

A

ICP

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7
Q

How does a child’s autonomic NS compare to that of adults?

A

It is complete but immature

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8
Q

Small tremors are normal in infants up to ____ months

A

1

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9
Q

Why is it crucial to detect hearing loss in children as soon as possible?

A

Because they could become language delayed if the loss isn’t correctet

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10
Q

What is some signs that a child has hearing difficulties

A
  • Head tilting
  • No response to noises
  • Only responds if they are looking at you
  • Find school tough
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11
Q

When during gestation does the lip close?

A

5-8 weeks

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12
Q

When during gestation does the palate close?

A

7-12 weeks

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13
Q

When can cleft lip/palate be detected?

A

14-22 weeks gestation

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14
Q

What is one major risk factor in an infant developing cleft lip/palate

A

Smoking

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15
Q

What is one way to help prevent cleft lip/palate?

A

Folic acid before and during pregnancy

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16
Q

What are the two assessment signs for cleft palate/lip?

A

Visual inspection or feeding from the nose

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17
Q

What age can an infant undergo lip/palate repare?

A

2-3 months lip

year for palate

18
Q

Before a cleft repair, it is important to encourage ____

A

Bonding

19
Q

How is feeding does in a child with cleft l/p

A

ESSR

20
Q

What does ESSR feeding stand for?

A
  • Enlarged nipple
  • Suck
  • Swallow
  • Rest
21
Q

What are some ways to promote bonding between a mother and her child with cleft l/p?

A

Point out all the positive aspects of the child
reassure that the child will have a normal life
Reassure the child will look normal after surgery

22
Q

What is Strabismus?

A

Disorder in which the eyes don’t look in exactly the same direction at the same time.

23
Q

What is the patho of strabismus?

A

Weakness or defect in ocular muscles

24
Q

Pseudostrabismus is common in _____ and is considered normal

A

young infants

25
Q

Amblyopia commonly develops at what age?

A

4-6 years old

26
Q

What is amblyopia

A

Decreased eyesight due to abnormal visual development.

27
Q

How does strabismus cause amblyopia?

A

The eye focuses on the vision from only one eye causing decreased vision in the other.

28
Q

What treatments are available for strabismus?

A

Patching, corrective lenses, Eye muscle exercise, Surgery

29
Q

How is occlusion therapy done?

A

Put a patch on the good eye and force the bad eye to compensate

30
Q

_____ is not always present in children with strabismus and it is not detected until

A

A lazy eye

Vision screening in school

31
Q

When a child has conjunctivitis what are the common complaints?

A
  • Eyes glued shut

- Sand in eyes

32
Q

What is conjunctivitis?

A

INflammation of the conjunctiva

33
Q

Conjunctivitis can be both ____ or ____

A

Bacterial or viral

34
Q

What is some assessment data that supports Conjunctivitis

A
  • Red swollen conjunctiva
  • Yellow, White, or green purulent exudate
  • Crusting on eyelids and lashes
35
Q

can the color of exudate in Conjunctivitis determine if it is bacterial or viral?

A

NO

36
Q

How is viral Conjunctivitis treated?

A

Watchful waiting

37
Q

Viral Conjunctivitis will most likely go away in ____

A

24-48 hours

38
Q

How is bacterial Conjunctivitis treated?

A

With ABO

39
Q

When can a child with bacterial Conjunctivitis go back to school?

A

24hrs after the start of ABO

40
Q

Conjunctivitis can be secondary to ___

A

URI’s