Peds Exam Iv

Front 1

What are the Biological Aspects of Autism

Back 1

Elevated Serotonin, Cerebellar adbnormalities

Front 2

Explain Savants related to Autism

Back 2

Individual may excel in some area such as music, math, puzzles, art, memory.

Front 3

Adolescence may have an increased or decreased severity of symptoms

Back 3

Increased.

Front 4

Rate Mental Retardation in children with Autism

Back 4

Moderate to Severe

Front 5

True or False a child with Autism with present with the following social deficits, Lack of the following affect, eye contact, social/ emotional reciprocity

Back 5

True

Front 6

When the Parent of a PT with Autism states “ I now understand we need to follow a daily routine and stick to it” the PT teaching has been successful, True or False

Back 6

True

Front 7

When working with Autism the Nurse should recognize the following about her PT

Back 7

Minimize Stimulation, Limit Physical Contact, Plan for Procedures, Give Simple Instructions, Consider Nutrition

Front 8

ADHD

Back 8

Attention Deficit Hyperactivity Disorder

Front 9

The Etiology of ADHD

Back 9

Neurotransmitter deficit of Dopamine & Norepi, Serotonin

Front 10

The Mental Health Organization speaks and gives criteria of inattention & or hyperactivity in Mental Health DX book

Back 10

DSM IV

Front 11

True or False to be DX with ADHD you must have the following Comp Physical Exam, EEG,

Back 11

False also need Psych Testing, Neuro Work up

Front 12

True or False Stimulants related to ADHD cause tics?

Back 12

Currently NO Stimulants do not cause Tics, but can exacerbate them.

Front 13

List CNS Stimulants that can be use

Back 13

Ritalin, Dexedrine, Adderall, Metadate ER, Cylert

Front 14

Suppressed Appetite & Sleep interference as well as nervousness & hyperactivity are all signs of what

Back 14

CNS Stimulant S/E

Front 15

True or False Stimulates are Addicting

Back 15

False Stimulants have not been found to have addictive properties

Front 16

True or False Subjects taking Stimulates will eventually build up a tolerance to the drug

Back 16

False No physical tolerance of stimulants at this time

Front 17

Adolescence with untreated and unDX ADHD generally will tend to us what two forms of recreational support

Back 17

Alcohol, Marijuana

Front 18

True or False Stimulants will not stunt a child’s growth

Back 18

True Long term studies show minimal or no difference

Front 19

What is the key concern of Stimulant use in adolescents and adults

Back 19

Abuse (Overdose w depression)

Front 20

As the Nurse I need to educate my parents of a child with ADHD of the following

Back 20

Suppress Appetite (give w or after meal), Monitor Growth, Administer last dose 5 hr before bedtime, Avoid Caffeine, Monitor Drug Supply.

Front 21

When taking Cylert what which lab value for toxicity

Back 21

Liver – Hepatic Toxicity

Front 22

List common S/E of Wellbutrin

Back 22

Abd Cramping & Leg Ache,

Front 23

Wellbutrin should be given AM or PM

Back 23

AM

Front 24

Wellbutrin helps to decrease Hyperactivity & Distractibility

Back 24

Hyperactivity & Impulsiveness also Antidepressant, DOES NOT help with Inattention & Distractibility

Front 25

Give Obstacles of Care for PT with ADHD as a Nurse

Back 25

Lack of Policies on Care of Psych PT, Limitations of Staff Skill, Time, Lack of access to MH Records,

Front 26

This is the earliest and most sensitive indicator of Pediatric Coma Scale assessment

Back 26

LOC level of consciousness

Front 27

The Pediatric Comas Scale looks at three things primarily

Back 27

LOC, Pupils, Motor(posturing)

Front 28

In the Pediatric Comas Scale what do E, V, M stand for

Back 28

Eye, Verbal, Motor

Front 29

True or False and thing <6 represents a significant risk of mortality

Back 29

False <8

Front 30

Total Ped Glascow Coma Scale is

Back 30

15

Front 31

This invasive Diagnostic Test provides information such as Fluid cell count, Bacteria, Pressure of CSF, what is

Back 31

Lumbar Puncture

Front 32

Brain Waves, SZ activity, can all be evaluated with this Diagnostic Test what is

Back 32

EEG Electroencepholgraphy

Front 33

List Diagnostic Test that show blood flow, structure

Back 33

MRI, CT, XRAY, Angiography

Front 34

List Signs & Symptoms of ICP in Infant

Back 34

Poor Feeding, Vomiting, Irritability, Restlessness, Lethargy, High Ptiched Cry, Bulging Fontanel, Inc Head Cir, Separation of Suture, Distended Scalp Veins, Sunset Sign Pupil resting on bottom of Iris.

Front 35

Signs of ICP in Children

Back 35

HA, Diplopia, Motor Weakness, NV, Mood Swings, Altered LOC, SZ

Front 36

If you find your PT in a decorticate position this communicates what result

Back 36

Cerebral Hemorrhage

Front 37

If you find your PT in a Decerebrate position this communicates what result

Back 37

Medulla or Pons Damage

Front 38

When a PT presents limp with a lack of posture this indicates

Back 38

Brain Stem Damage

Front 39

Late Signs /Symptoms of ICP Tachycarida to Bradycardia, Apena, Cushing Triad,

Back 39

SZ, Papilledema, Alteration pupil size & reactivity, Decorticate & Decerebrate posturing.

Front 40

An Incr in Systolic pressure with widening pulse pressure , bradycardia with decr in respiration rate or change in pattern, What are these three things grouped together called

Back 40

Cushing Triad

Front 41

There are two ways to Reduce Volume of Cerebral Spinal Fluid

Back 41

Ventriculostomy & Shunt (Internal Ventriculoperitoneal

Front 42

If an infant has a recorded ICP of >20 which activities should be avoided

Back 42

Suctioning, Turning, Bathing, Head Flexion, Valsalva’s Manuever

Front 43

A moderately forceful attempt at exhalation against a closed airway is Holding the nose shut and closing the mouth is a test of cardiac function, name this test

Back 43

Valsalva’s Manuever

Front 44

Ventriculostomy Extraventricular Drain (EVD) must be at a Level 1 or Level 0 at the ear canal

Back 44

Level 0

Front 45

NSG care related to the EVD is

Back 45

DSG & insertion site, Tubing, Clamping Stopcocks Open

Front 46

This tubing is just outside the cranium, travels down along the neck ,enters underneath the skin in the chest area and coils in the abdomen or perineum, name this type of shunt (VP)

Back 46

Ventriculo-Peritoneal Shunt (VP)

Front 47

True or False Neural Tube Defects are related to a deficient genetic or folic acid or viral organism

Back 47

True

Front 48

What is the recommended Folic Acid intake dose

Back 48

400mcg/day

Front 49

Spina bifida occulta, Meningocele & Myelomeningocele are all what type of Defects

Back 49

Neural Tube Defects

Front 50

Neural Tube defects are higher in Girls or Boys, Whites or Blacks?

Back 50

Girls, Whites 3x’s.

Front 51

During Pre-Op what position will a PT with Meningomyelocele be placed in

Back 51

Prone Position

Front 52

Children with Neural Tube Defect commonly have this type of allergy

Back 52

Latex Allergy

Front 53

As the Nurse what Highest Priority for Pre-op Mngt…what are you watching for

Back 53

Hydrocephalus / ICP

Front 54

As the nurse how do you protect the Meningomyelocele

Back 54

Protect integrity of Sac, Wet/Sterile Dressing w/ NS.

Front 55

As the Nurse Post-Op care consists of

Back 55

Wound Care, Keep Prone, Infection, Sterile DSG Chng, Prevent UTI, Motor & elimination,

Front 56

CSF accumulation in the brain due to imbalance between production and absorption what is

Back 56

Hydrocephalus

Front 57

True or False there are three type of Hydrocephalus

Back 57

True Non Communicating, Communicating, Inc CSF

Front 58

What is the most common type of Hydrocephalus

Back 58

Non Communicating – obstructed flow through ventricles.

Front 59

Where does Ventriculoperitoneal drain

Back 59

Drain peritoneal cavity

Front 60

Where does Ventriculoatrial drain

Back 60

Rt Atrium via Jugular vein

Front 61

Where does Ventriculopleural drain

Back 61

Chest Cavity

Front 62

Lumbo-peritoneal is used with ______________ hydrocephalus

Back 62

Communicating – impaired absorption subarachnoid space, (Flow but no reabsorption occurring)

Front 63

Name most common Treatment Complications of Shunt

Back 63

Obstruction or Occlusion