Test 7 Gi And Gu Maternal

Front 1

What is the cause of cleft lip and palate?

Back 1

No one factor has been identified as the cause

Front 2

What should be done to protect surgical correction of cleft lip in infant?

Back 2

--protect suture line with Logan bow or other methods
--do remove restraints periodically to cuddle infant
--cleanse surgical site gently after each feeding

Front 3

How should you position a infant that just had surgical correction of cleft lip?

Back 3

back, side, or in infant seat

Front 4

List 2 nursing considerations for surgical correction of cleft palate

Back 4

--support parent by focusing on other physical attributes; he has your eyes
--show before and after pics of other kids that have had repair

Front 5

List the 3 C's that should alert the nurse to possible tracheoesophageal fistula (TEF)

Back 5

--Coughing
--Choking with feedings
--cyanosis

Front 6

Dx of suspected esophageal atresis is suspected if NG tube fails to pass 10cm beyond gum line.

Back 6

NTK

Front 7

Should you feed an infant if they have TEF?

Back 7

NO

Front 8

What are discharge instructions for an infant with gastroesophageal reflux (GER)?

Back 8

--aspiration percautions
--correct positioning; upright angle
--small frequent thickened formulas and positioning
--CPR

Front 9

What is encopresis?

Back 9

constipation, often with soiling

Front 10

What may cause encopresis (constipation, often with soiling)>

Back 10

Stress

Front 11

Name one way to give a laxative to a child with constipation

Back 11

--give child choice of beverage to mix with laxative

Front 12

Irritable Bowel Disorder (IBD)
What is it?

Back 12

increased bowel motility: spasmodic peristalsis

Front 13

What is the goal of nursing interventions with IBD?

Back 13

decrease symptoms

Front 14

How are ulcers dx?

Back 14

with endoscopic exam: direct visualization of the stomach lining

Front 15

Peptic Ulcer Disease (OUD) has a relationship with which critter?

Back 15

Helicobactor pylori

Front 16

How many drugs are used to eradicate H Pylori?

Back 16

3

Front 17

What does a black or tar colored stool mean?

Back 17

digested blood
yum

Front 18

List four treatment topics related to PUD

Back 18

--education r/t cause
--teach stress reduction (give them Margie's number)
--provide well balanced diet
--not to give antacids with in one hour of other anti-ulcer meds

Front 19

List one key assessment finding of acute appendicitis

Back 19

pain in LRQ
McBurney's Point

Front 20

What is a sign of a ruptured appendix?

Back 20

sudden relief of pain

Front 21

What is the etiology and patho of inflammatory bowel disease (IBD)

Back 21

GI symptoms are systemic inflammatory responses

Front 22

S & S of IBD: Crohn's

Back 22

--diarrhea and abd pain
--non bleeding
--intermittent cramping after eating
--malabsorption and wt loss

Front 23

What disease is indicated by a palpable OLIVE shaped mass, distended abd, viable gastric peristaltic waves, projectile vomiting?

Back 23

Pyloric Stenosis

Front 24

What is the therapeutic management of pyloric stenosis?

Back 24

surgical relief of the obstruction
--complete correction with surgery!!

Front 25

Is vomiting alkalosis or acidosis?

Back 25

alkalosis

Front 26

Is diarrhea alkalosis or acidosis??

Back 26

acidosis

its coming out your ass

Front 27

What dx may be suspected if there is current jelly colored stools?

Back 27

Intussusception

Front 28

What is intussusception?

Back 28

telescoping or invagination of one portion of intestine into another, often cause is unknown
--also dx eval can be appearance of a sausage shape mass in URQ

Front 29

If a barium enema is used what must be inspected and why?

Back 29

--nurse must inspect all diapers to assure passage of the barium

Front 30

What is a nursing consideration r/t intussusception and bowel movements?

Back 30

--the passage of a normal brown stool indicates the intussception has reduced itself

Front 31

What is the primary therapeutic management of celiac disease?

Back 31

dietary

Front 32

What is celiac disease?

Back 32

--intolerance to the protein (gluten) found in wheat, barley, rye and oats

Front 33

What is a nursing consideration r/t the diet and celiac disease?

Back 33

help the child to adhere to the dietary regime

Front 34

What must a child with celiac disease avoid?

Back 34

wheat
rye
oats

dietary gluten

Front 35

What is the main symptom of biliary atresia?

Back 35

jaundice

Front 36

What is the progressive inflammatory process that cause both intra-hepatic and extra hepatic ducts to fibrosis?

Back 36

Biliary atresia

Front 37

Newborn production of urine in the normal newborn is what?

Back 37

1-2 ml/kg/hr

Front 38

What is the normal production of urine for a child?

Back 38

approx 1/ml/kg/hr

Front 39

What does the following indicate?
PH 5-9
sp gr: 1.001-1.035
protein: <20mg/dl
urobilinogen: up to 1m/dl
none of the following:
glucose RBC
ketones casts
Hgb nitrites
WBC's

Back 39

normal urinalysis

Front 40

What is a beta globulin found in serum of individual suffering from any inflammatory process--protein forms a precipitate amount is proportional to severity of inflammation

Back 40

C-reactive protein

Front 41

What is the ESR (sed rate)?

Back 41

(sed rate) of settling indicating inflammation--faster rate indicative of inflammation

Front 42

What is creatinine?

Back 42

a substance easily excreted by kidney, by product of muscle energy metabolism

Front 43

What are creatinine levels equivalent to?

Back 43

GFR

Front 44

What increases creatinine?

Back 44

a disorder of kidney function that reduces excretion, resulting in increased blood levels

Front 45

What are normal creatinine levels?

Back 45

0-3 year= 0.3 to 0.7 mg/dl

3-18 years= 0.5-1.0 mg/dl

Front 46

What does BUN measure?

Back 46

nitrogen portion of urea
used as gross index of GF and production and excretion of urea

Front 47

What is normal BUN and when is it elevated?

Back 47

Child = 5-18 mg/dl
elevated in renal disease

Front 48

What is it called when the urethral opening is behind glans penis or anywhere along ventral (underneath) surface of the shaft of penis?

Back 48

hypospadias

Front 49

Where is the opening of the meatus located in epispadias?

Back 49

dorsal (top) surface of penis

Front 50

Positive ASO titer
increased bp
periorbital edema
moderate proteinuria
gross hematuria
azotemia present
increased serum K+

Back 50

AGN

Front 51

Neg. ASO titer
norm or decreased BP
generalized (severe) edema
massive proteinuria
microscopic hematuria
absent azotemia
normal serum K+

Back 51

Nephrotic syndrome

Front 52

Serum lipids normal
fatigue present
age of oneset 5-7 years
serum protein=minimum reduction

Back 52

AGN

Front 53

Serum lipids increased
fatigue present
age of onset 2-6 years
serum protein=markedly decreased

Back 53

nephrotic syndrome