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55 Cards in this Set
- Front
- Back
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What are the problems of infancy |
Intussusception imperforate anus Spina bifida Failure to thrive Colic Cleft lip and palate Hirchsprung's disease Hydrocephalus Acute Otitis media Bacterial meningitis |
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Invagination of one portion of the intestine into another |
Intussusception |
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It is developed by most children after administration of rotavirus vaccine |
Into susception |
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What are the questions to recognize into susception |
Duration of pain intensity frequency description and other signs and symptoms |
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What are the signs of necrosis has occurred in a invagination of the intestine |
Elevated temperature peritoneal irritation tender abdomen increased white blood cell count and rapid pulse |
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It may occur as an additional complication of spinal cord defect |
Imperforate anus |
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Give two nursing management of imperforate anus |
Assist in temporary colostomy when repair is complicated do not placed in front on abdomen infant may need rectal dilatation twice a day for a few months |
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It occurs when the posterior laminate of the vertebrae fail to fuse commonly at the fifth lumbar of the first sacral |
Spina bifida |
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It is caused by congenital defects and folic acid insufficiency |
Spina bifida |
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It is the kind of spina bifida which the fifth vertebrae of the spine is just open |
Spina bifida occulta |
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It is the kind of spina bifida where in fifth vertebrae of the spinal cord is open with a bulge |
Spina bifida meningocele |
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It is the kind of spina bifida wherein there is bulging and there are nerve stuck in the bulge of the open fifth vertebrae of the spine |
Myelomeningocele |
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What are the nursing managements for spina bifida |
May not need immediate surgery provide support to parents minimize risk of infection |
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A unique syndrome in which an infant faults below the fifth percentile for weight and height on standard growth chart |
Failure to thrive |
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It is caused by non organic and organic |
Failure to thrive |
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May lead to cognitive impairment and even death is allowed to continue |
Failure to thrive |
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What are the nursing management of failure to thrive |
Ensure adequate nutrition nurture the child support and encourage parents ensure evaluation and follow up |
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Paroxysmal abdominal pain occurs in infants under 3 months of age |
Colic |
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What babies are more likely to have colic |
Formula fed babies |
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What is the duration of colic |
3 months for 3 hours a day for 3 days a week after feeding |
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What does colic cause |
Constipation and narrow ribbon likes tools |
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What are the nursing management of colic |
Allow infant to burp after feeding determine infant feeding pattern please hot water bottle on infants abdomen car rides and music boxes maintain upright position in feeding infant |
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It is the fusion of the maxillary and media nasal processes normally occurs between weeks 5 and 8 and the palatal process closes at weeks 9 to 12 of intrauterine life and if failure to close it will cause |
Cleft lip and palate |
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When should you assist in cliff lip surgical repair |
Shortly after birth and sometimes between two to 10 weeks and reinforce parents that a revision of the original repair may be necessary when the child reaches 4 to 6 years of age |
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Inform parents that repair of cleft palate is usually postponed until child is what age |
6 to 18 months old |
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What feeding devices does a baby with cleft lip and pallet used for feeding |
Brecht feeder |
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Give three characteristics of colic |
Lethargy inability to rest and reluctant to reach choice |
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It is the absence of ganglionic innervation to the muscle of a section of the bowel |
Hirschsprung's disease |
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Hertzbach disease is caused by an abdominal gene and chromosome and symptoms in newborn that is what age |
6 to 12 months |
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Which careful documenting should you take with a newborn who has hurts frank's disease |
Duration of constipation what do parents mean by constipation consistency of the stool and is the child ill in any way |
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What are the nursing management of hertzbach disease |
Assist in anorectal manometry assist in temporary colostomy followed by bowel repair at 12 to 18 months of age we for surgery the child may be prescribed daily animals to achieve vowel movements |
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It is an excessive cerebrospinal fluid in the ventricles in the subrachnoid spaces of the brain |
Hydrocephalus |
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What are the two types of hydrocephalus |
Extraventricular and intraventricular |
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Excess in cerberspinal fluid in newborn can result from |
Overproduction by a choroid plexus in the first or second ventricle obstruction of passage of fluid between point of origin and point of absorption interference with the absorption of the fluid from subarachnoid space |
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Three signs and symptoms of hydrocephalus |
Lethargy sunset eyes shrill cries |
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Hydrocephalus can be demonstrated by |
Ct scan mri and trans illumination |
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Give two nursing managements of hydrocephalus |
Administer oxygen as ordered obtain daily weight administer diamax as ordered assist in cerebrospinal fluid bypass |
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What are the two kinds of cerebrospinal fluid bypass |
V-P shunt V-A shunt |
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Information of the ear and is most prevalent disease among children after respiratory tract infection |
Acute otitis media |
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What age does acute otitis media occur |
It is most often in children 6 to 36 months of age and again at 4 to 6 years |
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What is otitis media most frequently seen in |
Males and children with cleft palate |
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There is a higher incidence of otitis media in blank fed infant rather than those who are breastfeed |
Formula fed |
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If not treated it can lead to hearing impairment |
Acute otitis media |
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What are the signs and symptoms of acute otitis media |
Fever sharp or constant pain in one or both ears irritable external canal is generally free of wax |
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The mastoid process should not be tender to touch |
Acute otitis media |
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What should be performed by a physician in children with acute otitis media |
Tympanocentesis |
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What are nursing management of otitis media |
Many otitis media infections results spontaneously without therapy but to avoid the possibility of complications most children are treated with antibiotics educate significant other that during the course of otitis media the child may have a conductive hearing loss which may last for up to 6 months after an acute infection administer antipyretic analgesic and nasal decongestant as order |
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It is infection of the meninges occurring most often in children under 24 months of age |
Bacterial meningitis |
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In bacterial meningitis Brain abscess can result infection to cranial nerves which may result to |
blindness deafness or facial paralysis |
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Bacterial meningitis occurs generally blank days of upper respiratory tract infection |
Two to three days |
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What are the signs and symptoms of bacterial meningitis |
Very irritable because of headache seizures or shock fontanelles are bulging |
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In bacterial meningitis children may develop bulging of the eyes or known as |
Papilledema |
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In this common problem the infant will be positive for brudzinski's or kernig's sign |
Bacterial meningitis |
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In bacterial meningitis newborn my manifest |
For sucking we cry lethargy seizures and apnea |
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Give three nursing management of bacterial meningitis |
Assist in intrahecical injections administer antibiotic as ordered administer corticosteroids as ordered place child and respiratory precautions after the start of antibiotic therapy prophylactic antibiotic may be started to child's immediate family assess for cognitive challenges learning problems and inability to concentrate urine after infection |
