Pediatric Nursing (Chapter 31)

Front 1

What are the 4 defects associated with Tetralogy of Fallot?

Back 1

Pulmonary stenosis
VSD (Ventricular Septal Defect)
Right ventricular hypertrophy
Overriding aorta

Front 2

How do you assess I & O in infants suffering from dehydration?

Back 2

By subtracting the weight of a dry diaper in grams from the weight of the wet diaper, the actual content of the diaper can be calculated

Front 3

Treatment of Gastroesophageal Reflux (GER) in infants

Back 3

Small, frequent feedings that have been thickened w/ infant cereal

Front 4

In patient with a diagnosis of Pyloric stenosis, a clinical manifestation reveals an __________ __________ __________ during palpation in the epigastrium just to the right of the umbilicus

Back 4

olive-shaped mass

Front 5

What is the hallmark sign of intussusception?

Back 5

Currant jelly stools

- Feces that is mixed with blood & mucus from the intestinal mucosa

Front 6

In __________ disease there is an absence of innervation to a segment of the bowel

Back 6

Hirschsprung's

Front 7

In children with neprhosis, when is it neccessary for the parents to seek medical attention?

Back 7

When there is generalized edema

Front 8

What is the primary nursing intervention for children with acute glomerulonephritis?

Back 8

Bedrest

Front 9

Why is prompt treatment of oral thyroid hormone replacement therapy critical in the infant with congenital hypothyroidism?

Back 9

To avoid permanent cognitive impairment

Front 10

What is the treatment for infants younger than 6 months of age suffering from developmental dysplasia of the hip?

Back 10

Consists of positioning the head of the femur within the acetabulum & maintaining the hip in abduction for 4 to 6 months with the use of Pavlik harness

Front 11

What is your nursing intervention for parents of an adolescent wearing a brace to treat scoliosis?

Back 11

Instruct parents to provide/buy clothing that will hide the brace

Front 12

How often do you change the casts on infant with talipes (clubfoot)?

Back 12

Casts are changed weekly to allow for further manipulation & to accommodate the rapidly growing infant

Front 13

Classic sign of Duchenne's muscular dystrophy where the child positions on all fours & uses the hands to walk up the thighs

Back 13

Gower's sign

Front 14

What are the classical signs of meningitis?

Back 14

Photophobia
+ Kernig's sign
+ Brudzinki's sign

Front 15

A child w/ meningitis is usually isolated from other children until antibiotic therapy has been administered for at least _____ hours

Back 15

24

Front 16

Name one nursing intervention for children with cerebral palsy

Back 16

Encourage ambulation

Front 17

In infants with myelomeningocele, 80% of affected infants suffers from __________

Back 17

Hydrocephalus

Front 18

Lead poisoning can lead to __________

Back 18

Anemia

Front 19

To properly remove zinc ointment you must use __________ _____

Back 19

Mineral oil

Front 20

What is the treatment for Seborrheic dermatitis?

Back 20

Crusty, scaly patches can be removed by the application of mineral oil to soften the affected areas (except eyelids) & help loosen crusts followed by shampooing w/ a mild, tear-free shampoo & thorough rinse

Front 21

Sexually active young woman who is being treated with isotretinoin (Accutane) for acne must be using an __________ __________ method duing treatment

Back 21

Effective contraceptive

Front 22

True or False

Benzoyl peroxide & retinoic acid are compatible together & can be used at the same time

Back 22

False

Front 23

Nursing intervetion for parents of a child with candidiasis (thrush)

Back 23

Nurse must inform parents that the 7-day course of nystatin suspension is to be completed even though the lesions may no longer present

Front 24

What is the early s/sx of Varicella (Chickenpox)

Back 24

Fever

Front 25

When is the child w/ chickenpox allowed to go back to school?

Back 25

When all the lesions are crusted

Front 26

What are the s/sx of otitis media?

Back 26

Otalgia (earache)
Fever
Rhinitis
Fussiness
Irritability
Decreased appetite
Pulling, tugging, or rubbing the affected ear
Rolling the head from side to side

Front 27

Post-op care after Myringotomy

Back 27

Position child lying on the affected side to facilitate drainage

Front 28

What is the primary cause of Respiratory Distress Syndrome (RDS)?

Back 28

Gestational age @ birth

Front 29

To prevent Sudden Infant Death Sydrome (SIDS), avoid placing infant in __________ position

Back 29

PRONE

Front 30

What is the primary treatment for Iron deficiency anemia?

Back 30

Administration of Ferrous Sulfate

Front 31

Wha are the treatments for Cystic Fibrosis?

Back 31

Chest physiotherapy

Aerosol medications

Front 32

Is a disorder of the exocrine (mucus-producing) glands, characterized by excessive thick mucus that obstructs the lungs and the GI system

Back 32

Cystic Fibrosis