Upgrade to remove ads
Pediatrics Final Review
Terms in this set (73)
What is the symptoms of post tonsillectomy hemorrhage?
What is the care of child with cystic fibrosis?
Chest Physical therapy
Avoid those with colds, fever, illness
pancreatic enzymes with all food
exercise as able
What is a possible complication on the reproductive system with a patient with Cystic Fibrosis?
What is the number for the sweat chloride test for a positive diagnosis of cystic fibrosis?
What are the signs and symptoms of lanoxin (Digoxin) toxicity in a child and what disease is it used for?
Toxicity: Nausea & Vomiting, Diarrhea, bradycardia
It improves Cardiac function in CHF patient
What is the care of a child with seizures?
Nothing in mouth
Protect from injury
Get to floor if not in bed
Turn on side
Do not restrain
What is the treatment for RSV and broncholitis?
Fluids, clear (IV)
Respiratory treatment - bronchodilation
What is the most common complication with kids with Diabetes Mellitus?
What is purpose of the Denver Assessment?
Measures Developmental level
Screens for developmental delays
What age group of children most often experiences regression if/when hospitalized?
Dietary guidelines for infants?
Breast milk - 1st year
Iron fortified formula - 1st year
Rice cereal 6 mo
Add one food at a time
Best way to assess for weight loss and gain?
5 P's of cast/traction/braces
Paresthesia - tingling
Symptoms of Duchene's muscular dystrophy
Normal until 3 years of age, than starts with a waddling gait, leg weakness
Treatment of Duchene's muscular dystrophy
Promote as much normalcy as possible
What is the reason for mortality in Duchene's muscular dystrophy?
What are symptoms of scoliosis?
Uneven hip and shoulder height
Complains clothes do not fit
19. What is the treatment of scoliosis?
a. Wear brace to bone growth cessation
20. What is the treatment of impetigo?
a. Good hand washing
b. Topical antibiotics
c. Return to school after 48 hours on antibiotics - topical
d. Soak and remove crusts
21. What is the treatment for hypoglycemia?
a. 15 g Carbohydrate
i. 4 oz juice
ii. 8 oz Skim milk
22. How should synthroid (levothyroxin) for hypothyroidism be administered?
a. Take 1st thing in the morning
b. Take every day
c. Will take it for the rest of your life - lifelong
d. Assessment of levels
23. What are the signs and symptoms of hip dysplasia and what is done to correct it?
a. Asymmetrical thigh and gluteal folds
b. Treatment - Pavlick harness
i. Usually worn until 1 year of age
24. What are the signs and symptoms of an appendicitis?
a. Abdominal pain
b. Rebound pain
c. Pain at the McBernie's Point
25. What is the sign of appendix rupture?
a. The abdomen stops hurting
26. What is the treatment for GERD?
a. Small frequent feedings
b. Thicken formula by adding cereal
c. Keep child upright for 30 minutes
27. What is the symptom of Pediculosis capitis (head lice)?
a. Intense itching - especially the head
28. What is the treatment of pediculosis capitis (head lice)?
a. Permethrin/Nix/RID shampoo
b. Remove nits
29. What is the top priority for kids suffering from burns?
30. What is the treatment of Celiac disease?
a. Lifelong gluten free diet
i. No wheat
ii. No oats
iii. No barely
iv. No Rye
31. What is the treatment for a vaso-occlusive crisis associated with Sickle cell anemia?
c. Pain management
32. What is the treatment for hemophilia injury that has caused bleeding?
33. Suggested approach with Child abuse or neglect is suspected?
a. Report to the appropriate authorities
34. What is the nurse's role in suspected child abuse?
a. Gather assessment data
i. From child
ii. From caregivers
35. What are normal Urinary Analysis findings?
a. pH 6
b. specific gravity of 1.010 - 1.020
c. No glucose, protein
36. What are symptoms of an infection under a cast?
a. Foul odor
b. Warm to touch
37. What does abtunded mean in regards to altered level of consciousness?
a. Sleeps unless stimulated
b. Oriented when awakened
c. Arouses easily
38. What is the best way to obtain I/O for an infant and toddlers not yet potty trained?
a. Weigh diapers
39. What is the difference between Type 1 and Type 2 diabetes mellitus?
a. Type 1 - absolute insulin deficiency
b. Type 2 - inadequate insulin / insulin resistance
40. What is the care need for a child in traction?
a. Keep body in Good alignment
b. Assessment of 5 p's
c. Monitor for infection at pin sites
41. What are the five principles of diabetes mellitus related to toddlers?
a. Teach symptoms of low blood sugar
b. How do low blood sugar symptoms feel
c. Let them wipe their finger with the alcohol swab
d. Choosing food from a selection
i. School age - may do injections
ii. Adolescents - draw up and inject insulin
42. What is the treatment for a UTI - urinary tract infection?
a. Increase fluids - cranberry juice
c. Proper cleansing - front to back
d. Wear cotton underwear
43. What are the warning signs of cerebral palsy?
a. Poor head control at 3 months of age
b. Persistent primitive reflexes at 3 months of age
44. Diuretic used with children who have congestive heart failure?
ii. Daily weights
iii. Monitor labs
45. What is the treatment of meningitis?
a. Respiratory isolation for the first 24 hours after antibiotics have been started
b. Quiet room
c. Dim lights
d. Allow child to assume position of comfort
e. Monitor for seizures
f. Decrease stimuli
46. What is Nuchal rigidity?
a. Neck hurts
47. When is hypoglycemia mostly likely to occur in a patient with diabetes and what should be done to treat it
a. Mid afternoon
b. Eat a snack
48. When should the fontanels close?
a. Anterior : 12-18 months
b. Posterior: 2 months (6-8 weeks)
49. How should a nurse or parent help prepare a school-age child for hospitalization/procedure?
a. Visual aids, drawings, Puppets to go along with explanations given
50. What is the normal growth pattern / weight gain for infants?
a. Double birth weight by 6 months
b. Triple birth weight by 1 year
51. What is the patient teaching for antibiotic administration?
a. Take as ordered
b. Complete the entire prescription
52. What is a preschooler's response to hospitalization / illness?
53. What is the care for a child post tonsillectomy?
a. Watch for excessive swallowing
b. No red liquids
c. No straws
d. Clear liquids first
e. Cool mist humidifier
54. What is the treatment for conjunctivitis?
a. Warm cloth over eyes to loosen dried drainage
b. Good hand washing
c. Eye antibiotics
55. What complications may occur after a strep infection?
a. Rheumatic fever
b. Streptococcal glomerulonephritis
56. What is the teaching for Albuterol?
a. Treats asthma
57. What test is used to diagnosis strep infection exposure?
a. antistreptolysin O titre
58. What to do if child develops 'blue/tet' spell / hypercyanotic spell?
a. Place in knee-chest / squat position
59. What is required for the Jones criteria for diagnosis of Rheumatic fever?
a. Major symptoms and Minor symptoms
60. What can a peak flow meter for asthma diagnosis?
a. Can detect a decline respiratory function before symptoms are evident
61. What is the nursing care guidelines for a child undergoing chemotherapy?
a. Monitor labs - specifically WBC
b. Protect from others with illness if WBC count is decreased
62. What is the parent teaching for a child with scabies?
a. Apply Elimite to the entire body from neck down, leave on for 8-14 hours, than bathe child to remove
b. Repeat after one week
c. Wash all clothing/bedding in HOT water and dried on HOT
63. What is a symptom of Hirschsprungs - aganglionic megacolon?
a. Ribbon like stools
b. Abdominal pain
c. Abdominal distention
64. What are the symptoms and treatment of pyloric stenosis?
a. Frequent burping
b. Small frequent meals
c. Increase amounts of feeding as prescribed by the physician
d. Projectile vomiting*
65. What medicine is used to treat GERD?
66. What are the symptoms of dehydration? (select all question)
a. Weight loss
b. Decreased urine output
c. Increased urine specific gravity
d. Poor capillary refill
e. Increased heart rate
f. Poor skin turgor
g. Dry mucous membranes
h. Sunken fontanels
67. What is the nursing care of a child post cleft lip or pallet surgery?
a. Elbow restraints to protect the child from touching their surgical site
68. What is the post surgical care for correction of Hirschsprungs - aganglionic megacolon?
a. Colostomy care
b. No rectal temperatures taken
c. Monitor for bowel function
d. Monitor for skin breakdown
69. What are the guidelines for Iron deficiency (therapy) be administered?
b. Empty stomach, but can be given with food
c. Give with citrus juice, not milk
d. Give with a straw if liquid form
70. What is the dietary treatment for Anemia?
a. Iron fortified cereals and Breads
71. What should be done in the home to prevent poisoning?
a. Secure all cleaning products, medication, and chemicals
b. Keep the poison control number by the number
72. What are symptoms of sexual abuse in girls?
a. Regressive behavior - i.e. bed wetting, pulling away from friends
73. What are the signs of hypothyroidism?
a. Weight gain
c. Hair loss or thinning
d. Feeling cold
THIS SET IS OFTEN IN FOLDERS WITH...
Pediatrics Final Exam Review
Pediatrics Final Exam
Test Pediatric Growth and Development: NCLEX Quest…
Pediatrics Final Study Guide
YOU MIGHT ALSO LIKE...
MEDSURG 1 FINAL-KAPLAN
Chapter 28:Child with Gastrointestinal C…
Nur 263 (Peds) Unit 9 & 10
PEDS - BOLDED OBJECTIVES TO KNOW FOR EXA…
OTHER SETS BY THIS CREATOR
Chapter 36-39 Week 6 Patho
Chapter 28: Structure and Function of the Gastroin…
NCLEX Review - Lab Values