Congenital Heart Defects
Respiratory
Hematology
GI/GU
Metabolic Disorders
100

Patent Ductus Arteriosus is a congenital heart defect that produces a cyanotic or acyanotic defect?

Acyanotic

100

With Imminent Respiratory Arrest, this type of heart rate can be anticipated

Bradycardia

100

What are 3 important interventions for someone in sickle cell crisis?

Oxygen

Fluid Administration

Management of Pain

100

What is one of the main symptoms of a patient with nephrotic syndrome?

Facial Edema

100

How often do you want to encourage the parents to check their Type 1 DM child's urine for ketones on "sick days"

Every 2-4 hours 

200

With aortic stenosis, we can anticipate finding what 3 clinical manifestations or assessment?

Hypotension, weak pulses, and murmur

200

Epistaxis most commonly occurs from what nasal landmark?

Kiesselbach Plexis

200

What are 2 types of microcytic anemia

Iron Deficiency Anemia

Thalassemia 

200

What is one thing you want to avoid in your physical assessment for a pediatric patient with a diagnosed Wilm's Tumor?

Palpating the abdomen

200

If a child is not diagnosed and treatment is delayed with congenital hypothyroidism, this can result.

Irreversible Intellectual Disability

300

With an ASD or VSD what direction does the blood shunt?

Left to right shunting

300

Post T&A, what is the one thing the RN should have on her priority list when she sees the patient has frequent swallowing?

Bleeding

300

What are two types of Macrocytic Anemia?

B12 

Folate Deficiency Anemia

300

A patient has complaints of stools mixed with blood and mucus. The nurse is able to palpate a mass in the upper right quadrant. What differential should be on the top of the nurse's list for disease diagnosis 

Intussusception 

300

When we see that a pediatric patient is falling off the growth chart, one of the top differentials we need to keep in mind is that they may be deficient in what?

Growth Hormone

400

What are the 4 defects of Tetralogy of Fallot?

Pulmonary Stenosis

Overriding Aorta

Ventricular Septal Defect (VSD)

Right ventricular hypertrophy 

400

This respiratory disease has lower incidence since the HIB vaccine was produced?

Epiglottitis

400

Sickle Cell Disease is what kind of genetic factor/trait?

Autosomal Recessive

400

What 3 symptoms do we see consistent with GERD in a pediatric patient?

Vomiting

Weight Loss

Wheezing

400

This is commonly found in obesity and those with diabetes. It is brown-to-black, poorly defined, velvety hyperpigmentation of the skin usually around the neck area

Acanthosis Nigracans 

500

Name the congenital heart defects associated with increased pulmonary blood flow?

Atrial Septal Defect (ASD)

Ventricular Septal Defect (VSD)

Patent Ductus Arteriosus (PDA)

500

We understand that a patient with a CFTR mutation is at risk for what?

Cystic Fibrosis

500

What are 3 things that can trigger sickle cell crisis?

Stress

Infection

Cold Exposure

Decreased Oxygen

Dehydration

500

What disease process do we consider when a parent tells us that their infant "projectile vomits" after feedings?

Pyloric Stenosis

500

The nurse educates the parents on the importance of continuing insulin administration during sick days, even if the child isn't eating while sick. The parents question the reasoning behind this. What is the nurse's best response?

Even though the child is not taking in food that contains glucose, the body still needs glucose to function. If intake of foods is not meeting the body's demand for glucose needed for metabolism, it will begin to make the glucose from protein and fat stores.

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