ENDOCRINE
Diabetes Insipidus is a disorder of this organ.
Posterior Pituitary
You have received report on four children, which of them would you assess first?
A. School-age child in a coma with stable vital signs
B. A pre-school child with a head injury and decreasing LOC
C. An adolescent admitted after an MVA who is oriented to person and place
D. A toddler who is post-op with a low-grade fever
B. A pre-school child with a head injury and decreasing LOC
A nurse is providing care to a child with intussusception. What would that nurse expect to see with a bowel movement?
Currant jelly-like stools
This medication is recommended for all newborns to prevent acquired gonorrheal and chlamydia infection from the birth canal.
Erythromycin ophthalmic ointment
Which question would be important to ask a postpartum client who has a boggy uterus displaced above and to the right of the umbilicus?
When is the last time you voided?
A child with Diabetes Insipidus will need to be treated with Vasopressin and closely monitored for this condition.
Syndrome of inappropriate antidiuretic hormone (SIADH)
This child is in respiratory distress and respiratory failure is likely.
What is the most common cause of acute renal failure in children?
Dehydration
In a one-hour-old neonate, the nursing student identifies acrocyanosis and documents it. What should be done next?
Nothing, acrocyanosis is normal in the early prenatal period.
One of the first signs of infection in a postpartum patient.
Fever
Name the manifestations of hypoglycemia.
Feeling shaky, dizziness, difficulty concentrating, speaking, sweating, pallor.
A 3-year-old is brought to the ED by ambulance after being found submerged in the family pool. The child has an altered mental status and shallow respirations. Which condition will be a priority to monitor in this child?
Hypoxia is responsible for injury to organ systems during submersion injuries. Hypoxia can progress to cardiac arrest.
What is the first indication that acute glomerulonephritis is improving?
Increased urinary output
Which early assessment finding on a neonate could indicate the possibility of infection?
Temperature instability
Which condition is a transient, self-limited mood disorder affecting new mothers after childbirth?
Postpartum Blues
What should the nurse advise the parents of a child with type 1 Diabetes who is not eating due to illness?
Simple carbohydrates or calorie-containing liquids can be substituted on sick days.
An infant is seen with a spiral fracture injury, what nursing intervention is a priority?
Assess for child abuse; fractures in infants are often nonaccidental.
Therapeutic management of a child with Hirschsprung's disease is primarily focused on:
Surgical removal of affected colon.
The most common cause of pathologic hyperbilirubinemia is:
hemolytic disorders in the newborn
Name two medications that could be utilized to help manage a postpartum hemorrhage.
Pitocin
Methergine
Hemebate
Cytotec
TXA
To help a pediatric patient adjust to a diabetes diagnosis, the nurse must remember that developmentally this age group does not want to appear different from their peers.
Cardiac valve damage is a common and serious complication of:
Rheumatic fever
When caring for a child with probable appendicitis, which sign is an alert to possible perforation?
Sudden relief from pain.
Colostrum is high in antibodies, proteins, vitamins and minerals.
Rhogham immune globulin will need to be ordered for the client to receive after birth, in which instance?
Mother is Rh-, and newborn is Rh+