Child Maltreatment/ submersion injuries
this is the most common form of maltreatment; failure of guardian to provide basic needs and adequate care
neglect
this type of neural tube defect is incompatible with life
anecephaly
Major manifestation of ADHD
distractibility
headache, vomiting, personality changes, irritability, fatigue
early signs of increased ICP
we treat every case of meningitis as this until cultures have resulted
bacterial meningitits
violent shaking causes brain to rotate within the skill, resulting in shearing forces that tear blood vessels and neurons
AHT (shaken baby syndrome)
main way to prevent NTDs?
folic acid
therapeutic management of ADHD
behavioral therapy + medication management
Rigid extension and pronation of arms and legs
Decerebrate posturing
the nurse noted documentation that a child is exhibiting an inability to flex the leg when the thigh is flexed anteriorly at the hip. which condition does the nurse expect? meningitis; spinal cord injury; decreased cerebral blood flow; intracranial bleeding
meningitis
what does TEN4 stand for?
trunk, ears, neck; <4 months old
MS is a ____ (X or Y) linked recessive trait?
X
Short broad neck, wide space between big and second toes, protruding tongue, small nose are all consistent with?
trisomy 21 (down syndrome)
prominent signs of hydrocephalus in infants?
head enlargement and bulging fontanels
how frequently should the nurse be assessing neurological status on a patient suspected of having bacterial meningitis?
every 2-4 hours
What predicts the outcome for a child suffering from a submersion injury?
duration of submersion
we want LESS THAN 5 MINUTES
*surprise Reye's syndrome question!*
a child is diagnosed with reye's syndrome. the nurse creates a nursing care plan for the child and should include which intervention in the plan? Assessing hearing loss; monitoring urine output; changing body position every 2 hours; providing a quiet atmosphere with dimmed lighting
providing a quiet atmosphere with dimmed lighting
what are the 2 domains that autism spectrum disorder is based on?
issues with social interaction & repeated behaviors and severely restricted likes and actions
Late signs of increased ICP
bradycardia, alterations in pupillary response
feeding difficulties, persistent moro reflex, rigid arms or legs
early signs of CP
what is the priority medical intervention for a child suffering from a submersion injury?
restore oxygen
Nursing management of a patient with SB?
c section birth, keep sac intact, prep baby for closure, infant kept prone, diapering contraindicated, parental bonding
_____ is always an issue with ADHD
safety
an infant with a diagnosis of hydrocephalus is scheduled for surgery. which is a priority nursing intervention in the pre-op period? test urine for protein; reposition the infant every 2-4 hours; provide a stimulating environment; assess blood pressure every 30 minutes
reposition the infant- increased risk of pressure ulcers
the nurse is planning care for a child with acute bacterial meningitis. based on the mode of transmission of this infection, which precautionary intervention should be included in the plan of care?
maintain enteric precautions; maintain neutropenic precautions; no precautions are required; maintain droplet precautions
maintain droplet precautions