Growth and Development
Pain scale typically used in children ages 3-8 years old.
What is Wong-Baker FACES?
May cause failure to thrive, difficulty feeding, tachycardia, tachypnea, retractions, grunting, and fatigue.
What are signs and symptoms of Heart failure.
Iron supplements should be given with this to enhance absorption.
What is Vitamin-C?
A medical emergency, characterized by absence of cough, drooling, and tripod position.
What is epiglottitis?
Expected findings include an olive shaped mass in the right upper quadrant of the abdomen and projectile vomiting after a feeding.
What is Pyloric Stenosis?
Type of diabetes is characterized by the body's inability to produce insulin
What is Type I?
A neural tube defect (NTD) present at birth where the neural tube fails to close properly. The resulting sac contains cerebrospinal fluid, meninges, and nerves.
What is a Myelomeningocele?
First dose of Hepatitis B is given.
At Birth.
Where is the PMI located in the neonate?
What is the fourth ICS, midclavicular line
Stong pulses and elevated blood pressure in upper extremities with weak or diminished femoral pulses.
What is Coarctation of the Aorta?
Nursing interventions during a Vaso-occlusive crisis.
What is hydrate, oxygenate, pain management, and rest?
Diagnosis can be made by a sweat chloride test.
What is Cystic Fibrosis?
Client's presenting with an appendicitis typically experience localized pain in the right lower quadrant.
What is Mcburney's point?
These three symptoms, often seen in individuals with diabetes.
What are polyuria, polydipsia, and polyphagia?
Syndrome characterized by intracranial hemorrhage, retinal hemorrhage, and diffuse axonal injury. Infants may present with lethargy, seizures, vomiting, and altered consciousness.
What is Shaken Baby Syndome?
This vaccine is given subcutaneous.
What is varicella?
Infant reflex elicited by stroking outer edge of the sole of the foot toward the toes. The toes fan upward and out.
What is Babinski reflex?
The normal fetal circulation duct between the pulmonary artery and the aorta.
What is patent ductus arteriosus (PDA)?
Interventions when a hemophiliac patient experiences an injury.
Elevate effected joint, apply pressure and ice. May have to give factor replacement
This serious upper respiratory condition is characterized by a barking cough and stridor, typically affecting children between 6 months and 3 years.
What is Acute Laryngotracheobronchitis (Croup)?
This congenital condition results in a lack of ganglionic cells in the colon, causing severe constipation and abdominal distention.
What is Hirschsprung's disease?
Short stature but proportional height and weight, delayed epiphyseal closure.
What is growth hormone deficiency?
Compression of nerves, blood vessels, and muscle inside a confined place, resulting in neuromuscular ischemia; no blood flow to the site.
What is Compartment Syndrome?
This vaccine-preventable disease is characterized by a high fever, cough, and a distinctive rash that spreads from the face to the rest of the body.
What is Measles?
By what age should a child be able to ride a tricycle?
What is 3 years old
Name one left-to-right cardiac defect that increases pulmonary blood flow.
What is ASD, VSD, or PDA
This action should be avoided when a Wilms tumor is suspected, as it can cause rupture or spread of the tumor cells.
What is palpate the abdomen?
Client education with this condition includes replacing their toothbrush 24 hours after antibiotic therapy.
What is streptococcal pharyngitis?
Most common cause of acute glomerulonephritis in children.
What is group A beta hemolytic streptococcus? (Strep throat)
This IV fluid is given in large quantities to replace fluid losses and maintain perfusion to vital organs in patients with diabetic ketoacidosis (DKA)
What is isotonic solution? (0.9% sodium chloride)
When blood glucose levels approach 250 mg/dL, add glucose to IV fluids
This soft brace is used to treat Development Dysplasia of the Hip (DDH) in infants under 6 months old.
What is the Pavlik harness?
This bacterial infection, also known as whooping cough, is highly contagious and can be prevented by the DTaP vaccine.
What is Pertussis?
Rolls from tummy to back and back to tummy
What is 5-6 months.
Which two treatments are administered to a newly diagnosed child with Kawasaki disease?
What is IVIG and high-dose aspirin?
IVIG, no live vaccines for 11 months.
Aspirin 80-100 mg/kg/day every 6 hr
3-5 mg/kg/day after fever for 6-8 wks
Malignancy that typically occurs in the adrenal glands, but can also occur in the spine, abdomen, chest, and neck.
What is a neuroblastoma?
Earliest indication of cystic fibrosis in a newborn.
What is a meconium ileus?
The proximal segment of the bowel telescoping into a more distal segment resulting in lymphatic and venous obstruction.
What is intussusception?
Tx. Air/gas enema. Surgery for re-occurring cases.
Medication given via subcutaneous injections at bedtime for treatment of growth hormone deficiency.
What is Somatropin
Late sign of increased intracranial pressure.
What is Cushing's Triad (systemic hypertension, bradycardia, respiratory distress)?
Which vaccine is given PO and contraindicated for patients with a history of intussusception?
What is Rotavirus?
Three fetal shunts that close after birth.
What is Ductus Arteriosus, Foramen Ovale, Ductus Venosus?
The cardiac defects consistent with Tetralogy of Fallot
What is VSD, overriding aorta, pulmonary stenosis, and right ventricular hypertrophy?
A test to diagnose Sickle Cell Anemia
What is Hemoglobin Electrophoresis?
Epiglottitis is a medical emergency primarily caused by this bacterial infection, which can lead to rapid airway obstruction.
What is Haemophilus influenzae type B (Hib)
The recommended fluid replacement therapy for pediatric patients with moderate dehydration.
What is oral rehydration solution? (ex. Pedialyte)
Start replacement with an ORS of 75 to 90 mEq of sodium/L at 40 to 50 mL/kg over 4 hr.
Maintenance: ORS of 40 to 60 mEq of sodium/L and limit to 150 mL/kg/day.
Treatment of DKA includes a continuous infusion of regular insulin at this rate.
What is 0.1 unit/kg/hr.
Bacterial cerebral spinal fluid results.
What is cloudy, elevated WBC's, elevated protein, decreased glucose content, and positive gram stain?
Type of precautions for patients with Varicella.
What is contact and airborne?
Has a neat pincer grasp (picks things between thumb and pointer finger)
What is 11-12 months?
Medication used to close a Patent Ductus Arteriosus.
What is Indomethacin?
Potentially life-threatening crisis where there is excessive pooling of blood primarily in the spleen (splenomegaly)
What is sequestration?
Nursing interventions postoperatively include placing child on their side and discouraging coughing, clearing the throat, or nose blowing.
What is postoperative care after a tonsillectomy?
A type of intravenous fluid, often used to treat hypernatremia.
What is hypotonic solution?
ex. 0.45% Normal Saline or D5W
An inborn error of metabolism that results in decreased metabolism of amino acids
What is Phenylketonuria? (PKU)
The patient position for a post-operative VP shunt.
What is lay the child flat on the non-operative side?
This is a highly contagious bacterial skin disorder (staph or strep) that requires topical antibiotic for 5-7 days. Common clinical manifestation: honey crusted lesions.
What is impetigo?