GI
How should the nurse prevent an infant patient who recently had a cleft lip & palate repair from touching their sutures?
Place the infant in elbow/arm restraints
How would you instruct a child who is diagnosed with a kidney stone to collect their stone?
Strain the urine for the stone, drink plenty of water
What is the name for the rebound tenderness test for ruling out appendicitis?
McBurney's Point
How would the RN place the diaper on an infant with exstrophy of the bladder?
Underneath the patient with nothing on top
A mother brings in their 6 week old infant for concerns of projectile vomiting right after feeding. What Gastrointestinal disorder would the nurse suspect is occurring?
Pyloric Stenosis or GERD
Does an infant who is diagnosed with cryptorchidism need immediate surgery?
No
What kind of diet should a patient with glomerulonephritis be on?
Renal diet!
Low protein
Why for an infant diagnosed with hypospadias do we delay circumcision?
They may use the foreskin in the revision surgery
A mother of an infant is concerned as the infant is choking on their feeding and has increased saliva that looks like frothy. What Gastrointestinal disorder would the nurse suspect is occurring?
Tracheoesophageal fistula
How is Vesicoureteral Reflux (VUS) normally found in pediatric patients?
Frequent UTI diagnoses
A parent of a child with Hirschsprung's asks if the colostomy their child has will be permanent, how should the nurse respond?
The ostomy bag may be temporary depends on whether the colon nerves cells (agangolic) become active
For a patient with Nephrotic Syndrome, what are the labs that need be monitored?
Albumin (serum protein), creatinine, electrolytes
What Gastrointestinal disorder has the child with symptoms of sudden abdominal pain, pain that has the child draw up their knees and bloody stool that looks like jelly?
Intussusception
What are signs/symptoms of Hemolytic-Uremic Syndrome?
Pallor, Oliguira or anuria, HTN, Bruising, purpura, petechiae, edema, irritability, anorexia, hematochezia
What should a patient with Celiac Disease avoid in their diet?
Gluten!- Wheat, Rye & Barely
What is an important educational point to cover with parents who have a child who is receiving peritoneal dialysis?
Monitor for signs of infection & peritonitis
What are signs/symptoms of dehydration?
Dry mucus membranes, skin turgor, lack of tears; brittle hair; jaundice; edema; distended abdomen; tender abdomen; increased bowel sounds; diarrhea; loss of weight; enlarged liver; lethargy; paleness
What is the typical cause for Acute Postinfectious Glomerulonephritis (APIGN)?
Strep throat infection
How long should a patient with GERD stay upright after eating?
30 minutes after eating
For a child with PKU what is an important diet educational point?
Low protein (or phenylalanine)