Mixed Bag
Broken Hearts
Busted Lungs
WWND?
GI
Develop and Play
100
In a child with suspected epiglottitis, this is strictly contraindicated because it can trigger airway obstruction.
What is examining the throat, obtaining culture, etc?
100
These clinical findings — including clubbing of the fingers, central cyanosis, and delayed growth and development — are chronic manifestations seen in children living with this long-term condition.
What is congenital heart disease?
100
Infants with this common viral infection may present with cough, rhinorrhea, wheezing, nasal flaring, and even apnea in severe cases.
What is RSV?
100
A nurse would choose ___ precautions for RSV.
Droplet and contact
100
This acid-suppressing medication should be given to infants 30 minutes before feeding to decrease the acid in a baby's stomach, even if they begin to feel better.
What is a proton pump inhibitor? (PPI)
100
Solitary play
200
To reduce the risk of this disease, parents are encouraged to follow these practices, including prolonged breastfeeding, avoiding tobacco smoke, keeping vaccines up to date, and ensuring the infant is upright during feeds without bottle propping.
What is otitis media?
200
Children recovering from rheumatic fever with carditis are taught to limit this until signs of inflammation resolve, in order to reduce cardiac workload.
What is physical activity (or strenuous exercise)?
200
In a child with heart failure, supplemental oxygen is indicated during these situations to improve oxygenation and reduce cardiac stress.
What is during increased activity/exertion, crying, defecating, etc?
200
A nurse knows that common prevention strategies for acute otitis media include ____.
Breastfeeding as long as possible, promoting smoke free environments, updated vaccines, no bottle propping, limiting daycare exposure.
200
Symptoms of this autoimmune disorder triggered by gluten include steatorrhea, abdominal distention and bloating, weight loss, muscle wasting, fatigue, and delayed growth in children.
Celiac Disease
200
Onlooker play. Watching other children play but not participating.
300
Nephrotic syndrome has ____albuminemia, ___ cholesterol, and _____uria.
Hypoalbuminemia, elevated cholesterol and massive proteinuria
300
During this event, interventions include placing the child in knee-chest position, remaining calm, administering oxygen, giving morphine and a beta-blocker, and providing IV fluids.
What is a tet spell?
300
What type of diets do our CF patients need?
High protein, high calorie, high salt. Enzymes every time they eat (meals and snacks).
300
A nurse knows common teachings after a cardiac cath include _____.
No baths, limited activity, and daily dressing changes
300
Pediatricians may recommend adding this to formula as early as 4 months of age to help thicken liquids and prevent reflux.
What is infant's rice cereal?
300
At around 7 years old, childre are in this Piaget stage characterized by thoughts becoming logical and coherent, problem solving is complete, less self-centered.
What is concrete operations?
400
This pain scale is typically used with children aged 8 years and older who can understand numbers and quantify their pain intensity on a scale from 0 to 10.
What is the numeric pain scale?
400
A child presents with fluid backup in the body, including rapid weight gain, hepatomegaly, ascites, peripheral edema, and jugular vein distension.
What is right-sided heart failure?
400
This viral illness in children often presents with a “barking” cough, hoarseness, and varying degrees of respiratory distress, especially at night.
What is croup?
400
A nurse knows we no longer do _____ to treat ingestion of injurious agents.
Induce vomiting, lavage with water (unless ordered), notify CPS
400
Parents of infants with this disease are taught to feed smaller amounts more frequently, keep the infant upright during and after feeding, take PPIs on an empty stomach, and avoid placing the infant in this position immediately after feeding.
What is GERD?
400
In this Erikson stage (ages 4–7), children begin to assert power and control over their environment through play and social interactions; if discouraged or punished too harshly, they may develop feelings of guilt.
What is initiative vs. guilt?
500
How does a nurse calculate bladder capacity?
Child's age + 2
500
When an infant with cyanosis presents with a rapid apical pulse and respiratory rate, this urgent action involving body positioning can help improve oxygenation.
Knee to chest position
500
To manage this disease, children are taught to avoid triggers, use a peak flow meter daily and during attacks, exercise in short bursts, and rinse their mouth after using a metered-dose inhaler.
What is asthma?
500
A nurse knows that ___, ___, and ___, are the 3 C's of TEF.
Choking, coughing, cyanosis
500
After this type of repair, parents are taught to avoid pacifiers, spoons, and oral suction because it can disrupt the sutures and cause bleeding.
What is cleft lip/cleft palate?
500
In this Eriksonian stage, (ages 2-4 years), children gain some basic control over self and environment by making choices.
What is autonomy vs shame and doubt?
600
This pain scale is ideal for children aged 3 years and older who can recognize and point to faces to express their level of pain.
What is the Wong-Baker FACES Pain Rating Scale?
600
When educating parents about this disease, the nurse emphasizes the importance of timely treatment with IV immunoglobulin and aspirin, monitoring for signs like persistent fever, rash, red eyes, and swollen/peeling hands.
What is Kawasaki Disease
600
To reduce the risk of respiratory infections in children with this disease, nurses teach parents to daily postural drainage, avoid exposure to sick contacts, regular CPT, and ensure up-to-date vaccinations.
What is cystic fibrosis?
600
A nurse knows we no longer do ______ to treat pediatric constipation.
Mineral oil, teach parents rectal stimulation
600
Free points!
Congratulations
600
In this Eriksonian stage, adolescents often seek acceptance and validation from peers as they try to form a stable sense of self.
What is identity vs. role confusion?
700
Cola-colored urine, periorbital edema, lethargy and hypertension are hallmark signs of this acute kidney condition in children.
What is acute glomerulonephritis?
700
This congenital heart defect is suspected when blood pressure is higher in the arms than in the legs.
What is coarctation of the aorta?
700
Free points!
Yay!
700
A nurse knows passive immunity is ____ term and examples include: ____.
Short term; breastfeeding, giving antibodies.
700
This condition in infants presents with sudden, severe abdominal pain, "currant jelly" stools, vomiting, and a sausage-shaped abdominal mass.
Intussusception
700
In this Eriksonian stage, (typically ages 7-11), children are developing social skills and competence via an ability to learn and work.
What is industry vs inferiority?
800
This pain scale assesses five categories—Face, Legs, Activity, Cry, and Consolability—to evaluate pain in infants and young children who cannot verbalize their discomfort.
What is the FLACC scale?
800
What is a neurological complication of rheumatic fever with carditis?
Chorea- clumsy, can't concentrate, mood instability
800
This severe complication presents with absent wheezing, severe respiratory distress, use of accessory muscles, decreased breath sounds, and hypoxia that doesn’t improve with usual treatment.
What is status asthmaticus?
800
A nurse knows that patients with cystic fibrosis need to take pancreatic enzymes this often in relation to meals and snacks.
What is with every meal and snack?
800
Hirschsprung’s disease, a condition where nerve cells are missing in parts of the colon, is typically cured with this type of medical intervention.
What is removal of aganglion segment and pull through surgery?
800
At around 2 years old, children are in this Piaget stage characterized by developing object permanence and beginning to use symbols and language, but thinking remains very egocentric and concrete. They have a high level of curiosity.
What is the preoperational stage?