OB
Newborn
General Pediatric Considerations
Cardiac
Misc
100

Checking the breasts at the same time every month, feeling in the axilla and around the lymph nodes in a set way, such as a circular motion

Self-breast exam 
100

How many vessels are in an umbilical cord, and what prevents it from getting compressed?

Two arteries, one vein, and Wharton's jelly 

100

Leading causes of death in adolescents ages 15-19

Accidents, unintentional injuries, suicide, and homicide 

100

This illness requires prophylactic antibiotics, especially before dental procedures

Bacterial endocarditis 
100

What are signs and symptoms in a child who is approaching the end of their life

Cheyne-Stokes respirations

Decrease in thirst and appetite

Hearing is the last sense to fail 

200

Which sexually transmitted infection has a primary infection and is followed by recurrent episodes, there is also no cure

Herpes simplex virus type 2 

200

Closes by 12-18 months

Anterior fontanele 

200

This indicates too little ADH, the child will experience polydipsia and polyuria, and will require treatment with fluids and DDAVP

Diabetes insipidus 

200

What is a common, serious complication of rheumatic fever, and how is this disease treated initially? 

Cardiac valve damage, PCN 

200

FHR, breathing movements, body movement, muscle tone, and the amount of amniotic fluid indicate which test?

Biophysical profile

300

What are common techniques used for medical terminations of pregnancy (in the first trimester, and the second)?

Cytotec (first trimester)

D&E (second trimester)

300

Relationship of the fetal body part to one another

Attitude 
300

This pain scale must have the patient (not the nurse) select which face represents their own, while this pain scale is good for assessing pain in a young toddler (especially after anesthesia)

FACES scale, FLACC scale 

300
The nurse auscultates a continuous, machinery-like murmur in this abnormal finding?

Patent ductus arteriosus 

300

At least three stimulated uterine contractions in a 10-minute period, with not late or significant variable decelerations 

Negative Contraction Stress Test

400

What are some normal physiologic changes that women experience during pregnancy?

Respiratory changes (SOB), vasodilation, lowered blood pressure, pelvic softening

400

Indicates placental insufficiency. Reposition the patient, administer IV fluids, and place oxygen via non-rebreather

Late decelerations 

400

Which characteristics predispose pediatric patients to rapid dehydration? 

  • Greater water needs and loss per unit of body weight as compared to adults
  • Greater body surface area and more water loss through the skin
  • Immature kidneys that do not effectively concentrate the urine
  • Higher BMR than adults, especially when sick
  • Smaller stomach volume preventing rapid oral fluid replacement
400

What is the first line of treatment for an infant with a PDA

Indomethacin or NSAIDs

400

This should be given with vitamin c, should not be given with milk, and may cause dark green, tarry stools. 

Iron supplement administration 

500

What are early warning signs in the first trimester, and what should be reported immediately?

Vaginal bleeding

Headache with blurry vision, RUQ pain

Swelling in the upper extremities and face

Seizure activity without a diagnosed seizure disorder 

500

Can spread extensively across the scalp (bogginess), can result in severe blood loss, hypovolemic shock, and death. 

Subgaleal hemorrhage 

500

Why do children metabolize medications differently than adults? 

  • Immature hepatic systems alter the ability to metabolize drugs
  • Immature kidney function changes the ability to excrete drug metabolites in urine
  • Higher metabolic rate sometimes requires higher or more frequent doses to achieve therapeutic effects
500

What interventions should be included in the plan of care for an infant with a nursing diagnosis of excess fluid volume related to CHF?

Administer diuretics, take a daily weight

Decrease PO fluid intake

Feed the child small, frequent meals

Regularly assess sodium and potassium levels

500

Dark red vaginal bleeding, severe, sudden abdominal pain, tetanic contractions, fetal distress

Placental abruption