PostPartum
s/s indicative of which condition:
Saturating >1 pad/hour, tachycardia, hypotension, pallor
Post Partum Hemorrhage
What are the primary signs of hyponatremia in children?
headache, confusion, seizures
Obstructive uropathy can lead to what serious complication if left untreated?
Hydronephrosis and progressive renal damage
What finding differentiates periorbital from orbital cellulitis?
Pain with eye movement (orbital)
What pain scale is best for infants (under 2 years)?
FLACC
What medication is given to contract the uterus and control bleeding?
Oxytocin
What is the most common cause of dehydration in infants and children?
Gastroenteritis (vomiting and diarrhea)
What is the hallmark sign of nephrotic syndrome?
When are antibiotics indicated for otitis media?
If infection persists >48–72 hours, severe pain, or child <6 months old
What’s the nurse’s first step if a child’s pain rating increases after an opioid dose
Reassess pain and vital signs; evaluate for complications; notify provider if pain persists
What should the nurse monitor for in a patient receiving magnesium sulfate postpartum?
Respiratory depression and decreased reflexes
What condition commonly causes respiratory acidosis in children?
asthma or airway obstruction
What is the most important nursing action postoperatively after hypospadias repair?
Maintain patency of the urethral stent or catheter and monitor for infection
What is the priority nursing intervention for a child with epiglottitis?
Do not attempt to visualize the throat; maintain airway and prepare for intubation
What age group is best suited for the Wong-Baker FACES scale?
Ages 3–7 years
Main intervention for uterine atony
Fundal massage
A 10-year-old with severe diarrhea has ABG pH 7.29, HCO₃ 15. What acid-base disorder is this, and what’s the nursing priority?
Metabolic acidosis; rehydrate, correct bicarbonate loss, and monitor for arrhythmias.
What medication is commonly prescribed for nocturnal enuresis?
Desmopressin (DDAVP)
What condition can develop from untreated strep throat?
Rheumatic fever or glomerulonephritis
What behavioral signs indicate pain in infants?
Grimacing, crying, rigid posture, irritability
What should the patient report immediately to her provider?
Heavy bleeding, large clots, or foul-smelling discharge
A 5-year-old with severe vomiting is admitted. Labs: Na⁺ 148 mEq/L, K⁺ 3.0 mEq/L, pH 7.52, HCO₃ 33. The child is lethargic and has shallow breathing.
Identify the imbalance and nursing priorities.
Metabolic alkalosis with hypokalemia from loss of gastric acid.
Priorities: Replace fluids and electrolytes (potassium), monitor ECG, assess respiratory effort, and correct underlying cause (vomiting).
What finding differentiates nephrotic syndrome from acute glomerulonephritis?
Nephrotic: Massive protein loss; Glomerulonephritis: Hematuria and hypertension
What is the classic sign of foreign body aspiration in a toddler?
Sudden coughing, gagging, and inability to speak
This tool is used for neonates and considers indicators like facial expression, cry, breathing pattern, and heart rate
NIPS