A nurse is caring for an infant who just returned from surgery to repair a cleft palate. Which of the following interventions is most appropriate in the immediate postoperative period?
A. Place the infant in the prone position to promote drainage.
B. Offer a bottle with a firm nipple to ensure adequate nutrition.
C. Monitor for signs of airway obstruction and use elbow restraints as ordered.
D. Use a tongue depressor to check the surgical site every hour.
A. Place the infant in the prone position to promote drainage.
B. Offer a bottle with a firm nipple to ensure adequate nutrition.
***C. Monitor for signs of airway obstruction and use elbow restraints as ordered.
D. Use a tongue depressor to check the surgical site every hour.
This type of hepatitis is primarily transmitted via contaminated food and water
This is the most common head injury that children experience
What is concussion
Offer resources
Refer to case management
Provide comfort in the moment
therapeutic communication
What does ANC stand for
Absolute Neutrophil Count
The three C's of Tracheoesophageal Fistula
The test used to diagnose urethral reflux
VCUG (voiding cystourethrogram)
Adults make the majority of blood cells in this type of bones whereas children make them in this type
What is flat bones, Adults
What is long bones, Kids
True or false, individuals at highest risk for human traffiking are older teens
True: peak is 17 years old
Why do patient's with leukemia require frequent lumbar punctures?
Disease surveillance and intrathecal chemotherapy
Name the key differences between an omphalocele and gastroschisis
Omphalocele is most often covered by a thin membrane and protrudes from unbilicus
Gastroschisis is not covered and comes out often to lateral to the belly button (right more commonly)
This medication can be used to provide relief from bladder spasms
Ditropan (Oxybutynin)
The diagnostic test used to monitor brain waves and assess for seizure activity
video eeg (electroencephalogram)
The acronym used to help screen kids under the age of 4 for non-accidental trauma/ bruising
torso, ears, neck, under 4, frenulum, angle of jaw, cheeks, eyelids, subconjunctiva, patterned bruising
The nurse is caring for a newborn with hypoplastic left heart syndrome (HLHS) awaiting surgical intervention. Which priority nursing action helps maintain systemic circulation?
A. Administer oxygen via nasal cannula at 2 L/min
B. Keep the infant NPO and prepare for immediate intubation
C. Initiate prostaglandin E1 (alprostadil) infusion as prescribed
D. Encourage oral feeding to promote growth before surgery
A. Administer oxygen via nasal cannula at 2 L/min
B. Keep the infant NPO and prepare for immediate intubation
C. Initiate prostaglandin E1 (alprostadil) infusion as prescribed
D. Encourage oral feeding to promote growth before surgery
•Stomach capacity
•Decreased hydrochloric acid & different mix of pancreatic juices
•Lower esophageal sphincter laxity
•Full GI tract immature until 2 years
•Liver function immature until 1 year
The pneumonic "HAD STREP" can be used to remember the symptoms associated with which urinary disorder?
Acute Glomerulonephritis
H = Hypertension (Common complication of glomerulonephritis)
A = Azotemia/ Antistreptolysis titer (Elevated nitrogen waste products in blood or ASO+)
D = Decreased urine output (Oliguria)
S = swelling in face/eyes
T = Tea-colored urine (A hallmark symptom of glomerulonephritis due to hematuria)
R = Recent strep
E = Elevated BUN/ Creatinine
P = Proteinuria (Presence of excess protein in urine)
What is begins at 2 weeks and peaks at 2-4 months
Per our guest speakers who discussed human trafficking, the three ways in which someone is kept in human trafficking include
Force
Fraud
Coercion
Chest tube output in children should not exceed more than this in any one hour or it may indicate an acute hemorrhage
5-10ml/kg in any one hour
or 3ml/kg/hr for 3 consecutive hours
The name of the surgery used to untwist the bowel after a volvulus occurs
What is a Ladd Procedure
What is the expected rate of urine output in children?
What is 1-2cc/kg/hr
Name the 5 P's used to assess for compartment syndrome
Pain
Pulselessness
Pallor
Paresthesia
Paralysis
A nurse is assessing a 3-month-old infant in the emergency department for possible abusive head trauma. Which of the following findings would most support the suspicion of non-accidental injury?
A. Soft anterior fontanel and mild irritability
B. Bilateral retinal hemorrhages and seizures
C. Mild congestion and intermittent vomiting
D. Single bruise over the shin with no other findings
A. Soft anterior fontanel and mild irritability
***B. Bilateral retinal hemorrhages and seizures
C. Mild congestion and intermittent vomiting
D. Single bruise over the shin with no other findings
A congenital heart defect where the two main arteries leaving the heart, the aorta and pulmonary artery, are switched
What is transposition of the great arteries