Metabolism
How often do you want to encourage the parents to check their Type 1 DM child's urine for ketones on "sick days"
Every 2-4 hours
What is one of the main symptoms of a patient with nephrotic syndrome?
Facial Edema
List 3 approaches for early breast cancer detection
Self-Breast Exams
Mammograms
Breast Exams in clinic
What physical assessment feature can be seen with Developmental Dysplasia of the Hip (DDH)
Absence of gluteal folds on one side
Cystic Fibrosis is what kind of mutation and how is it diagnosed?
CFTR Mutation
Sweat Chloride Test
This is commonly found in obesity and those with diabetes. It is brown-to-black, poorly defined, velvety hyperpigmentation of the skin usually around the neck area
Acanthosis Nigracans
A patient is being seen for chronic UTI's and the physician wants to rule out Vesicoureteral Reflux Disease. The nurse anticipates that what diagnostic test will be ordered by the physician?
Voiding Cystourethrogram (VCUG)
List 3 Types of Breast Cancer
Triple Negative Breast Cancer
HER2+ Breast Cancer
Estrogen and Progesterone (Hormone) fed Breast Cancer
List the characteristics specific to Duchenne's Muscular Dystrophy (DMD)
X-Linked (males only) (Muscle biopsy to diagnose)
Affects the lower limbs first and then progresses upward
Most deaths occur in their 20's and is usually related to cardiac and or respiratory failure
Hypertrophied Calves
Gower's Maneuver
Protruding Stomach
Cystic Fibrosis can affect many systems in the body. If it affects the Pancreas, what is important to know and communicate to the child's parents about this disease from a nutritional point of view?
CFTR Modulators and Pancreatic Enzymes must be given with meal to help aid in digestion and absorption of nutrients
The nurse educates the parents on the importance of continuing insulin administration during sick days, even if the child isn't eating while sick. The parents question the reasoning behind this. What is the nurse's best response?
Even though the child is not taking in food that contains glucose, the body still needs glucose to function. If intake of foods is not meeting the body's demand for glucose needed for metabolism, it will begin to make the glucose from protein and fat stores.
The nurse assesses a patient who has complaints of edema. When reviewing the results of the urinalysis and labs, proteinuria, hypoalbuminemia, hypoproteinemia, hyperlipidemia are reported. The nurse understands these symptoms are consistent with what concern?
Nephrotic Syndrome
List some of the risk that increases a person's chance of developing ovarian cancer.
Older Age
BRCA1 and BRCA 2 Genes
Endometriosis
Nulliparity
Early onset of menses
Hormone Replacement Therapy Postmenopausal
List the specific characteristics of Cerebral Palsy
Primitive Reflexes that are sustained throughout life
Non-progressive brain lesion
Spasticity or Rigidity of Limbs
Poor head and trunk control
This Respiratory illness is the leading cause of infant hospitalizations
Respiratory Syncytial Virus (RSV)
You are seeing a patient who has complaints of irritability, confusion, nervousness, sweating, and difficulty concentrating that started a few hours prior to arriving to the hospital. After looking at the patient history, you identify they are a Type 1 diabetic. Knowing this information, what is this patient likely experiencing?
Hypoglycemia
This concern is common in pregnancy, especially in the third trimester, and is caused by pressure
on veins due to the growing uterus.
Hemorrhoids
Cryptorchidism can increase the risk of what in males?
Testicular Cancer
Keep infant prone or lateral (pressure off the sac)
Monitor for CSF leakage
Head Circumference Measurements
Don't cover with the infant's diaper
Neuro Checks
What is significant about the first time a child is exposed and is infected with the Respiratory Syncytial Virus?
The initial RSV infection is the worst
What health concern is due to increased estrogen &
progesterone that increases insulin production?
Gestational Diabetes
A mother brings her child in to be seen and has concerns that her child has not stooled in 4 days. The child is diagnosed with constipation and the physician prescribes 1 cap of MiraLAX daily. When giving education the nurse states that frequent use of what should be avoided?
Laxatives, stool softeners, and enemas
The Gardasil Vaccination is a series of 2-3 and helps to protect against what strains of HPV?
Types: 6, 11, 16, 18, 31, 33, 45, 52, 58
An infant has DDH and is being treated with a Pavlik Harness. What are some education points the nurse should ensure the parents understand with care of the child?
Frequent skin checks
Frequent perfusion checks
Report to the physician if the infant becomes unconsolable or shows increase in irritability
The RSV virus occurs most frequently in which months
The colder months fall through winter