Growth and Development /Hospitalized
Endocrine/ Respiratory/GI
Neuro/Cardio
High Risk Neonate/HemOnc
Random
100
What stage of separation is indicated? ( Protest, Despair, Detachment)
Child becomes hopeless and becomes quiet, withdrawn, apathetic
Sadness, depression
Crying when parents appear
Despair
( Hospitalized Child PPT Slide 19)
100
What is the infant at risk for?
Infant sleeping prone
Infant on soft mattress
Bed sharing
Bottle for sleep
Loose bedding, toys, pillows in crib
Infants sleeps in car seats or swings
SIDS
( Apnea SIDS PPT Slide 8)
100
Name the 3 ICP Severe/Advanced/Late Clinical Manifestations
mnemonic(C A P)
C-ushing’s Response
A-bnormal Posturing
P-upil Response
( Neuro ppt Slide 15)
100
These are all S/S of what in a preemie?
Urine output <2 ml/kg/hour
Dry skin and mucous membranes
Sunken anterior fontanel
Poor tissue turgor
Elevated sodium, protein, and
hematocrit levels
Dehydration
( High Risk ppt slide 20)
100
T/F
The Vital signs for infant below are normal.
Temp: 99.9
HR: 170
RR: 20
BP: 120/80
False
Temp 97.7–99.3 (axillary)
HR 80–150
RR 25–55
Systolic: 65–100 Diastolic: 45–65
( Book Tbl. 33.1)
200
This type of play allows children to act out roles and experiences that may have happened to them, that they fear will happen, or that they have observed in others. This type of play can be spontaneous or guided, and it often includes medical or nursing equipment.
Dramatic Play
(Pg 73)
200
Post op S/S for Tonsillectomy indicating evidence of bleeding
Assess for evidence of bleeding (frequent swallowing, clearing throat, tachycardia, pallor, bright red emesis)
(RR PPT Slide 25)
200
Coarctation of the Aorta (Coarc)
What are the upper and lower perfusion manifestations and treatments?
Lower extremities – poor peripheral perfusion, decreased BP, cool skin, weak or absent femoral pulse, leg cramps/tingling
Upper extremities - elevated BP, bounding pulses
Treatment: Prostaglandins (PGE),Diuretics, Digoxin, Cardiac Cath, Anastomosis
(Cardio PPT Slides 33,34,35)
200
This transplacental infection appears as large blisters, pink or copper-colored peeling rash, cured by taking penicillin.
CNS complications – meningitis, blindness, deafness
Syphilis
( High Risk ppt, slide 74)
200
T/F Newborns may sleep 17-20 hours
True
( G&D PPT Slide 39)
300
Primary Pediatric Assessment
(Double Points if you can name secondary)
A-irway
B-reathing
C-irculation
D-isability(Think Neuro LOC, PERRLA, Reflex)
E-xposure ( What caused the trauma?)
Secondary
F - Full set of vital signs; Family-child relationship
G - Give comfort measures
H - History and head to toe assessment (SAMPLE, Diagnostic Tests, Weight)
I - Inspect posterior surfaces
300
What disorder is indicated?
Cystic Fibrosis: mucus glands that secrete abnormally thick mucus
Leads to mechanical obstruction of organs, especially the lungs, pancreas, liver, small intestine, & reproductive organs
Progressive and incurable
( RR PPT Slide 64,65)
300
Which congenital non-progressive neurologic disorder is indicated below?
Delay reaching developmental milestones
Abnormal muscle tone, poor head control
Uncoordinated or involuntary movements (twitching and spasticity)
Hearing and speech impairments
Cerebral Palsy
( Neuro PPT Slide 52,53,54)
300
Which acute Sickle cell crisis/complication is indicated?
Sickled cells create blockage in hepatic, pulmonary, and/or splenic blood vessels, resulting in a dangerous drop in the circulating blood volume
Treatment: Hydration, Blood transfusion, Splenectomy, Rest
Acute Splenic Sequestration Crisis
( Hemo/Onc PPT Slide 19,20)
300
T/F Suspicious findings on assessment of a child under 18 must be reported
True
400
During this milestone:
Birth weight is doubled
Begins sense of object permanence
Milestones During Infancy:
6-7 months
( PPT G&D Slide 29,30)
400
Esophageal Atresia & Tracheoesophageal Fistula clinical manifestations
(Three “C’s”)
Coughing, choking, cyanosis
( GI PPT Slide 21)
400
Name the Congenital Heart Defect:
Narrowing of entrance of pulmonary artery or valve
Decreased blood flow to lungs
Increased preload, causing right ventricular hypertrophy
Regurgitation into right atrium, increasing likelihood of patent foramen ovale (R to L shunt)
venous congestion, decreased CO, heart failure
Pulmonic Stenosis
400
This childhood cancer is indicated by:
White blood cells (WBCs) are produced rapidly and are prematurely released into circulation (blasts)
Leukemia
( HemOnc ppt Slide 44)
400
A 10-year-old child is treated for acute asthma exacerbation in the emergency department. The nurse caring for the child would monitor for which sign, knowing that it indicates a worsening of the condition?
A. Warm, dry skin
B. Decreased wheezing
C. Pulse rate of 90 beats per minute
D. Respirations of 18 breaths per minute
B. Decreased wheezing( silent asthma)
500
During this stage of Erickson's psychosocial development children initiate spontaneous activities
Initiative vs Guilt
(G&D PPT Slide 13)
500
What are the three cardinal signs of T1D?
Hyperglycemia → Three P’s: Polyuria, Polydipsia, Polyphagia
( Endo PPT Slide 37)
500
Digoxin is one the medications indicated for CHF. What testing in needed prior to starting Digoxin?
(Double points if you can name the other 3 meds are indicated for CHF)
Baseline ECG , serum electrolytes, assess vital signs and quality of peripheral pulses
Double points
Digoxin -increases contractility and decreases heart rate
Beta Blockers- increases contractility and decreases heart rate
ACE-inhibitors - arterial vasodilator, afterload reducing agent
Diuretics -enhance renal secretion of sodium and water thereby reducing circulating blood volume, decreasing preload and pulmonary congestion
( PPT Cardio Slide 26, 29)
500
Match the preemie complications:
1.Respiratory Distress Syndrome (RDS)
2.Bronchopulmonary Dysplasia (BPD)
3.Intraventricular Hemorrhage (IVH)
4.Retinopathy of Prematurity (ROP)
A Chronic obstructive pulmonary disease secondary to acute lung injury
B Oxygen therapy (especially frequent fluctuation in O2 concentration or chronic O2 administration
C Primary absence, deficiency or alteration in the production of surfactant
D Caused by increased or decrease blood pressure, Asphyxia or respiratory distress requiring mechanical ventilation, increased or fluctuating cerebral blood flow
1C
2A
3D
4B
( PPT High Risk slides 33,36,38,40)
500
Positive Kernig sign and/or Brudzinski sign indication
Bacterial Meningitis