Neuro
Low birth wt, Short stature, Depressed nasal bridge, Protruding tongue, stubby digits, Upward slanted eyes
Describe Scoliosis
Sideways curvature of spine. Often develops during the growth spurt before puberty & can manifest as a 'C' or 'S' shaped curve.
Preschoolers and Death
believe their thoughts can cause death. View illness as punishment. See it as temporary.
S/S of DM I.
HA, frequent infections with Poor wound healing, Enuresis, Under wt
Infant Seizure Priorities
Safety, ABCs,
Record onset, duration, and movements during
Decrease TV volume, Dim Lights, Close door, Use a calm voice, speak slowly, rest periods (cluster care)
To assess compartment syndrome, consider
Pain, Pulselessness, Pallor, Paresthesia, Paralysis, Pressure
When do we Palpate Wilm's tumors?
NEVER. Palpating the mass could rupture the tumor & cause CA cells to spread.
PKU/ PAH definition
genetic disorder where the body lacks the enzyme phenylalanine hydroxylase, necessary to process the amino acid phenylalanine.
Pts w/ a myelomeningocele sac are at the highest risk of _______ allergy b/c of repeated exposure during surgeries & procedures
latex
Early signs of ASD
Hand flapping, toe walking, abnormal (lack of) eye contact, not answering to name, no babbling at a year
A MAJOR concern post animal bite is
Infection.
s/s of impending death
Decreased appetite, dysphagia, altered mental status, loss of bowel/bladder, loss of senses
Impetigo Brain dump
Bacterial skin infection. •honey-colored crusts• Remove crusts, topical abx, Prevent spread (hand washing)
In the hours post head injury _______ need to be monitored
Pupillary Reactions
Define Decerebrate Posturing
Rigid extension & pronation of arms & legs
In DDH there will be a Barlow and/or Ortolani test that is ________.
Positive
enucleation is
surgical removal of the entire eyeball and its contents
When a DM patient is sick/ill they should
check their glucose more often than normal
If left untreated PKU/PAH can lead to
cognitive impairment
Infant fontanels can tell us ...
if the child is dehydrated (sunken) or has ICP (bulging)
Clubfoot (talipes equinovarus) Tx
Serial casting (weekly) 6-10 wks; possible heel-cord release w/ casting; Ponseti shoes
s/s of hemophilia
Increased bruising, Hemarthrosis, Excessive bleeding
A pt comes in c/o light sensitivity, headache, neck stiffness. What should the nurse do first?
Resp Isolation Precautions
if you suspect abuse you should
report immediately