A
What are 2 interventions that can help breathing in for an infant with RSV?
Keep nasal passages clear via bulb syringe/suctioning
Rock/holding infant when upset
Elevating the head
Encouraging breastfeeding
Cool Mist Humidifier
Cold environment - like going outside
Part 1: How is hypertension diagnosed in pediatric?
Part 2: How does it typically present?
Part 3: What is recommended for activity?
1. 3 elevated BP readings
2. Usually asymptomatic
3. at least 60 minutes of physical activity daily
Why do respiratory infections increase in the fall?
Children return to school = more germs;
cooler weather = inside more
What type of medication would be used for a client with acute asthma exacerbation (sx: such as wheezing, tachypnea, use of accessory muscles)?
Bronchodilators (Such as albuterol / Ventolin)
What age are pediatric clients screened for dyslipidemia during well child exams?
9 years of age
This congenital heart defect occurs when the opening between the left and right ventricles fails to close at birth, allowing blood to pass from the left to the right side of the heart.
Ventricular septal defect (VSD)
Name 2 ways to help with mealtimes for a 3-year-old picky eater with iron deficiency anemia
1. Consistent mealtime routine
2. Encourage small frequent meals
3. Make mealtimes enjoyable
4. Offer a wide variety of foods, including fruits and vegetables
What is the preferred/recommended method for administering medication to preschoolers?
Medicine Syringe
*it is NOT recommended to put into food
A toddler with this hip condition may present with an abnormal gait, such as limping or waddling, due to improper formation of the hip joint. It is routinely screened for infants born in the breech position.
DDH (Developmental dysplasia of the hip)
Name 2 teaching points/recommendations for a pediatric client with torticollis
1. Encourage tummy time
2. Alternate head position
3. Play games like peek a boo that encourage neck movement
4. Monitor for plagiocephaly (flat head)
5. Use neck orthotic
***If difficulty with neck orthotic (neck brace) use it as often as possible and build up to consistent use
State 2 teaching points for a client who needs to wear a brace for spinal curvature
1. Brace size will be monitored / replaced as the child grows
2. Educate on length of time the client needs to wear their brace for (breaks during the day is recommended)
3. Monitor for skin breakdown. Treat any concerns immediately
4. Can control moisture with cotton T Shirt or powder
In this childhood hip disorder, the temporary loss of blood supply to the femoral head leads to bone tissue death and a change in the shape of the hip joint.
Legg-Calve-Perthes disease
Name 3 recommendations for pediatric clients with overuse injury to lower extremity?
1. Prioritize rest and recovery
2. Monitor for signs of injury (increase in pain, edema etc.)
3. Recommend rest and elevating lower extremity when able
4. Avoid intense physical activity (Such as running / jumping), light gentle physical activity is OK
Name 3 signs that would indicate an infant is experiencing respiratory distress?
Cyanosis of mouth
Nasal Flaring
Retractions
Tachypnea
Grunting
2 part question!
Yes or No: Is surgery required/recommended for a 6 month old client diagnosed with atrial septal defect who is asymptomatic ?
WHy?
Part 2: Infant is asymptomatic and defect may spontaneously close within first 2 years of life
Name 2 symptoms of cystic fibrosis?
Steatorrhea
Delayed puberty
Growth restriction
Constipation
Low BMI
What is the best way to prevent MRSA transmission?
HAND WASHING!
Name 2 symptoms of epiglottitis
Muffled voice
Stridor on inspiration
Sitting in tripod position
Difficulty breathing
Difficulty swallowing
What are signs of anaphylaxsis and how is it treated?
1. Low BP
2. Impending doom
3. Weak/thready pulse
4. GI complaints (nausea, vomiting, diarrhea, stomachache)
5. Breathing concern (clearing of throat, coughing)
6. Hives
*TREATED WITH EPINEPHRINE*
Antihistamine (such as Benadryl) may also be given but NOT in replace of epinephrine!
What is the cause of exanthamatous drug eruptions?
Immune response!
What part of the skin is damaged in superficial partial thickness burn?
Epidermis
Name 3 ways to manage pain for a patient in sickle cell crisis?
1. Deep breathing exercises
2. Warm compresses *NEVER Cold
3. Hydration
4. OTC Analgesics
5. Stress reduction
6. Avoid extreme temperatures outside
Name two ways to prevent mosquito bites on infants while going for an evening walk
1. Cover strollers with mosquito netting
2. Cover extremities with clothing (long sleeve shirt, pants)
This modern environmental factor can influence teens to adopt skincare routines that may actually worsen acne, despite appearing helpful online.
Social Media Content (encouraging skin care routines)
To help relieve itching (pruritis) in a child with atopic dermatitis, a parent should do this to soothe and protect the skin barrier.
Provide topical moisturizers to decrease skin irritants