Congenital heart defects are not always diagnosed by the time of d/c
True or false
True - about 30% are diagnosed after d/c
What does the skin commonly look like when an infant has postmaturity syndrome?
Peeling and cracked, nails are long
What is the most common sound heard in a child with an upper respiratory illness?
Stridor
The endocrine system is the most immature system at birth
True or False
True - hormone control is absent until 12-18 months
Child with SVT who is asymptomatic other than feeling anxious with palpitations needs what intervention first?
Vasovagal maneuvers
Which of the following nursing interventions is the priority in the management of an infant with Respiratory Distress Syndrome (RDS)?
A. Administering surfactant therapy
B. Maintaining a neutral thermal environment
C. Providing enteral nutrition
D. Encouraging skin-to-skin contact
A. Administering surfactant therapy
Rationale: Surfactant deficiency is the primary cause of RDS, and exogenous surfactant therapy helps improve lung compliance.
Cause of most URI, hospitalizations, asthmas flare-ups, and ear infections
Passive smoke inhalation
Was never seen in children until the 1990s
Diabetes Mellitus Type 2
Cardiac lesions that increase the pulmonary blood flow and cause fluid volume overload
Left to right shunting lesion
An infant has just been diagnosed with necrotizing enterocolitis (NEC). What is the intervention that should be implemented first?
NPO and manage with IVF or TPN
The most common way to diagnose allergic rhinitis in kids is to do allergy skin testing.
True or False
False
The child has constipation, weight gain, and decreased growth.
Hypo or Hyperthyroidism
Hypothyroidism
Most are asymptomatic, but if not should be restricted from stenuous activity and sports
Cardiomyopathies
List 3 complications commonly seen in an infant who is large for gestational age.
Fractures, nerve damage, bruising, polycythemia, and hypoglycemia
Name 3 risk factors to SIDS
Prone sleeping, exposure to tobacco smoke, soft sleeping surfaces, hyperthermia, bed sharing, lack of breastfeeding, SIDS sibling, preterm, near-SIDS
Has a baby face, diminished muscle mass, and decline in growth
Growth hormone deficiency
What medication does a child with positive Jones criteria need?
Benzathine penicillin IM
List 3 nursing interventions that are a priority in caring for a preterm newborn
monitor respiratory status, administering prophylactic surfactant as needed to prevent RDS
maintain neutral thermal environment
maintain adequate fluid and electrolyte status.
Typically the first medication administered in a child admitted for croup
Racemic epinephrine
Followed by steroids and humidified O2
The most severe symptom of Congenital Adrenal Hyperplasia (CAH)
Salt-wasting crisis