Cardio
High Risk Newborn
Resp
Endo
100

Congenital heart defects are not always diagnosed by the time of d/c

True or false

True - about 30% are diagnosed after d/c

100

What does the skin commonly look like when an infant has postmaturity syndrome?

Peeling and cracked, nails are long

100

What is the most common sound heard in a child with an upper respiratory illness?

Stridor

100

The endocrine system is the most immature system at birth

True or False

True - hormone control is absent until 12-18 months

200

Child with SVT who is asymptomatic other than feeling anxious with palpitations needs what intervention first?

Vasovagal maneuvers

200

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.

200

Cause of most URI, hospitalizations, asthmas flare-ups, and ear infections

Passive smoke inhalation

200

Was never seen in children until the 1990s

Diabetes Mellitus Type 2

300

Cardiac lesions that increase the pulmonary blood flow and cause fluid volume overload

Left to right shunting lesion

300

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

300

The most common way to diagnose allergic rhinitis in kids is to do allergy skin testing.

True or False

False

300

The child has constipation, weight gain, and decreased growth.  

Hypo or Hyperthyroidism

Hypothyroidism

400

Most are asymptomatic, but if not should be restricted from stenuous activity and sports

Cardiomyopathies

400

List 3 complications commonly seen in an infant who is large for gestational age.

Fractures, nerve damage, bruising, polycythemia, and hypoglycemia

400

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

400

Has a baby face, diminished muscle mass, and decline in growth

Growth hormone deficiency

500

What medication does a child with positive Jones criteria need?

Benzathine penicillin IM

500

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.

500

Typically the first medication administered in a child admitted for croup

Racemic epinephrine

Followed by steroids and humidified O2

500

The most severe symptom of Congenital Adrenal Hyperplasia (CAH)

Salt-wasting crisis