Peds Quiz # 1 Ch 21 & 24 study guide
Quiz 2: MUSCULARSKELETAL; INTEGUMENTARY; AND INJURY. TESTS 2 THRU FINALS MAY CONTAIN MATH
QUESTIONS. MATH QUESTIONS INVOLVE MEDICATION (PO. IM OR IV) AND/OR INPUT AND OUTPUT
CALCULATIONS
1. Unit 6 & 7 in ATI Peds book
2. Know the stages of separation anxiety.
1. Protest: wanting the parent to stay
2. Despair: crying and withdrawing
3. Denial/Detachment: holding it together, deny the need for their parents.
3. Separation anxiety occurs after age 6 months and is most pronounced in the toddler stage.
Why should nurse encourage children to draw and talk about their drawings or to act out
their feelings through puppet play?
Why should parents prepare children for procedures and hospitalization a few days in
advance?
4. Know that illness during early adolescence (12 to 15 years) is seen mainly as a threat to
body image.
5. Know that the use of a transitional object such as a blanket or a favorite toy promotes
security.
Know that forced dependency in the hospital, such as immobilization, can result in a feeling of
loss of control and loss of security.
Know that Fentanyl is a drug useful for all ages because of its rapid onset and brief duration.
What document is the clinical pathway? it is a broad outline of interdisciplinary plan of care
with specific timelines.
Why is it appropriate to involve the parents when performing a procedure on an infant?
Peds Quiz # 1 Ch 21 & 24 study guide
, Acetaminophen is commonly used for the relief of mild to moderate pain in infants and
children. The maximum dose is 15 mg/kg/dose for infants and children, with a maximum of 5
doses in 24
hours. MAX 75MG/KG A DAY FOR INFANTS & CHILDREN
Ewing’s sarcoma (occurs in the shafts of long bones and trunk bones, a primitive
neuroectodermal tumor) is sensitive to radiation therapy and chemotherapy. Amputation of the
affected extremity is not recommended. This cancer occurs in school-age children and does
metastasize.
1. What are clinical manifestations of Duchenne’s muscular dystrophy?
(most common form of MD, onset of 3-5 years of age, fat tissues replace muscles in; lower
limbs, inherited as a X-linked recessive trait, life expectancy into early adulthood)
- Fatigue/muscle weakness starting in the L.E.
- Unsteady gait w/ waddle
- Lordosis (excessive inward curvature of the spine)
- Delayed motor skill development
- Frequent falling
- Gowers signs: diff. getting out of bed, rising from seated position, diff. climbing stairs,
child walks hand up legs for support while going into standing position
- Learning difficulties
- As the disease progresses:
o Difficulty walking with possibility of loss of ability to walk (often
occurs by 12 y.o.)
o Progressive muscle atrophy of face chest & neck o Respiratory
and cardiac difficulties
2. What are the principles of managing soft tissue injuries?
- rest
- Ice
- Compression
Peds Quiz # 1 Ch 21 & 24 study guide
Quiz 2: MUSCULARSKELETAL; INTEGUMENTARY; AND INJURY. TESTS 2 THRU FINALS MAY CONTAIN MATH
QUESTIONS. MATH QUESTIONS INVOLVE MEDICATION (PO. IM OR IV) AND/OR INPUT AND OUTPUT
CALCULATIONS
1. Unit 6 & 7 in ATI Peds book
2. Know the stages of separation anxiety.
1. Protest: wanting the parent to stay
2. Despair: crying and withdrawing
3. Denial/Detachment: holding it together, deny the need for their parents.
3. Separation anxiety occurs after age 6 months and is most pronounced in the toddler stage.
Why should nurse encourage children to draw and talk about their drawings or to act out
their feelings through puppet play?
Why should parents prepare children for procedures and hospitalization a few days in
advance?
4. Know that illness during early adolescence (12 to 15 years) is seen mainly as a threat to
body image.
5. Know that the use of a transitional object such as a blanket or a favorite toy promotes
security.
Know that forced dependency in the hospital, such as immobilization, can result in a feeling of
loss of control and loss of security.
Know that Fentanyl is a drug useful for all ages because of its rapid onset and brief duration.
What document is the clinical pathway? it is a broad outline of interdisciplinary plan of care
with specific timelines.
Why is it appropriate to involve the parents when performing a procedure on an infant?
Peds Quiz # 1 Ch 21 & 24 study guide
, Acetaminophen is commonly used for the relief of mild to moderate pain in infants and
children. The maximum dose is 15 mg/kg/dose for infants and children, with a maximum of 5
doses in 24
hours. MAX 75MG/KG A DAY FOR INFANTS & CHILDREN
Ewing’s sarcoma (occurs in the shafts of long bones and trunk bones, a primitive
neuroectodermal tumor) is sensitive to radiation therapy and chemotherapy. Amputation of the
affected extremity is not recommended. This cancer occurs in school-age children and does
metastasize.
1. What are clinical manifestations of Duchenne’s muscular dystrophy?
(most common form of MD, onset of 3-5 years of age, fat tissues replace muscles in; lower
limbs, inherited as a X-linked recessive trait, life expectancy into early adulthood)
- Fatigue/muscle weakness starting in the L.E.
- Unsteady gait w/ waddle
- Lordosis (excessive inward curvature of the spine)
- Delayed motor skill development
- Frequent falling
- Gowers signs: diff. getting out of bed, rising from seated position, diff. climbing stairs,
child walks hand up legs for support while going into standing position
- Learning difficulties
- As the disease progresses:
o Difficulty walking with possibility of loss of ability to walk (often
occurs by 12 y.o.)
o Progressive muscle atrophy of face chest & neck o Respiratory
and cardiac difficulties
2. What are the principles of managing soft tissue injuries?
- rest
- Ice
- Compression
Peds Quiz # 1 Ch 21 & 24 study guide
