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NURS 629 exam 4
Rovsing sign - ANS-apply pressure to lower left abdomen. Pain felt on right side of
abdomen when pressure released.
+ Ant/ Post Drawer sign - ANS-assess for injury of ant/post cruciate ligament
Osgood- Schlatter disease - ANS-most common in later childhood and early
adolescence. Painful swelling and tenderness of tibial tuberosity. Most common in
children in sports. *initial TX is stretching.
TX for sprained ankle - ANS-apply cold for 20 min, off for 20-45 min. Repeat 1st
24-48hrs. Rest, elevate, compress (RICE)
Legg-calve perthes - ANS-idiopathic osteonecrosis of femoral head. 4x more common
in males. Hip pain, knee pain, painless limp that is worse at end of day. Frog leg xray
best to diagnose.
Viral gastroenteritis - ANS-Most common complication is dehydration.Tx is small,
frequent amounts of oral rehydration solution.
BG for 4y/o - ANS-goal of 90-130
Suspected growth hormone deficiency - ANS-short, slow growth. Childlike faces with
prominent forehead. *Initial eval include TSH, BG (hypoglycemia), GI illness, CBC, sed
rate, UA, growth factor.
Initial eval in cases of isolated menarche - ANS-*sexual abuse should be ruled out first
essentials for childs mental health - ANS-predictable home, childcare, school routines
Migraine - ANS-unilateral, pulsating, occasional photophobia.
Iron deficiency anemia - ANS-*Microcytic, hypochromic. Most common cause is poor
dietary intake/ breastfeeding risk. Prevalence is 25% of children between ages 10-15
mos.
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Depression Comorbidities - ANS-anxiety disorder, mixed anxiety/depression. ADHD,
conduct/learning/oppositional defiant disorders. SAD, eating disorders, stress.
Depression risk factors - ANS-attention, conduct, learning disorders. Chronic illness
(diabetes). abuse/neglect. other trauma or natural disasters. *Separation anxiety.
PHQ9 - ANS-depression screening tool for ages 11 and up
signs of PTSD - ANS-re-experiencing trauma thru intrusive distressing recollections of
event, flashbacks, nightmares. Avoidance of places, people, and activities that are
reminders of trauma, and emotional numbness. Increased arousal such as difficulty
sleeping and concentrating, feeling jumpy, easily irritated and angered. *Extreme
temper tantrums in preschool aged kids.
slipped capital femoral epiphysis risk factors - ANS-Obesity, males, sports, femoral
retroversion, hypothyroidism, avg age presentation is 12y/o for females and 13y/o for
males.
slipped capital femoral epiphysis clinical findings: - ANS-limping, knee/hip pain, pain
worse with activity, localized pain to ant thigh or knee. May be unable to bear wt all
together, loss of internal rotation of hip with flexion, affected extremity is usually shorter.
Loss of abduction and extension
slipped capital femoral epiphysis DX and TX - ANS--xray. Always refer to peds ortho.
Keep non wt bearing until surgical eval.
Scoliosis - ANS-most common type is idiopathic. *In order to confirm suspected, get AP
and lateral standing Xray view of spine
Bactrim - ANS-treatment of choice for UTI in children
TX for gastroenteritis - ANS-small, frequent amounts of oral rehydration solution
Appendicits - ANS-Constant periumbilical pain shifting to RLQ. Worsens over period of
4hrs. Pain subsides as it migrates to RLQ and then worsens with movement, deep
respir, and coughing.Pain/Fever are late sign, leading to perforation. Vomiting.
*Elevated WBC.
Neural mediated syncope - ANS-most common form of fainting/ frequent ED visits.
Happens in part of nervous system that regulates BP. Place pt reclining position to
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m 4.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$
9/25/2026, 3:19:07 PMNURS 629 exam 4.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!
NURS 629 exam 4
Rovsing sign - ANS-apply pressure to lower left abdomen. Pain felt on right side of
abdomen when pressure released.
+ Ant/ Post Drawer sign - ANS-assess for injury of ant/post cruciate ligament
Osgood- Schlatter disease - ANS-most common in later childhood and early
adolescence. Painful swelling and tenderness of tibial tuberosity. Most common in
children in sports. *initial TX is stretching.
TX for sprained ankle - ANS-apply cold for 20 min, off for 20-45 min. Repeat 1st
24-48hrs. Rest, elevate, compress (RICE)
Legg-calve perthes - ANS-idiopathic osteonecrosis of femoral head. 4x more common
in males. Hip pain, knee pain, painless limp that is worse at end of day. Frog leg xray
best to diagnose.
Viral gastroenteritis - ANS-Most common complication is dehydration.Tx is small,
frequent amounts of oral rehydration solution.
BG for 4y/o - ANS-goal of 90-130
Suspected growth hormone deficiency - ANS-short, slow growth. Childlike faces with
prominent forehead. *Initial eval include TSH, BG (hypoglycemia), GI illness, CBC, sed
rate, UA, growth factor.
Initial eval in cases of isolated menarche - ANS-*sexual abuse should be ruled out first
essentials for childs mental health - ANS-predictable home, childcare, school routines
Migraine - ANS-unilateral, pulsating, occasional photophobia.
Iron deficiency anemia - ANS-*Microcytic, hypochromic. Most common cause is poor
dietary intake/ breastfeeding risk. Prevalence is 25% of children between ages 10-15
mos.
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NURS 629 exam 4.pdfNURS 629 exam 4.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!
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m 4.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$
9/25/2026, 3:19:07 PMNURS 629 exam 4.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!
Depression Comorbidities - ANS-anxiety disorder, mixed anxiety/depression. ADHD,
conduct/learning/oppositional defiant disorders. SAD, eating disorders, stress.
Depression risk factors - ANS-attention, conduct, learning disorders. Chronic illness
(diabetes). abuse/neglect. other trauma or natural disasters. *Separation anxiety.
PHQ9 - ANS-depression screening tool for ages 11 and up
signs of PTSD - ANS-re-experiencing trauma thru intrusive distressing recollections of
event, flashbacks, nightmares. Avoidance of places, people, and activities that are
reminders of trauma, and emotional numbness. Increased arousal such as difficulty
sleeping and concentrating, feeling jumpy, easily irritated and angered. *Extreme
temper tantrums in preschool aged kids.
slipped capital femoral epiphysis risk factors - ANS-Obesity, males, sports, femoral
retroversion, hypothyroidism, avg age presentation is 12y/o for females and 13y/o for
males.
slipped capital femoral epiphysis clinical findings: - ANS-limping, knee/hip pain, pain
worse with activity, localized pain to ant thigh or knee. May be unable to bear wt all
together, loss of internal rotation of hip with flexion, affected extremity is usually shorter.
Loss of abduction and extension
slipped capital femoral epiphysis DX and TX - ANS--xray. Always refer to peds ortho.
Keep non wt bearing until surgical eval.
Scoliosis - ANS-most common type is idiopathic. *In order to confirm suspected, get AP
and lateral standing Xray view of spine
Bactrim - ANS-treatment of choice for UTI in children
TX for gastroenteritis - ANS-small, frequent amounts of oral rehydration solution
Appendicits - ANS-Constant periumbilical pain shifting to RLQ. Worsens over period of
4hrs. Pain subsides as it migrates to RLQ and then worsens with movement, deep
respir, and coughing.Pain/Fever are late sign, leading to perforation. Vomiting.
*Elevated WBC.
Neural mediated syncope - ANS-most common form of fainting/ frequent ED visits.
Happens in part of nervous system that regulates BP. Place pt reclining position to
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