Pediatrics (NURS 355- Liberty University) Test 3 Study Guide.

Pediatrics (NURS 355- Liberty University) Test 3 Study Guide. A young child recently diagnosed with a terminal cancer just told the nurse "I have a secret to tell you, but don't tell mommy and daddy. I'm going to die". The parents don't want to tell the child that he is near death. What do you need to start talking to the parents about? - CORRECT ANSWER Discuss a good death- home or hospital, drugs for treatment or for pain relief? What IQ constitutes cognitive impairment? - CORRECT ANSWER 70-75 When are cognitive impairment diagnoses made? - CORRECT ANSWER Before 18 years old What is the most common chromosomal abnormality? - CORRECT ANSWER Down syndrome What one maternal cause can increase the risk for having a Downs baby? - CORRECT ANSWER Having her baby 40 years old What is the most common inherited cause of cognitive impairment? - CORRECT ANSWER Fragile X Syndrome The triage nurse said that she is sending back a Fragile X patient. What do you expected to see? Hear? Find? - CORRECT ANSWER See- strabismus, long narrow face with large jaw, big ears, big head, very large testes Hear- Possible mitral valve prolapse, speech problems Find- Attention deficit, autistic like, cognitive impairment, possible violence What hospital cause greatly increases the likelyhood of an infant developing hearing loss? - CORRECT ANSWER Them being in the NICU (lots of noise) What are some causes for hearing impairment? - CORRECT ANSWER Chronic ear infection Perinatal infection NICU stay Aanatomic malformation Asphyxia or prolonged oxygen supplementation Maternal substance abuse How to treat conductive hearing loss? - CORRECT ANSWER Antibiotics Tympanoplasty Hearing aids How to treat sensorineural hearing loss? - CORRECT ANSWER Cochlear implants When is it best to get a Cochlear implant? Why? - CORRECT ANSWER Before 1 year old so the child can learn sounds better and learn as he grows instead of having to relearn and getting frustrated What kind of visual impairment is normal until age 7? - CORRECT ANSWER Hyperopia (farsightedness) How do you treat amblyopia (lazy eye)? Strabismus? - CORRECT ANSWER Eye patch on the good eye Possible surgical repair How many kinds of autism are there? What are they? - CORRECT ANSWER Two social communication/interaction Unusually repetitive behavior/interest in certain activities Do genetics play a role in autism? - CORRECT ANSWER Highly probable What is one of the biggest life changing things for kids with cognitive impairment? - CORRECT ANSWER Early diagnosis and intervention