NURS 602 ADVANCED HEALTH ASSESSMENT (Pediatrics)MIDTERM
EXAM STUDY GUIDE LATEST UPDATED.
1. How is Kawasa- No specific lab test. (no blood test)
ki disease diag- Liver tests may be abnormal
nosed? Diagnosis is made by meeting these criteria:
Fever for at least 5 days
4 of these 5 conditions must be met
- Mucous membrane changes such as red tongue and
dry fissured lips
- Swelling of hands and feet.
- Enlarged lymph nodes in the neck
- Diffuse red rash covering most of
the body.
- Redness of eyes.
o Illness cannot be explained by any known disease
process.
2. How to treat IVIG and aspirin
Kawasaki disease:
3. What is retinoblas- malignant tumor of the retina
toma?
4. signs and symp- whitish glow in pupil - cat's eye reflex (leukocoria). Eyes
toms of retinoblas- looking in different directions, poor vision, eye swelling,
toma eye redness
5. When should chil- from birth up to the age of 7 years. After age 7 years,
dren be screened no further screening of asymptomatic children is rec-
for retinoblastoma ommended, unless they are known to carry an RB1
mutation. Most children diagnosed are younger than 3
years old.
6. Risk factors for Diets low in fruits and vegetables among mothers during
retinoblastoma pregnancy
Exposure to chemicals in gasoline or diesel exhaust
during pregnancy
Exposure of fathers to radiation
Older age among fathers
7.
, NURS 602 ADVANCED HEALTH ASSESSMENT (Pediatrics)MIDTERM
EXAM STUDY GUIDE LATEST UPDATED.
s/sx of hypothy- Slowed growth rate
roidism in pediatric Puffy face
clients Swollen hands and feet
Poor muscle tone
Sluggishness, sleepiness
Constipation
Fatigue
Dry, itchy scalp
Dry, coarse skin
Heavy menstruation in girls
Mood swings
Weight gain
Hoarse cry or voice
Dry, coarse skin
Enlarged thyroid gland (goiter)
8. Is imaging warrant- imaging should be minimized r/t the exposure to radia-
ed in a pediatric tion in children.
client with Asthma
9. What is intermittent Rule of 2's:
asthma? Symptoms: <2 days/week
Nighttime: <2 times/ mo
Rescue inhaler use: <2 days per week
Limitation with activity: none
Lung function: FEV1>80% , normal between exacerba-
tions.
Intermittent asthma means that you only have symp-
toms sometimes. People with intermittent asthma usu-
ally have symptoms 2 days a week or less often
10. What is mild persis- • *Symptoms*: >2 days/week but not daily
tent asthma? • Nighttime awakenings: 3-4x/month
• *SABA use*: > 2 days/week but not daily
• *Interference with normal activity*: Minor
• *Lung Function*:
- FEV*: > 80% predicted
- FEV1/FVC: normal
, NURS 602 ADVANCED HEALTH ASSESSMENT (Pediatrics)MIDTERM
EXAM STUDY GUIDE LATEST UPDATED.
Persistent asthma means that you have symptoms reg-
ularly. People with mild persistent asthma have asthma
symptoms more than twice a week, but not every day.
11. What is moderate • *Symptoms*: Daily
persistent asthma? • Nighttime awakenings: >1x/week but not nightly
• *SABA use*: Daily
• *Interference with normal activity*: Some limitations
• *Lung Function*:
- FEV*: < 60% but< 80% predicted
- FEV1/FVC: reduced 5%
People with moderate persistent asthma have asthma
symptoms every day. Your lung spirometry tests will
show decreased lung function.
12. What is severe per- • *Symptoms*: throughout the day
sistent asthma? • Nighttime awakenings: often nightly
• *SABA use*: Several times a day
• *Interference with normal activity*: Extremely limited
• *Lung Function*:
- FEV*: < 60% predicted
- FEV1/FVC: reduced 5%
People with severe persistent asthma have asthma
symptoms every day, throughout the day. As a result,
your daily activities are extremely limited. You might
wake up every night because of your asthma symptoms.
You must use rescue medicines several times a day.
Your lung spirometry tests will show severely decreased
lung function.1
13. Treating Pediatric
asthma
EXAM STUDY GUIDE LATEST UPDATED.
1. How is Kawasa- No specific lab test. (no blood test)
ki disease diag- Liver tests may be abnormal
nosed? Diagnosis is made by meeting these criteria:
Fever for at least 5 days
4 of these 5 conditions must be met
- Mucous membrane changes such as red tongue and
dry fissured lips
- Swelling of hands and feet.
- Enlarged lymph nodes in the neck
- Diffuse red rash covering most of
the body.
- Redness of eyes.
o Illness cannot be explained by any known disease
process.
2. How to treat IVIG and aspirin
Kawasaki disease:
3. What is retinoblas- malignant tumor of the retina
toma?
4. signs and symp- whitish glow in pupil - cat's eye reflex (leukocoria). Eyes
toms of retinoblas- looking in different directions, poor vision, eye swelling,
toma eye redness
5. When should chil- from birth up to the age of 7 years. After age 7 years,
dren be screened no further screening of asymptomatic children is rec-
for retinoblastoma ommended, unless they are known to carry an RB1
mutation. Most children diagnosed are younger than 3
years old.
6. Risk factors for Diets low in fruits and vegetables among mothers during
retinoblastoma pregnancy
Exposure to chemicals in gasoline or diesel exhaust
during pregnancy
Exposure of fathers to radiation
Older age among fathers
7.
, NURS 602 ADVANCED HEALTH ASSESSMENT (Pediatrics)MIDTERM
EXAM STUDY GUIDE LATEST UPDATED.
s/sx of hypothy- Slowed growth rate
roidism in pediatric Puffy face
clients Swollen hands and feet
Poor muscle tone
Sluggishness, sleepiness
Constipation
Fatigue
Dry, itchy scalp
Dry, coarse skin
Heavy menstruation in girls
Mood swings
Weight gain
Hoarse cry or voice
Dry, coarse skin
Enlarged thyroid gland (goiter)
8. Is imaging warrant- imaging should be minimized r/t the exposure to radia-
ed in a pediatric tion in children.
client with Asthma
9. What is intermittent Rule of 2's:
asthma? Symptoms: <2 days/week
Nighttime: <2 times/ mo
Rescue inhaler use: <2 days per week
Limitation with activity: none
Lung function: FEV1>80% , normal between exacerba-
tions.
Intermittent asthma means that you only have symp-
toms sometimes. People with intermittent asthma usu-
ally have symptoms 2 days a week or less often
10. What is mild persis- • *Symptoms*: >2 days/week but not daily
tent asthma? • Nighttime awakenings: 3-4x/month
• *SABA use*: > 2 days/week but not daily
• *Interference with normal activity*: Minor
• *Lung Function*:
- FEV*: > 80% predicted
- FEV1/FVC: normal
, NURS 602 ADVANCED HEALTH ASSESSMENT (Pediatrics)MIDTERM
EXAM STUDY GUIDE LATEST UPDATED.
Persistent asthma means that you have symptoms reg-
ularly. People with mild persistent asthma have asthma
symptoms more than twice a week, but not every day.
11. What is moderate • *Symptoms*: Daily
persistent asthma? • Nighttime awakenings: >1x/week but not nightly
• *SABA use*: Daily
• *Interference with normal activity*: Some limitations
• *Lung Function*:
- FEV*: < 60% but< 80% predicted
- FEV1/FVC: reduced 5%
People with moderate persistent asthma have asthma
symptoms every day. Your lung spirometry tests will
show decreased lung function.
12. What is severe per- • *Symptoms*: throughout the day
sistent asthma? • Nighttime awakenings: often nightly
• *SABA use*: Several times a day
• *Interference with normal activity*: Extremely limited
• *Lung Function*:
- FEV*: < 60% predicted
- FEV1/FVC: reduced 5%
People with severe persistent asthma have asthma
symptoms every day, throughout the day. As a result,
your daily activities are extremely limited. You might
wake up every night because of your asthma symptoms.
You must use rescue medicines several times a day.
Your lung spirometry tests will show severely decreased
lung function.1
13. Treating Pediatric
asthma
