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1. What are the characteristics of fifth disease and where does the rash appear?
ANS The rash first appears on the face (slapped cheek), secondary rash can
appear on the rest of the body, it’s itchy, especially on the bottom of feet, lasts
7–10 days or up to weeks, patient experiences fever, runny nose, headache,
requires droplet precautions
2. What precautions are used for rubella in pediatric care?
ANS Droplet, direct contact, rash starts on face and spreads to body, lasts 2–3
days, symptoms include low-grade fever and sore throat
3. What are the components of tetralogy of Fallot?
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,ANS Four defects: pulmonary stenosis, ventricular septal defect, overriding
aorta, right ventricular hypertrophy, causes cyanosis at birth, progressive
cyanosis, systolic murmur, blue spells
4. What are the allergy or adverse reactions to clindamycin?
ANS Oral thrush, jaundice, watery diarrhea, fever, chills, body aches, flu-like
symptoms, purple pinpoint spots under skin
5. What is intussusception and its symptoms?
ANS Telescoping of intestines causing lymphatic and venous obstruction,
symptoms include abdominal mass (sausage-like shape)
6. What is immune thrombocytopenia and its symptoms?
ANS Immune system attacks platelets, low platelet levels, symptoms include
easy bruising, bleeding, pinpoint reddish-purple spots on lower legs, heavy or
prolonged periods, epistaxis
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,7. What nursing interventions are required for an infant with heart failure?
ANS Monitor vitals, ECG, cardiac status, heart failure signs, I&O, daily
weight, administer fluids, IV gamma globulin per policy, aspirin, provide oral
care, cool cloths to extremities, skin care
8. What is cystic fibrosis and its effects?
ANS Respiratory disorder from mutated gene, thick mucus obstructs pancreas,
lungs, liver, small intestine, increased sodium and chloride in sweat and
saliva, central nervous system abnormalities
9. What is juvenile idiopathic arthritis and its management?
ANS Chronic autoimmune inflammatory disease affecting joints, damages
articular cartilage, apply splints at night, heat to affected areas, rarely life-
threatening
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, 10. What car seat safety guidelines apply to infants?
ANS Place child in back seat, rear-facing, until age 2 or height recommended
by manufacturer
11. How should a nurse transition an infant from liquid to solid food?
ANS Start at 4–6 months, introduce one new food at a time to check for
allergies, begin with iron-fortified cereal
12. How should a school-aged child be prepared for a biopsy?
ANS Apply topical anesthetic to skin 45 minutes prior, position for access
13. How is permethrin applied for a child with scabies, and how often?
ANS Apply 5% permethrin cream over entire body as a one-time treatment,
may repeat in one week, treat family and contacts, wash everything in hot
water, use ivermectin for difficult cases
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