PEDI HESI - GI
Which one is harder to diagnose Cleft lip or Palate? -
☑️Palate
When is cleft palate usually diagnosed? -
☑️When the infant has feeding problems
What may infants have a problem with with cleft lip or palate? -
☑️Sucking, Feeding, Gaining Weight.
At what weight and Hgb level is cleft lip repair usually done? -
☑️10 lbs and 10 g/Dl of Hgb
At what age is cleft palate usually surgically repaired and why? -
☑️Usually repaired at 1 years old to reduce risk of speech impetiment
What is the ESSR method for children with cleft lip and palate? -
☑️Enlarge Nipple opening
Stimulate sucking
Swallowing
Rest
Should you promote breast feeding for infants with cleft lip and palate? -
☑️Yes.
What position should an infant with cleft lip be placed in to maintain proper airway -
☑️Upright position
What position should a child with cleft palate be placed in? -
☑️Side or abdomen
What two things can you remove secretions with for a child with cleft lip or palate? -
☑️Bulb Suction or Yakauer Suction Set
What kind of restraints should be placed on the infant after having corrective cleft surgery? -
☑️Elbow
What should you try to minimized after an infant has cleft lip or palate surgery? -
☑️- Minimize crying because of strain on the incision
- Minimize touching by using restraints
- Minimize infection
What is added to the lip after cleft lip surgery? -
☑️Logan Bow
How do you provide Restraint care on a child? -
☑️Remove one limb at a time and provide ROM and age appropriate activities
1
, How does the diet progress for a child after having cleft surgery? -
☑️Clear liquid to full liquid
What diet may the child go home on after cleft surgery? -
☑️Soft diet - nothing harder than mashed potatoes
What are the three C's of TEF and Esophageal Atresia -
☑️Coughing, Choking, Cyanosis
What are the signs and symptoms of TEF and Esophageal Atresia: -
☑️- Three C's
- Excess Salivation
- Respiratory Depression
- Aspiration pneumonia
Should the child be eating or drinking anything with EA or TEF? -
☑️NO, remain NPO before and after surgery
What bed position should people with TEF or EA be in? -
☑️HOB 30 degrees elevated
What is a risk for after TEF or EA surgery? -
☑️Postoperative Stricture
What are the 4 signs of Postoperative Stricture? -
☑️- Regurgitation
- Drooling
- Dysphagia
- Poor Feeding
Pyloric Stenosis occurs in which child? -
☑️The first born male usually
What are Signs and symptoms of pyloric Stenosis: -
☑️- Obvious peristalsis
- Olive shaped mass in the upper right quadrant
- Projectile vomiting
- Non-bileous Vomit
- Dehydration
- Decreased Sodium and potassium
- Weight Loss
What blood gas status will a child have with pyloric stenosis? -
☑️Metabolic alkalosis
What levels do you need to watch with pyloric stenosis? -
☑️Electrolytes and hydration
How should you administer feedings to a child with pyloric stenosis? -
2
Which one is harder to diagnose Cleft lip or Palate? -
☑️Palate
When is cleft palate usually diagnosed? -
☑️When the infant has feeding problems
What may infants have a problem with with cleft lip or palate? -
☑️Sucking, Feeding, Gaining Weight.
At what weight and Hgb level is cleft lip repair usually done? -
☑️10 lbs and 10 g/Dl of Hgb
At what age is cleft palate usually surgically repaired and why? -
☑️Usually repaired at 1 years old to reduce risk of speech impetiment
What is the ESSR method for children with cleft lip and palate? -
☑️Enlarge Nipple opening
Stimulate sucking
Swallowing
Rest
Should you promote breast feeding for infants with cleft lip and palate? -
☑️Yes.
What position should an infant with cleft lip be placed in to maintain proper airway -
☑️Upright position
What position should a child with cleft palate be placed in? -
☑️Side or abdomen
What two things can you remove secretions with for a child with cleft lip or palate? -
☑️Bulb Suction or Yakauer Suction Set
What kind of restraints should be placed on the infant after having corrective cleft surgery? -
☑️Elbow
What should you try to minimized after an infant has cleft lip or palate surgery? -
☑️- Minimize crying because of strain on the incision
- Minimize touching by using restraints
- Minimize infection
What is added to the lip after cleft lip surgery? -
☑️Logan Bow
How do you provide Restraint care on a child? -
☑️Remove one limb at a time and provide ROM and age appropriate activities
1
, How does the diet progress for a child after having cleft surgery? -
☑️Clear liquid to full liquid
What diet may the child go home on after cleft surgery? -
☑️Soft diet - nothing harder than mashed potatoes
What are the three C's of TEF and Esophageal Atresia -
☑️Coughing, Choking, Cyanosis
What are the signs and symptoms of TEF and Esophageal Atresia: -
☑️- Three C's
- Excess Salivation
- Respiratory Depression
- Aspiration pneumonia
Should the child be eating or drinking anything with EA or TEF? -
☑️NO, remain NPO before and after surgery
What bed position should people with TEF or EA be in? -
☑️HOB 30 degrees elevated
What is a risk for after TEF or EA surgery? -
☑️Postoperative Stricture
What are the 4 signs of Postoperative Stricture? -
☑️- Regurgitation
- Drooling
- Dysphagia
- Poor Feeding
Pyloric Stenosis occurs in which child? -
☑️The first born male usually
What are Signs and symptoms of pyloric Stenosis: -
☑️- Obvious peristalsis
- Olive shaped mass in the upper right quadrant
- Projectile vomiting
- Non-bileous Vomit
- Dehydration
- Decreased Sodium and potassium
- Weight Loss
What blood gas status will a child have with pyloric stenosis? -
☑️Metabolic alkalosis
What levels do you need to watch with pyloric stenosis? -
☑️Electrolytes and hydration
How should you administer feedings to a child with pyloric stenosis? -
2
