Cerebral Palsy
Give this one a try later!
-loss or deficiency of motor control with involuntary spasms caused by
permanent brain damage present at birth
-s/s: difficulty walking/bodily movements, muscle rigidity, paralysis of one
side of body, muscles shortening, involuntary movements
Abuse: Red Flags
Give this one a try later!
-when history involves a sudden onset of symptoms
-when injury does not match history
,Abuse: History Assessment
Give this one a try later!
-medical conditions (bleeding disorders, bone disease, etc.)
-ask about family medical history
-question patient/family about medications
-ask about child's development
-What does the child say happened?
-When was the last time the child was "normal?"
-How did the parent respond? Did they seek treatment?
-When possible, interview child and parent separately
-DO NOT ask leading questions
Acute Pain
Give this one a try later!
rapid onset, varying intensity, resolves with healing of injury, lasts less than
3 months, provides protective function
Leukemia AML
Give this one a try later!
-abnormal myeloid cell differentiation and division (RBC's, granulocytes,
monocytes, platelets)
-S/S:extremely elevated WBC's, recurrent infections, fever, fatigue, pallor,
salmon-colored or blue-grey popular lesions, visual disturbances, ICP
,acute glomerulonephritis
Give this one a try later!
-postinfectious renal disease (immune complex formation) 5-12 days after
onset of Group A beta-hemolytic strep
-manifestations: generalized edema due to decreased glomerular filtration,
HTN due to increased extracellular fluid, oliguria, hematuria, proteinuria
-management: manage edema (I&O's, daily weights), nutrition (no salt
added, low-moderate protein), monitor BP (may need diuretics), antibiotic
therapy if not treated previously
Slipped Capital Femoral Epiphysis
Give this one a try later!
-occurs when the head of the femur becomes displaced due to a
separation at the growth plate
-s/s: inability to bear weight, hx of worsening symptoms, able to bear
weight and walk but has a mild limp, lack of internal rotation, increased
external rotation
Congestive Heart Failure
Give this one a try later!
, -the heart is unable to maintain sufficient output to meet the body's needs
-S/S: tachycardia, fatigue, weakness, restlessness, pallor, cool extremities,
decreased BP, poor feeding, weight gain, edema, hepatomegaly, exercise
intolerance, respiratory distress
Obstructive Heart Defect
Give this one a try later!
-coarctation of the aorta
Gastroesophageal Reflux Disease (GERD)
Give this one a try later!
-transfer of gastric contents into the esophagus
-manifestations: excessive regurgitation, heartburn (older kids), weight loss,
poor growth, aspiration pneumonia, esophagitis, asthma exacerbations
-nursing interventions: hold infant in upright position after feeding, elevate
HOB, older kids stand after eating, PPI's
Abuse: Fractures
Give this one a try later!
-any fracture when a child doesn't walk yet
-fractures on growth plates/ribs
Give this one a try later!
-loss or deficiency of motor control with involuntary spasms caused by
permanent brain damage present at birth
-s/s: difficulty walking/bodily movements, muscle rigidity, paralysis of one
side of body, muscles shortening, involuntary movements
Abuse: Red Flags
Give this one a try later!
-when history involves a sudden onset of symptoms
-when injury does not match history
,Abuse: History Assessment
Give this one a try later!
-medical conditions (bleeding disorders, bone disease, etc.)
-ask about family medical history
-question patient/family about medications
-ask about child's development
-What does the child say happened?
-When was the last time the child was "normal?"
-How did the parent respond? Did they seek treatment?
-When possible, interview child and parent separately
-DO NOT ask leading questions
Acute Pain
Give this one a try later!
rapid onset, varying intensity, resolves with healing of injury, lasts less than
3 months, provides protective function
Leukemia AML
Give this one a try later!
-abnormal myeloid cell differentiation and division (RBC's, granulocytes,
monocytes, platelets)
-S/S:extremely elevated WBC's, recurrent infections, fever, fatigue, pallor,
salmon-colored or blue-grey popular lesions, visual disturbances, ICP
,acute glomerulonephritis
Give this one a try later!
-postinfectious renal disease (immune complex formation) 5-12 days after
onset of Group A beta-hemolytic strep
-manifestations: generalized edema due to decreased glomerular filtration,
HTN due to increased extracellular fluid, oliguria, hematuria, proteinuria
-management: manage edema (I&O's, daily weights), nutrition (no salt
added, low-moderate protein), monitor BP (may need diuretics), antibiotic
therapy if not treated previously
Slipped Capital Femoral Epiphysis
Give this one a try later!
-occurs when the head of the femur becomes displaced due to a
separation at the growth plate
-s/s: inability to bear weight, hx of worsening symptoms, able to bear
weight and walk but has a mild limp, lack of internal rotation, increased
external rotation
Congestive Heart Failure
Give this one a try later!
, -the heart is unable to maintain sufficient output to meet the body's needs
-S/S: tachycardia, fatigue, weakness, restlessness, pallor, cool extremities,
decreased BP, poor feeding, weight gain, edema, hepatomegaly, exercise
intolerance, respiratory distress
Obstructive Heart Defect
Give this one a try later!
-coarctation of the aorta
Gastroesophageal Reflux Disease (GERD)
Give this one a try later!
-transfer of gastric contents into the esophagus
-manifestations: excessive regurgitation, heartburn (older kids), weight loss,
poor growth, aspiration pneumonia, esophagitis, asthma exacerbations
-nursing interventions: hold infant in upright position after feeding, elevate
HOB, older kids stand after eating, PPI's
Abuse: Fractures
Give this one a try later!
-any fracture when a child doesn't walk yet
-fractures on growth plates/ribs
