PEDS NR328 EXAM QUESTIONS WITH
VERIFIED ANSWERS LATEST 2024 GRADED A+
◉what can cause a infant to have cretinism (congenital hypothyroidism
)? Answer: 1. insufficiency of iodine in mothers diet
2. Untreated maternal hypothyroidism
◉what sign will the child show at birth associated with
cretinism/congenital hypothyroidism ? Answer: 1. Distinguished facial
characteristics
2. Diminished growth
3. Mental retardation
◉Juvenile Hypothyroidism Answer: known as the "good babies"
because always quiet and sleepy they have decrease growth
,constipation,
,in myxedematous changes
dry skin and sparse hair
periorbital edema
◉Iodine deficiency Answer: is the most preventable form of brain
damage
◉Reye's syndrome Answer: is a rare but serious condition that causes
swelling in the liver and brain which causes liver dysfunction and
cerebral edema
◉Reyes syndrome is most common in ? Answer: Children and teenager
(4-12) who have or are recovering from chicken pox or flu like
symptoms receiving ASPIRIN!!!
◉Patients who have Reyes syndrome should not use? Answer: Aspirin
◉Reyes syndrome is ? Answer: idiopathic
◉Since the liver is dysfunctional in Reyes syndrome - Answer:
Ammonia build up because your liver is not filtering out the toxins so it
can pass the blood barrier in the brain causing encephalopathy
,◉Reye's Syndrome symptoms Answer: -Vomiting,
-Alter mental status
-absence fever
-Rash on palms of hands and feet, seizures
-weak or diminished reflexes, cerebral edema
-increase LIVER ENZYMES
-increased AMMONIA LEVELS
-increased ptt because the liver plays a role in clotting
-glycogen problem ( glycogen to convert to glucose problem and vice
versa )
◉Reye's Syndrome treatment Answer: -Ondansetron may be given to
decrease vomiting.
-Seizure: phenytoin
, -Decrease ICP give Mannitol
**but iv fluids for the most part careful monitoring and supportive care
◉Reye's syndrome (RS) diagnosis Answer: LIVER biopsy and CSF
analysis ( because it deals with the brain being enlarged )
◉cerebral palsy (CP) Answer: condition characterized by lack of
muscle control and partial paralysis, caused by a brain defect or lesion
present at birth or shortly after
**Although PT might have this 40-60% have normal IQ's
◉cerebral palsy can cause what other problem/complication- Answer:
can cause abnormal perception and sensation: such as Visual ,hearing
,and speech impairment :seizure and cognitive disabilities depending on
what part of the brain is damaged
**use manual jaw control because lower jaw is weak during feeding
VERIFIED ANSWERS LATEST 2024 GRADED A+
◉what can cause a infant to have cretinism (congenital hypothyroidism
)? Answer: 1. insufficiency of iodine in mothers diet
2. Untreated maternal hypothyroidism
◉what sign will the child show at birth associated with
cretinism/congenital hypothyroidism ? Answer: 1. Distinguished facial
characteristics
2. Diminished growth
3. Mental retardation
◉Juvenile Hypothyroidism Answer: known as the "good babies"
because always quiet and sleepy they have decrease growth
,constipation,
,in myxedematous changes
dry skin and sparse hair
periorbital edema
◉Iodine deficiency Answer: is the most preventable form of brain
damage
◉Reye's syndrome Answer: is a rare but serious condition that causes
swelling in the liver and brain which causes liver dysfunction and
cerebral edema
◉Reyes syndrome is most common in ? Answer: Children and teenager
(4-12) who have or are recovering from chicken pox or flu like
symptoms receiving ASPIRIN!!!
◉Patients who have Reyes syndrome should not use? Answer: Aspirin
◉Reyes syndrome is ? Answer: idiopathic
◉Since the liver is dysfunctional in Reyes syndrome - Answer:
Ammonia build up because your liver is not filtering out the toxins so it
can pass the blood barrier in the brain causing encephalopathy
,◉Reye's Syndrome symptoms Answer: -Vomiting,
-Alter mental status
-absence fever
-Rash on palms of hands and feet, seizures
-weak or diminished reflexes, cerebral edema
-increase LIVER ENZYMES
-increased AMMONIA LEVELS
-increased ptt because the liver plays a role in clotting
-glycogen problem ( glycogen to convert to glucose problem and vice
versa )
◉Reye's Syndrome treatment Answer: -Ondansetron may be given to
decrease vomiting.
-Seizure: phenytoin
, -Decrease ICP give Mannitol
**but iv fluids for the most part careful monitoring and supportive care
◉Reye's syndrome (RS) diagnosis Answer: LIVER biopsy and CSF
analysis ( because it deals with the brain being enlarged )
◉cerebral palsy (CP) Answer: condition characterized by lack of
muscle control and partial paralysis, caused by a brain defect or lesion
present at birth or shortly after
**Although PT might have this 40-60% have normal IQ's
◉cerebral palsy can cause what other problem/complication- Answer:
can cause abnormal perception and sensation: such as Visual ,hearing
,and speech impairment :seizure and cognitive disabilities depending on
what part of the brain is damaged
**use manual jaw control because lower jaw is weak during feeding
