NURS 403: PEDIATRICS: MODULE 4: TEST QUESTIONS WITH ACCURATE SOLUTIONS.

NURS 403: PEDIATRICS: MODULE 4: TEST QUESTIONS WITH
ACCURATE SOLUTIONS.




1) What is precocious puberty -- Answer ✔✔ -early onset of puberty before 8
years in girls and 9 years in boys
- Rapid bone growth causes early growth plate fusion and short stature in
adulthood

2) causes of precocious puberty -- Answer ✔✔ idiopathic:
- Obesity, ethnicity, genetic predisposition, psychosocial stress
CNS tumor, head trauma, or cranial radiation



3) Parental concerns with precocious puberty -- Answer ✔✔ kids physical
development "older" but cognitively need to be treated as their age



4) What does growth hormone deficiency do to body? -- Answer ✔✔ cause poor
growth and short stature (looks young for age)



5) Growth hormone deficiency complication: hypoglycemia -- Answer ✔✔ GH
stops release of insulin so lack of GH can cause excess insulin and decrease BS

, 6) Growth hormone deficiency s/s -- Answer ✔✔ -hypoglycemia (shakiness, tired)
- 5th percentile for height and weight



7) Growth hormone deficiency treatment -- Answer ✔✔ -daily subq injection of
GH
- Only get it until fully grown and won’t get it until older in age



8) Growth hormone deficiency nursing interventions -- Answer ✔✔ -cognitively
older, but look younger, so help with psychosocial aspect
- Monitor BS



9) Diabetes mellitus s/s -- Answer ✔✔ -polydipsia
- Polyuria
- Polyphagia
- Weight loss
- Fatigue
- Blurred vision
- In babies: vomiting



10) Sick day rules -- Answer ✔✔ -check blood sugar every 4 hours
- Check ketones every 3 hours
- Still give insulin even if not eating



11) What gives someone an increased risk of DKA -- Answer ✔✔ stress or infection



12) DKA treatment -- Answer ✔✔ -#1: GIVE FLUIDS (NS)
- #1.5 cardiac monitor
- #2: SLOWLY give insulin (IV regular insulin)
- #3: once BS gets to 250, add dextrose (D5) with insulin drip (to prevent
hypoglycemia)