NSG 3600 PEDS EXAM 3 Study Test Que
] ] ] ] ] ] ]
stions and Correct Answers
] ] ]
acute ]diarrhea ]causes ]- ]correct ]answer: ]- ]Rotavirus
- ]Diet/food
- ]Infection
- ]Medication ]- ]ANTIBIOTICS
- ]Toxic ]substances
What ]are ]you ]worried ]about ]with ]acute ]diarrhea? ]- ]correct ]answer: ]- ]Dehydration( ]look ]at ]skin ]t
urgor)
- ]Electrolyte ]imbalance
Interventions ]for ]Acute ]Diarrhea ]- ]correct ]answer: ]- ]Give ]Pedialyte
- ]IV ]fluids, ]NO ]FRUIT ]JUICE
- ]Electrolytes, ]START ]with ]bland, ]soft ]food
Prevention ]for ]Acute ]Diarrhea ]- ]correct ]answer: ]- ]Handwashing
- ]Proper ]Food ]handling
Cleft ]lip ]and ]palate ]Meaning ]- ]correct ]answer: ]- ]Facial ]malformation ]during ]embryonic ]developm
ent
- ]Native ]American/ ]Asian ]Male
Cleft ]lip ]and ]palate ]risk ]factors ]- ]correct ]answer: ]- ]Smoking
- ]Gestational ]Diabetes
,- ]Use ]of ]certain ]meds
- ]Lack ]of ]folic ]acid ]prenatal
Cleft ]lip ]and ]palate ]interventions ]- ]correct ]answer: ]- ]Haberman ]feeder
- ]Promote ]bonding ]between ]family
- ]Burp ]infants ]often
- ]No- ]Nos ]( ]elbow ]restraints: ]take ]off ]every ]1-2hrs)
- ]Apply ]petroleum ]jelly ]to ]operative ]site
- ]Feed ]with ]syringe/ ]dropper ]until ]surgical ]site ]is ]healed
Intussusception ]- ]correct ]answer: ]- ]Intestines ]folding ]into ]itself ]causing ]an ]obstruction ]normally ]
at ]the ]ileocecal ]valve
Intussusception ]Risk ]Factors ]- ]correct ]answer: ]- ]Males ]less ]than ]18 ]months
- ]Cystic ]Fibrosis
Intussusception ]signs ]and ]symptoms ]- ]correct ]answer: ]- ]Current ]jelly ]stool
-Sausage ]shaped ]mass ]in ]RUG
- ]pulling ]legs ]to ]chest ]
- ]Vomiting
Intussusception ]System ]triad ]- ]correct ]answer: ]- ]Stool ]with ]blood
- ]Screaming ]with ]drawing ]up ]legs ]
- ]Paroxysmal ]episodic ]abdominal ]pain ]with ]vomiting ]every ]5-30 ]minutes.
Intussusception ]Dx ]- ]correct ]answer: ]- ]BARIUM ]ENEMA
, - ]Abdominal ]ultrasound
Intussusception ]Intervention ]- ]correct ]answer: ]- ]Monitor ]for ]signs ]of ]perforation, ]peritonitis ]and ]
shock.
- ]coach ]and ]reed ]stool ]and ]if ]patient ]passed ]stool ]alert ]pcp.
- ]If ]child ]has ]surgery: ]NPO, ]NGT, ]IV ]fluids ]
- ]Fever ]greater ]than ]99.5 ]is ]very ]bad, ]alert ]PCP.
- ]Monitor ]for ]infection
failure ]to ]thrive ]- ]correct ]answer: ]a ]condition ]in ]which ]infants ]become ]malnourished ]and ]fail ]to ]g
row ]or ]gain ]weight ]for ]no ]obvious ]medical ]reason
Failure ]to ]thrive ]symptoms ]- ]correct ]answer: ]- ]weight ]< ]5th ]percentile, ]length ]WNL
- ]decreased ]or ]lack ]of ]subcutaneous ]fat ]
- ]pale ]skin
- ]developmental ]delays
- ]Decreased ]albumin ]levels
appendicitis ]- ]correct ]answer: ]inflammation ]of ]the ]appendix
appendicitis ]/s ]- ]correct ]answer: ]- ]Periumbilical ]pain
- ]RLQ ]pain
Appendicitis ]Interventions ]- ]correct ]answer: ]- ]Monitor ]VS
- ]If ]Pain ]stops ]CALL ]THE ]PCP, ]IT ]COULD ]HAVE ]RUPTURED
-NPO ]24hrs ]post ]op
- ]Monitor ]for ]peritonitis( ]stiff ]tender ]abdomen)
] ] ] ] ] ] ]
stions and Correct Answers
] ] ]
acute ]diarrhea ]causes ]- ]correct ]answer: ]- ]Rotavirus
- ]Diet/food
- ]Infection
- ]Medication ]- ]ANTIBIOTICS
- ]Toxic ]substances
What ]are ]you ]worried ]about ]with ]acute ]diarrhea? ]- ]correct ]answer: ]- ]Dehydration( ]look ]at ]skin ]t
urgor)
- ]Electrolyte ]imbalance
Interventions ]for ]Acute ]Diarrhea ]- ]correct ]answer: ]- ]Give ]Pedialyte
- ]IV ]fluids, ]NO ]FRUIT ]JUICE
- ]Electrolytes, ]START ]with ]bland, ]soft ]food
Prevention ]for ]Acute ]Diarrhea ]- ]correct ]answer: ]- ]Handwashing
- ]Proper ]Food ]handling
Cleft ]lip ]and ]palate ]Meaning ]- ]correct ]answer: ]- ]Facial ]malformation ]during ]embryonic ]developm
ent
- ]Native ]American/ ]Asian ]Male
Cleft ]lip ]and ]palate ]risk ]factors ]- ]correct ]answer: ]- ]Smoking
- ]Gestational ]Diabetes
,- ]Use ]of ]certain ]meds
- ]Lack ]of ]folic ]acid ]prenatal
Cleft ]lip ]and ]palate ]interventions ]- ]correct ]answer: ]- ]Haberman ]feeder
- ]Promote ]bonding ]between ]family
- ]Burp ]infants ]often
- ]No- ]Nos ]( ]elbow ]restraints: ]take ]off ]every ]1-2hrs)
- ]Apply ]petroleum ]jelly ]to ]operative ]site
- ]Feed ]with ]syringe/ ]dropper ]until ]surgical ]site ]is ]healed
Intussusception ]- ]correct ]answer: ]- ]Intestines ]folding ]into ]itself ]causing ]an ]obstruction ]normally ]
at ]the ]ileocecal ]valve
Intussusception ]Risk ]Factors ]- ]correct ]answer: ]- ]Males ]less ]than ]18 ]months
- ]Cystic ]Fibrosis
Intussusception ]signs ]and ]symptoms ]- ]correct ]answer: ]- ]Current ]jelly ]stool
-Sausage ]shaped ]mass ]in ]RUG
- ]pulling ]legs ]to ]chest ]
- ]Vomiting
Intussusception ]System ]triad ]- ]correct ]answer: ]- ]Stool ]with ]blood
- ]Screaming ]with ]drawing ]up ]legs ]
- ]Paroxysmal ]episodic ]abdominal ]pain ]with ]vomiting ]every ]5-30 ]minutes.
Intussusception ]Dx ]- ]correct ]answer: ]- ]BARIUM ]ENEMA
, - ]Abdominal ]ultrasound
Intussusception ]Intervention ]- ]correct ]answer: ]- ]Monitor ]for ]signs ]of ]perforation, ]peritonitis ]and ]
shock.
- ]coach ]and ]reed ]stool ]and ]if ]patient ]passed ]stool ]alert ]pcp.
- ]If ]child ]has ]surgery: ]NPO, ]NGT, ]IV ]fluids ]
- ]Fever ]greater ]than ]99.5 ]is ]very ]bad, ]alert ]PCP.
- ]Monitor ]for ]infection
failure ]to ]thrive ]- ]correct ]answer: ]a ]condition ]in ]which ]infants ]become ]malnourished ]and ]fail ]to ]g
row ]or ]gain ]weight ]for ]no ]obvious ]medical ]reason
Failure ]to ]thrive ]symptoms ]- ]correct ]answer: ]- ]weight ]< ]5th ]percentile, ]length ]WNL
- ]decreased ]or ]lack ]of ]subcutaneous ]fat ]
- ]pale ]skin
- ]developmental ]delays
- ]Decreased ]albumin ]levels
appendicitis ]- ]correct ]answer: ]inflammation ]of ]the ]appendix
appendicitis ]/s ]- ]correct ]answer: ]- ]Periumbilical ]pain
- ]RLQ ]pain
Appendicitis ]Interventions ]- ]correct ]answer: ]- ]Monitor ]VS
- ]If ]Pain ]stops ]CALL ]THE ]PCP, ]IT ]COULD ]HAVE ]RUPTURED
-NPO ]24hrs ]post ]op
- ]Monitor ]for ]peritonitis( ]stiff ]tender ]abdomen)
