NFDN 2005 STUDY GUIDE SET QUESTIONS AND
ANSWERS SET A+
✔✔What assessment do you have to do when administering IV meds/fluids -
✔✔Respiratory Assessment. - risk for fluid overload (crackles)
✔✔cleft lip and palate - ✔✔congenital split of the lip and roof of the mouth
Lip repaired at 10 weeks // palate repaired at 3-6 months
✔✔What is the best position for a child to be in for an effective outcome with Bryants
Traction - ✔✔Lying on their back with hips off of the bed
✔✔Hip Dysplasia - ✔✔Hip does not develop properly in children
Treated with a brace, spica cast or surgery
✔✔talipes equinovarus (clubfoot) - ✔✔Foot is malpositioned due to shortened tendons
✔✔Anencephaly - ✔✔congenital deformity in which some or all of fetal brain is missing
✔✔Spina Bifida - ✔✔a congenital defect that occurs during early pregnancy when the
spinal canal fails to close completely around the spinal cord to protect it
✔✔Hydrocephalus - ✔✔abnormal accumulation of fluid (CSF) in the brain
V/P shunt is inserted to redirect the fluid
✔✔Measles - ✔✔Viral
koplick's spots
Isolate if expected
✔✔Mumps - ✔✔Viral
swelling of parotid glands
, Isolate if expected
✔✔Rubella - ✔✔viral
characterized by a low-grade fever, swollen glands, inflamed eyes, and a fine, pink rash
Isolate if expected
✔✔Varicella - ✔✔Virus
Chicken Pox
Isolate if expected
✔✔Fifth disease (erythema infectiosum) - ✔✔is a childhood disease caused by the
human parvovirus. This common community-acquired disease does not usually require
treatment, but respiratory isolation is recommended for 7 days following the onset of
symptoms. The initial stage of the disease presents as red cheeks that appear to be
"slapped" or "slapped cheeks" with circumoral pallor
✔✔mononucleosis - ✔✔Viral
condition caused by the Epstein-Barr virus and characterized by an increase in
mononuclear cells (monocytes and lymphocytes) in the blood along with enlarged lymph
nodes (lymphadenopathy), fatigue, and sore throat (pharyngitis)
Isolate if expected
✔✔Turners Syndrome (XO) - ✔✔short, sterile. caused by nondisjunction, loss of an X
chromosome early in embryonic development, deletion of part of one X chromosome
✔✔Klinefelter Syndrome (XXY) - ✔✔an extra X chromosome causes physical
abnormalities in males (looks female, cognitive deficiencies)
✔✔Patau Syndrome (Trisomy 13) - ✔✔Characterized by severe intellectual disability, a
small head, sloping forehead, small eyes, cleft lip and palate, extra fingers and toes,
and other disabilities; results from the presence of three copies of chromosome 13.
Poor prognosis
✔✔Edwards Syndrome (Trisomy 18) - ✔✔have small jaws, small eyes, and malfored
low set ears. They also have rocker bottom feet (also seen in Patau). But the key
buzzword is clenched hands with overlapping fingers.
Poor prognosis
✔✔Down Syndrome (Trisomy 21) - ✔✔A genetic disorder caused by the presence of all
or part of a third copy of chromosome 21.
Short stature, obesity, predisposed to leukemia and testicular cancer, thick tongue,
cognitive and heart defects
ANSWERS SET A+
✔✔What assessment do you have to do when administering IV meds/fluids -
✔✔Respiratory Assessment. - risk for fluid overload (crackles)
✔✔cleft lip and palate - ✔✔congenital split of the lip and roof of the mouth
Lip repaired at 10 weeks // palate repaired at 3-6 months
✔✔What is the best position for a child to be in for an effective outcome with Bryants
Traction - ✔✔Lying on their back with hips off of the bed
✔✔Hip Dysplasia - ✔✔Hip does not develop properly in children
Treated with a brace, spica cast or surgery
✔✔talipes equinovarus (clubfoot) - ✔✔Foot is malpositioned due to shortened tendons
✔✔Anencephaly - ✔✔congenital deformity in which some or all of fetal brain is missing
✔✔Spina Bifida - ✔✔a congenital defect that occurs during early pregnancy when the
spinal canal fails to close completely around the spinal cord to protect it
✔✔Hydrocephalus - ✔✔abnormal accumulation of fluid (CSF) in the brain
V/P shunt is inserted to redirect the fluid
✔✔Measles - ✔✔Viral
koplick's spots
Isolate if expected
✔✔Mumps - ✔✔Viral
swelling of parotid glands
, Isolate if expected
✔✔Rubella - ✔✔viral
characterized by a low-grade fever, swollen glands, inflamed eyes, and a fine, pink rash
Isolate if expected
✔✔Varicella - ✔✔Virus
Chicken Pox
Isolate if expected
✔✔Fifth disease (erythema infectiosum) - ✔✔is a childhood disease caused by the
human parvovirus. This common community-acquired disease does not usually require
treatment, but respiratory isolation is recommended for 7 days following the onset of
symptoms. The initial stage of the disease presents as red cheeks that appear to be
"slapped" or "slapped cheeks" with circumoral pallor
✔✔mononucleosis - ✔✔Viral
condition caused by the Epstein-Barr virus and characterized by an increase in
mononuclear cells (monocytes and lymphocytes) in the blood along with enlarged lymph
nodes (lymphadenopathy), fatigue, and sore throat (pharyngitis)
Isolate if expected
✔✔Turners Syndrome (XO) - ✔✔short, sterile. caused by nondisjunction, loss of an X
chromosome early in embryonic development, deletion of part of one X chromosome
✔✔Klinefelter Syndrome (XXY) - ✔✔an extra X chromosome causes physical
abnormalities in males (looks female, cognitive deficiencies)
✔✔Patau Syndrome (Trisomy 13) - ✔✔Characterized by severe intellectual disability, a
small head, sloping forehead, small eyes, cleft lip and palate, extra fingers and toes,
and other disabilities; results from the presence of three copies of chromosome 13.
Poor prognosis
✔✔Edwards Syndrome (Trisomy 18) - ✔✔have small jaws, small eyes, and malfored
low set ears. They also have rocker bottom feet (also seen in Patau). But the key
buzzword is clenched hands with overlapping fingers.
Poor prognosis
✔✔Down Syndrome (Trisomy 21) - ✔✔A genetic disorder caused by the presence of all
or part of a third copy of chromosome 21.
Short stature, obesity, predisposed to leukemia and testicular cancer, thick tongue,
cognitive and heart defects
