NR 328 MIDTERM EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔Fluid Requirements: 1-10kg - ✔✔100ml/kg
✔✔Fluid Requirements: 11-20kg - ✔✔1000ml+50ml/kg x each kg >10 kg
✔✔Fluid Requirements: >20kg - ✔✔1500ml+20/kg X each kg >20kg
✔✔Celiac Disease - ✔✔- intolerance to gluten
- inborn error of metabolism or an immunologic response
- strict avoidance of gluten
✔✔Celiac Disease: S/S - ✔✔- Diarrhea (watery and pale w/ offensive odor
- Anorexia
- Abdominal Pain & Distension
- Muscle wasting particularly in the buttocks and extremities
✔✔Celiac Disease: Interventions - ✔✔- gluten free diet substituting corn, rice and millet
as grain sources
- mineral and vitamin supplementation including iron, folic acid and fat soluble vitamins
A, D, E and K
✔✔Celiac Disease: Foods to Avoid - ✔✔- barley, rye, wheat
- beer
- bread
- cakes/cookies
- pasta
- imitation meat or fish
- processed lunch meat
- vegetables in sauce
- soups
- snack foods
- salad dressings
, ✔✔Celiac Disease: Foods that are Ok - ✔✔- eggs
- fish
- poultry
- beans
- nuts
- seeds
- fruits and veggies
- some dairy
✔✔Rotavirus: S/S - ✔✔- mild to moderate fever
- vomiting followed by onset of watery stools
- fever and vomiting generally abates in 2 days but diarrhea persists for 5-7 days
✔✔Appendicitis: S/S - ✔✔- RLQ pain
- fever
- rigid abdomen
- decreased or absent bowel sounds
- vomiting
- constipation or diarrhea
- anorexia
- tachycardia
- pallor
- lethargy
✔✔Ruptured Appendix - ✔✔same as appendicitis - peritonitis develops as appendix
has ruptured
✔✔Gastro-Esophageal Reflux - ✔✔- Dysfunction of the lower sphincter = transfer of
gastric contents into the esophagus
- delay of gastric emptying
- susceptibility of esophageal injury
- usually improves in 12-18 months
✔✔Gastro-Esophageal Reflux: Therapeutic Management (Positioning) - ✔✔- put them
up in a car seat after feedings
- prop them up
✔✔Gastro-Esophageal Reflux: Feedings - ✔✔- smaller more frequent feedings
- burp several times during feedings
- thickened feeds/formulas (1 tsp or 1 tbsp of rice per ounce of formula
- enlarge nipple hole for thickened foods
✔✔Things to Avoid when Breastfeeding Gastro Esophageal Babies - ✔✔- azole drugs
(proton pumps)
QUESTIONS SET A+
✔✔Fluid Requirements: 1-10kg - ✔✔100ml/kg
✔✔Fluid Requirements: 11-20kg - ✔✔1000ml+50ml/kg x each kg >10 kg
✔✔Fluid Requirements: >20kg - ✔✔1500ml+20/kg X each kg >20kg
✔✔Celiac Disease - ✔✔- intolerance to gluten
- inborn error of metabolism or an immunologic response
- strict avoidance of gluten
✔✔Celiac Disease: S/S - ✔✔- Diarrhea (watery and pale w/ offensive odor
- Anorexia
- Abdominal Pain & Distension
- Muscle wasting particularly in the buttocks and extremities
✔✔Celiac Disease: Interventions - ✔✔- gluten free diet substituting corn, rice and millet
as grain sources
- mineral and vitamin supplementation including iron, folic acid and fat soluble vitamins
A, D, E and K
✔✔Celiac Disease: Foods to Avoid - ✔✔- barley, rye, wheat
- beer
- bread
- cakes/cookies
- pasta
- imitation meat or fish
- processed lunch meat
- vegetables in sauce
- soups
- snack foods
- salad dressings
, ✔✔Celiac Disease: Foods that are Ok - ✔✔- eggs
- fish
- poultry
- beans
- nuts
- seeds
- fruits and veggies
- some dairy
✔✔Rotavirus: S/S - ✔✔- mild to moderate fever
- vomiting followed by onset of watery stools
- fever and vomiting generally abates in 2 days but diarrhea persists for 5-7 days
✔✔Appendicitis: S/S - ✔✔- RLQ pain
- fever
- rigid abdomen
- decreased or absent bowel sounds
- vomiting
- constipation or diarrhea
- anorexia
- tachycardia
- pallor
- lethargy
✔✔Ruptured Appendix - ✔✔same as appendicitis - peritonitis develops as appendix
has ruptured
✔✔Gastro-Esophageal Reflux - ✔✔- Dysfunction of the lower sphincter = transfer of
gastric contents into the esophagus
- delay of gastric emptying
- susceptibility of esophageal injury
- usually improves in 12-18 months
✔✔Gastro-Esophageal Reflux: Therapeutic Management (Positioning) - ✔✔- put them
up in a car seat after feedings
- prop them up
✔✔Gastro-Esophageal Reflux: Feedings - ✔✔- smaller more frequent feedings
- burp several times during feedings
- thickened feeds/formulas (1 tsp or 1 tbsp of rice per ounce of formula
- enlarge nipple hole for thickened foods
✔✔Things to Avoid when Breastfeeding Gastro Esophageal Babies - ✔✔- azole drugs
(proton pumps)
