Burns Pediatric Study Guide 4 Questions & Answers Solved 100%

The parent of an infant asks about using a probiotic medication. What will the primary care pediatric nurse practitioner tell this parent? - Answer There is no conclusive evidence about using probiotics to treat colic A toddler who was born prematurely refuses most solid foods and has poor weight gain. A barium swallow study reveals a normal esophagus. What will the primary care pediatric nurse practitioner consider next to manage this child's nutritional needs? - Answer Videofluoroscopy swallowing study A toddler is seen in the clinic after a 2day history of intermittent vomiting and diarrhea. An assessment reveals an irritable child with dry mucous membranes, 3second capillary refill, 2 second recoil of skin, mild tachycardia and tachypnea, and cool hands and feet. The child has had two wet diapers in the past 24 hours. What will the primary care pediatric nurse practitioner recommend? - Answer Oral rehydration solution with followup in 24 hours A 9yearold girl has a history of frequent vomiting and her mother has frequent migraine headaches. The child has recently begun having more frequent and prolonged episodes accompanied by headaches. An exam reveals abnormal eye movements and mild ataxia. What is the correct action - Answer Refer to a pediatric gastroenterologist for further workup The parent of a 3monthold reports that the infant arches and gags while feedingand spits up undigested formula frequently. The infant's weight gain has dropped to the 5th percentile from the 12th percentile. What is the best course of treatment for this infant? - Answer Begin a trial of extensively hydrolyzed protein formula for 2 to 4 week A schoolage child has a 3month history of dull, aching epigastric pain that worsens with eating and awakens the child from sleep. A complete blood count shows a hemoglobin of 8 mg/dL. What is the next step in management? - Answer Referral for esophagogastroduodenoscopy (EGD) A 2monthold infant cries up to 4 hours each day and, according to the parents, is inconsolable during crying episodes with fists and legs noted to be tense and stiff. The infant is breastfeeding frequently but is often fussy during feedings. The physical exam is normal and the infant is gaining weight normally. What will the primary care pediatric nurse practitioner recommend? - Answer Eliminating certain foods from the mother's diet A child is in the clinic after swallowing a metal bead. A radiograph of the GI tract shows a 6 mm cylindrical object in the child's stomach. The child is able to swallow without difficulty and is not experiencing pain. What is the correct course of treatment? - Answer Have the parents watch for the object in the child's stool. A 10yearold child has had abdominal pain for 2 days, which began in the periumbilical area and then localized to the right lower quadrant. The child vomited once today and then experienced relief from pain followed by an increased fever. What is the likely diagnosis? - Answer Appendicitis with perforation An 18monthold child has a 1day history of intermittent, cramping abdominal pain with nonbilious vomiting. The child is observed to scream and draw up his legs during pain episodes and becomes lethargic in between. The primary care pediatric nurse practitioner notes a small amount of bloody, mucous stool in the diaper. What is the most likely diagnosis? - Answer Intussusception A schoolage child has had abdominal pain for 3 months that occurs once or twice weekly and is associated with a headache and occasional difficulty sleeping, often causing the child to stay home from school. The child does not have vomiting or diarrhea and is gaining weight normally. The physical exam is normal. According to Bishop, what is included in the initial diagnostic workup for this child? - Answer CBC, ESR, amylase, lipase, UA, and abdominal ultrasound An adolescent is diagnosed with functional abdominal pain (FAP). The child's symptoms worsen during stressful events, especially with school anxiety. What will be an important part of treatment for this child? - Answer Teaching about the braingut interaction causing symptoms A schoolage child has recurrent diarrhea with foulsmelling stools, excessive flatus, abdominal distension, and failuretothrive. A 2week lactosefree trial failed to reduce symptoms. What is the next step in diagnosing this condition? - Answer Serologic testing for celiac disease A child is diagnosed with Crohn disease. What are likely complications for this child? - Answer intestinal obstruction with scarring and strictures A 12monthold infant exhibits poor weight gain after previously normal growth patterns. There is no history of vomiting, diarrhea, or irregular bowel movements, and the physical exam is normal. What is the next step in evaluating these findings? - Answer Feeding and stooling history and 3day diet history A 2yearold child has an acute diarrheal illness. The child is afebrile and, with oral rehydration measures, has remained well hydrated. The parent asks what can be done to help shorten the course of this illness. What will the primary care pediatric nurse practitioner recommend? - Answer Lactobacillus A 9monthold infant has developed two teeth since the 6month checkup. The local water supply contains fluoride. What will the primary care pediatric nurse practitioner do to promote healthy dentition at this visit? - Answer Apply sodium fluoride varnish to the infant's teeth