Pediatrics Final/ATI
Most common post op complication of tonsillectomy? - ANShemorrhage
Risk time for hemorrhage after tonsillectomy? - ANS10 days to 2 weeks post op
Signs and symptoms of hemorrhage after tonsillectomy? - ANSrestlessness, swallowing
frequently, low BP (late sign)
How should child lay post op to prevent hemorrhage from tonsillectomy? - ANSside lying or on
abdomen
What should the child avoid after a tonsillectomy post op? - ANScoughing or blowing nose
How should xrays be taken to see the section of the lung behind the heart (lingual)? -
ANSLaterally
Why are lateral xrays needed to view the lingual area? - ANSa common site for pneumonia
If a child is "barking" and has hoarseness and inspiratory stridor what might they have? -
ANScroup
What does inspiratory stridor sound like? - ANSa gasp
If stridor reduces in a child previously showing stridor, what can that mean? - ANSblockage and
imminent respiratory failure
Do not put anything in the __________ of a child with acute epiglottitis. - ANSMouth
Acute LTB - ANSCroup symptoms, Inflammation mucosa lining larynx & trachea causing
narrowing airway-subglottic area narrowest part causes respiratory acidosis
Diagnosis of Asthma is - ANSpeak expiratory flow (PEF)
Treatment of Asthma is - ANSbeta agonists such as albuterol to relieve bronchospasms
Preventing chronic problems with Asthma treatment - ANSanti-inflamatories such as
corticosteroids
treatment for an emergency with Asthma attack - ANSrepeat dose q15min twice, on 3rd dose
call ambulance
, Parents need education about beta agonists, what should a nurse advise? - ANSdon't give them
around the clock, they should be prn, do not abuse
Common side effects of beta agonists - ANSnervousness, tachycardia
What is Cystic Fibrosis? - ANSSludge, or increased viscosity of mucous, a build up of thick,
sticky mucus in the lungs
What diet should a patient with cystic fibrosis eat? - ANShigh protein, high calorie
Signs and symptoms of Increased Intracranial pressure - ANSHigh pitched cry, difficult to
soothe, tense and bulging fontanels, cranial sutures separated, setting sun eyes, distended
scalp veins, headache, vomiting, seizures, diplopia, irritability/restlessness, drowsiness,
indifference, decrease in physical activity & motor skills, complaints of fatigue, somnolence,
weight loss
Late signs of increased ICP - ANSdecreased LOC, decreased motor response to command,
decreased sensory response to painful stimuli, loss of PERRLA, palliledema
Decorticate positioning - ANSall flexed
Decorticate positioning is a dysfunction of what? - ANScerebral cortex
decerebrate positioning - ANSall extended
Decerebrate positioning is a dysfunction of what? - ANSmid brain
Cushing's reflex - ANSReflex due to cerebral ischemia that causes an increase in blood
pressure, decrease in pulse rate, and changes in breathing patterns.
What is Myelomeningocele? - ANSthe most common form of spina bifida in which the bones of
the spine do not completely form, resulting in an incomplete spinal canal, causing the spinal
cord and meninges to stick out of the childs back
What should be done for Myelomeningocele? - ANS4x4 soaked in normal saline placed over
"sac", normal saline drip over 4x4 to prevent rupture until surgery
Main prevention for Spina Bifida (Myelomeningocele)? - ANSFolic acid early in pregnancy
Diagnostic indication for Neuroblastoma is? - ANSHigh catecholamines in 24 hour urine
collection
Neuroblastoma - ANSMalignant childhood tumor originating in cells of the nervous system.
Most common post op complication of tonsillectomy? - ANShemorrhage
Risk time for hemorrhage after tonsillectomy? - ANS10 days to 2 weeks post op
Signs and symptoms of hemorrhage after tonsillectomy? - ANSrestlessness, swallowing
frequently, low BP (late sign)
How should child lay post op to prevent hemorrhage from tonsillectomy? - ANSside lying or on
abdomen
What should the child avoid after a tonsillectomy post op? - ANScoughing or blowing nose
How should xrays be taken to see the section of the lung behind the heart (lingual)? -
ANSLaterally
Why are lateral xrays needed to view the lingual area? - ANSa common site for pneumonia
If a child is "barking" and has hoarseness and inspiratory stridor what might they have? -
ANScroup
What does inspiratory stridor sound like? - ANSa gasp
If stridor reduces in a child previously showing stridor, what can that mean? - ANSblockage and
imminent respiratory failure
Do not put anything in the __________ of a child with acute epiglottitis. - ANSMouth
Acute LTB - ANSCroup symptoms, Inflammation mucosa lining larynx & trachea causing
narrowing airway-subglottic area narrowest part causes respiratory acidosis
Diagnosis of Asthma is - ANSpeak expiratory flow (PEF)
Treatment of Asthma is - ANSbeta agonists such as albuterol to relieve bronchospasms
Preventing chronic problems with Asthma treatment - ANSanti-inflamatories such as
corticosteroids
treatment for an emergency with Asthma attack - ANSrepeat dose q15min twice, on 3rd dose
call ambulance
, Parents need education about beta agonists, what should a nurse advise? - ANSdon't give them
around the clock, they should be prn, do not abuse
Common side effects of beta agonists - ANSnervousness, tachycardia
What is Cystic Fibrosis? - ANSSludge, or increased viscosity of mucous, a build up of thick,
sticky mucus in the lungs
What diet should a patient with cystic fibrosis eat? - ANShigh protein, high calorie
Signs and symptoms of Increased Intracranial pressure - ANSHigh pitched cry, difficult to
soothe, tense and bulging fontanels, cranial sutures separated, setting sun eyes, distended
scalp veins, headache, vomiting, seizures, diplopia, irritability/restlessness, drowsiness,
indifference, decrease in physical activity & motor skills, complaints of fatigue, somnolence,
weight loss
Late signs of increased ICP - ANSdecreased LOC, decreased motor response to command,
decreased sensory response to painful stimuli, loss of PERRLA, palliledema
Decorticate positioning - ANSall flexed
Decorticate positioning is a dysfunction of what? - ANScerebral cortex
decerebrate positioning - ANSall extended
Decerebrate positioning is a dysfunction of what? - ANSmid brain
Cushing's reflex - ANSReflex due to cerebral ischemia that causes an increase in blood
pressure, decrease in pulse rate, and changes in breathing patterns.
What is Myelomeningocele? - ANSthe most common form of spina bifida in which the bones of
the spine do not completely form, resulting in an incomplete spinal canal, causing the spinal
cord and meninges to stick out of the childs back
What should be done for Myelomeningocele? - ANS4x4 soaked in normal saline placed over
"sac", normal saline drip over 4x4 to prevent rupture until surgery
Main prevention for Spina Bifida (Myelomeningocele)? - ANSFolic acid early in pregnancy
Diagnostic indication for Neuroblastoma is? - ANSHigh catecholamines in 24 hour urine
collection
Neuroblastoma - ANSMalignant childhood tumor originating in cells of the nervous system.
