NUFT 433 Exam 2 Questions and
Answers All Correct
First sign seen in kids with autism spectrum disorders - Answer-Speech development
delay - use gestures instead of words
Autism screening - Answer-If not talking by 16 months
If nor using 2-word sentences by 2 years
Disinterested in cuddling
No facial reponsiveness
Does not look into face
Autism diagnosis: when - Answer-Peak ~8 years old
Symptoms appear ~1-2 years old
With child disintegrative disorder - normal development until 3-4 yo, then loosing skill
over months
Diagnostic criteria for ADHD - Answer-Symptoms present between 4-18 yo (usually
before 7yo)
Persist in more than one setting
6+ findings:
1. Decreased attention span
2. Increased motor activity
3. Impulsiveness
4. Dificulty completing tasks
5. Sleep disturbances
6. Loud, interrupting
Medication considerations with ADHD - Answer-Stimulants:
Take in the morning
30-45 min before food
Store properly - scheduled substance
Timing of staged surgical correction of HLHS - Answer-1. 1 week old
2. 3-6 months old
3. 1-2 years old
Four components of TOF - Answer-1. VSD
2. Pulmonary stenosis
3. Hypertrophy of the right ventricle
4. Overriding aorta
, Heart defect in which deoxygenated blood goes systemically instead of lungs - Answer-
TOF
S/S of TOF - Answer-Hypercyanotic (tet) spells with increased activity
Blue-tinged skin at birth
Heart defect in which a baby has blue tinged skin at birth - Answer-TOF
Non-stimulants (Stratera):
1-3 weeks for therapeutic levels
Avoid MAOIs
Monitor for suicidal ideations
Diagnostic criteria for Tourette's - Answer-Motor tics: 2+
Verbalizations: 1+
For at least 1 year before the age of 18
Diagnostic procedures for kids with Down syndrome - Answer--Prenatal blood test for
AFP
-EchoKG within the first months of life
-Neck x-ray for older kids (before clearing for sports)
Nursing care for patients with Down syndrome - Answer--Good skin care (dry skin)
-Assist with feeding (accomodate big tongue)
-High fiber, fluids (prone to constipation)
-Monitor weight (prone to weight gain)
-Infection prevention: oral hygiene, encourage movement, suction respiratory
secretions, immunizations
Nursing considerations pre cardiac cath - Answer-NPO for 4-6 hours
Stop anticoagulants
Assess for allergies (shellfish) & pregnancy
Prior sedation hx
Baseline circulation in lower extremities
Nursing considerations post cardiac cath - Answer-Direct pressure right after - most
important
After 15 min - pressure dressing for 6 h
Lay flat (HOB flat!)
Check circulation at the site and below
Minimal activity for 24h
Encourage fluids
Increased pulmonary blood flow defects (acyanotic) - Answer-ASD, VSD, PDA
Answers All Correct
First sign seen in kids with autism spectrum disorders - Answer-Speech development
delay - use gestures instead of words
Autism screening - Answer-If not talking by 16 months
If nor using 2-word sentences by 2 years
Disinterested in cuddling
No facial reponsiveness
Does not look into face
Autism diagnosis: when - Answer-Peak ~8 years old
Symptoms appear ~1-2 years old
With child disintegrative disorder - normal development until 3-4 yo, then loosing skill
over months
Diagnostic criteria for ADHD - Answer-Symptoms present between 4-18 yo (usually
before 7yo)
Persist in more than one setting
6+ findings:
1. Decreased attention span
2. Increased motor activity
3. Impulsiveness
4. Dificulty completing tasks
5. Sleep disturbances
6. Loud, interrupting
Medication considerations with ADHD - Answer-Stimulants:
Take in the morning
30-45 min before food
Store properly - scheduled substance
Timing of staged surgical correction of HLHS - Answer-1. 1 week old
2. 3-6 months old
3. 1-2 years old
Four components of TOF - Answer-1. VSD
2. Pulmonary stenosis
3. Hypertrophy of the right ventricle
4. Overriding aorta
, Heart defect in which deoxygenated blood goes systemically instead of lungs - Answer-
TOF
S/S of TOF - Answer-Hypercyanotic (tet) spells with increased activity
Blue-tinged skin at birth
Heart defect in which a baby has blue tinged skin at birth - Answer-TOF
Non-stimulants (Stratera):
1-3 weeks for therapeutic levels
Avoid MAOIs
Monitor for suicidal ideations
Diagnostic criteria for Tourette's - Answer-Motor tics: 2+
Verbalizations: 1+
For at least 1 year before the age of 18
Diagnostic procedures for kids with Down syndrome - Answer--Prenatal blood test for
AFP
-EchoKG within the first months of life
-Neck x-ray for older kids (before clearing for sports)
Nursing care for patients with Down syndrome - Answer--Good skin care (dry skin)
-Assist with feeding (accomodate big tongue)
-High fiber, fluids (prone to constipation)
-Monitor weight (prone to weight gain)
-Infection prevention: oral hygiene, encourage movement, suction respiratory
secretions, immunizations
Nursing considerations pre cardiac cath - Answer-NPO for 4-6 hours
Stop anticoagulants
Assess for allergies (shellfish) & pregnancy
Prior sedation hx
Baseline circulation in lower extremities
Nursing considerations post cardiac cath - Answer-Direct pressure right after - most
important
After 15 min - pressure dressing for 6 h
Lay flat (HOB flat!)
Check circulation at the site and below
Minimal activity for 24h
Encourage fluids
Increased pulmonary blood flow defects (acyanotic) - Answer-ASD, VSD, PDA
