NURS 629 -Exam 4
Most common cause of UTI in children - E coli
neural-mediated syncope - · Most common form of fainting and a frequent reason for emergency
department visits.
o Also called reflex, neurocardiogenic, vasovagal syncope
o Benign and rarely requires medical treatment
· More common in children and young adults
· Happens in part of nervous system that regulates blood pressure
o Response to trigger such as emotional stress or pain
o Typically happens while standing and is often preceded by a sensation of warmth, nausea,
lightheadedness, tunnel vision or visual "grayout."
· Placing the person in a reclining position restores blood flow and consciousness
· Situational syncope, which is a type of NMS, is related to certain physical functions, such as violent
coughing (especially in men), laughing or swallowing
· Residual findings include pallor, fatigue, diaphoresis
Assessment tests for an injury of Anterior or Posterior Cruciate ligament (ACL or PCL) - Elicit a
positive anterior/posterior drawer sign.
Cardiac syncope - · Caused by various heart conditions
o Bradycardia
o Tachycardia
o Certain types of hypotension
o May be exercise triggered
· Palpitations
· Exercise triggered
· Residual findings include incontinence, disorientation, and more likely to have injury associated
, depression comorbities and risk factors - Comorbidities:
· anxiety disorder can correlate with depression, and mixed anxiety/depressive disorder is very
commonly seen.
· ADHD
· Conduct and learning and oppositional defiant disorders
· SAD
· Eating disorders
· Stress
Risk factors:
· Attention, conduct, or learning disorders.
· Chronic illnesses, such as diabetes.
· Abuse or neglect.
· Other trauma, including natural disasters
· *Separation anxiety
Depression screening tools - In children 11 and up can use PHQ-9
Essentials for childs mental health - · Predictable home, childcare, school routines
Febrile seizure management - · Not an actual seizure disorder
· Best prevention is to treat fever when you notice it.
o Alternate Tylenol and ibuprofen every 4 hours to keep fever down
· Help child stay hydrated and rested during illness
· Watch for signs of seizure activity and seek emergency treatment especially for any seizure lasting
longer than 5 minutes
Functions needed for self control in children - · Inhibition
· Flexibility
Most common cause of UTI in children - E coli
neural-mediated syncope - · Most common form of fainting and a frequent reason for emergency
department visits.
o Also called reflex, neurocardiogenic, vasovagal syncope
o Benign and rarely requires medical treatment
· More common in children and young adults
· Happens in part of nervous system that regulates blood pressure
o Response to trigger such as emotional stress or pain
o Typically happens while standing and is often preceded by a sensation of warmth, nausea,
lightheadedness, tunnel vision or visual "grayout."
· Placing the person in a reclining position restores blood flow and consciousness
· Situational syncope, which is a type of NMS, is related to certain physical functions, such as violent
coughing (especially in men), laughing or swallowing
· Residual findings include pallor, fatigue, diaphoresis
Assessment tests for an injury of Anterior or Posterior Cruciate ligament (ACL or PCL) - Elicit a
positive anterior/posterior drawer sign.
Cardiac syncope - · Caused by various heart conditions
o Bradycardia
o Tachycardia
o Certain types of hypotension
o May be exercise triggered
· Palpitations
· Exercise triggered
· Residual findings include incontinence, disorientation, and more likely to have injury associated
, depression comorbities and risk factors - Comorbidities:
· anxiety disorder can correlate with depression, and mixed anxiety/depressive disorder is very
commonly seen.
· ADHD
· Conduct and learning and oppositional defiant disorders
· SAD
· Eating disorders
· Stress
Risk factors:
· Attention, conduct, or learning disorders.
· Chronic illnesses, such as diabetes.
· Abuse or neglect.
· Other trauma, including natural disasters
· *Separation anxiety
Depression screening tools - In children 11 and up can use PHQ-9
Essentials for childs mental health - · Predictable home, childcare, school routines
Febrile seizure management - · Not an actual seizure disorder
· Best prevention is to treat fever when you notice it.
o Alternate Tylenol and ibuprofen every 4 hours to keep fever down
· Help child stay hydrated and rested during illness
· Watch for signs of seizure activity and seek emergency treatment especially for any seizure lasting
longer than 5 minutes
Functions needed for self control in children - · Inhibition
· Flexibility
