NRSG 421 PEDIATRICSTEST 3
QUESTIONS WITH COMPLETE
SOLUTIONS
Discuss a good death- home or hospital, drugs for treatment or for pain relief? - ANS-A young child
recently diagnosed with a terminal cancer just told the nurse "I have a secret to tell you, but don't tell
mommy and daddy. I'm going to die". The parents don't want to tell the child that he is near death.
What do you need to start talking to the parents about?
<70-75 - ANS-What IQ constitutes cognitive impairment?
Before 18 years old - ANS-When are cognitive impairment diagnoses made?
Down syndrome - ANS-What is the most common chromosomal abnormality?
Having her baby >40 years old - ANS-What one maternal cause can increase the risk for having a Downs
baby?
Fragile X Syndrome - ANS-What is the most common inherited cause of cognitive impairment?
See- strabismus, long narrow face with large jaw, big ears, big head, very large testes
Hear- Possible mitral valve prolapse, speech problems
Find- Attention deficit, autistic like, cognitive impairment, possible violence - ANS-The triage nurse said
that she is sending back a Fragile X patient. What do you expected to see? Hear? Find?
Them being in the NICU (lots of noise) - ANS-What hospital cause greatly increases the likelyhood of an
infant developing hearing loss?
Chronic ear infection
Perinatal infection
NICU stay
Aanatomic malformation
Asphyxia or prolonged oxygen supplementation
Maternal substance abuse - ANS-What are some causes for hearing impairment?
Antibiotics
Tympanoplasty
, Hearing aids - ANS-How to treat conductive hearing loss?
Cochlear implants - ANS-How to treat sensorineural hearing loss?
Before 1 year old so the child can learn sounds better and learn as he grows instead of having to relearn
and getting frustrated - ANS-When is it best to get a Cochlear implant? Why?
Hyperopia (farsightedness) - ANS-What kind of visual impairment is normal until age 7?
Eye patch on the good eye
Possible surgical repair - ANS-How do you treat amblyopia (lazy eye)? Strabismus?
Two
social communication/interaction
Unusually repetitive behavior/interest in certain activities - ANS-How many kinds of autism are there?
What are they?
Highly probable - ANS-Do genetics play a role in autism?
Early diagnosis and intervention - ANS-What is one of the biggest life changing things for kids with
cognitive impairment?
Cerebral Palsy - ANS-What condition used to be blamed on delivery doctors?
Unknown prenatal causes - ANS-What is the cause of most cerebral palsy?
Epilepsy - ANS-What is one major complication of cerebral palsy that happens in 10-15% of the children
with this condition?
A pump inserted into the intrathecal space for cerebral palsy kids - ANS-What is an intrathecal pump?
Who is it used for?
Baclofen, it reduces spasticity in cerebral palsy children - ANS-What medication is in an intrathecal
pump? What does it do?
Spina bifida - ANS-What is the most common defect of the CNS?
Folic acid - ANS-How do you prevent neural tube defects?
A form of spina bifida where the spine doesn't fully form correctly and the spinal cord protrudes from
the back when the baby is born - ANS-What is myelomeningocele?
Surgery before or very shortly after birth
If after: Keep the baby NPO until surgery, keep the baby prone, Give pacifier for sucking needs and IV
fluids for hydration - ANS-What is the treatment for myelomeningocele?
Urinary diversion - ANS-What is a common surgery, especially for girls, with spina bifida?
QUESTIONS WITH COMPLETE
SOLUTIONS
Discuss a good death- home or hospital, drugs for treatment or for pain relief? - ANS-A young child
recently diagnosed with a terminal cancer just told the nurse "I have a secret to tell you, but don't tell
mommy and daddy. I'm going to die". The parents don't want to tell the child that he is near death.
What do you need to start talking to the parents about?
<70-75 - ANS-What IQ constitutes cognitive impairment?
Before 18 years old - ANS-When are cognitive impairment diagnoses made?
Down syndrome - ANS-What is the most common chromosomal abnormality?
Having her baby >40 years old - ANS-What one maternal cause can increase the risk for having a Downs
baby?
Fragile X Syndrome - ANS-What is the most common inherited cause of cognitive impairment?
See- strabismus, long narrow face with large jaw, big ears, big head, very large testes
Hear- Possible mitral valve prolapse, speech problems
Find- Attention deficit, autistic like, cognitive impairment, possible violence - ANS-The triage nurse said
that she is sending back a Fragile X patient. What do you expected to see? Hear? Find?
Them being in the NICU (lots of noise) - ANS-What hospital cause greatly increases the likelyhood of an
infant developing hearing loss?
Chronic ear infection
Perinatal infection
NICU stay
Aanatomic malformation
Asphyxia or prolonged oxygen supplementation
Maternal substance abuse - ANS-What are some causes for hearing impairment?
Antibiotics
Tympanoplasty
, Hearing aids - ANS-How to treat conductive hearing loss?
Cochlear implants - ANS-How to treat sensorineural hearing loss?
Before 1 year old so the child can learn sounds better and learn as he grows instead of having to relearn
and getting frustrated - ANS-When is it best to get a Cochlear implant? Why?
Hyperopia (farsightedness) - ANS-What kind of visual impairment is normal until age 7?
Eye patch on the good eye
Possible surgical repair - ANS-How do you treat amblyopia (lazy eye)? Strabismus?
Two
social communication/interaction
Unusually repetitive behavior/interest in certain activities - ANS-How many kinds of autism are there?
What are they?
Highly probable - ANS-Do genetics play a role in autism?
Early diagnosis and intervention - ANS-What is one of the biggest life changing things for kids with
cognitive impairment?
Cerebral Palsy - ANS-What condition used to be blamed on delivery doctors?
Unknown prenatal causes - ANS-What is the cause of most cerebral palsy?
Epilepsy - ANS-What is one major complication of cerebral palsy that happens in 10-15% of the children
with this condition?
A pump inserted into the intrathecal space for cerebral palsy kids - ANS-What is an intrathecal pump?
Who is it used for?
Baclofen, it reduces spasticity in cerebral palsy children - ANS-What medication is in an intrathecal
pump? What does it do?
Spina bifida - ANS-What is the most common defect of the CNS?
Folic acid - ANS-How do you prevent neural tube defects?
A form of spina bifida where the spine doesn't fully form correctly and the spinal cord protrudes from
the back when the baby is born - ANS-What is myelomeningocele?
Surgery before or very shortly after birth
If after: Keep the baby NPO until surgery, keep the baby prone, Give pacifier for sucking needs and IV
fluids for hydration - ANS-What is the treatment for myelomeningocele?
Urinary diversion - ANS-What is a common surgery, especially for girls, with spina bifida?
