NUR 381 EXAM REVIEW QUESTIONS WITH CORECT WELL
VERIFIFED ANSWERS FOR A GUARANTEED PASS ALREADY
A+
Clinical manifestations of DMD. - ✔✔ -difficulty running, riding a bike, and
climbing stairs
-waddling gait, frequent falls
-GOWER'S SIGN
-LORDOSIS (r/t weak pelvic and gluteal muscles)
-pseudohypertrophy of calves
-muscle atrophy in later stages
-delayed cognitive development
-ambulation usually impossible by 12 y/o and then wheelchair/bed dependent
Diagnostics of DMD. - ✔✔ -prenatal testing if mom has a family hx (dx can be
made as early as 12 wks)
-clinical manifestations
-PCR test for dystrophin gene mutation
-EMG, muscle biopsy
-serum CPK and AST levels high in the first 2 yrs of life
,Nursing and tx of DMD. - ✔✔ goal is to maintain function as long as possible;
keep them active; flu and pneumonia vaccines; promote mobility and
independence and support growth and development
Child with GER. What is the diet? - ✔✔ -THICKEN FEEDING W/ 1tsp-1tbsp OF
RICE CEREAL ONE OUNCE PER FORMULA
-avoid foods that cause reflux (e.g., caffeine, citrus, tomatoes, alcohol, peppermint,
spicy or fried food)
Lifestyle modifications/ feedings for child with GER? - ✔✔ elevate HOB after
feedings; lose weight if overweight; always supine position for sleeping infants
Best diagnostic tool for CF. - ✔✔ the sweat chloride test; chloride concentration of
60 or higher is diagnostic of CF
Language of a 3 y/o. - ✔✔ has vocabulary of 900 words, uses "telegraphic
speech," uses complete sentences of 2-4 words, talks whether someone is paying
attention or not, asks many questions, begins to master grammar skills
Info about aortic stenosis (not including s/s). - ✔✔ -obstructive defect
-narrow aortic valve causing resistance of blood flow into left ventricle
, -LV hypertrophies, left atrial pressure increases, causing increased pressure in the
pulmonary veins and then pulmonary edema, pulmonary hypertension (late)
-tx: balloon angioplasty, aortic valvotomy, or surgical repair
S/s of aortic stenosis. - ✔✔ newborns: faint pulses, decreased CO, hypoTN,
tachycardia and poor feeding
Children: exercise intolerance, chest pain, dizziness
Fine motor skills of a 5 y/o. - ✔✔ -TIES SHOELACES correctly
-USES SCISSORS (4 y/o can do that too)
-copies diamonds, triangles
-adds 5-7 parts to a stick figure
-prints a few letters or numbers
A child with hydrocephalus has a VP shunt, what information must given? - ✔✔ -
the shunt needs to be replaced as the child grows
other details regarding VP shunts: - ✔✔ -valves prevent back flow of secretions
-malfunctions (e.g., obstructions) causes s/s of increased ICP
VERIFIFED ANSWERS FOR A GUARANTEED PASS ALREADY
A+
Clinical manifestations of DMD. - ✔✔ -difficulty running, riding a bike, and
climbing stairs
-waddling gait, frequent falls
-GOWER'S SIGN
-LORDOSIS (r/t weak pelvic and gluteal muscles)
-pseudohypertrophy of calves
-muscle atrophy in later stages
-delayed cognitive development
-ambulation usually impossible by 12 y/o and then wheelchair/bed dependent
Diagnostics of DMD. - ✔✔ -prenatal testing if mom has a family hx (dx can be
made as early as 12 wks)
-clinical manifestations
-PCR test for dystrophin gene mutation
-EMG, muscle biopsy
-serum CPK and AST levels high in the first 2 yrs of life
,Nursing and tx of DMD. - ✔✔ goal is to maintain function as long as possible;
keep them active; flu and pneumonia vaccines; promote mobility and
independence and support growth and development
Child with GER. What is the diet? - ✔✔ -THICKEN FEEDING W/ 1tsp-1tbsp OF
RICE CEREAL ONE OUNCE PER FORMULA
-avoid foods that cause reflux (e.g., caffeine, citrus, tomatoes, alcohol, peppermint,
spicy or fried food)
Lifestyle modifications/ feedings for child with GER? - ✔✔ elevate HOB after
feedings; lose weight if overweight; always supine position for sleeping infants
Best diagnostic tool for CF. - ✔✔ the sweat chloride test; chloride concentration of
60 or higher is diagnostic of CF
Language of a 3 y/o. - ✔✔ has vocabulary of 900 words, uses "telegraphic
speech," uses complete sentences of 2-4 words, talks whether someone is paying
attention or not, asks many questions, begins to master grammar skills
Info about aortic stenosis (not including s/s). - ✔✔ -obstructive defect
-narrow aortic valve causing resistance of blood flow into left ventricle
, -LV hypertrophies, left atrial pressure increases, causing increased pressure in the
pulmonary veins and then pulmonary edema, pulmonary hypertension (late)
-tx: balloon angioplasty, aortic valvotomy, or surgical repair
S/s of aortic stenosis. - ✔✔ newborns: faint pulses, decreased CO, hypoTN,
tachycardia and poor feeding
Children: exercise intolerance, chest pain, dizziness
Fine motor skills of a 5 y/o. - ✔✔ -TIES SHOELACES correctly
-USES SCISSORS (4 y/o can do that too)
-copies diamonds, triangles
-adds 5-7 parts to a stick figure
-prints a few letters or numbers
A child with hydrocephalus has a VP shunt, what information must given? - ✔✔ -
the shunt needs to be replaced as the child grows
other details regarding VP shunts: - ✔✔ -valves prevent back flow of secretions
-malfunctions (e.g., obstructions) causes s/s of increased ICP
