NR 602 Final Exam Chamberlain Spring 2024
Study online at https://quizlet.com/_ep9sy2
1. COLIC Unknown abdominal discomfort;
"cries for more than 3 hours a day, for
more than 3 days a week, and more
than 3 weeks"
2. Colic Management Probiotics may be offered; Considera-
tion of hydrolyzed protein formula
3. DEHYDRATION Management Commercially available oral hydration
solutions (ORS)
Continue breastfeeding with ORS sup-
plementation
Offer young children 20 ml/kg per
hour
Offer older children 100 mL of ORS
every 5 minutes
Combine with IV therapy as needed
Reassess after 4 hours; repeat if need-
ed
Avoid juice, soft drinks, and sports
drinks
4. Appendicitis S/S Presence of involuntary guarding,
RLQ rebound tenderness, maximal
pain over McBurney point
Heel-drop jarring test
inability to stand straight or climb
stairs; winces when getting off exam-
ination table or riding in a car over
bumps;
child most comfortable with bent
knees.
, NR 602 Final Exam Chamberlain Spring 2024
Study online at https://quizlet.com/_ep9sy2
Positive psoas sign or obturator sign
Rovsing sign or rebound tenderness
strongly suggests peritoneal irrita-
tion.
Tenderness and possibly a mass (ab-
scess) on the right side on rectal ex-
amination.
5. McBurney point/sign Pain w/ palpation and release; Re-
bound tenderness is most reliable.
1.5 to 2 inches in from the right anteri-
or superior iliac crest (on a line toward
the umbilicus) on abdominal exami-
nation (most reliable finding
6. positive psoas sign retract R thigh while on left side; illicit
pain consistent with appendicitis
7. Positive Rovsing Sign Pain RLQ w/ pressure and release of
LLQ; R/O appendicitis
8. Positive Obturator Sign Supine; bend R leg and rotate inward;
illicit pain in RLQ
9. Intusscuception Anterograde intestine into proximal
bowel; Most common cause of for Pe-
diatric GI obstruction
10. S/S of intussusception S/S of intussuception
intermittent abdominal pain
currant jelly stools
Dance Sign (sausage like mass)
, NR 602 Final Exam Chamberlain Spring 2024
Study online at https://quizlet.com/_ep9sy2
11. Management of Intussusception Therapeutic Air Contrast Enema under
fluoroscopy
12. Failure to Thrive (FTT) The most common cause is nutritional
deficiency without an underlying med-
ical condition (greater than 80%).
13. Asymptomatic bacteriuria bacteria in the urine without other
symptoms, is benign, and does not
cause renal injury.
14. Cystitis an infection of the bladder that pro-
duces lower tract symptoms but does
not cause fever or renal injury.
15. Pyelonephritis most severe type of UTI involving the
renal parenchyma or kidneys and must
be readily identified and treated be-
cause of the potential irreversible renal
damage.
16. "When was your last menstrual period (LMP)?" A healthy 14-year-old female has a
dipstick urinalysis that is positive for
56RBCs per hpf but otherwise normal.
What is the first question the prima-
ry care pediatric nursepractitioner will
ask this patient?
17. Monitor for proteinuria at each annual well An adolescent has 2+ proteinuria in
child examination. a random dipstick urinalysis. A sub-
sequent first morning voided speci-
men is negative. What will the primary
Study online at https://quizlet.com/_ep9sy2
1. COLIC Unknown abdominal discomfort;
"cries for more than 3 hours a day, for
more than 3 days a week, and more
than 3 weeks"
2. Colic Management Probiotics may be offered; Considera-
tion of hydrolyzed protein formula
3. DEHYDRATION Management Commercially available oral hydration
solutions (ORS)
Continue breastfeeding with ORS sup-
plementation
Offer young children 20 ml/kg per
hour
Offer older children 100 mL of ORS
every 5 minutes
Combine with IV therapy as needed
Reassess after 4 hours; repeat if need-
ed
Avoid juice, soft drinks, and sports
drinks
4. Appendicitis S/S Presence of involuntary guarding,
RLQ rebound tenderness, maximal
pain over McBurney point
Heel-drop jarring test
inability to stand straight or climb
stairs; winces when getting off exam-
ination table or riding in a car over
bumps;
child most comfortable with bent
knees.
, NR 602 Final Exam Chamberlain Spring 2024
Study online at https://quizlet.com/_ep9sy2
Positive psoas sign or obturator sign
Rovsing sign or rebound tenderness
strongly suggests peritoneal irrita-
tion.
Tenderness and possibly a mass (ab-
scess) on the right side on rectal ex-
amination.
5. McBurney point/sign Pain w/ palpation and release; Re-
bound tenderness is most reliable.
1.5 to 2 inches in from the right anteri-
or superior iliac crest (on a line toward
the umbilicus) on abdominal exami-
nation (most reliable finding
6. positive psoas sign retract R thigh while on left side; illicit
pain consistent with appendicitis
7. Positive Rovsing Sign Pain RLQ w/ pressure and release of
LLQ; R/O appendicitis
8. Positive Obturator Sign Supine; bend R leg and rotate inward;
illicit pain in RLQ
9. Intusscuception Anterograde intestine into proximal
bowel; Most common cause of for Pe-
diatric GI obstruction
10. S/S of intussusception S/S of intussuception
intermittent abdominal pain
currant jelly stools
Dance Sign (sausage like mass)
, NR 602 Final Exam Chamberlain Spring 2024
Study online at https://quizlet.com/_ep9sy2
11. Management of Intussusception Therapeutic Air Contrast Enema under
fluoroscopy
12. Failure to Thrive (FTT) The most common cause is nutritional
deficiency without an underlying med-
ical condition (greater than 80%).
13. Asymptomatic bacteriuria bacteria in the urine without other
symptoms, is benign, and does not
cause renal injury.
14. Cystitis an infection of the bladder that pro-
duces lower tract symptoms but does
not cause fever or renal injury.
15. Pyelonephritis most severe type of UTI involving the
renal parenchyma or kidneys and must
be readily identified and treated be-
cause of the potential irreversible renal
damage.
16. "When was your last menstrual period (LMP)?" A healthy 14-year-old female has a
dipstick urinalysis that is positive for
56RBCs per hpf but otherwise normal.
What is the first question the prima-
ry care pediatric nursepractitioner will
ask this patient?
17. Monitor for proteinuria at each annual well An adolescent has 2+ proteinuria in
child examination. a random dipstick urinalysis. A sub-
sequent first morning voided speci-
men is negative. What will the primary
