Answers
Cleft Palate - correct answer>>Nurse role: Use special feeding devices prior to
surgery nasal regurgitation Speech therapy support family upright
feeding position
feed a 45 degree angle frequent burping and rest no-no's after surgery
(get used to prior to surgery
Cleft Palate - correct answer>>S:S Hole in the roof of mouth gap in the lip
Formula oozing from nose poor weight gain
Cleft Palate - correct answer>>What do we do about it: Multiple surgeries of
facial reconstruction
Coarctation of the Aorta - correct answer>>Nurse role: get a four extremity BP
of there are clinical manifestations
Surgery recovery (vitals, labs, urine output, etc)
Coarctation of the Aorta - correct answer>>S/S: Strong pulse to upper body,
Poor pedal pulses, cool/mottled feet (maybe dusky), decreased bowel
sounds and poor feeding/poor weight gain
Coarctation of the Aorta - correct answer>>What do we do about it: Cath to
balloon/stent or thoracotomy approach procedure to repair with patch
Esophageal Atresia and TEF - correct answer>>Nurse role: Observe for oral
aversion - speech feeding specialist
assist with feeding after surgery, teach parents to look for trouble
swallowing or breathing
Esophageal Atresia and TEF - correct answer>>S/S: Usually a Newborn, Frothy
drooling /saliva Coughing, choking, and cyanosis with feeding Apnea
, Abdominal distention
Esophageal Atresia and TEF - correct answer>>What do we do about it: NPO,
LIWS tube, TPN, possible gt
GERD - correct answer>>Nurse role: Head of bed 30 degrees for 30-1 hour after
feeding,
Long-term - Avoid foods that make it worse Possible Nissen
fundoplication
GERD - correct answer>>S/S: Apnea & bradycardia, After eating frequent
spitting up after eating, Arching head back & very fussy, low-weight gain
GERD - correct answer>>What do we do about it: Swallow study Thicken food
Allergy?
Lansoprazole 30 min prior to meal
Glomerulonephritis (PSGN) - correct answer>>Nurse role: skin assess infection
risk Daily weights abdominal girth encourage diet monitor BP
Glomerulonephritis (PSGN) - correct answer>>S/S: Tea like urine cola looking
urine periorbital edema Hematuria proteinuria hypertension recent
strep infection
Glomerulonephritis (PSGN) - correct answer>>What do we do about it:
Antihypertensives & Antibiotics, sodium & fluid restrictions when
edematous, possible potassium restrictions
Hemolytic Uremic Syndrome - HUS - correct answer>>Nurse role: Labs - BMP,
CBC with platelet count, & DIC, blood products and dialysis
Hemolytic Uremic Syndrome - HUS - correct answer>>S/S: Diarrhea for days
that turns bloody petechiae oliguria anemia acute renal failure ART
triad
Hemolytic Uremic Syndrome - HUS - correct answer>>What do we do about it: