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PEDIATRIC NURSING
TEST 3 PEDIATRIC NURSING
QUESTIONS AND ANSWERS
2024/2025
what are infants with type 1 diabetes at higher risk for? - ANS >>hypoglycemia because they cannot
communicate with you, need to minimize BG fluctuations because their brain is still developing
what is rheumatic fever? - ANS >>inflammatory disease that occurs after Group A strep infection (Strep
throat); treat with penicillin, steroids, and NSAIDS, bedrest; will need monthly injections of Pen G, two
daily oral doses of penicillin, or daily doses of erythormycin that must be continued into adulthood to
prevent RF recurrence; diagnosed with Jones criteria and/or tested with ASO titer
what is kawasaki disease? - ANS >>acute systemic vasculitis with unknown cause- causes segmental
damage to muscular arteries and coronary aneurysms and cardiomyopathy; diagnosed based on clinical
findings -- fever resistant to treatment lasting longer than 5 days with 4 out of 5 of the following criteria:
change in extremities - edema, erythema of palms and soles, peeling; bilateral conjunctiva inflammation
without drainage, changes in oral mucosa and strawberry tongue, polymorphous rash, cervical
lymphadenopathy; 3 phases; treat with high does IVIG and salicylate therapy (aspirin)
what types of drugs are given for cardiac issues? - ANS >>digoxin, ACE inhibitors (cause vasodilation),
beta blockers (decreased HR), diuretics (remove fluid and sodium)
what is normal hemoglobin for children? - ANS >>10-16 g/dL
what is normal hematocrit for children? - ANS >>30-45%
what are normal digoxin levels? - ANS >>0.8 - 2
what is a cardiac catheterization? - ANS >>Invasive procedure used to diagnose structural and functional
diseases of the heart and great vessels; can also be interventional; typically dye is injected and path
through the heart is followed
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PEDIATRIC NURSING
what are complications of cardiac catheterization? - ANS >>hemorrhage, fever, NV, loss of pulse in
catheterized extremity, transient dysrhythmias, infection
Post op for cardiac catheterization, how often should you take vitals? - ANS >>every 15 minutes for an
hour, every 30 minutes for an hour after that, then every 1 hour for four hours
if the pulse is weakened on the extremity that was used for the cardiac catheter, is that normal? - ANS
>>yes, weakened pulse is normal in that extremity, but loss of pulse is not and is an emergency
what nursing care should be done post op for a cardiac catheterization? - ANS >>ECG monitoring, BP
(watch for hypotension), pulse ox, frequent monitoring of extremity and integumentary, I &Os, dressing
site, diet, keep leg straight for 4-8 hours, make sure they don't take any baths for 3 days post op, no
strenuous activity for 3 days, take temperature at least once a day for 3 days and report if greater than
100.4
what are some sigsn of CHF in an infant? - ANS >>sweating, easily tired especially during feedings, baby
does not like to lay flat only likes head to be up
what should you do during pre-op for a cardiac catheterization? - ANS >>check allergies, make them
NPO, locate and mark pulses, assess diaper area, may start prophylactic antibiotics
what should you check before giving digoxin? - ANS >>apical pulse -- should be 60 or above for adults
and adolescents and 90 or above for little kids and babies
what two side effects should you watch for with ACE inhibitors like lisinopril and captopril? - ANS
>>hypotension and cough
what complications do you see with chronic hypoxia? - ANS >>cyanosis, polycythemia (increased RBCs
b/c body thinks you need them - causes increased risk for clots and strokes), fatigue with feeding, poor
weight gain, tachypnea, dyspnea, clubbing
PEDIATRIC NURSING
TEST 3 PEDIATRIC NURSING
QUESTIONS AND ANSWERS
2024/2025
what are infants with type 1 diabetes at higher risk for? - ANS >>hypoglycemia because they cannot
communicate with you, need to minimize BG fluctuations because their brain is still developing
what is rheumatic fever? - ANS >>inflammatory disease that occurs after Group A strep infection (Strep
throat); treat with penicillin, steroids, and NSAIDS, bedrest; will need monthly injections of Pen G, two
daily oral doses of penicillin, or daily doses of erythormycin that must be continued into adulthood to
prevent RF recurrence; diagnosed with Jones criteria and/or tested with ASO titer
what is kawasaki disease? - ANS >>acute systemic vasculitis with unknown cause- causes segmental
damage to muscular arteries and coronary aneurysms and cardiomyopathy; diagnosed based on clinical
findings -- fever resistant to treatment lasting longer than 5 days with 4 out of 5 of the following criteria:
change in extremities - edema, erythema of palms and soles, peeling; bilateral conjunctiva inflammation
without drainage, changes in oral mucosa and strawberry tongue, polymorphous rash, cervical
lymphadenopathy; 3 phases; treat with high does IVIG and salicylate therapy (aspirin)
what types of drugs are given for cardiac issues? - ANS >>digoxin, ACE inhibitors (cause vasodilation),
beta blockers (decreased HR), diuretics (remove fluid and sodium)
what is normal hemoglobin for children? - ANS >>10-16 g/dL
what is normal hematocrit for children? - ANS >>30-45%
what are normal digoxin levels? - ANS >>0.8 - 2
what is a cardiac catheterization? - ANS >>Invasive procedure used to diagnose structural and functional
diseases of the heart and great vessels; can also be interventional; typically dye is injected and path
through the heart is followed
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PEDIATRIC NURSING
what are complications of cardiac catheterization? - ANS >>hemorrhage, fever, NV, loss of pulse in
catheterized extremity, transient dysrhythmias, infection
Post op for cardiac catheterization, how often should you take vitals? - ANS >>every 15 minutes for an
hour, every 30 minutes for an hour after that, then every 1 hour for four hours
if the pulse is weakened on the extremity that was used for the cardiac catheter, is that normal? - ANS
>>yes, weakened pulse is normal in that extremity, but loss of pulse is not and is an emergency
what nursing care should be done post op for a cardiac catheterization? - ANS >>ECG monitoring, BP
(watch for hypotension), pulse ox, frequent monitoring of extremity and integumentary, I &Os, dressing
site, diet, keep leg straight for 4-8 hours, make sure they don't take any baths for 3 days post op, no
strenuous activity for 3 days, take temperature at least once a day for 3 days and report if greater than
100.4
what are some sigsn of CHF in an infant? - ANS >>sweating, easily tired especially during feedings, baby
does not like to lay flat only likes head to be up
what should you do during pre-op for a cardiac catheterization? - ANS >>check allergies, make them
NPO, locate and mark pulses, assess diaper area, may start prophylactic antibiotics
what should you check before giving digoxin? - ANS >>apical pulse -- should be 60 or above for adults
and adolescents and 90 or above for little kids and babies
what two side effects should you watch for with ACE inhibitors like lisinopril and captopril? - ANS
>>hypotension and cough
what complications do you see with chronic hypoxia? - ANS >>cyanosis, polycythemia (increased RBCs
b/c body thinks you need them - causes increased risk for clots and strokes), fatigue with feeding, poor
weight gain, tachypnea, dyspnea, clubbing
