PEDS HESI ANSWERSNUTC 3916

PEDS HESI ANSWERSNUTC 3916PEDS HESI ANSWERS • Child received chemotherapy last week and now has a reduced neutrophil count highest priority for this child is  Risk for infection. • Postural drainage for a child w/ Cystic fibrosis is most effective when performed after nebulization and before meals or at least 1 hr. after eating to prevent N/V. • The mother reports taking a lot of aspirin during her pregnancy, her 6 month old should be assessed for Reaction to loud noises --to assess for Ototoxicity which diminishes hearing and tinnitus and vertigo. • Nurse caring for a restrained child after surgery Remove one restraint at a time to and provide ROM exercises. • Order of taking V.S of a 4-month old Respirations, Heart Rate and then rectal temperature. • Closure of VSD’s prevents oxygenated blood from being shunted from LV to RV.  Prevent the return of oxygenated blood to the lungs. • A Child w/ Asthma  expect intercostal retractions during inspiration. (results from effort to draw in air into restricted airways) • CDC MMR vaccine should be given no sooner than 12 months of age, and ideally between 12~15 months of age. • The most definitive measure of improved nutrition in an infant is by obtaining the child’s Daily weight. • Projectile vomiting, which contributes to metabolic acidosis, is a classic sign of Pyloric Stenosis. • Steatorrhea Fatty, foul smelling stools that float on water (common in children w/ Cystic Fibrosis). • 3 week old infant Neonates w/ VSD fatigue quickly during feeding and ingest inadequate amounts. Monitor infant for weight gain, and should have at least 6 wet diapers daily. A one month old—should ingest 2~4 ounces formula per feeding and progress to about 30 ounces per day by 4 months of age. Due to fatigue the infant should rest but be fed at least every 2 hrs to ensure adequate intake. A softer preemie nipple or a nipple w/ larger opening helps to reduce the sucking effort and energy expenditure, allowing the infant to eat more w/ less effort. • Surgery is being delayed in an infant w/ undescended testes A trial of (HCG) Human chorionic gonadotrophic hormone may aid in testicular decent. • The preschooler’s major stressor concern is for his body integrity, he fears that his “insides will leak out.” • School- aged children strive for independence and productivity (Erickson’s Industry vs. Inferiority) and enjoy individual and group activities related to real life situations such as playing follow-the-leader. • Discipline guidelines Parental control should be consistent. (clear, reasonable and consistent)