Pediatric Unit 6 pt.1
Study online at https://quizlet.com/_j70zu2
1. Cleft Lip & Cleft - Most common congenital craniofacial anomaly
Palate - Development of cleft occuts early in pregancy
2. Risk Factors of - Medication use during pregnancy (anticonvulsant & steroids)
Cleft Lip and Cleft - Prenatal infection
Palate - Maternal smoking
- Advanced maternal age
- Male gender
3. Complications of - Feeding problems (inadequate growth, inadequate seal= ineffecting sucking)
Cleft Lip and Cleft - Dental malformations
Palate - Speech issues
- Otitis media (permanent hearing loss)
4. Nursing Manage- - Special feeding devices
ment of Cleft Lip - Prosthodontic devices
and Cleft Palate - Cleft lip surgical repair by 3 months
- Cleft palate surgical repair by 12 months
5. Post-op Nursing - Supine or side-lying position
care: Cleft lip and - Arm restraints
Cleft Palate - Logan bow/butterfly adhesive
- Petroleum jelly on suture line
- Avoid putting items in mouth
- Administer pain meds
6. Inguinal Hernias - Processes vaginalis fails to close completely
- Bulging mass in lower abdomen or groin often only seen when crying or
straining
- Males: bowel
- Females: fallopian tubes or ovaries
- Risk factors: male & preterm
- Treatment: manual reductions & surgery
, Pediatric Unit 6 pt.1
Study online at https://quizlet.com/_j70zu2
- Complication: incarcerated hernia > bowel strangulation
- Notify provider if it becomes hard, discolored or painful (evidenced by incon-
solable crying)
7. Umbilical Hernia - Incomplete closure of the umbilical ring, allowing intestinal contents to herniate
through the opening
- Occurs commonly in full-term infants and African-Americans
- Treatment: manual reductions; most children will have spontaneous closure by
4 years of age; otherwise, surgical interventions
- Incarceration is rare: abdominal pain, tenderness, redness at the umbilicus
- Commonly in full term and AA babies
8. Hypertrophic Py- - Positive family Hx
loric Stenosis - Boys more commonly affected compared to girls (4:1)
Risk Factors - White & Hispanic infants
- Premature Infants
- More common in firstborn infants
9. hypertrophic py- Thickening of the pyloric muscle causes a gastric outlet obstruction due to the
loric stenosis narrow opening. The most common condition requiring surgical repair in infants
10. Hypertrophic py- - Maternal smoking
loric stenosis - bottle feeding
causes (multifac- - Early antibiotic use of infants or late trimester maternal use
toral)
11. Hypertrophic Py- Pyloromyotomy (often on the same day as diagnosis but after F&E status is
loric Stenosis corrected to ensure a positive outcome from sx
Treatment
12. Hypertrophic Py- - Presence within 3-6 weeks
loric Stenosis - forceful, nonbilious vomiting (projectile)
- Hunger
, Pediatric Unit 6 pt.1
Study online at https://quizlet.com/_j70zu2
Clinical Manifes- - weight loss
tations - Dehydration
- Olive-shaped mass RUQ
13. Hypertrophic Py- - Fluid management/ Monitor I&O/ weight diapers
loric Stenosis - IV fluids to correct fluid deficit
Nursing Manage- - Correct electrolyte imbalances
ment - Adequate Urine out (1mL/kg/hr)
- Emotional support for family
- Pre-op & Post-op Teaching
14. Hypertrophic Py- Abdominal ultrasound confirms a diagnosis if you do not feel the oval-shaped
loric Stenosis Di- mass
agnosis
15. Post-op teaching - Oral feedings are greadually increase until full feeds are reached
for Pyloric Steno- - monitor for S/S infection
sis - Complications are rare
16. Omphalocele - Defect of the Umbilical ring (doesn't close)
- It allows evisceration of the abdominal contents into an external peritoneal sac
(poop in sac)
- Defects vary in size (bowel loops or the whole gastrointestinal tract)
- Requires a surgeon to diagnose
17. Gastroschisis - Full-thickness defect of the abdominal wall
- Most common on the right side of the umbilicus
Study online at https://quizlet.com/_j70zu2
1. Cleft Lip & Cleft - Most common congenital craniofacial anomaly
Palate - Development of cleft occuts early in pregancy
2. Risk Factors of - Medication use during pregnancy (anticonvulsant & steroids)
Cleft Lip and Cleft - Prenatal infection
Palate - Maternal smoking
- Advanced maternal age
- Male gender
3. Complications of - Feeding problems (inadequate growth, inadequate seal= ineffecting sucking)
Cleft Lip and Cleft - Dental malformations
Palate - Speech issues
- Otitis media (permanent hearing loss)
4. Nursing Manage- - Special feeding devices
ment of Cleft Lip - Prosthodontic devices
and Cleft Palate - Cleft lip surgical repair by 3 months
- Cleft palate surgical repair by 12 months
5. Post-op Nursing - Supine or side-lying position
care: Cleft lip and - Arm restraints
Cleft Palate - Logan bow/butterfly adhesive
- Petroleum jelly on suture line
- Avoid putting items in mouth
- Administer pain meds
6. Inguinal Hernias - Processes vaginalis fails to close completely
- Bulging mass in lower abdomen or groin often only seen when crying or
straining
- Males: bowel
- Females: fallopian tubes or ovaries
- Risk factors: male & preterm
- Treatment: manual reductions & surgery
, Pediatric Unit 6 pt.1
Study online at https://quizlet.com/_j70zu2
- Complication: incarcerated hernia > bowel strangulation
- Notify provider if it becomes hard, discolored or painful (evidenced by incon-
solable crying)
7. Umbilical Hernia - Incomplete closure of the umbilical ring, allowing intestinal contents to herniate
through the opening
- Occurs commonly in full-term infants and African-Americans
- Treatment: manual reductions; most children will have spontaneous closure by
4 years of age; otherwise, surgical interventions
- Incarceration is rare: abdominal pain, tenderness, redness at the umbilicus
- Commonly in full term and AA babies
8. Hypertrophic Py- - Positive family Hx
loric Stenosis - Boys more commonly affected compared to girls (4:1)
Risk Factors - White & Hispanic infants
- Premature Infants
- More common in firstborn infants
9. hypertrophic py- Thickening of the pyloric muscle causes a gastric outlet obstruction due to the
loric stenosis narrow opening. The most common condition requiring surgical repair in infants
10. Hypertrophic py- - Maternal smoking
loric stenosis - bottle feeding
causes (multifac- - Early antibiotic use of infants or late trimester maternal use
toral)
11. Hypertrophic Py- Pyloromyotomy (often on the same day as diagnosis but after F&E status is
loric Stenosis corrected to ensure a positive outcome from sx
Treatment
12. Hypertrophic Py- - Presence within 3-6 weeks
loric Stenosis - forceful, nonbilious vomiting (projectile)
- Hunger
, Pediatric Unit 6 pt.1
Study online at https://quizlet.com/_j70zu2
Clinical Manifes- - weight loss
tations - Dehydration
- Olive-shaped mass RUQ
13. Hypertrophic Py- - Fluid management/ Monitor I&O/ weight diapers
loric Stenosis - IV fluids to correct fluid deficit
Nursing Manage- - Correct electrolyte imbalances
ment - Adequate Urine out (1mL/kg/hr)
- Emotional support for family
- Pre-op & Post-op Teaching
14. Hypertrophic Py- Abdominal ultrasound confirms a diagnosis if you do not feel the oval-shaped
loric Stenosis Di- mass
agnosis
15. Post-op teaching - Oral feedings are greadually increase until full feeds are reached
for Pyloric Steno- - monitor for S/S infection
sis - Complications are rare
16. Omphalocele - Defect of the Umbilical ring (doesn't close)
- It allows evisceration of the abdominal contents into an external peritoneal sac
(poop in sac)
- Defects vary in size (bowel loops or the whole gastrointestinal tract)
- Requires a surgeon to diagnose
17. Gastroschisis - Full-thickness defect of the abdominal wall
- Most common on the right side of the umbilicus
