NU 425 Care of the Child EXAM 3 Blueprint 2021 Latest update

Exam #3 Pediatric Endocrine & Metabolic Alterations (2.5) 2.5 9 Pediatric Cardiac Alterations (3.5) 3.5 14 Pediatric Neurological Alterations (3.5) 3.5 14 Pediatric Oncological and Hematological Alterations (3.5) 3.5 13 Hours 13 50 Endocrine (9) 1. Compare and contrast the pediatric presentation, treatment and nursing care of Hyper/Hypo function in the: (2) a. Pituitary b. Adrenal c. Thyroid 2. Compare and contrast the presentation, lab diagnostics, treatment, and nursing care of SIADH, DKA, and Diabetes Insipidus. (5) 3. Discuss the presentation, lab diagnostics, treatment, complications and nursing care of type 1 and 2 diabetes in the child.(1) 4. Describe the groups of insulins in terms of onset, peak and duration. 5. Explain the patient and parental education required for all of the endocrine dysfunction. 6. Compare and contrast the cause, clinical manifestations, treatment, and nursing care of the child with PKU and Galactosemia. (1) Cardiac (14) 1. Acyanotic Congenital Heart Disease • Atrial septal defect (increases pulmonary blood flow): INCREASES THE AMOUNT OF BLOOD that flows through the lungs. May cause damage to the blood vessels in the lungs. High blood pressure in lungs and heart failure. Other problems may include abnormal heartbeat, and increased risk of stroke. o Presentation: abnormal opening between atria. Left atrial pressure slightly exceeds right atrial pressure. Blood flows from L to R atrium. Resulting in atrial and ventricular enlargement. Heart failure is unusual but may develop if ASD is undiagnosed and repaired.  Manifestations: may be asymptomatic, characteristic murmur and risk for atrial dysrhythmias. o Hemodynamics: Left to right shunting causes more blood flow in RA therefore increase bf TO LUNGS AND DECREASES bf TOT ISSUES. o Diagnostics: o Complication: HEART FAILURE