Exam 2 Peds Capstone Questions & Answers

A 6 yr old child goes to the ER due to abdominal pain, fever, and vomiting for the last day. What assessment is a priority? - Description of abdominal pain What would the nurse be looking for when a patient has a Meckel diverticulum? - Painless rectal bleeding Which is the condition that occurs mainly in children when the intestines telescope into themselves? - Intussusception 1. What is Hirschsprung disease? 2. What type of stools would an infant with Hirschsprung's disease have? - 1. Congenital absence of the parasympathetic ganglion cells 2. Ribbon shaped stools What treatment can the nurse anticipate for a child unable to drink or eat anything with profuse vomiting and diarrhea? - IV Fluids Deficiency of Vitamin D causes? - Rickets If an infant has not passed the meconium stool within the first 24-36 hours, what would you assess for? - Hypothyroidism Hirschsprung's disease Cystic Fibrosis What acid-base imbalance may you see with a child that is having profuse diarrhea? - Metabolic Acidosis what Vitamins that children with celiac disease are prone to lose are: - Vitamin A Vitamin D Vitamin K 1. What does Celiac disease affect? 2. If you have celiac disease, what should you eliminate from your diet? - 1. Small intestine 2. Wheat, Rye, and Barley S/S of hypertrophic pyloric stenosis - projectile vomiting olive-sized mass at the midline A 5 year-old child is c/o epigastric pain and a persistent cough. What would you suspect? - Gastroesophageal reflux 1. what is Esophageal atresia 2. What are the classic signs of esophageal atresia and tracheoesophageal fistula? 3. Neonate with a suspected tracheoesophageal fistula. Nursing care should include: - 1. - Lack of opening of the esophagus to stomach at birth 2. Cyanosis, choking, and coughing 3. Elevating the head and NPO What would the nurse expect to see in an infant with biliary atresia? - Clay-colored stools and abdominal distention 1. Cleft lip repair is typically done 2. When does cleft palate repair typically occur? - 1. between 2-3 months 2. 8-12 months Hyperfunction of the pituitary gland in preadolescence results in - Gigantism A child has been diagnosed with bacterial meningitis. What is the nursing priority of care? - Administer antibiotics Symptoms of Diabetic Ketoacidosis (DKA) are.... - Fruity Breath Excessive Hyperglycemia Ketonuria Which action should the nurse implement in the care of a pt with pheochromocytoma? - Monitor for elevated heart rate Monitoring for hypertension What does parathyroid hormone do? - regulates calcium levels in the blood Addison's disease - occurs when the adrenal glands do not produce enough of the hormone's cortisol or aldosterone autoimmune disease of the thyroid gland - Hashimoto disease what would a child with Cushing's syndrome look like? - moon face, thick stocky figure, more hair than usual What acid-base alteration would you see in diabetic child with Kussmaul's respirations - Respiratory alkalosis precocious puberty - reaching puberty early Childhood hypopituitarism - causes pituitary dwarfism, due to deficient GH Reye's syndrome - can be caused by aspirin and is a metabolic disorder initial sign of diabetes insipidus - polydipsia