MVU NURS 629 EXAM 4 Questions & Answers Accurate 100%

Clinical manifestation of physiological jaundice - Answer *Usually within first 2-4 days of life *Not lasting longer than first 2 weeks of onset *Due to fast breakdown of RSCs *Liver immature and poor dietary intake. Clinical manifestation of breast fed jaundice - Answer *Usually within first few weeks to month of life *Secondary to poor intake what to assess for Determining hydration status - Answer *skin turgor *mucous membranes *peripheral pulses *tears *capillary filling Clinical s/s of dehydration - Answer *sunken ant fontanel *tachycardia *decreased urinary output *decreased B/P What is the most common cause of acute stomach pain - Answer gastroenteritis What is the most common complication in children with gastroenteritis? - Answer dehydration What is the initial treatment in Osgood Schlatter disease - Answer stretching Recommended treatment for a Sprained ankel - Answer Ice, Elevation, NSAIDa (ice 20 mins off 30-45 mins for first 24-48 hrs) What type of X-ray is best for diagnosing Legg-Calve-Perth? - Answer Frog leg How to perform Rovsing sign? - Answer apply pressure to left lower abdomen What is considered a positive sign with Rovsing exam - Answer pain in right side when pressure is released from left side What assessment would indicate an injury to the ACL or PCL? - Answer a positive Ant/Post drawer sign Ideal glucose level for 4 yr old? - Answer 90-130 What should be the initial evaluation of suspected growth hormone deficiency? - Answer *Thyroid function *screen for hypoglycemia *possible GI illnesses Initial evaluation in cases of isolated menarche? - Answer Sexual abuse should be ruled out first essentials for child's mental health? - Answer *predictable home, childcare, school routine What is the most common type of seizure in a child? - Answer Febrile seizure