MVU NURS 629 EXAM 4 REAL EXAM GRADED A

MVU NURS 629 EXAM 4 REAL EXAM GRADED A 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? - Answerdehydration 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 Unilateral, pulsating headache with occasional photophobia - Answer- migraine microcytic hypochromic anemia - Answer- iron deficiency anemia Most common causes of iron def anemia in child and infant - Answer- poor dietary intake and breast feeding risk factor for depression in child? - Answer- separation anxiety Comorbidities of depression? - Answer- anxiety, learning, conduct, and eating disorders Depression DX must have 1 of what 3 characteristics? - Answer- depressed mood, diminished interest, significant wt loss/gain, insomnia, fatigue, worthlessness, thoughts of death Most common somatic complaints of depression? - Answer- HA & stomachache What depression screening tool is used in ages 11 and up? - Answer- Pt Health Questionnaire Depression Screening (PHQ-9) Signs of PTSD in pre-school age children - Answer- extreme temper tantrums Clinical Manifestations of Slipped Capital femoral epiphysis - Answer- *Limping *knee or hip pain *pain worse with activity *loss of internal rotation, abduction, extension What should a child be instructed to do if Slipped capital femoral epiphysis is suspected - Answer- Keep Non-Wt bearing until surgical consult What is the most common type of scoliosis? - Answer- Idiopathic (multi-gene dominant no clear cause)