Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Peds ATI & Final (Josh) > Peds Final Blueprint 1 > Flashcards

Peds Final Blueprint 1 Flashcards

1
Q

What is PKU Test?

A

Phenylketonuria Test

measures if baby has enzyme to use phenylalanine in body. Phenylalanine is an amino acid that is needed for normal growth and development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What surgery for Clubfoot?

A

percutaneous heel cord tenotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hypoglcyemia or Hyperglycemia?

deep, rapid kussmaul respirations

A

Hyperglycemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Decreased BP in lower limbs may be a sign of —

A

coarctation of the artery

  • check BP in all four extremeties
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Clubfoot:

Eversion of feet(bending outward)

A

Talipes Valgus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When would a Halo Vest be used?

A

vertebral fracture w/out neurological deficit

  • permits earlier ambulation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

S/S of Tet Spells?

A

Peripheral dilation

Increased HR

Decerased diastolic filling time

Blood flows from RIGHT TO LEFT—TETRALOGY OF FALLOT (Path of least resistance)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Hypoglycemia is glucose of —

Hyperglycemia is glucose of —

A

250

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Best exercise for JIA kids?

A

swimming

though they can do most activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the usual organism for UTI?

A

E coli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

— is the most common heart defect in children.

A

Ventricular Septal Defect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Tetralogy of Fallot?

A

heart defect that causes a right to left shunt of blood

  • **squatting!!
    • an unconscious means of relieving hypoxia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Clubfoot:

Inversion of feet

A

Talipes varus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does HgA1c measure?

A

3-mth avg of plasma glucose concentration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the screening tests for Scoliosis?

A

Cobb technique - degree of curvature

Risser Scale - skeletal maturity

Measure truncal rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Heart defects w/ decreased pulmonary blood flow.

A

Tetralogy of Fallot

Tricuspid Atresia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which cardiac defects result in obstruction of blood flow?

A

Coarcation of artery

Aortic Stenosis

Pulmonic Stenosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

When sick, how often should we monitor blood glucose and ketones in urine?

A

q 3 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Exopthalmos is a clinical manifestation of —

A

Graves Disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Poor appetite, FTT, and frequent urination are S/S of —

A

UTI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Hypoglcyemia or Hyperglycemia?

Double Vision

A

Hypoglycemia

Hyper has blurred vision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Hypoglcyemia or Hyperglycemia?

Rapid onset

A

Hypoglycemia is rapid

Hyper is slow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

In —, alterations in glomerular membrane allow proteins (albumin) to pass into urine.

A

Nephrotic Syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Clinical manifestations of Minimal Change Nephrotic Syndrome?

A

Weight gain / edema (facial, ankles, periorbital)

Ascites

Anorexia, diarrhea, lethargy

Decreased frothy urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What are normal HgA1c values for a child w/ diabetes?

A

6.5-8% but we won’t to stay

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Treat hypoglycemia with — of simple carbs.

A

10-15 g

  • milk
  • soda
  • T of sugar
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

How is Juvenile Idiopathic Arthitis treated?

A

PT

Splinting at night

Warm baths / packs on joints

NSAIDs, DMARDs, corticosteroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Facial features for Down’s Syndrome

A

Oblique palpebral fissures (upward, outward slant) of the eyes

Iris speckled “Brushfield spots”

Flat nasal bridge (Saddle nose)

Large protruding tongue

Low set ears

Short broad neck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Which cardiac defects result in increased pulmonary blood flow?

A

Ventricular Septal Defect

Atrial Septal Defect

Patent Ductus Arteriosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What is the significance of a blue hue to the sclera in the newborn assessment?

A

Osteogenesis Imperfecta

The blue-gray color of the sclera is due to the underlying choroidal veins which show through. This is due to the sclera being thinner than normal because the defective Type I collagen is not forming correctly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

— is caused by disrupted blood flow in the femoral head, resulting in necrosis.

A

Legg Calve Perthes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Hypokalemia — Digoxin toxicity.

A

potentiates

***serum potassium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

— is narrowing of aortic valve and causes which side of heart to enlarge?

A

Aortic Stenosis

  • causes left ventricular hypertrophy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Normal urine should be negative for —

A

protein

35
Q

What are the warning signs for Acute Compartment Syndrome?

A

Pain

Pressure

Paresthesia (numbness)

Paralysis

Pulselessness

36
Q

What is the onset of Duchenne Muscular Dystrophy?

A

3-7 yrs old

37
Q

Safe Digoxin Range

A

0.8-2.0

38
Q

Scoliosis affects the spine. What else does it affect?

A

ribs

39
Q

Best position to increase oxygenation during Tet Spell?

A

knee to chest

40
Q

S/S of Nephrotic Syndrome

A

elvated protein in urine

decreased serum protein (6.1-7.9)

elevated serum lipid level

normal potassium level

41
Q

What is Gower’s Sign?

A

unsteady gait w/ a waddle

***it is a sign of MD

42
Q

Clubfoot:

Toes are facing inward lower than heel

A

Talipes Equinovarus

43
Q

What affect does exercise have on child w/ diabetes?

A

decreases need for insulin

***snack 30 mins before to prevent hypoglycemia

44
Q

What is the Pavlik Harness?

A

treatment for DDH

  • keeps hips in place
  • adjust q 1-2 weeks
  • wear for 12 wks
45
Q

What are the 4 types of clubfoot?

A

Talipes Varus

Talipes Valgus

Talipes Calcaneus

Talipes Equniovarus

46
Q

What is the most accurate lab for diabetes?

A

HgA1c

  • glycated Hgb
  • can’t be ‘faked’ last minute for a good reading
47
Q

Failure to smile and poor head control at 3 months are a warning sign for —

A

Cerebral Palsy

48
Q

What is MCNS?

A

Minimal Change Nephrotic Syndrome

  • most common form of Nephrotic Syndrome
49
Q

Blue sclera and Hearing Loss are S/S of –

A

Osteogenesis Imperfecta

50
Q

Graves Disease leads to —

A

Hyperthyroidism

51
Q

What will you listen for w/ Ventricular Septal Defect?

A

loud, harsh murmur on left sternal border

52
Q

How long does somatropin treatment last?

A

until epiphyseal closure

53
Q

Brain abscesses are more common in — than any other Congenital Heart Disease.

A

Tetrology of Fallot

54
Q

Long term problems w/ Cerebral Palsy?

A 
Seizures
Drooling
Difficulty feeding / speech 
Risk for aspiration
Orthopedic complications –hip dislocation/scoliosis
Constipation
Dental caries
Gingivitis
Nystagmus
Hearing Loss
Latex allergy has also been reported in children with CP
Intellectual Impairment (70% normal)
ADHD
55
Q

Types of DDH?

A

Acetabular Dysplasia (delay in acetabular development)

Subluxation (incomplete dislocation of hip)

Dislocation (femoral head does not have contact w/ acetabulum)

56
Q

Clubfoot:

Dorsiflexion (toes higher than heels)

A

Talipes Calcaneus

57
Q

S/S of Fractured Femur

A

Crepitus

Edema/Swelling

Pain

Ecchymosis

58
Q

Maternal chorioamnionitis increases risk for —

A

Cerebral Palsy

59
Q

What is DDH?

A

Developmental Dysplasia of the Hip

60
Q

What is one of the first things we do with DKA?

A

obtain venous access to give all the fluids

61
Q

S/S of MD

A

fatigue/muscle weakness (lower extremities first)

Unsteady gait, with a waddle

Lordosis

Frequent falling

Learning difficulties/cognitive delays

Atrophy of muscles–possible loss of ability to walk by age 12

62
Q

What is the pre-op treatment for Clubfoot?

A

serial casting shortly after birth

63
Q

Treatment for a sprain?

A

RICE

Rest
Ice
Compression
Elevation

64
Q

S/S of Compartment Syndrome

A

Increased pain that is unrelieved with analgesics or elevation

Numbness

Pulselessness

Inability to move digits

Warm digits with skin that is tight and shiny
pallor

65
Q

Which type of traction?

skin traction on lower leg and padded sling under the knee

A

Russell Traction

66
Q

What do we do w/ bony prominences when casting?

A

pad them

67
Q

Nursing responsibilities w/ Legg Calve Perthes?

A

Maintain rest and no weight bearing

Administer NSAIDs

68
Q

Urinalysis for Nephrotic Syndrome?

A

Proteinuria (2+ on dipstick)

69
Q

Nursing responsibilities w/ a fracture

A

Assess 5 P’s

Cover open wound w/ sterile dressing

Immobilize limb

Neurvascular checks often

Elevate if possible

Ice for 20 mins

Pain meds

Keep client warm

70
Q

What is a Denis Browne Splint?

A

shoes w/ a bar holding them apart

used as postop treatment for clubfoot

71
Q

What are Tet Spells?

A

acute episodes of cyanosis and hypoxia

72
Q

What is Torticollis?

A

wry neck (head tilt)

73
Q

Kernicterus, caused by

Billirubin, is a risk factor for —

A

Cerebral Palsy

74
Q

What is the cause of Aortic Stenosis?

A

bicuspid, instead of tricuspid, aortic valve

75
Q

Pathology of Cerebral Palsy

A

Cerebral anoxia –>

Brain damage –>

Loss of normal function

76
Q

Why are NSAIDs good for JIA?

A

control pain and inflammation

long term use w/ few S/E

***take w/ food for gastric irritation

77
Q

Bryant Traction is which type of traction?

A

Skin Traction

  • hips are at 90 degree angle
  • butt off bed
78
Q

Can MD be treated?

A

no, just manage symptoms

  • encourage ROM and ADL as long as possible
  • keep lungs functioning
79
Q

What is Lordosis?

A

sway back

80
Q

When is permanent closure of the ductus areriosis?

A

10-21 days after birth

81
Q

What is the growth hormone?

A

Somatropin

  • subQ
82
Q

MD affects which extremities first?

A

lower

83
Q

Why are fluids necessary w/ DKA?

A

because they are so dehydrated

Peds ATI & Final (Josh) (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions