Exam 1 Blueprint

Question 1

Pyloric stenosis symptoms

Answer 1

• Hallmark signs: Projectile vomiting, moveable olive-shaped mass in epigastrium
• Sunken fontanel, poor skin turgor

Question 2

Medication calculation

Answer 2

Know safe dose of Tylenol

Question 3

Oral rehydration for diarrhea

Answer 3

10mL/kg/stool

• Use Pedialyte (1/2 str Gatorade)
• No clear liquids or caffeine
• No BRAT diet
• No juice

Question 4

Measles symptoms

Answer 4

• High fever
• Conjunctivitis
• Koplik spots: white spots in mouth
• Coryza, cough, anorexia, rash maculopapular from face to trunk to extremities

NEVER ASPIRIN (REYES SYNDROME)

Question 5

Dried milk vs candidiasis

Answer 5

You can’t remove yeast with tongue blade, but you can with dried milk

Question 6

Pain scales

Answer 6

• Neonatal Infant Pain Scale (NIPS) used for 0-28 DAYS
• FLACC used for 1 month to 7 years
• FACES used for >7 yrs

Question 7

Types of Families

Answer 7

Nuclear, Extended, Blended, Single parent, Bi-Nuclear, Polygamous, Communal, LGBT+

Question 8

Nuclear vs Extended vs Blended

Answer 8

Nuclear Family: Two parents, married with their biological children

Extended: One parent, one or more children, and one or more related/unrelated members living together

Blended: At least one stepparent, stepsibling, or half-sibling (Brady Bunch)

Question 9

Communal vs Bi-Nuclear vs Polygamous

Answer 9

Single parent: This can be due to divorce, death, etc.

Bi-Nuclear: Joint-Custody

Polygamous: Multi wives or husbands

Question 10

Single vs. LGBT+

Answer 10

Single parent: This can be due to divorce, death, etc.

LBGT+: May or may not be married, tied by children that are biological, adopted, etc.

Question 11

Asthma symptoms

Answer 11

• Expiratory wheezing, dry cough, restlessness. (common manifestations)
• Infant: grunting, nasal flaring, retractions
• Others are prolonged expiration, tachypnea, cyanosis, marked. resp. depression, chronic use of. accessory muscles

Question 12

Asthma treatment

Answer 12

• Assess and monitor
• Give humidified oxy prn
• IV access
• Position patient in high fowlers

Question 13

Asthma meds

Answer 13

• Bronchodilators (albuterol inhaler) (most typical)
• Anti-inflammatories, IV Fluids, Oxygen
• For kids who play sports, take inhaler before exercising

Question 14

Asthma diagnosis

Answer 14

• Diagnosed by chest x-ray and showing of symptoms
• Pulmonary function tests (severity of already diagnosed asthma)

Question 15

Pain relief for 2 months old prior to needle stick

Answer 15

• Sugar/sucrose on bottle nipples (Sweeties)

Question 16

Family-centered Care

Answer 16

e.g., Allowing siblings to visit, education, family is constant in child’s life when they are in the hospital

Five main principles
- Family is CENTER
- Family should be involved in collabs and communication about care
-Need to be respectful about cultural diversity
- Not all families cope the same way
- All families need a support system (other families)

Question 17

ESRD diet

Answer 17

Low sodium diet, low potassium, fluid restriction, chicken breast!!!, lots of greens

Question 18

ESRD symptoms

Answer 18

coming soon

Question 19

ESRD treatment

Answer 19

coming soon

Question 20

Immunizations and preventing disease

Answer 20

Look up which to give 4 mnth during well baby visit:
RV, DTaP, Hib, PVC 13, IPV

Question 21

Infant dehydration symptoms/signs

Answer 21

• Weight loss **: if baby loses oz, it is A LOT
• For each 1% weight loss = 10 ml/kg of fluids lost
• Depressed fontanel
• Tenting of skin
• Poor skin turgor

Question 22

Lyme disease

Answer 22

Tick bites

Question 23

RSV risk factors

Answer 23

• RVs: Older siblings, daycare, smoking, cup sharing
• Make sure child is using soap when washing

Question 24

RSV symptoms

Answer 24

Thick mucus, cough, fever

Question 25

RSV diagnosis

Answer 25

Swab test, showing of symptoms

Question 26

RSV treatment

Answer 26

Suction, give fluids, Oxy

Question 27

Hemolytic uremic syndrome triad

Answer 27

Anemia, ARF, and thrombocytopenia (triad)

Question 28

Hemolytic uremic syndrome labs

Answer 28

o Increased BUN & creatine, decreased PLT & HCT,

Question 29

Hemolytic uremic syndrome symptoms

Answer 29

c oming soon

Question 30

Hemolytic uremic syndrome treatments

Answer 30

coming

Question 31

Epiglottis symptoms

Answer 31

tripoding, drooling, saliva, stridor, fever

Question 32

Epiglottis treatment

Answer 32

NEVER leave child alone coming soon

Question 33

Cleft palate repair and language

Answer 33

We want to repair as soon as we can to prevent speech delay and enhance language acquisition

Question 34

Infants and additional water

Answer 34

No need to add water with BFing

Question 35

Maintenance fluid calculation

Answer 35

100ml per kg up to 10 kg

Question 36

Car seat installation

Answer 36

REAR FACING & LOCK IN

Question 37

Cystic fibrosis symptoms

Answer 37

coming

Question 38

Cystic fibrosis treatment

Answer 38

Pancreatic enzyme, ADEK vit, chest physiotherapy, Vibratory vest

Question 39

Cystic fibrosis diagnosis

Answer 39

Sweat test

Question 40

Object permanence

Answer 40

You hide object but they know it’s still there

Question 41

Animisim

Answer 41

Child gives inanimate object human characteristics

Question 42

Herd immunity

Answer 42

Majority of community is vaccinated as it cocoons non-vacc person from getting sick

Question 43

Infant vaccine site

Answer 43

- Vastus lateralis anterior lateral thigh for child who cannot walk - FACES for >6 yr olds

Question 44

Measure output on child not toilet trained

Answer 44

- Weight diaper for non-trained pt - If part pee and part poo, document as mixed

Question 45

Hirschsprung’s Disease symptoms

Answer 45

Has not pooped meconium stool in 24-48 hr

Question 46

Hirschsprung’s Disease treatment

Answer 46

Surgical removal

Question 47

Hirschsprung’s Disease diagnosis

Answer 47

coming soon

Question 48

Sick infant in ED

Answer 48

When was the last time they ate? Pooped? Onset of symptoms? How many times was diaper changed?

Question 49

Celiac Disease diet

Answer 49

GLUTEN-FREE diet: rice, corn, basically anything with NO wheat No beer!!!! Have vodka instead ;)

Question 50

Celiac disease symptoms

Answer 50

coming

Question 51

Celiac disease treatment

Answer 51

coming

Question 52

Most common cause of diarrhea in children

Answer 52

Rotavirus so make sure to get vacc-ed

Question 53

Vomiting treatment

Answer 53

- No specific treatment unless they get dehydrated - Let them spew it all out

Question 54

Activities for 2-year-old

Answer 54

Stacking blocks, Pushing balls, riding tricycle, throw objects

Question 55

Water excess labs

Answer 55

Decreased Na+, BUN, HCT, & specific gravity

Question 56

Water excess symptoms

Answer 56

coming

Question 57

School age bicycle safety

Answer 57

WEAR A HELMET, ELBOW/KNEE PADS, EYE PROTECTION

Question 58

School age obesity

Answer 58

Sedentary lifestyle (electronics) and fast food

Question 59

GER Treatment

Answer 59

Sit them up!!

Question 60

Infant teething pain

Answer 60

- Cold chewing thing - OTC Meds and rub on their gums

Question 61

Pediatric nurse responsibilities

Answer 61

- Basic nursing shit - Basic therapeutic relationship - Assist in counseling and decisions - Education!! - Don’t provide financial assistance, it is not your job or place

Question 62

Priority care in MD office

Answer 62

- If pt is grunting, see them first! Examples: - Mom brings in baby and is 9 months old, grunting; child comes in with belly ache and throwing up, school sent home the kid bc they have measles, child with head lice; see grunting pt first - Hospital: post op appendectomy, pain med q4; child with RSV o2 sat at 90% but was 94%; child vomiting after appendectomy, haven’t had BM and is having pain; see RSV pt first