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Exam Two scary Flashcards

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1
Q

When is birth weight doubled?

A

4-6 months

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2
Q

When is birth weight trippled?

A

1 year

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3
Q

How long should babies be breast fed?

A

First two years of life

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4
Q

Why are babies supplemented with Vitamin D? How much?

A

Prevention of rickets, 400u

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5
Q

Concern for cow’s milk in an infant?

A

GI bleeds, anemia, interfered with absorption of nutrients

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6
Q

When to start introducing complementary foods?

A

No earlier than 6 months

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7
Q

How much milk should a toddler consume per day?

A

16-24oz

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8
Q

Max amount of milk per day

A

32oz

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9
Q

How much juice per day?

A

4-6oz

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10
Q

How many teeth do children loose? When do they start loosing them.

A

32 teeth
beginning at age 6

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11
Q

What percentage (BMI) is considered low?

A

<5%

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12
Q

Percentile of BMI to be considered obese:

A

85th -95th percentile

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13
Q

How much daily activity is needed per day?

A

30-60 minutes

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14
Q

Explain why folic acid is needed for pregnant women:

A

Decreases risk of spina bifida in infants

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15
Q

Steatorrhea, chronic diarrhea, growth impairment and abdominal distention are clinical manifestations of:

A

Celiac disease

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16
Q

How would you explain celiac disease to a parent?

A

Intolerance for gluten; which is a protein found in wheat, rye and oat products.

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17
Q

A child was recently diagnosed with Celiac disease. Their parent questions how long to cut out gluten from their child’s diet?

A

forever and ever and ever

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18
Q

A parent bring’s in their 12mo child who has began refusing food, sleeping erratically, becoming irritable. When you weigh the child, it appears the child has lost 4kg putting them in <5th percentile on the BMI scale. What is you suspicion?

A

Avoidant/Restrictive food intake disorder

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19
Q

What are physical symptoms that accompany the diagnosis of Anorexia Nervosa?

A

Cold intolerance, abd discomfort, bloating, irregular menses, malnutrition

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20
Q

Treatment planning for Anorexia would include:

A

Fix malnutrition

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21
Q

When increasing calories for sports nutrition what macronutrient would you not increase?

A

Fat

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22
Q

A mother comes in wondering why her child cannot stop crying. After labs and an assessment it reveals that there is:
Multiple bruises in stages of healing
Scald burns in stages of healing
Rope marks

The nurse’s first priority for this patient is… because…

A

Safety!!! ABUSE

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23
Q

The condition in which a parent involves fabrication of symptoms of an illness of their child:

A

Factitious Disorder

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24
Q

What is the most common source of lead exposure for preschool children?

A

PAINT

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25
Ligaments
Bone to bone
26
Tendons
Bone to muscles Stronger than bones
27
Which cast is used for congential club foot? How long is it used for?
Ponseti Cast 3-4 years
28
What are 3 teachings that you as a nurse will teach a parent about cast care?
Assess circulation Cast care (dry/ raise)
29
What are causes of developmental dysplasia?
IU position breech maternal estrogen
30
What is the treatment for dysplasia? Education:
Pavlik harness T-shirt under harness
31
T or F The pavlik harness allows hip flexion and abduction.
True NOE EXTENSION OR ADDUCTION
32
What are the stages of Legg-Calve Perthes?
1) avascular, asymptomatic 2) pain, limited ROM (deformity and fx) 3) reossification 4) necrosis
33
After an XRAY reveals the femoral head displaced from the femoral neck. The nurse suspects which condition:
SCFE Slipped Capital Femoral Epiphysis
34
What would a patient suffering from SCFE complain of?
pain in hip limited ROM inflamed edematous synovial membrain callous formation
35
What are the categories and the degrees of scoliosis? Include their treatment
Mild 10-20 -> PT Moderate 20-40 ->brace Severe 40-50 -> spinal fusion
36
Uneven shoulders, prominent scapula, truncal asymmetry and one sided rib hump are manifestations of:
Scoliosis
37
Why is a PICC line needed for osteomyelitis?
IV antibiotics --> given 3-6w
38
A 4 month-old patient comes in to the ER with the 3rd fracture this month. Upon assessment, the nurse notices blue sclerae, which can be a manifestation of:
Osteogenesis imperfecta
39
What should a child with osteogenesis diet consist of?
High vitamin C, D, and calcium.
40
What is the most important assessment when caring for fractures?
Circulatory
41
Purpose of traction
Immobilization
42
Craving for ice (PICA) can be associated with which deficiency?
Iron
43
Ferrous sulfate is an indicated prescription when hgb/hct are which values?
HGB < 11.3g/dl HCT <34%
44
A father calls nurse on call about their child's stool being black. The parent states the child is taking iron supplements. The nurse would say:
This is a normal finding of that medication.
45
What are prevention techniques for sports injuries?
Warm up/cool down Correct techniques Gradual increase in time and intensity
46
What organ is the first to clump resulting from a sickle cell crisis?
Spleen
47
What three factors can prevent blood from further sickling?
Oxygenation, transfusion and hydration
48
T or F A child with sickle cell receives the gene from one parent
False bitch HAHAHAHAH
49
How long will a child with sickle cell be on Penicillin?
Until age 5
50
What is Deferoxamine used for?
Iron overload
51
What benefit does Hydroxyurea have for Sickle Cell patients?
Decreases production of abnormal cells.
52
Deficiency of factor (a) VIII (b) IX (c) XI (d) vWF
HEMOPHILIA a is a b is b c is c d is Von willebrand
53
A nurse would question which order for a patient with sickle cell? Hydroxyurea Oxygen Aspirin Transfusion Replacement factors
Aspirin
54
What is the SA node?
Pacemaker of the heart
55
After insertion of a PICC line, their cardiac monitor shows a arrhythmia. What happened
Well remember... You cannot tell NSR from a cardiac monitor IF EKG SHOWS ARRHYTHMIA Cath touching SA node
56
What is cardiac output?
Blood ejected from LV each minute
57
What is the difference between S1 and S2
S1 tricuspid and mitral S2 aortic and pulmonic
58
Where do you assess heart rate for pediatric?
Apex
59
What is the best placement for a blood pressure?
Right arm -- she said this like 20 times so remember this one
60

OB Final (5 decks)

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