Exam Two scary COPY COPY

Question 1

When is birth weight doubled?

Answer 1

4-6 months

Question 2

When is birth weight trippled?

Answer 2

1 year

Question 3

How long should babies be breast fed?

Answer 3

First two years of life

Question 4

Why are babies supplemented with Vitamin D? How much?

Answer 4

Prevention of rickets, 400u

Question 5

Concern for cow’s milk in an infant?

Answer 5

GI bleeds, anemia, interfered with absorption of nutrients

Question 6

When to start introducing complementary foods?

Answer 6

No earlier than 6 months

Question 7

How much milk should a toddler consume per day?

Answer 7

16-24oz

Question 8

Max amount of milk per day

Answer 8

32oz

Question 9

How much juice per day?

Answer 9

4-6oz

Question 10

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

Answer 10

32 teeth
beginning at age 6

Question 11

What percentage (BMI) is considered low?

Answer 11

<5%

Question 12

Percentile of BMI to be considered obese:

Answer 12

85th -95th percentile

Question 13

How much daily activity is needed per day?

Answer 13

30-60 minutes

Question 14

Explain why folic acid is needed for pregnant women:

Answer 14

Decreases risk of spina bifida in infants

Question 15

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

Answer 15

Celiac disease

Question 16

How would you explain celiac disease to a parent?

Answer 16

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

Question 17

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

Answer 17

forever and ever and ever

Question 18

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?

Answer 18

Avoidant/Restrictive food intake disorder

Question 19

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

Answer 19

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

Question 20

Treatment planning for Anorexia would include:

Answer 20

Fix malnutrition

Question 21

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

Answer 21

Fat

Question 22

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…

Answer 22

Safety!!! ABUSE

Question 23

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

Answer 23

Factitious Disorder

Question 24

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

Answer 24

PAINT

Question 25

Ligaments

Answer 25

Bone to bone

Question 26

Tendons

Answer 26

Bone to muscles Stronger than bones

Question 27

Which cast is used for congential club foot? How long is it used for?

Answer 27

Ponseti Cast 3-4 years

Question 28

What are 3 teachings that you as a nurse will teach a parent about cast care?

Answer 28

Assess circulation Cast care (dry/ raise)

Question 29

What are causes of developmental dysplasia?

Answer 29

IU position breech maternal estrogen

Question 30

What is the treatment for dysplasia? Education:

Answer 30

Pavlik harness T-shirt under harness

Question 31

T or F The pavlik harness allows hip flexion and abduction.

Answer 31

True NOE EXTENSION OR ADDUCTION

Question 32

What are the stages of Legg-Calve Perthes?

Answer 32

1) avascular, asymptomatic 2) pain, limited ROM (deformity and fx) 3) reossification 4) necrosis

Question 33

After an XRAY reveals the femoral head displaced from the femoral neck. The nurse suspects which condition:

Answer 33

SCFE Slipped Capital Femoral Epiphysis

Question 34

What would a patient suffering from SCFE complain of?

Answer 34

pain in hip limited ROM inflamed edematous synovial membrain callous formation

Question 35

What are the categories and the degrees of scoliosis? Include their treatment

Answer 35

Mild 10-20 -> PT Moderate 20-40 ->brace Severe 40-50 -> spinal fusion

Question 36

Uneven shoulders, prominent scapula, truncal asymmetry and one sided rib hump are manifestations of:

Answer 36

Scoliosis

Question 37

Why is a PICC line needed for osteomyelitis?

Answer 37

IV antibiotics --> given 3-6w

Question 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:

Answer 38

Osteogenesis imperfecta

Question 39

What should a child with osteogenesis diet consist of?

Answer 39

High vitamin C, D, and calcium.

Question 40

What is the most important assessment when caring for fractures?

Answer 40

Circulatory

Question 41

Purpose of traction

Answer 41

Immobilization

Question 42

Craving for ice (PICA) can be associated with which deficiency?

Answer 42

Iron

Question 43

Ferrous sulfate is an indicated prescription when hgb/hct are which values?

Answer 43

HGB < 11.3g/dl HCT <34%

Question 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:

Answer 44

This is a normal finding of that medication.

Question 45

What are prevention techniques for sports injuries?

Answer 45

Warm up/cool down Correct techniques Gradual increase in time and intensity

Question 46

What organ is the first to clump resulting from a sickle cell crisis?

Answer 46

Spleen

Question 47

What three factors can prevent blood from further sickling?

Answer 47

Oxygenation, transfusion and hydration

Question 48

T or F A child with sickle cell receives the gene from one parent

Answer 48

False bitch HAHAHAHAH

Question 49

How long will a child with sickle cell be on Penicillin?

Answer 49

Until age 5

Question 50

What is Deferoxamine used for?

Answer 50

Iron overload

Question 51

What benefit does Hydroxyurea have for Sickle Cell patients?

Answer 51

Decreases production of abnormal cells.

Question 52

Deficiency of factor (a) VIII (b) IX (c) XI (d) vWF

Answer 52

HEMOPHILIA a is a b is b c is c d is Von willebrand

Question 53

A nurse would question which order for a patient with sickle cell? Hydroxyurea Oxygen Aspirin Transfusion Replacement factors

Answer 53

Aspirin

Question 54

What is the SA node?

Answer 54

Pacemaker of the heart

Question 55

After insertion of a PICC line, their cardiac monitor shows a arrhythmia. What happened

Answer 55

Well remember... You cannot tell NSR from a cardiac monitor IF EKG SHOWS ARRHYTHMIA Cath touching SA node

Question 56

What is cardiac output?

Answer 56

Blood ejected from LV each minute

Question 57

What is the difference between S1 and S2

Answer 57

S1 tricuspid and mitral S2 aortic and pulmonic

Question 58

Where do you assess heart rate for pediatric?

Answer 58

Apex

Question 59

What is the best placement for a blood pressure?

Answer 59

Right arm -- she said this like 20 times so remember this one

Question 60

What are (4) abnormal neurological assessment findings in infants?

Answer 60

Disinterest in feeds Weak suck Irritability Weak cry

Question 61

What two infant heart factors double at birth?

Answer 61

Metabolic rate and oxygen consumption

Question 62

When does the ductus arteriorsis close after birth?

Answer 62

10hr-21 days

Question 63

What are (3) interventions post operative cardiac cath?

Answer 63

Direct pressure 15 minutes after cath removal Supine positioning Dressing assessment

Question 64

CHF infant (3)

Answer 64

Tire easily and diaphoresis (with feeds) Mottling Weight loss/lack of wt gain

Question 65

CHF toddler/children (3)

Answer 65

Activity intolerance Dyspnea Peripheral edema

Question 66

CHF older children (3)

Answer 66

Edema Thready pulse Failure to thrive

Question 67

Pharmacology for CHF (3) With reasoning

Answer 67

Diuretics for fluid excretion ACE-I decrease BP/work of heart Digoxin which slows HR to increase cardiac filling time and contractility

Question 68

Atrial Septal Defect closure takes:

Answer 68

4 years

Question 69

Manifestations of Ventricular Septal Defect

Answer 69

CHF, pulm infection, failure to thrive

Question 70

Assessment of chest tube (3)

Answer 70

Crepitus -- bubbling under skin Vaseline gauze 2 hemostats

Question 71

What does patent ductus arteriosus sound like?

Answer 71

LOUD

Question 72

Medication for PDA in premature infants?

Answer 72

IV ibuprofen/indomethacin

Question 73

Manifestations of Coarctation of the Aorta

Answer 73

Cardiomegaly Low BP in legs high in arms -- pulse bounding upper, weak lower

Question 74

Manifestations of decreased pulmonary blood flow (3)

Answer 74

Polycythemia Risk thromboembolism No response to oxygen

Question 75

Pulmonary stenosis clinical therapy

Answer 75

Dilation by balloon valvuloplasty Lifelong infective endocarditis prophylaxis

Question 76

Tetralogy of Fallot (4)

Answer 76

Pulmonary stenosis Right V hypertrophy Overrriding aorta VSD

Question 77

What to do when tet spell epidose?

Answer 77

KNEE TO CHEST GO CRAZYYYYYYY SQUAT FOR YOUNGER KID THEN o2, mophine, BB, PRBC

Question 78

How to treat infective endocarditis:

Answer 78

antibiotics 4-8 weeks

Question 79

Two clinical manifestations of rheumatic fever:

Answer 79

postive strep A test elevated antistep-O titer

Question 80

Aimless movement and facial grimacing is considered what of rheumatic fever

Answer 80

Sydenham chorea

Question 81

What med to avoid with RHY?

Answer 81

Aspirin --> encephalopathy

Question 82

Acute febrile systemic vascular inflammatory illness:

Answer 82

Kawasaki

Question 83

Kawasaki Sx (4)

Answer 83

Fever >5 days Conjunctival hyperemia Dry, red lips Maculopapular rash

Question 84

What med reduces risk of coronary artery aneurysm in Kawasaki?

Answer 84

Immune Globulin

Question 85

SVT treatment

Answer 85

Vagal maneuvers or ( ice to face ) Cardioversion Adenosine Ablation

Question 86

Infection Conjunctivitis causes

Answer 86

Ophthalmia neonatrium from mom at birth --> prevented with erythromycin

Question 87

Bacterial Conjunctivitis symptoms

Answer 87

edema of eyelid, red, big lymph glands, purulent drainage

Question 88

Viral conjuctivitis

Answer 88

Herpes --> IV acyclovir

Question 89

Treating conjunctivits

Answer 89

CONTAGIOUS Antibiotics for 24hr

Question 90

Hyperopia

Answer 90

far sighted,

Question 91

myopia

Answer 91

near sighted

Question 92

Amblyopia

Answer 92

reduced vision of the eye

Question 93

Strabimus

Answer 93

lazy eye

Question 94

Clouding of lens

Answer 94

Cataracts

Question 95

Retinopathy of prematurity causes/treatment

Answer 95

Oxygen therapy!!! Respiratory distress Assisted ventilation TREAT WITH LASER

Question 96

Otitis Media

Answer 96

EAR INFECTION Pain during sleep

Question 97

Hearing impairment infant

Answer 97

no startle reflex

Question 98

Toddler hearing impairment

Answer 98

unintelligible speech

Question 99

School age hearing impairment

Answer 99

repeat instruction, inappropriate answers

Question 100

Epistaxis treatment

Answer 100

Upright with head forward Squeeze nares below nasal bone

Question 101

Nasopharyngitis

Answer 101

URI --> virus/bacteria s/sx viral sx

Question 102

T or F Antibiotic for viral NasoPharngitis

Answer 102

F only for bacteria bitch

Question 103

Pharyngitis sx/tx

Answer 103

HA, strep, abrupt onset, red pharynx, painful swallowing treat acetaminophen, soft food, cold food, ice chip

Question 104

Tonsilitis sx

Answer 104

frequent throat infections, persistent redness greater than 38.3c fever

Question 105

When is tonsillectomy recommended?

Answer 105

7 in 1 year 5 in 2 3 is 3

Question 106

Dental emergency you take the child to the hospital via car

Answer 106

EMS you stupid