FINAL Flashcards
(124 cards)
1
Q
When a child decompensates ventilation wise in the ER, what should you get ready to do?
A
Intubation
2
Q
Acute glomerulonephritis lab values
A
Decreased creatinine and BUN, protein in urine, Positive ASO titer
3
Q
What is Azotemia?
A
VERY high levels of blood in urine
4
Q
What does Sickle cell in a child cause?
A
hypoxemia, curved shaped cells not carrying O2
5
Q
What are Late symptoms of ICP?
A
dysaribit and deciborate position, pupil response
6
Q
What does Umbilical cord compression cause?
A
variable decelerations
7
Q
What causes Symptoms of Vomiting and severe stomach pain and what should you prepare for?
A
prepare for surgery, appendicitis
8
Q
What does a Rheumatic fever diagnosis cause and where does it come from?
A
Comes from strep, causes rash, myocarditis, subcutaneous nodules and corio.
9
Q
How do you calculate NAEGLES RULE
A
Add sevens days from first day of last period, subtract 3 months
10
Q
How to calculate percentage of weight loss?
A
weight loss divided by birthweight x 100
11
Q
How do you educate parents about Atrial septal defect in an infant about what the heart sounds like?
A
loud murmur (whoosh)
12
Q
Sign a child is bleeding after a tonsillectomy
A
swallowing a lot
13
Q
What infusion do you give for Nephrotic syndrome for plasma volume and to decrease edema?
A
Albumin
14
Q
What symptoms will a Newborn with esophageal atresia/ esophageal fistula have?
A
vomiting, excessive choking, coughing, cyanosis
15
Q
What are Rheumatic fever lab findings?
A
positive ASO titer, elevated ESR and CRP
16
Q
What is the Opening of meatus at top of penis?
A
Epispadias
17
Q
What is important to monitor for Placenta previa?
A
make sure patient does not hemorrhage
18
Q
Why do we offer sitz bath?
A
if they tore, no straining
19
Q
What should we prioritize for a Vasoocclusive (sickle cell) crisis?
A
Pain and hydration
20
Q
What does Strawberry tongue and palms and feet peeling indicate and what should be given?
A
Kawasaki disease give aspirin and gamma globulin
21
Q
What is a Sign of Acute glomerulonephritis in urine?
A
blood in urine
22
Q
What are Signs a child will show you that they are being mistreated
A
cry when parent comes
23
Q
What should be done Right after a baby is born?
A
dry them off, evaporation
24
Q
What is the Main concern for patient in labor?
A
pain
25
What is Epistaxis and what should be done?
nosebleed lean forward and pinch bridge of nose
26
What is an Assessment finding with intussusception?
abdominal pain with jelly like stool
27
Sickle cell crisis lab value to except
Decreased hemoglobin
28
A nurse is assessing a client with fishy odor and grey discharge- what is this?
Bacterial vaginosis
29
How long are antibiotics taken for myocarditis?
5 weeks
30
For Wilms tumor, what do you not want to do?
do not palpate the stomach
31
A Baby born 5 mins ago is cyanotic, tachypnea, tachycardic- what is this?
transposition of the great vessels
32
A Child is brought in from a house fire, what is the main priority?
airway
33
Where are Immunizations administered in an infant?
vastus lateralis
34
What Immunizations are administered during pregnancy?
tetanus, hep b, pertussis, diphtheria, flu
35
What lab value is low in a Severely dehydrated child?
low potassium
36
When a child is crying excessively and goes cyanotic what position should they be put in?
Knee-chest
37
Frequent swallowing after a TNA indicates what?
bleeding
38
Positive signs of a pregnancy
ultrasound, heart rate, feel the baby
39
When can a child go back to school after impetigo?
Stay home until crusted over
40
What is Hirschsprung disease?
lack of peristalsis in large intestine which can cause constipation and then a bowel obstruction
41
What is a Iron pill suppose to be taken with?
orange juice
42
What Heart defect has different blood pressures in upper and lower extremities?
coartation of the aoarta
43
What is done to test Hip dysplasia?
Ortolani maneuver
44
What is it when a Pregnant woman is a at risk for crackles in lung and shortness of breath?
cardiac decompensation
45
What should be used for Administration of albuterol?
spacer
46
What is a Hirschsprung’s disease diet
high protein, high calorie, low fiber
47
What is needed when your feeding a baby and it becomes cyanotic?
Stop feeding
48
What is needed when Moms blood type is O?
Needs rhogam
49
Heart cath assessment post op
circulation, bleeding, hematoma, apply pressure above it if bleeding
50
Teaching for parent with child with cystic fibrosis
chest physiotherapy, personal diet with pancreatic enzymes
51
What Vaccine protects kids from serious GI infection?
rotavirus
52
what Meds help prevent postpartum hemorrhage?
Oxytocin, misoprostol, hemabate
53
What should you Monitor bulimic patients for?
heart problems
54
What is a Sign a patient had preeclampsia?
hypertension
55
What is a Normal weight loss percentage for a newborn?
10
56
What are nursing interventions for when a patient is blind?
identify noises, describe placement of things, keep things in same spot
57
Bacterial meningitis cerebrospinal fluid
cloudy, elevated protein, decreased glucose
58
A newborn Weight is 4,660 g what is a concern?
diabetes, check glucose
59
What type of room should a RSV patient be in?
Private room
60
What is a Pyloric stenosis finding
projectile vomiting
61
What will help a 16 year old in hospital for surgery
interact with people same age
62
What should be done when Feeding a child with rsv?
low stimulating environment, pulse ox monitor, cluster care, small frequent feedings
63
Would you nasal suction a child with ICP
No it will cause more pressure
64
GERD position after feeding
upright
65
After an Epidural is administered what assessment should be done?
BP cause is can drop
66
How can you assure that breastfeeding is accurate?
6-8 wet diapers a day
67
What does a Anticholinergic do?
dilate bronchioles
68
Diaper rashes can be avoided by
use zinc barrier cream, change frequently, use disposable diapers
69
Ortolani sign is doing what with babies hips
outward movement
70
Lab finding that shows a UTI
WBC over 5,000
71
What restraints should be used after Cleft lip repair
elbow restraints
72
Leopold maneuver position
right sacral anterior
73
What should a Congenital heart defect reading be between?
between 3%
74
How can Pancreatic enzymes be taken?
can be taken whole or sprinkled on food
75
A spiral fracture can be an indication of what
Abuse
76
Word for breaking water and what to assess
amniotomy, assess heart rate
77
What type of Burn is pink and blistering
Partial thickness
78
What can To much digoxin and Lasix cause
low potassium
79
What is the purpose of amniotic fluid?
cushions the baby, helps baby grow, creates thermal environment
80
Signs of ADHD
distractibility, hyperactivity, inattentive, impulsivity
81
4 Modes of heat loss
convection, conduction, evaporation, radiation
82
When a Toddler burns their hand what do you do first
wash it with cool water
83
What is the most important instructions for poison ivy?
do not scratch
84
What defects are caused with Tetralogy of fallot
ventricular septal defect, overriding aorta, right ventricular hypertrophy
85
Where would burns be that indicates child abuse
both hands or feet would be brunt
86
What treatment is needed for a Barky cough, stridor, and retractions
Nebulizer
87
Signs of mag toxicity while in labor
absent deep tendon reflexes, decrease urine and RR
88
What is true about tubal ligation
highly unlikely to become pregnant again, use protection, not protected against STI
89
What should be done when the Fundus is deviated to the right with a boggy uterus
empty bladder
90
Nephrotic syndrome manifestations
generalized edema, dark urine with high protein
91
Cardiac encouragement
small frequent feedings, cluster care, hold the child
92
What is the infection that is caused by Bacteria with recurrent diaper
candida albicans
93
What is the Bishop score
if able to get an induction looking at cervix, Dilation effacement, station fetal presentation
94
Ischial spine level of baby
0
95
Priority finding for a Six year old with active seizure presenting to ED
weight
96
What must be done before giving IV immunoglobulin
check allergies, right dose, exp date, document make sure it isn’t cloudy, secure child's arm while infusing
97
Pregnant person lying flat on back symptom
Dizziness
98
Common physiological change during pregnancy
50% more cardiac output
99
What do true labor contractions feel like
first start in back then abdomen
100
What Inappropriate thing to not do for a client with placenta previa
Can not check cervix
101
Mom is concerned about Irregular mild contraction and has been cleaning all day, what do you tell her
Nesting about to go into labor, early signs of labor
102
What does a absent(passive) seizure look like
staring
103
When a shunt is placed on the right side, what side should the patient lay on
Left
104
When a patient presents with bradycardia and vomiting you should not administer this med
Digoxin
105
What kind of patient should you put in the same room with a leukemia patient
Nephrotic syndrome
106
Another name for pertussis
whooping cough
107
What can you give to a pt who just had a tonsillectomy
Ice chips
108
What is Maternal serum alpha protein test
Spinal defects
109
Most reliable contraceptive
IUD
110
What do you prepare for if the pt has a Saturated perineal pad before birth
prepare for c-section
111
What should the patient do before an amniocentesis
empty bladder
112
Danger symptoms of preeclampsia
blurred vision, upper right abdomen pain, headache
113
Before administering pain meds to a patient in labor what should you check
Check cervix
114
Mom expresses concerns about a 16 hour post partum baby, what is the best response
Well let's look at the baby
115
What is PKU
genetic digestive disorder, does not need under special lights
Can’t have —- ??
116
What should you always tell a pregnant patient to do
Drink water
117
Neonatal abstinence scoring orders
kangaroo-swaddling, morphine, continue scoring as prescribed, needs weaned off of scoring
118
Respiratory distress actions for baby
oxygen, surfactant, monitor O2, ABG
119
A pt is 28 wks pregnant with iron deficiency, what should they do
take iron, watch for kick counts/contractions signs of labor, hydrate
120
While doing the Assessment of a newborn one arm and both legs are flaccid what can this indicate
broken clavicle, more reflex is normal in a newborn
121
Reflex in newborn
Moro
122
What are normal findings of a child in resp distess
uncooperative/agitated nasal flaring retraction, remain in bed
it is normal for 200ml output
123
Indications of Coarctation of aorta and action to take
high bp-heart failure
Decompensating= intubate
digoxin
124
What does an amniotic fluid embolism do
Goes straight to moms heart and dies
