Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Pediatrics > GI PowerPoint > Flashcards

GI PowerPoint Flashcards

1
Q

is liver function mature at birth

A

no its immature

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

enzymes are deficient until when

A

4-6 mo

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

is abdominal distention common with infants

A

yes

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

is the stomach smaller at birth

A

yes
30 days ~ 90mL
1 year ~ 360mL

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

when do you develop control over swallowing

A

6 weeks

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

before 6 weeks swallowing is a

A

reflex
- suck, swallow, breathe

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

who has higher peristalsis infants or older child

A

newborn

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

why do newborns have higher peristalsis amounts

A

high metabolism

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

high peristalsis leads to

A

looser and more frequent stools

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

why do infants have regurgitation

A

cardiac sphincter is relaexed

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

when will the digestive process be completed

A

2nd year

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

will you always have cleft lip and palate or can it be separate

A

it can be separate or together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

cleft lip/palate defintion

A

failure of the maxillary process to fuse between 5 - 12 weeks gestation

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

cause of cleft lip/palate

A

unknown

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

cleft lip/palate surgery

A

done in phases
1. lip first to help with eating
2. palate second

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

the palate cannot be corrected until

A

they are able to eat not via a bottle
since the surgery is similar to a wisdom teeth

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

lip defect surgery age

A

3-5 mo

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

palate defect surgery age

A

12 mo

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

rule of 10 for cleft lip/palate

A

over 10 weeks
over 10lbs
hemoglobin over 10

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

Logan bow

A

little cage that protects the suture line and allows to heal

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

what is placed during a procedure of cleft lip/palate repair

A

NG/OG

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

complications of cleft lip/cleft palate

A

speech defects
dental problems
nasal defects
alteration of hearing
shock/guilt from parents

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

cleft lip/palate risks

A

aspiration
URI
OM

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

why is surgery for the palate done by 12 mo

A

decrease effect on speech development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
cleft lip/palate prognosis
good
26
ESSR
elevate/enlarge stimulate swallow rest
27
ESSR - elevate
sit up other wise milk goes into nose
28
ESSR - stimulate
cannot form own seals so stimulate tongue, push tongue down with nipple to attempt them to suck and then swallow and then rest
29
what type of feeding works well for CL/P
breastfeeding
30
pyloric stenosis age and race and gender
6-8 wks full tern caucasian male
31
pyloric stenosis defintion
partial obstruction of lumen of the stomach muscle becomes inflamed becoming edematous, narrowing of opening leading to complete obstruction
32
pyloric stenosis cause
unknown - maybe immature absent ganglion cells in pylorus, genetics
33
pyloric stenosis occurs between
stomach and duodenum
34
pyloric stenosis s/s
projective vomiting dehydration m alk failure to thrive
35
pyloric stenosis blood tests
dehydration electrolyte imbalance anemia
36
pyloric stenosis - olive sized bulge below the
right costal margin
37
pyloric stenosis - peristaltic waves
visible
38
pyloric stenosis - vomiting and when
projective during or shortly after eating
39
pyloric stenosis - after vomit
resumes eating
40
pyloric stenosis - weight gain or weight loss
poor weight gain weight loss
41
pyloric stenosis - malnutrition s/s?
yes
42
pyloric stenosis - irritible?
yes
43
pyloric stenosis - treatment surgery
pyloromyotomy
44
pyloromyotomy
release of muscles to allow the passage of food - laparoscopic
45
pyloromyotomy - post op
PO 4-6 hr small frequent feeding formula 24 hr monitor hydration prevent infection
46
intussusception defintion
telescoping or invagination of one proportion of intestine into another walls of the intestine rub together causing inflammation, edema, and decrease blood flow
47
intussusception - cause
unknown
48
intussusception - s/s
usually abrupt pain current jelly, blood and mucus, stools
49
intussusception - what part of intensive
large intestine, ascending colon at ileocecal valve
50
intussusception - complications
necrosis perforation peritonitis
51
intussusception - tx
barium enema will fix the telescoping
52
GERD
long term effect of GER for over a year
53
GER - three mechanisms
lower esophageal relaxation incompetent lower esophageal sphinceter anatomic disruption of esophagogastric junction
54
GER - increase indcience
premies, CP, BPD
55
GERrisk
aspiration resp illness color change during feeding
56
GER on probe you will see
inflammation of esophageal wall
57
GER pH probe
PH of 4 means acid contents
58
GER s/s
irritability vomiting wt loss recurrent pneumonia apnea coughing and wheezing
59
GER resolves by when in most infants
1 year
60
do we use H2 blockers
not for infant or young child
61
GER nursing consideration
upright 30 min after feeding small frequent feedings ~2 1/2-3 hr don't bounce around after eat change diaper before
62
GER surgical treatment
Nissen Fundoplication fundus is wrapped around the esophagus
63
omphalocele
congectinal defect, abdominal contents herniate through the umbilical cord
64
where are intestines grown and when do they migrate
outside the abdomen, 10 wks
65
omphalocele is it covered
yes by a sac
66
omphalocele - 80% have
cognetical abnormalities
67
difference between omphalocele and gastroschsis - sac - originated - repair - defect
omphalocele: sac gastroschsis: no sac omphalocele: originate in umbilical cord gastroschsis: right of umbilicus omphalocele:repair in 1 day gastroschisis: repair immediately omphalocele: congenital defect gastroschisis: defect of abdominal wall
68
gastroschisis
defect of the abdominal wall
69
gastroschisis location
right of umbilicus
70
gastroschisis membrane
no
71
gastroschisis how delivered
c section
72
what one is considered a sealed defect
omphalocele
73
nursing care for gastroschisis
protect the defect place in sterile, plastic bag
74
Hirschsprung disease/aganglionic megacolon defintion
congenital absence of ganglion cell in the distal bowel - absence of ganglion cells = no peristalsis
75
Hirschsprung disease/aganglionic megacolon - s/s
abdominal distention vomiting dehydration billious vomiting no mec passage within 24-36 hours
76
Hirschsprung disease/aganglionic megacolon - ABD XRAY
dissented bowel loops at site of defect
77
Hirschsprung disease/aganglionic megacolon - tx
surgery and pull defect out and attach healthy bowel to anus
78
intestinal parasitic disease - common causes
camping drinking untreated water exposire to pets, wildlife - uncovered sand box
79
intestinal parasitic disease - tx
antihelmintic/ antiparasite
80
intestinal parasitic disease - transmission
fecal oral
81
intestinal parasitic disease - nursing management
good hygiene - after tolitening and when handling food
82
intestinal parasitic disease - nursing education to parent
finish the prescription as directed - same as antibiotics
83
intestinal parasitic disease - etiology
eggs hatch in upper intestine, and mature and migrate to the colon and mate, migrate up and feed on intestinal content, live up to 2 weeks outside before entering body, lay eggs in anus
84
intestinal parasitic disease - s/s
itchy butt mild fever gastroenteritis diarrhea wt loss
85
intestinal parasitic disease - diagnostic test
stool sample
86
acute appendicitis
instructive disease, inflammation which worsens obstruction occurs where small meets large
87
acute appendicitis -s/s
referred pain mcburneys point guarding rigidity rebound tenderness
88
acute appendicitis - who has ruptured
less than 3
89
acute appendicitis - when do we do laparoscopic
want to treat infection before surgery to recovery faster
90
acute appendicitis - non rupture tx
antibiotics for 1 week and do blood work WBC >15 and bands
91
acute appendicitis - rupture tx
removal
92

Pediatrics (51 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions