Pediatric Disorders Flashcards

(66 cards)

1
Q

Recite the vaccination rap (see word document)

A
can i get a Beat
2,4,6 and go
Be DR.HIP
DR.HIP
I Be DR.HIP
For 12 to 18 months i had MAAD HPV
4 to 6 years a Very DIM time for me
11 to 12 Tada He likes Men
at 16 was when he Married ben.
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2
Q

______is a virus that causes gastroenteritis . This disease causes severe watery ____, often with vomiting, fever, and abdominal pain. In babies and young children, it can lead to ______.

A
  • Rotavirus
  • Diarrhea (leading cause of diarrhea in children around the world)
  • Dehydration
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3
Q

_____ is a serious disease caused by a toxin (poison) made by _____. It causes a thick coating in the back of the ___ or _____ that makes it hard to ____ or ____. It can be _____.

A
  • Diphtheria
  • Bacteria
  • Nose or throat
  • Breathe or swallow
  • DEADLY
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4
Q

_____ AKA _____is a very serious respiratory (in the ____ and _____ ) infection caused by the _____bacteria. It causes violent coughing you can’t stop. Most harmful for _____ and can be ____.

A
  • Whooping cough AKA Pertussis
  • Lungs and breathing tubes
  • Pertussis bacteria
  • Young babies
  • DEADLY
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5
Q

The vaccine called ____ (Prevnar) protects against the _____ types that cause most of the severe illness in children. The vaccine can also help prevent some ______.

A
  • PCV13
  • 13 types of Pneumococcal bacteria
  • Ear infections
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6
Q

The pneumococcal polysaccharide vaccine protects against how many types of bacteria? What ages are this recommended for? What if cigarette use is involved?

A
  • 23 types of bacteria (Pneumovax)
  • Recommended for 65 and older, and 2 years and older at high risk for disease.
  • Also recommended for 19-64 if cigarettes are used
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7
Q

Poliomyelitis is a disease caused by _____. Can lead to lifelong ____ or even _____.

A
  • Polio virus
  • Paralysis
  • DEATH
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8
Q

what age can the first flu vaccination be administered? who is especially at danger if they contract the flu (3 answers)

A
  • 6 months

* Young children, anyone with asthma, diabetics

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9
Q

If a pregnant woman gets infected with this Virus it can cause serious birth defects? what is the vaccination for this?

A
  • Rubella

* MMR

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10
Q

Children who get the MMR vaccine that is combined with Varicella (chicken pox) vaccine between 12-23 months have a high risk of _____caused by _____.

A

*Seizures
*Caused by fever
(this is rare)

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11
Q

At what ages is it recommended that the HPV vaccine be given? How many doses and How far apart?

A
  • 11-12 years old

* 2 doses- 6 months apart

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12
Q

Teens and young adults who start the HPV series later, at ages ____ through ____, will continue to need ___ doses of HPV vaccine to protect against _____ causing HPV infection.

A
  • 15-26
  • Three doses
  • Cancer causing HPV infection
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13
Q

Both Cleft Lip/Palate are _____ anomalies resulting from failure of ____/____ structure to ___ during embryonic development.. The cause is? Are these isolated conditions?

A
  • Congenital
  • Tissue/bony structure
  • Fuse
  • Cause unknown, possibly environmental
  • Can be isolated or component of another disease/syndrome
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14
Q

About 50% of all clefts are what? Describe this type?

A
  • Cleft-lip palate

* Combo of both cleft lip and palate

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15
Q

Over exposure to radiation in the environment, which can lead to birth defects is due to what natural disaster?

A

Carol

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16
Q

Clefts are more common in ____ children with ethnic backgrounds of ___ and ____, and less common in ____.

A
  • Male children
  • Asians and American Indians
  • Less common in African Americans
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17
Q

Although causes for Clefts are unknown, what are some possible cause?

A
  • Deficiency in folic acid
  • Alcohol
  • Smoking
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18
Q

What 3 medications may contribute to Cleft disorders?

A
  • Accutane
  • Pheytoin
  • Topamax
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19
Q

5 complications that can come from Cleft disorders?

A
  • Breathing Issues
  • Feeding/swallowing problems
  • Repeat ear infections/hearing loss
  • Speech/Language delays
  • Dental problems
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20
Q

How does a nurse assess for a cleft palate?

A

*Can either be visualized or palpated with gloved finger if mild.

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21
Q

In cleft disorders, secondary to fluid in ____ ear, ear _____ inserted to alleviate _____.

A
  • Middle ear
  • Ear tubes
  • Fluid build up
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22
Q

What age can a cleft lip be repaired? What does the infant need to be free of in order for surgery to be performed?

A
  • At any age but usually done at 10-12 weeks old

* Oral, respiratory, systemic infections

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23
Q

In cleft disorders, nasal and maxillary processes fail to close around __-___ weeks after conception

A

*4-10 weeks

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24
Q

When is the cleft palate surgery postponed until? Why?

A
  • 6 to 18 months

* Allows for physiologic changes to take place first.

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25
POST OP CARE for Cleft surgery. * What restrictions is the child placed on? * Positioning for child? * How is the suture line kept in tact? * Interventions are geared towards what?
* NPO immediately after surgery * Placed on back or side * Logan bow or steri strips taped to face * Prevention of suture disruption
26
What is used for feeding of cleft client post operatively? What does it do?
* A special nipple known as a Breck feeder or Haberman feeder * Regulates the flow of formula into mouth
27
3 Interventions to avoid suture disruption in cleft surgery?
* No suctioning, straws, pacifiers * No breastfeeding (special nipple * Soft elbow restraints may be used for 2 to 3 weeks to prevent child from touching suture line
28
Extent of cleft palate can be seen when?
*During crying
29
Hydrocephalus is characterized by an imbalance between____production and absorption, resulting in enlarged ______ and an increase in ____. If left untreated, can lead to ______.
* CSF * ENLARGED VENTRICLES * INCREASED ICP * PERMANENT BRAIN DAMAGE
30
Hydrocephalus occurs before _____ start to fuse. When do these usually close?
* Cranial sutures/fontanels * Anterior fontanels close 12-14 months * posterior close around 4 months
31
Cause of hydrocephalus can be ____ or ____.
*congenital or acquired
32
Normal ICP for infants? Young children?
* 2-6 for infants | * 3-7 for young children
33
Arnold Chiari Malformation is a malformation of the brain, consisting of ______ displacement of the _____ _____. through the ____ ____. This causes _______ hydrocephalus as a result of the obstruction of the _____.
* Downward * Cerebellar tonsils * Foramen magnum * Non communicating * CSF
34
Hydrocephalus is often associated with ________, which should be observed for. What is this a type of and what occurs?
*Myelomeningocele *Type of spina bifida *Birth defect in which spinal canal and back bone do not close before birth. Visible outside of the body. (Most severe form)
35
What allergy is associated with Myelomeningocele?
Latex
36
Type of _____ where spinal cord is malformed but the spinal cord and nerves are normal.
*SB occulta
37
Type of ____ where the membrane that surrounds the spinal cord is enlarged, creating a mass.
Meningocele
38
4 S/S of SEVERE spina bifida?
* Visualization of myelomeningocele * Neurological deficits * Hip and joint deformities * Impaired bowl and bladder
39
4 S/S of moderate/mild spina bifida
* Visualization of meningocele or myelomeningocele * Weakness * Paralysis * Sensory loss
40
5 S/S of hydrocephalus
* SUNSETTING EYES (Downward deviation) * Rapid increase in head circumference * Vomiting * Lethargy/irritability * Seizures
41
Average size of newborn head circumference? How much larger is the head circumference than the chest circumference in a hydrocephalus client?
* 35 cm | * 6 cm or larger difference
42
Surgical Treatment for hydrocephalus is accomplished by removal of _____, or a shunt that provides primary ____ of the ___ from the ___. Called a ______ Shunt
* obstruction/tumor * Drainage of CSF * Ventricles * VP shunt
43
When can Spina Bifida be diagnosed prenatally?
*12-14 weeks prenatally
44
What Prenatal blood test can be done to determine if SPINA BIFIDA is present? What will it look like and why?
* Alpha-fetoprotein | * Increased value may signify Neural Tube defect (open neural defect leaks into amniotic fluid
45
What can be used to identify neurological structures inside the sac?
*MRI or CT scan
46
What can be taken by mother to help prevent spina bifida, and how much?
* Folic Acid | * 400 mcg
47
Besides folic acid, what are 4 other preventative measures that can be taken for spina bifida?
* GOOD NUTRITION * Decrease environmental factors * Decrease exposure to hyperthermia * If DM is present, have glucose carefully monitored.
48
What is the priority nursing concern for baby with spina bifida? (2 parts)
* Infection of Sac | * Prevention of injury
49
In spina bifida client, If sac ruptures and break, patient is at risk for what?
Meningitis
50
what are two types of medications that have links to the cause of spina bifida?
* anticonvulsants | * antipsychotics
51
What can be done to prevent infection in spina bifida client?
* Side lying position | * Sterile Gauze (prevent from drying)(no alcohol or iodine)
52
5 S/S of shunt malfunction or infection?
* Increased head circumference/Bulging fontanelle * Fever * Headache * Drowsiness * Convulsions
53
increase in number of cells/Increased mass
*Hyperplasia
54
increased size of the muscle cells.
*Hypertrophy
55
Pyloric stenosis Occurs when the circular muscle of the pylorus becomes _____, causing _____ of the pylorus and _____ of the _____ outlet. The enlarged size is a result of____ and _____.
* Thickened * Constriction * Obstruction of gastric outlet * Hypertrophy and Hyperplasia (note: this is right above duodenum)
56
When does pyloric stenosis usually present? Who is it more common in?
* 1-4 weeks of age | * More common in first born children and males.
57
Surgical treatment for pyloric stenosis: _____is performed to relieve the obstruction. An _____ is made along the _____ to split the ____.
* Pyloromyotomy * Incision * Anterior pylorus * Splits the muscle
58
5 classic S/S of pyloric stenosis?
* Projectile nonbilious vomiting * Fussiness(high pitched cry)/Constant hunger (weight loss) * Abdominal distention * Visible pyloric waves from LUQ to RUQ immediately before vomitting * Olive size nodule
59
With pyloric stenosis a palpable olive size nodule may be present where?
*RUQ
60
Signs of dehydration accompany _____ in pyloric stenosis. What are 4 signs of dehydration in an infant? What lab value may increase due to dehydration?
* Accompany vomitting * Sunken fontanels * Decreased urine output * Poor skin turgor * Dry mucous membranes * H/H
61
What two labs will be increased in pyloric stenosis? What 3 will be decreased? What does this signify?
* Increased Ph and Bicarb * Decreased Na, K, Cl * METABOLIC ALKALOSIS
62
Normal ranges for Ph? Bicarb? Na? K? CL?
* 7.35-7.45 (ph) * 22-26 (Bicarb) * 135-145 (Na) * 3.5-5 (K) * 96-106 (Cl)
63
Prior to surgery for pyloric stenosis an infant should be kept _____. Restore ____ with IV fluids. Check hydration status with ____ and ___. Maintain _____. Protect against _____.
* Kept NPO * Restore fluid and electrolytes * Check hydration status w/ I+O and specific gravity * Maintain NG tube * Protect against infection
64
Why is an NG tube used in Pyloric stenosis prior to surgery?
*Gastric lavage - stomach irrigation
65
Normal Specific gravity range? What does it mean if its low/high?
* 1.001-1.030 * Low means dilute urine (Kidney failure) * High means concentrated urine (Dehydration)
66
what can be offered by mouth post Pyloromyotomy? For how long?
* Clear liquids | * 4 to 6 hours post op (slowly and frequently)