Pediatrics Exam

Question 1

1. Why do Nurses tell Moms to talk to their Babies

Answer 1

Bonding

Question 2

How often do Healthy Infants gain weight

Answer 2

Monthly

Question 3

Factors of DUCTUS ARTERIOSIS

Answer 3

a. Every baby is born with a little hole in their ( This is a murmur)
b. It will close in the first 10-15 hours of life
c. It will permanently close in 3 weeks

Question 4

4. What is Patent Ductus Arterioisus (PDA)

Answer 4

a. When the “Hole” doesn’t close

b. This happens in the TOP of the heart

Question 5

5. The 4 Cardiac Defects are

Answer 5

a. Ventricular Septal Defect (VSD)
b. Atrial Septal Defect (ASD)
c. Patent Ductus Arteriosus (PDA)
d. Tetrology of Fallot (TOF)

Question 6

6. Select all that apply Question for Tet Spells (“To their Knees”)

Answer 6

a. Calm Child
b. Supplemental Oxygen
c. Morphine and Propanolol (A Beta-blocker)

Question 7

7. Clubbing is usually a late sign of what?

Answer 7

Tetrology of Fallot

Question 8

8. What must you have to get Rheumatic Fever

Answer 8

a. You must have a positive Strep virus to get Rheumatic Fever

Question 9

When is a good time to get good Heart and Lung assessment for an 8 month old?

Answer 9

a. When they are sleeping

Question 10

What can you not give with Reye Syndrome

Answer 10

Aspirin

Question 11

11. Why do you not give antibiotics for Croup?

Answer 11

a. Because Croup is viral and not bacterial and antibiotics should only be prescribed for bacterial issues

Question 12

S/S are Diuretic Rash, Vesicles…..

Answer 12

Varicella – Chicken Pox

Question 13

13. Position Babies should sleep in

Answer 13

a. Laying on Back – (Supine)

Question 14

14. Always Remember ABC’s when answering any question

Answer 14

a. Airway
b. Breathing
c. Circulation

Question 15

15. What Pain Scales are used for Infants and Toddlers

Answer 15

FLACC is the answer for Infants and Toddlers

Question 16

16. 9 mo. old w/ Acute Otitis Media

Answer 16

Infection –(Pulling at the Ears)

Question 17

17. Epiglotitis has almost been completely eradicated by what?

Answer 17

the HIB Vaccine

Question 18

18. In a case of Epiglotitis you would stage Oxygen and intubation tools

Answer 18

stage Oxygen in the room and intubation tools nearby

Question 19

What are two treatments for Croup

Answer 19

Humidity and Mist

Question 20

20. 4 Defects for Flow

Answer 20

a. VSD
b. TOF
c. PDA
d. ASD

Question 21

21. Treatment of GERD –

Answer 21

a. Upright
b. Burp
c. Thicken Formula w/ rice

Question 22

22. In Seizure patients - PRIORITY ONE

Answer 22

AIRWAY!!!!!

Question 23

What is not done for s seizure patient?

Answer 23

23. Nothing in the Mouth for a seizure Patient

Question 24

24. What do you do If your first measurement of the baby’s head puts you in the 95 percentile?

Answer 24

Re measure first

Question 25

What is the Cleft lip = Rule of 10’s

Answer 25

10 wks. 10 lbs. Hemoglobin > 10

Question 26

What Manifestations does a Diagnosis of Strep need?

Answer 26

Needs STREP plus Two Major manifestations -or- STREP plus One Major and two minor Manifestions MAJORS - Carditis, Polyarthritis, Chorea, Erythema Marginatum, Subcutaneous modes MINORS - Arthralgia, Fever, Prolonged Pand R wave intervals, Elevated ESR & CRP (Lab Work)

Question 27

S/S and Treatment of Hydrocephalus

Answer 27

Irritability, High pitched cry, Anterior Fontanel Bulge | VP Shunt from the Ventricle in the Brain to the peritoneal cavity

Question 28

What to say To the Mom whose baby has club Foot

Answer 28

a. Assure her that it is not her fault

Question 29

Is the Femur anterior to the Hip

Answer 29

Yes

Question 30

Recommended site to medicate for ages <3

Answer 30

Vastis Lateralis

Question 31

Part of treatment plan for Cleft Lip

Answer 31

Uses a Elbow Stabalizer

Question 32

What is an ENT

Answer 32

- Ottolaryngalogist

Question 33

Common side effect of Albuterol

Answer 33

34. Albuterol – Elevates all vitals

Question 34

The main outcome of a Tylonol Overdose

Answer 34

Liver Damage

Question 35

Two best Interventions for Lead Poisoning

Answer 35

36. Lead Poisoning Prevention and Education

Question 36

37. S/S are RLQ abdominal Pain w/ Nausea –

Answer 36

Appendicitis – Call 911

Question 37

38. Nursing Intervention for Acute Gloerulonephritus

Answer 37

– You want to weigh daily

Question 38

39. Nursing Intervenbtion for Nephrotic Syndrme

Answer 38

– No Salt added Diet

Question 39

Common reason for UTI in kids

Answer 39

Urinary Stasis – Holding their Pee

Question 40

Good Knowledge of Hydrocortisones

Answer 40

"A little goes a long way"

Question 41

One known fact of Cerebral Palsy

Answer 41

43. Cerebral Palsy – It is what it is.. It does not progress

Question 42

Is the statement "Infanst just need to maintain weight True?

Answer 42

Yes

Question 43

The question involves a 3 and under prone to choking –

Answer 43

Grapes is the answer . It is not Popcorn & nuts or Hard Candy or Hot dogs

Question 44

Figuring IV Maintenece

Answer 44

``` Weight in kg, then: -allow 100 mL/kg for the first 10 kg -allow 50/ mL/kg for the second 10 kg - allow 20 mL/kg for the remainder This will give a daily answer. Divide by 24 for the hourly and always round to whl. #'s ```

Question 45

Figuring Rehdration

Answer 45

Multiply Maintenance total time 1.5 and that is the daily volume needed to re-hydrate. This number divided by 24 is the hourly.