Pediatrics Part 2

Question 1

What type of infection are Down Sydrome children prone to developing? and why?

Answer 1

Respiratory. B/c they have a poor immune system.

Question 2

The mos common type of defect associtaed with Down Sydrome is

Answer 2

heart defects

Question 3

What kind of traight causes cystic fibrosis?

Answer 3

Inherited

Question 4

To have CF, one must recieve the trait from one parent or both?

Answer 4

Both

Question 5

Hallmark s/s

Answer 5

Thick, sticky secretions found in lungs and GI tract

Question 6

CF babies lose a lot of ____ through skin and is at risk for____.

Answer 6

Sodium, hyponatremia

Question 7

Dx test for CF:

Answer 7

Positive sweat chloride test

Question 8

CF babies will not have meconium, but will instead have ____ and ____stools.

Answer 8

fatty and frothy

Question 9

Which enzymes help improve digestion for CF patients?

Answer 9

Pancreatic

Question 10

When and how should pancreatic enzymes be given?

Answer 10

30 mins prior to eating; do not crush or chew

Question 11

What kind of diet will a CF patient need?

Answer 11

Low fat, high calorie, high protein

Question 12

CF patients require what percentage of the reccommended daily allowance?

Answer 12

150

Question 13

What kind of vitamins do CF patients need?

Answer 13

water-soluable (A, D, E, K)

Question 14

Lips turning blue when taking a bottle indicates:

Answer 14

Heart Failure

Question 15

What else could indicate HF in peds? (5)

Answer 15

increased pulse at rest
increased RR
scalp sweating
fatigue
sudden weight gain

Question 16

Treatment for HF in peds (7)

Answer 16

Ongoing lung sound assessment!!!
control room temp
sit them up
rest
decrease stimuli
cool, humidified 02
uninterrrupted sleep

Question 17

Infants rarely get more than ____ cc of Digoxin.

Answer 17

1

Question 18

When sould Digoxin be given in peds?

Answer 18

1 hour before meals and 2 hours after

Question 19

How should it be given?

Answer 19

DO NOT mix with meds, food, or fluid

Question 20

Always do what before gving Digoxin to pediatric client? (2)

Answer 20

Check the dose with another nurse

Check apical pulse for 1 full minute

Question 21

Pediatric clients with HF should be _____ _____ prior to eating

Answer 21

well rested

Question 22

Feeding schedule with HF child:

Answer 22

small, frequent feedings every 3 hours, no linger than 30 mins

Question 23

What kind of nipple should be used with HF babies?

Answer 23

soft with large opening

Question 24

HF pediatric patient do or do not require sodium and water restrictions?

Answer 24

do not due to decreased intake

Question 25

Rheumatic fever is caused by

Answer 25

Group A Beta Hemolytic strep

Question 26

Major clinical manifestation of rhematic fever

Answer 26

Carditis

Question 27

Therapeutic management of rhuematic fever

Answer 27

Penecillin G, or erythromycin if allergic to Pen G

Question 28

What arteries are most susceptible to inflammation due to Kawasaki disease?

Answer 28

Coronary

Question 29

Treatment for Kawasaki's (3)

Answer 29

High dise IV immune-globulin aspirin therapy quiet environment

Question 30

Top Nursing Diagnosis for Cleft LIP/Cleft Palate?

Answer 30

Alteration in Nutrition

Question 31

How do you feed a cleft lip/palate baby?

Answer 31

with an elongated nipple or medicine dropper downt the side of the mouth

Question 32

What is important to do with these babies considering the way the are fed?

Answer 32

burp frequently so that they will not swallow a lot of air

Question 33

Positioning after a cleft lip repair:

Answer 33

on back or side lying to protect the suture line (DO NOT place them prone)

Question 34

What do you clean the suture line with post-op?

Answer 34

Saline

Question 35

Positioning after cleft palate repair:

Answer 35

prone to promote drainage

Question 36

Avoid doing what after this surgery?

Answer 36

putting objects in their mouth (thermometers, etc)

Question 37

Diet post-op cleft palate repair?

Answer 37

soft until well healed

Question 38

What is common side effect of this surgery and when is the best time to do the surgery?

Answer 38

speech defects; before speech development

Question 39

What kind of restraints are used post op cleft palate repair?

Answer 39

elbow

Question 40

Positing of peds patients with GER, GERD? (2)

Answer 40

upright position with feedings and at night | 30 degree elevated prone postion to decrease reflux and increase stomach emptying

Question 41

What kind of feedings with GER, GERD?

Answer 41

small frequent feedings fo thickened formula

Question 42

Breast-feeding moms should pair their milk with ____ for thickening or provide more frequent feedings.

Answer 42

rice cereal

Question 43

Why do babies with esophageal atresia not have meconium?

Answer 43

They never swallowed amniotic fluid

Question 44

How are babies with esophageal atresia/ T-E fistula fed?

Answer 44

gastrostomy tubes

Question 45

T-E fistula: watch for..? (3 C'S)

Answer 45

coughing choking cyanosis (all especially while drinking)

Question 46

The first feeding with EA/T-E Fistula needs to be _____. (Which consists of two things)

Answer 46

sterile | water or breastmilk

Question 47

Top nursing dagnosis for EA/T-E fistula is:

Answer 47

Potential for aspiration

Question 48

What is a clue that a fetus has EA/T-E fistula or any GI problem before delivery?

Answer 48

Maternal polyhydramnios (excessive amniotic fluid-due to infant not swallowing any)