Pediatrics Part 3

Question 1

s/s of pyloric stenosis: (4)

Answer 1

Projectile vomiting
Very hungry
olive-shaped mass in epigastric region
obvious peristalsis

Question 2

pyloric stenosis dx:

Answer 2

pyloric ultrasound

Question 3

Tx for pyloric stenosis: (2)

Answer 3

hydration, surgery

Question 4

What is essential to monitor in this child? (3)

Answer 4

I’s and O’s
daily weight
urine specific gravity

Question 5

Intussesception s/s (6)

Answer 5

sudden onset
cramping
abdominal pain
inconsolability
drawing up knees
currant jelly stools

Question 6

dx for intussusception

Answer 6

barium enema

Question 7

Hirschsprung’s s/s (3)

Answer 7

constipation
abdominal distention
ribbon-like stools that have a foul smell

Question 8

treatment for intusseption:

Answer 8

multiple surgeries to give the surgeries time to heal

Question 9

imperforate anus=

Answer 9

no rectal opening, no meconium

Question 10

Treatment for inperforate anus:

Answer 10

surgery and post op colostomy bag.

Question 11

Celiac disease: intolerance to _____

Answer 11

gluten

Question 12

These patients cannot have:

Answer 12

Rye
Oats
Barley
Wheat

Question 13

These patients can have: (3)

Answer 13

Rice
Corn
Soy

Question 14

Dx of pediatric UTI:

Answer 14

Urine specimen

Question 15

Most accurate means of a urine specimen in kids:

Answer 15

catheterization

Question 16

Testicular torsion is a surgical _____

Answer 16

emergency

Question 17

peak onset of this condition is age ___

Answer 17

13

Question 18

if not dx’d in timely manner, testicular torsion can cause…

Answer 18

loss of testicles

Question 19

s/s of testicular torsion (4)

Answer 19

discoloration of testicles
unilateral pain of affected testicle
may have n/v
edema

Question 20

**When caring for a client with a hematologic d/o, always include ________ ________ as part of their plan of care.

Answer 20

pretective isolation

Question 21

s/s of sickle cell disease: (3)

Answer 21

pain in areas of involvement (clots)
anorexia
exercise intolerance

Question 22

tx for SCD: (6)

Answer 22

bed rest
*** HYDRATION***
analgesics
antibx
blood transfusions
O2

Question 23

when thinking of leukemia, always remember: (3)

Answer 23

immunosuppression, thrombocytopenia, anemia

Question 24

Wilm’s tumosr (nephroblastomas) are found where?

Answer 24

kidney

Question 25

most common presenting sign of wilm's tumor:

Answer 25

swelling or non-tender mass on one side of abdomen

Question 26

what do you NOT do to the abdomen if they have this?

Answer 26

palpate it.

Question 27

A disturbance of the ventricular circulation of the cerebral spinal fluid in the brain and an increase of cranial pressure is known as:

Answer 27

Hydocephalus

Question 28

s/s of hydrocephalus: (5)

Answer 28

``` buldging of the anterior fontanel dilated scelp veins depressed eyes irritability and changes in LOC high-pitched cry ```

Question 29

tx of hydrocephalus:

Answer 29

insertion of a VP shunt

Question 30

important assessments and positioning after insertion of a VP shunt: (4, including positioning)

Answer 30

measure the frontal occipital circumfrence fontanel and cranial suture line assessment temperature supine position

Question 31

what may be the first indicator of a siezure d/o in peds?

Answer 31

deterioration of school work

Question 32

simple partial seizure means:

Answer 32

without loss pf consciousness with various sensations

Question 33

complex partial means:

Answer 33

impaired consciousness and may be confused and unable to respond

Question 34

generalized seizure means:

Answer 34

loss of consciousness

Question 35

types of generalized seizures: (3)

Answer 35

tonic-clonic myoclonic absence (brief loss of consciousness)

Question 36

dx testing of seizure d/o: (4)

Answer 36

EEG, Ultrasound, CT/X-ray

Question 37

tx of seizures:

Answer 37

anticonvulsants

Question 38

how are pinworms spread?

Answer 38

hand to mouth

Question 39

dxing pinworms?

Answer 39

tape test in AM (when eggs are laid)

Question 40

name of virus that causes Mono:

Answer 40

epstein barr

Question 41

what can kids not do with Mono:

Answer 41

play sports-enlarged spleen.