peds againn

Question 1

cleft palaparte leads to diff in

Answer 1

sucking and feeding

Question 2

cleft palate surgery frame time

Answer 2

age 6-24 months

Question 3

post op interventions for cleft palate

Answer 3

-pharm and non pharm pain managementment (soothing)
-uncontrolled pain causes crying which stresses the surgical site and causes hemm
=poistion child upright, supine poistion after feedings
-elbow restraints
-DONT USE HARD OBJECTS SUCH AS UTENSILS, TONGUE DEPRESSORS, APCIFIFERS, STRAWS
-remove elbow restraints per policy

Question 4

pinworms spread by

Answer 4

inhaling or swllowing pinworm eggs which are found in food, drinks toys and linenes

Question 5

symtoms of pinworm

Answer 5

during nght, the pinwom lays thousands of micropscopic eggs around your anus and results in ANAL ITCHING and troubled sleep

Question 6

pinworm is treated with

Answer 6

antiparasticic medications

Question 7

tapeworm

Answer 7

poor appetite
inadq nutritents absopted
-weight loss

Question 8

tapeworm is transmitted from

Answer 8

ingestion of food cotaminated with feces or undercooked meat from an infectied animal

Question 9

ringworm

Answer 9

skin infection cause by fungus

Question 10

hook worm

Answer 10

blood sucking

causes intestinal bleeding and anemia

Question 11

scabies spread

Answer 11

highly contahious

direct person to person contact (nursing facility, day care, prision)

Question 12

symtoms of scabies

Answer 12

intense itching esp at night

Question 13

treatment for scabies

Answer 13

1-2 application of scabicide cream

• for infants and children, massge permethrin into all surface skins from head to feet and avoid eyes
• ALL PERSON IN CLOSE CONTACT should seek treatment

Question 14

to prevent reinfection of scabies

Answer 14

wash clothing and linens should be washed and dried on the hottest settings
-. Nonwashable belongings can be sealed in plastic bags for ≥3 days because scabies mites can survive away from skin for only 2-3 days. Fumigation of living areas is not necessary.

Question 15

epitaxis mangement

Answer 15

direct continous pressure for 10 mins to promote clot formation

• cold cloth or ice pack
• keep client quiet and calm
• treat at home unless breathing is impaired

Question 16

bowlegs resolves

Answer 16

common as they learn how t walk

rsolves by 18-24 months

Question 17

healthy infant finding of the chest

Answer 17

ular chest shape with the front-to-back (anteroposterior) diameter approximately equal to the side-to-side (lateral) diameter is an expected finding

Question 18

s3 heart sounds in indants and children

Answer 18

normal

Question 19

scolosis sis always

Answer 19

abnormal

Question 20

bacterial meningitis manesitiatations

Answer 20

fever or hypothermia
seizures
high pitched
poor feeding
bulging fontannele

Question 21

dental avulsion

Answer 21

permanent tooth sepearted from the mouth

Question 22

priority of dental avulsion

Answer 22

rinse and reinsert the tooth into gingical socket and gold it in place until stbalized by the dentisist

Question 23

reimplantation time period of dental avulsion

Answer 23

within 15 mins of injufry to reseatblish blood supply which increases the probability of the tooth survival

Question 24

if the tooth cannot be reinserted

Answer 24

it should be kept moist by submerging it in commerically perpared solution (hanks salt solution), or cold milk, sterile saline, ORRR as a last resport under the tongue

Question 25

do not do what to dental avulsion

Answer 25

scrubbing the root would damage it, so jus gently rinse with sterile saline or clean running water

Question 26

putting the tooth in water

Answer 26

hypotonic soultion | lyses the cells and kills the tooth

Question 27

wrapping the tooth in something

Answer 27

would dry it out

Question 28

first action with esophageal atresis

Answer 28

suction

Question 29

signs of boutlism

Answer 29

``` constipation diff feeding decreased head control dimished deep tendon reflexes -these require promtp intevention bc of resp failure ```

Question 30

celeiac diet education

Answer 30

- cleint need to be gluten free diet for the rest of their lives - eating even small amt of fluten will damage the vili even if they dont have sysmtoms - Deficient vitamins (mainly fat-soluble vitamins), iron, and folic acid should be replaced. - Processed foods (eg, chocolate candy, hot dogs) may contain "hidden" sources of gluten so READ THE LABEL

Question 31

never leave what clients alone

Answer 31

seizure

Question 32

varicella zoster lesiosn

Answer 32

prutitic and painful and fever

Question 33

supportive measures of varciella zoster

Answer 33

- cool oatmeal baths and topical antihistamines (diphrehdryamine) all to the lesions for itching - acetameinphen for pain or fever

Question 34

immunoscomprised clients are at risk (varicella)

Answer 34

severe disseminated varviella, pneumonia | and should recive antiviral thepu

Question 35

variceela vaccine in immuncomprised

Answer 35

cant get it bc it is live

Question 36

first intervention for hemophilia A

Answer 36

factor VII then CT

Question 37

hemopilia A clients with head injury are at risk for

Answer 37

intracrnial bleeding

Question 38

when intracranial or another form of bleeding suspected in hemophilia A

Answer 38

adm VIII bc body cannot form clot without it

Question 39

pyrloic stenosis symtom onset

Answer 39

3-5 2k | common in first bron boys and cause if unknown

Question 40

pyloric stenosis presents as

Answer 40

projectile vomiting followed by hunger, emsis is no bilious - poor weight gain and often drhydated (suken fontennel, decreased skin tugor, delayed cap refill) - amt milk consumed and tchnique such as adq burping should be assessed to ensure there is noe xcesive air swllowwoing or overfeedng - mebtalblic alkalosis

Question 41

hyperbiliruubemia

Answer 41

normal finding and not related to pyrloic stenosis

Question 42

in CF the thick mucus prevents what

Answer 42

prevents pancreatic enzymres from reaching small intestines--> resulting in malabsorption of cabs, fat and proteins and inability to absorb fat soluble vitamines (ADEK)

Question 43

gi symtoms of CF

Answer 43

-gas =abdominal crmaping -diagrea -steohrreathey are enteric coated -capsules can be sprinkled on applesauce, yogurt or acidic soft room temp foods -capsules should be swllowed whole and NOT BE CURSHED OR CHEWEDcurshed or chewed -dont take capsules with milk

Question 44

nutritional therpy for cystic fibroris

Answer 44

adm pancreatic enzyme with or before every meal or snakcs | -

Question 45

hirschprung disease clinical features (expected findings)

Answer 45

- bilious vomiting(green bike) - abdominal distention - failure to pass mcenoum for 24-48 hours - failure of the internal anal spinter to relax - sytmoms of distal intesintal obstruction

Question 46

ftal complication if hirschepsring

Answer 46

entercolitis (inflmmation of the colon)--->sepsis and death

Question 47

entercolotis signs

Answer 47

presents as fever, lethagy, explosvie foul smelling dirrhea, rapdily worsening abdominal distentioni