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Study for Peds Final

HOPE Center: Tami Cisneros

N425-PT Peds Final

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2.Also referred to as blue spells or tet spells; often seen in infants with tetralogy of Fallot.
4.Used in mild cases of hemophilia A, not routine, but helps the factor VIII they already have; given before dental or surgical procedures.
6.Elevation in level reflects ongoing inflammation.
10.Post op Nsg Interventions include daily wt, providing non-nutritive sucking during NGT feeding, & monitor for signs of feeding intolerance (ex: choking, spitting up, PNA).
12.This type of dehydration results from water loss in excess of electrolyte loss; it is the most dangerous & requires much more specific fluid therapy; plasma Na+ is >150mEq/L.
14.Post op complications for this procedure include small bowel obstruction, failure with continued GER, wrap hernia, retching, gas-bloat syndrome, & dumping syndrome.
19.This procedure is the operative choice in infants with TGA, VSD, & severe pulmonic stenosis; requires multiple conduit replacements as the child grows.
20.This medication is most effective when given 30 minutes before breakfast so that peak plasma concentrations occur with mealtime; it takes several days of administration before a steady state of acid suppression is achieved.
22.This staging tool indicates menarche at stage 4.
25.This test evaluates development in children ages 1 mo to 6 years; it evaluates the developmental level of gross & fine motor skills, social, & language skills.
26.This syndrome is an example of monosomy that is compatiblie with quasinormal life; Tx involves growth hormone and anabolic steriods (Sex Chromosome Aneuploid: 45, XO).
28.Causes of this condition include volume overload, decreased contractility, high cardiac output demands.
29.This type of failure to thrive (FTT) may be due to pyschosocial factors such as inadequate parental knowledge of nutrition.
31.Do not administer this vaccine if pt is allergic to neomycin or gelatin.
34.Degree of neurologic dysfunction is directly r/t the anatomic level of defect & thus the nerves involved.
36.Timing of suture release is before six months of age for best cosmetic & neurodevelopmental results
37.This "revised" criteria is used for Dx of an initial attack of rheumatic fever.
39.Infantile form appears as generalized, especially cheeks, scalp, trunk, & extensor surfaces of extremities; appearance of lesions: erythema, vesicles, papules, weeping, oozing, crusting, scaling, often symmetric.
40.Medication used to reduce afterload; the nurse should carefully monitor BP before & after dose administration, observe for symptoms of hypotension & serum electrolytes; pts will not need K+ supplements or spironolactone.
46.Tx consists of eliminating all milk- and lactose-containing foods, including breastmilk.
47.This peds pain scale is used to assess pain in infants & children ages 1 - 36 mos; criteria for assessment include verbal/vocal, body mvmt, facial, & response to touch on a scale of 0-3 in each category.
48.This medication may be used in addition to low-dose aspirin in the Tx of Kawasaki Disease for those children with giant aneurysms (> 8 mm).
49.Because visual axes are not parallel, brain receives two images, and amblyopia can result; Tx may involve occlusion therapy or surgery to increase visual stimulation to weaker eye.
51.Skin-level GT device is small, flexible, silicone; easy to care for, and is fully immersible in water.
53.If blood level of this heavy metal is > 10, reassess or rescreen in one year; if blood level is=/> 70, chelation therapy is given PO.
54.Clinical signs of this level of dehydration include pale skin, decreased skin elasticity, BP WNL, decreased urinary output, & dry mucous membranes; <50 mL/kg loss.
55.May present with referred pain around umbilicus, vomiting, diarrhea, & tenderness at the McBurney point.
56.Absence of ganglionic cells results in loss of rectosphincteric reflex & peristalsis in affected segment of colon.
57.Detects deficiencies of factors V, VII, X, and fibrinogen as well as prothrombin.
58.Sudden, aimless, irregular movements of the extremities with grimacing.
1.Rash appears 3-4 days after onset of fever & malaise, coryza, cough, Koplik spots; this stage begins as macropapular eruption on face, gradually spreading downward.
3.The diet for this metabolic disorder is especially difficult during adolescent years, but presents few problems during infancy (high-PRO foods are either eliminated or restricted to small amounts).
5.Clinical signs include projectile vomiting & olive-like mass to right of umbilicus, FTT, & dehydration.
7.Sx include circumoral pallor, & strawberry tongue (white & red).
8.Right to left shunt due to pulmonary vascular pressure; happens with pulmonary HTN.
9.E. coli is most common cause of this infection.
11.Normal finding is 1-120 Todd units; > 333 Todd units indicates recent infection in children.
13.Small frequent feedings of thickened formula & frequent burping are generally accepted as reasonable strategies to minimize reflux.
15.Blood test used to detect and/or Dx bacterial infectious disease, post op wound infections, & inflammatory disorders (ex: rheumatic fever).
16.Sx include triad of anemia, thrombocytopenia, and renal failure.
17.Nursing care includes minimizing tissue deoxygenation, promoting hydration, minmizing crises, and promoting supportive therapies.
18.This medication has a very narrow margin of safety between therapeutic, toxic, & lethal doses; common signs of toxicity include bradycardia, anorexia, n&v, diarrhea, & dysrhythmias; dosage must be calculated EXACTLY.
21.Teach parents of this baby to feed in an upright position & to burp more often. Post op: position on abdomen; may need elbow restraints.
23.This type of defect includes coarctation of the aorta, aortic stenosis, and pulmonic stenosis.
24.Painless hemorrhagic areas on the palms & soles; seen in bacterial endocarditis.
25.this immunization is given for the first time at age 2 mo.
27.This developmental stage is where you would find most school-age children according to Erikson.
30.Mesna minimizes risk of hemorrhagic cystitis caused by this drug.
32.Clinically similar to PNA; repeated episodes of this in pt with SCD may cause restrictive lung disease & pulmonary HTN.
33.In this type of hearing loss, the defect is not one of sound intensity and hearing aids are of less value.
35.Flagyl is drug of choice for Tx; prevention is most important: HANDWASHING.
38.Lab results show normal PT, but increased PTT.
40.Most children can eat a regular diet, but with sodium restrictions; Sx include periorbital edema (worse in a.m.), mild-moderate HTN, & dark-colored urine.
41.Tx directed toward relief of ventricular pressure, Tx of the cause of ventriculomegaly, Tx of associated complications, & management of problems r/t effect the disorder has on psychmotor development.
42.An aneuploid condition caused by presence of an extra chromosome, which is added to a given chromosome pair and results in a total number of 47 chromosomes per cell. Down syndrome is the most common human autosomal trisomy.
43.This classification of mental retardation has Intelligence Quoient of 36-49.
44.Post op instructions include avoiding straddle toys, tub baths (until stent removed), sandboxes, & swimming until allowed by surgeon.
45.Nursing care for this disease includes cardiac assessment, pain control. VS with IVIG Tx, tissue perfusion, fluid status, and emotional support. Delay MMR, Varicella, & Rotavirus after IVIG.
50.A collection of multiple primary malformations or defects all due to a single underlying cause (ex: Down syndrome and Marfan syndrome).
52.The Sx of this disease may be exacerbated by stress & anxiety; may require Tx with corticosteroids, aminosalicylates (ex: sulfasalazine, mesalamine), and/or methotrexate.

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