PEDS
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Questions and Answers

Which of the following is NOT a characteristic of a child with organic failure to thrive (FTT)?

  • May exhibit signs of abuse or neglect (correct)
  • May have a problem with suck swallow reflex
  • Experiences significant weight loss
  • Has cancer
  • What is the top factor associated with inorganic failure to thrive (FTT)?

  • Economics
  • Nutrition misinformation
  • Poverty (correct)
  • Abuse/Neglect
  • How should nutritional deficiencies be managed in a child with FTT?

  • Encourage force feeding to ensure adequate nutrition
  • Change feeding techniques frequently
  • Maintain strict records of intake and output
  • Increase calorie intake and add supplements to formula if necessary (correct)
  • Which sign or symptom is NOT typically associated with hydrocephalus?

    <p>Normal head size</p> Signup and view all the answers

    What is the primary strategy for parental teaching in managing FTT?

    <p>Encourage distraction-free feeding environment and avoid force feeding</p> Signup and view all the answers

    Which of the following behaviors is indicative of parental maladaptive behaviors towards an infant?

    <p>Not responding to the baby's cues and needs</p> Signup and view all the answers

    What should be avoided during parental teaching for a child with FTT?

    <p><strong>Force-feeding</strong> practices</p> Signup and view all the answers

    Which type of cerebral palsy is characterized by poor coordination and an unsteady gait?

    <p>Ataxic</p> Signup and view all the answers

    What is a common characteristic of spastic cerebral palsy?

    <p>Exaggeration of deep tendon reflexes</p> Signup and view all the answers

    Which intervention is recommended for a child with allergies to maintain a patent airway?

    <p>Administer corticosteroids nasal sprays</p> Signup and view all the answers

    What might be required for nutrition if a child with allergies and eczema has difficulty with oral intake?

    <p>Diet modification or G-tube placement</p> Signup and view all the answers

    Which type of cerebral palsy involves abnormal involuntary movements?

    <p>Athetoid/dyskinetic</p> Signup and view all the answers

    What is the main goal of interventions for a child with cerebral palsy?

    <p>Maximize the function they have</p> Signup and view all the answers

    Which type of cerebral palsy affects balance and depth perception?

    <p>Ataxic</p> Signup and view all the answers

    What is a common trigger for asthma exacerbation in children?

    <p>Dust</p> Signup and view all the answers

    What is the primary goal of colic interventions for infants with reflux?

    <p>Promote weight gain and decrease spit-up</p> Signup and view all the answers

    Which of the following is NOT mentioned as a risk of untreated infant reflux?

    <p>Increased risk of allergies</p> Signup and view all the answers

    What is a recommended step to prevent infection in patients with sickle cell disease?

    <p>Prophylactic penicillin</p> Signup and view all the answers

    What are some factors that can bring on a sickle cell crisis?

    <p>Stress, infection, excessive cold exposure</p> Signup and view all the answers

    What intervention is recommended for a child in acute sickle cell crisis?

    <p>Monitoring hemoglobin levels and providing blood products if necessary</p> Signup and view all the answers

    What are common triggers for a sickle cell crisis?

    <p>Dehydration, illness, excessive cold exposure</p> Signup and view all the answers

    What blood parameter is usually low in individuals experiencing a sickle cell crisis?

    <p>Hemoglobin</p> Signup and view all the answers

    What is the first intervention for a child with oxygen saturation at 85%?

    <p>Administer oxygen</p> Signup and view all the answers

    Why is it important not to avoid exercise for patients with asthma?

    <p>Exercise can improve lung function</p> Signup and view all the answers

    What is the purpose of using a spacer with a metered-dose inhaler?

    <p>To ensure proper inhalation technique</p> Signup and view all the answers

    Why is it crucial to clean a metered-dose inhaler with water after each use?

    <p>To prevent bacterial growth and infections</p> Signup and view all the answers

    What is the key reason behind avoiding high sodium intake for patients with cystic fibrosis?

    <p>To prevent seizures</p> Signup and view all the answers

    Why is it important to perform chest physiotherapy daily for a child with cystic fibrosis?

    <p>To decrease mucus buildup in the lungs</p> Signup and view all the answers

    What should be done first before pressing down on a metered-dose inhaler during inhalation?

    <p>Breath out completely</p> Signup and view all the answers

    What is the most common manifestation seen in patients with Acute lymphocytic leukemia?

    <p>Recurrent infections</p> Signup and view all the answers

    Which neoplastic disease is characterized by an often swollen or asymmetrical abdomen as one of its presenting symptoms?

    <p>Neuroblastoma</p> Signup and view all the answers

    What is a potential complication of chemotherapy in pediatric patients with cancer?

    <p>Mouth sores and decreased appetite</p> Signup and view all the answers

    Which type of leukemia is associated with elevated WBC counts and visual disturbances?

    <p>Acute myeloid leukemia</p> Signup and view all the answers

    What is the characteristic presentation of Retinoblastoma that aids in its diagnosis?

    <p>'Cat’s eye' reflex - whitewash glow on the affected eye</p> Signup and view all the answers

    In Wilms tumor, why is it advised not to palpate the abdomen of the child?

    <p>To avoid potential rupture of the tumor</p> Signup and view all the answers

    What symptom is commonly associated with Ewing Sarcoma as it progresses?

    <p>'Pain that progressively gets worse'</p> Signup and view all the answers

    Which of the following symptoms is NOT typically seen in children with Neuroblastoma?

    <p>'Swallowing difficulties'</p> Signup and view all the answers

    Which symptom can differentiate Acute lymphocytic leukemia from Acute myeloid leukemia?

    <p>Visual disturbance</p> Signup and view all the answers

    What is a common symptom seen in Brain tumors that is not typically seen in Neuroblastoma?

    <p>Behavior or personality changes</p> Signup and view all the answers

    Which symptom is a distinguishing feature of Osteosarcoma compared to Ewing Sarcoma?

    <p>Limitation of motion</p> Signup and view all the answers

    What symptom is unique to Rhabdomyosarcoma that is not typically seen in Wilms tumor?

    <p>Recent illness</p> Signup and view all the answers

    Which diagnostic test is specific for Retinoblastoma among the listed neoplastic diseases?

    <p>Cat’s eye reflex</p> Signup and view all the answers

    What distinguishes Neuroblastoma from other neoplastic diseases regarding diagnostic tests?

    <p>24 hr urine collection</p> Signup and view all the answers

    Which complication of chemotherapy is commonly seen in pediatric cancer patients with Wilms tumor?

    <p>Neutropenia</p> Signup and view all the answers

    What is a distinguishing feature of Ewing Sarcoma compared to Rhabdomyosarcoma?

    <p>Intermittent pain that progressively worsens</p> Signup and view all the answers

    Which symptom is unique to Neuroblastoma compared to other neoplastic diseases?

    <p>Swollen or asymmetrical abdomen</p> Signup and view all the answers

    What is a characteristic symptom seen in Brain tumors but not typically in Osteosarcoma?

    <p>Behavior or personality changes</p> Signup and view all the answers

    What symptom is common in Wilms tumor but not typically seen in Retinoblastoma?

    <p>Abdominal pain</p> Signup and view all the answers

    Which complication is specific to Acute chest syndrome in sickle cell disease and not associated with priapism?

    <p>Clot formation in lung vessels</p> Signup and view all the answers

    A nurse is caring for a child on the oncology unit. The child's parents are asking the nurse about the cancer diagnosis. Which of the following information should the nurse provide the parents about the most common malignant renal and intra-abdominal tumor of childhood?

    <p>Wilm's tumor</p> Signup and view all the answers

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