Pediatric Nursing Key Concepts

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Questions and Answers

Which of the following is NOT typically used to diagnose Autism Spectrum Disorder (ASD)?

  • Developmental history
  • Behavioral observation
  • Open heart surgery (correct)
  • Cognitive testing

Which of the following is a genetic risk factor for congenital heart defects?

  • Poor nutrition during pregnancy
  • Exposure to certain medications
  • Advanced maternal age
  • Sibling with congenital heart defect (correct)

What is a Tet spell (Tetralogy of Fallot spell)?

  • A cyanotic episode (correct)
  • A period of increased appetite
  • A rash
  • A seizure

What position is typically used during a Tet spell to help improve oxygenation?

<p>Squatting (B)</p>
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For a child with Failure to Thrive (FTT) and projectile vomiting, what is a priority nursing intervention?

<p>Prepare parents for possible surgery (C)</p>
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Which of the following is a risk factor for urinary tract infections (UTIs)?

<p>Being 2 years old (A)</p>
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A child with Hirschsprung's disease has a baseline distention and four loose stools, what should you do?

<p>Do not give and notify the provider (D)</p>
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A child with heart failure has a heart rate of 135 after digoxin administration. What is the correct action?

<p>Yes this is normal (B)</p>
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A child vomits after receiving a dose of Digoxin. What instruction should the parent receive?

<p>Monitor heart and give next dose normally. (D)</p>
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A child has hypoplastic left heart syndrome. Which statement is most accurate?

<p>The child will not need medication (D)</p>
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How should a new nurse assess a crying infant's heart?

<p>Have infant suck on a pacifier (A)</p>
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A parent has a child with GERD, what should the parent not do?

<p>Lay down right away after eating (A)</p>
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What type of referral is needed with cleft lip palate?

<p>Speech therapy (B)</p>
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What laboratory result would be expected from a kid with celiac disease?

<p>High iga (D)</p>
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What is a sign/symptom consistent with Hirschsprung's disease?

<p>Straining to defecate (D)</p>
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What medication is used as a diruetic in children?

<p>Furosemide (B)</p>
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What finding is consistent with a UTI?

<p>Urgency and frequency (A)</p>
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What is a priority assessment after cardiac catheterization?

<p>Bleeding (D)</p>
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What finding is associated with coarctation of the aorta?

<p>Weak femoral pulses (B)</p>
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What are the steps required for clean catch urine?

<p>Wash hands, wipe urethra, void in toilet, put on cap, send to lab (C)</p>
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Flashcards

What is a Tet spell?

Episodes of cyanosis in patients with congenital heart defects.

Intervention for FTT and projectile vomiting

Prepare parents for possible surgery; watch them feed, consider a feeding tube.

SATA obstructive conditions

Pulmonary atresia, pulmonary stenosis, aortic stenosis, and coarctation of aorta

S/S of Biliary Atresia

Jaundice, dark urine, light stool.

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Treatment for Kawasaki Disease

Aspirin and IVIG

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Symptom of PDA

Murmur

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Cause of Cardiogenic Shock

Disease and heart not functioning properly

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Lab result for kid with celiac

High IgA

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Tetralogy of Fallot (TET spell)

Knee-chest position

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Referral for cleft lip palate

Speech tehrapy for feeding

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Study Notes

  • Open heart surgery is NOT used to diagnose ASD (Autism Spectrum Disorder).
  • A sibling with a congenital heart defect is a genetic risk factor for congenital heart defects.
  • A "tet spell" is a cyanotic episode in patients with congenital heart defects.
  • When experiencing a "tet spell" the patient should squat.
  • If a child with Failure To Thrive (FTT) is experiencing projectile vomiting, priority intervention includes preparing the parents that the child will need surgery, watching them feed, and/or inserting a feeding tube.
  • Being two years old is a risk factor for UTI.
  • If a child with Hirschsprung's has baseline distention and four loose stools since yesterday, do not give MiraLAX and notify the provider.
  • Digoxin can be given if heart rate is approximately 135 bpm, this is normal.
  • If a child vomits digoxin, monitor heart rate and give the next dose normally.
  • A child with a left hypoplastic heart will likely not need medication after surgery.
  • New nurses should have an infant suck on a pacifier during auscultation to assess a crying infant.
  • To care for a child with GERD (Gastroesophageal Reflux Disease), do not have them lay down right after eating.
  • Cleft lip and palate require a speech therapy referral for feeding.
  • A high IgA lab result is indicative for a kid with celiac disease.
  • Straining to defecate and hard stools are consistent with Hirschsprung's disease.
  • Furosemide is a diuretic used in pediatrics for fluid overload management.
  • Penicillin is given for UTIs and appendicitis.
  • In a case study, frequent and urgent need to urinate but no ketones in urine is consistent with a UTI.
  • Immediately after lip/palate repair, place the patient in restraints.
  • After a cardiac catheterization, monitor for bleeding.
  • Weak femoral pulses are a finding with coarctation of the aorta.
  • GERD is visible through VSD and the Trendelenburg position for shock in a photo.
  • To collect a clean catch urine sample: Wash hands, wipe urethra, void in toilet, put on cap, and send to the lab.
  • Obstructive conditions: pulmonary atresia, pulmonary stenosis, aortic stenosis, and coarctation of the aorta.
  • S/S of dehydration: respirations of 28, heart rate of 135, and skin testing (crying and diarrhea were not).
  • S/S of biliary atresia: jaundice, dark urine, light stool, etc.
  • Immediately after birth, cover gastroschisis with sterile saline drape.
  • At 6 months old, use a catheter to catch catheterized urine.
  • Do not take bubble baths to prevent UTIs.
  • SOB indicator in nephrotic syndrome indicates a pulmonary embolism.
  • S/S of AKI (Acute Kidney Injury): edema, anemia, hyperkalemia, changes in LOC, and seizure.
  • Cardiogenic shock ensues when the disease and heart are not functioning properly.
  • Kidney transfusion is not expected in HUS (Hemolytic Uremic Syndrome).
  • Aspirin and IVIG is the treatment for Kawasaki disease.
  • Polyuria is absence of HSP (Henoch-Schönlein purpura).
  • Give oral rehydration solution when the patient is dehydrated.
  • A murmur is a symptom of PDA (patent ductus arteriosus).
  • Frothy, foaming urine that is not tea colored are S/S of proteinuria in nephrotic syndrome.
  • For a clean catch urine sample, wash hands, wipe urethra, voiding in the toilet, put on cap, and send sample to the lab.
  • Dark urine, jaundice, and light stool are Biliary Atresia symptoms.
  • Speech therapy is indicated for cleft lip and palate repair.
  • After lip/palate repair, place patient in restraints.
  • Hard stools and straining to defecate are symptoms consistennt with Hirschsprung.
  • High IgA is a lab result for someone with celiac.
  • Monitor the patient for bleeding when conducting an evaluation after a cardiac catheter.
  • Pulmonary embolism is an indicator for someone with nephrotic syndrome.
  • Give oral rehydration solution if the patient demonstrates dehydration.
  • Urinary catheterization is how to complete 6 month old urine collection.
  • Have infant suck on pacifier during auscultation to assess infant crying.
  • Do not lay down right after feeding when caring for GERD.
  • Squatting is a position to use when having a tet spell
  • After exacerbation can happens when infant or child cries, becomes upset, or is feeding, you immediately place them in KNEE CHEST position for tetralogy of Fallot (TET SPELL).
  • A hole in the wall that separates the 2 ventricles indicates location of VSD (Ventricular Septal Defect).
  • The Trendelenburg position is for shock.
  • Weak femoral pulses are a finding with coarctation of the aorta.

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