NURS 629 exam 4
Rovsing sign ans: apply pressure to lower left abdomen. Pain felt on right side of abdomen when pressure released.
+ Ant/ Post Drawer sign ans: assess for injury of ant/post cruciate ligament
Osgood- Schlatter disease ans: most common in later childhood and early adolescenc...
Rovsing sign ans: apply pressure to lower left abdomen. Pain felt on right side of abdomen when
pressure released.
+ Ant/ Post Drawer sign ans: assess for injury of ant/post cruciate ligament
Osgood- Schlatter disease ans: most common in later childhood and early adolescence. Painful swelling
and tenderness of tibial tuberosity. Most common in children in sports. *initial TX is stretching.
TX for sprained ankle ans: apply cold for 20 min, off for 20-45 min. Repeat 1st 24-48hrs. Rest, elevate,
compress (RICE)
Legg-calve perthes ans: idiopathic osteonecrosis of femoral head. 4x more common in males. Hip pain,
knee pain, painless limp that is worse at end of day. Frog leg xray best to diagnose.
Viral gastroenteritis ans: Most common complication is dehydration.Tx is small, frequent amounts of
oral rehydration solution.
BG for 4y/o ans: goal of 90-130
Suspected growth hormone deficiency ans: short, slow growth. Childlike faces with prominent forehead.
*Initial eval include TSH, BG (hypoglycemia), GI illness, CBC, sed rate, UA, growth factor.
Initial eval in cases of isolated menarche ans: *sexual abuse should be ruled out first
essentials for childs mental health ans: predictable home, childcare, school routines
Iron deficiency anemia ans: *Microcytic, hypochromic. Most common cause is poor dietary intake/
breastfeeding risk. Prevalence is 25% of children between ages 10-15 mos.
Depression risk factors ans: attention, conduct, learning disorders. Chronic illness (diabetes).
abuse/neglect. other trauma or natural disasters. *Separation anxiety.
PHQ9 ans: depression screening tool for ages 11 and up
signs of PTSD ans: re-experiencing trauma thru intrusive distressing recollections of event, flashbacks,
nightmares. Avoidance of places, people, and activities that are reminders of trauma, and emotional
numbness. Increased arousal such as difficulty sleeping and concentrating, feeling jumpy, easily irritated
and angered. *Extreme temper tantrums in preschool aged kids.
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