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CPNRE chapter 8 - pediatric nursing Questions and Answers well Explained Latest 2024/2025 Update 100% Correct. $7.99   Add to cart

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CPNRE chapter 8 - pediatric nursing Questions and Answers well Explained Latest 2024/2025 Update 100% Correct.

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  • CPNRE Chapter 8 - Pediatric Nursing

omphalocele - abdominal organs protrude through opening in abdominal wall -keep omphalocele covered with sterile moist gauze until srugery where organs are returned back -post surgery mechanical ventilation, NG, parenteral nutrition kohlbergs theory of moral development - 1. preconventional -do...

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  • September 9, 2024
  • 45
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CPNRE chapter 8 - pediatric nursing
  • CPNRE chapter 8 - pediatric nursing
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CPNRE chapter 8 - pediatric nursing
omphalocele - abdominal organs protrude through opening in abdominal wall

-keep omphalocele covered with sterile moist gauze until srugery where organs are returned back

-post surgery mechanical ventilation, NG, parenteral nutrition



kohlbergs theory of moral development - 1. preconventional

-do what is right r/t fear of punishment

-do what is right for gains

2. conventional

-gain approval/avoid disapproval

3. post conventional

-do what is right even if against law bc law is restrictive

-achieve justice



erikson's theory of psychosocial development - 1. trust vs mistrust (birth-1)

-trust vs neglect

2. autonomy vs shame (1-3)

-independence vs things interfering with child feeling adequacy

3. initiative vs guilt (3-5)

-assert power by leading play vs

4. industry vs inferiority (6-11)

-sense of accomplishment vs failure

5. identify vs confusion (12-18)

-clarification of who you are vs failure of society to give define role

6. intimacy vs isolation (19-35)

-relationships vs isolation

7. generativity vs stagnation (35-50)

,-mentor vs self absorbed

8. ego integrity vs despair (50+)

-acceptance of life vs living in past



piagets theory of cognitive development - 1. sensorimotor (0-2)

-experience world through senses, actions, imitation

-object permanence & stranger anxiety

2. preoperational (2-6)

-words/images

-lack logical reasoning, magical thinking

-egocentric, pretend play

-non reversibility

3. concrete operational (7-11)

-logical thinking, consider other POV

4. formal operational (12-adult)

-abstract reasoning, logic, moral reasoning




cleft lip and palate - congenital split of the lip and roof of the mouth (cleft indicates a fissure)



cleft lip and palate symptoms - cleft lip

-notched vermilion border

-dental abnormalities

cleft palate

-midline/bilateral cleft

-extension from uvula, exposed nasal cavities



cleft lip and palate treatment - -surgery to repair lip at 3-6 months

,-surgery to repair palate at 1 year depending on size of child

-recurrent otitis media treated

-modified feeding techniques



gastroesophageal reflux - regurgitation of gastric contents into esophagus

-r/t emesis, failure to thrive, aspiration pneumonia, coughing, choking, dyspnea

-diagnosed by barium swallow, upper GI series, ultrasound, endoscopy



three primary functions of the family - 1. provide physical care (food, clothing, shelter, safety,
illness prevention

2. educating/training language, values, morals, education

3. protecting psychological/emotional health



gastroesophageal reflux symtoms - -emesis after meals

-hiccups

-reccurent otitis media from secretions pooled in nasopharynx

-irritability



gastroesophageal reflux treatment - -small frequent feedings

-protein content should be broken down

-infant in prone position with head elevated or ride side lying

-antacids, H2 receptor antagonists, mucosal protectants

-surgery (fundoplication) to prevent future reflex



hirschsprung disease - distention of lower colon r/t lack of nerve cells in colon wall

-diagnosed by barium enema, rectal biopsy



hirschsprung disease symptoms - -constipation

-lack of meconium in first 24 hours

, -abdominal distention

-bile stained mucus and emesis

-inadequate weight gain



hirschsprung disease treatment - -bowel resection with temp colostomy

-NG tube to low suction

-axillary temp not rectal

-NPO, IV fluids and electrolytes

-observe for rectal bleeding, abdominal distension




imperforate anus - a congenital defect in which the rectal opening is missing or blocked

-no stools in first 24hrs/cannot take rectal temp

-diagnosed by rectal exam, xray, endoscopy

-surgery to reconnect ends of rectum and form anal opening



esophageal atresia and trachesophageal fistula - -upper esophagus does not connect to lower

-lower esophagus connects to trachea via fistula

-diagnosed by NG tube down esophagus to test for patency



esophageal atresia and trachesophageal fistula symptoms - -excessive salivation/drooling

-coughing/choking during feedings

-regurgitation of feedings



esophageal atresia and trachesophageal fistula treatment - -NPO with IV fluids

-suctioning nose/mouth

-NG tube to drain mucus/fluid

-antibiotics for aspiration pneumonia

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