NR602 Midterm- My Study Set.
What is Tertiary Care of nursing - ANS tertiary care requires both specialized expertise and
equipment; and quaternary care requires highly specialized expertise and highly unusual or
specialized equipment
A child gets an animal bite. How should you treat the wound - ANS 1. Leave animal and human
bites open for healing by granulation
2. Administer tetanus booster and rabies prophylaxis if indicated
3. Using normal saline, irrigate the wounds using high pressure
4. Prescribe a 3- to 5-day course of prophylactic antibiotics
Prescribe a broad-spectrum antibiotic, such as amoxicillin clavulanate (first choice)
Treat penicillin-allergic individuals with an extended-spectrum cephalosporin or
trimethoprim-sulfamethoxazole plus clindamycin
What is the Rotavirus - ANS Rotavirus disease is common among infants and young children.
Rotavirus can cause severe watery diarrhea, vomiting, fever, and abdominal pain. Some
children with rotavirus disease lose a lot of fluids and become very dehydrated.
What is enterovirus? - ANS The red sores known as hand-foot-and-mouth disease usually go
away in 7 to 10 days
Symptoms of Enterovirus - ANS Muscle aches
Fever
Sore throat
Red sores known as hand-foot-and-mouth disease
What is a sprain? - ANS stretching or tearing of ligaments
What is patellofemoral pain syndrome? - ANS "Anterior knee pain" or "runner's knee". 3
categories; overuse, biomechanical, muscle dysfunction.
What is Osgood-Schlatter disease? - ANS common cause of knee pain in adolescent male
athletes
- periods of rapid growth in which the quadriceps tendon puts traction on the apophysis of the
tibial tubercle where the patellar tendon inserts
- traction apophysitis is worsened by sports that involve repetitive running, jumping, or kneeling
and improves with rest
DX: radiographic finding: anterior soft tissue swelling, lifting of tubercle from the shaft,
irregularity or fragmentation of the tubercle.
,PE: edema and tenderness over the tibial tubercle. may feel a mass because of heterotopic
bone formation. Pain reproduced by extending the knee against resistance
What is hydrocephalus? - ANS a condition in which fluid accumulates in the brain, typically in
young children, enlarging the head and sometimes causing brain damage.
What is cerebral palsy? - ANS A permanent impairment affecting automatic postural control and
movement as a result of a non-progressive brain disorder
symptoms of migraine headache - ANS dull to throbbing head pain
sensitivity to light, sound
nausea, vomiting
visual aura
Treatment for Migraine - ANS 1. Avoid Triggers (stress, foods, alcohol etc)
2. Take NSAIDs
3.*Triptans* if more severe
4. *Topiramate*
5. Follow-up 4-6 weeks if treating
6. AVOID Opioids
Secondary headaches - ANS Headaches caused by other illnesses as a symptom of another
problem.
Pathologic headache - ANS -Another disease is causing a headache
-Ex: HTN, hypothyroidism, and tumors
sickle cell disease - ANS Individuals who are homozygous for the gene controlling hemoglobin
S.
The disease is characterized by the destruction of red blood cells and by episodic blocking of
blood vessels by the adherence of sickle cells to the vascular endothelium.
sickle cell disease treatment - ANS •Symptom specific
•Prevention of infection
•Avoidance of temperature extremes
•Reduction in emotional and physical stress
•Drugs:
-Promote production of red blood cells with hemoglobin F
-Treatment of pain and infection
,atrial septal defect - ANS ASD; a hole in the atrial septum that causes blood in the RA and LA
to mix
atrial septal defect treatment - ANS May have spontaneous closure
If not closed by school age → repaired
Device closure - septal ocluder by catheter
Surgery - patch or stitches; Infection control for endocarditis after surgery
Medical management - symptomatic child;
Digoxin and diuretics
ventricular septal defect (VSD) - ANS a hole in the ventricular septum that causes blood to mix
between the RV and LV
treatment of ventricular septal defect - ANS 1. digoxin
2. diuretics
3. high calorie formula
4. surgical repair (open heart surgery) or pulmonary artery banding to decrease pulmonary
blood flow
*fluid restriction is rare
**watch for postop arrhythmia
Which region globally has the highest infant mortality rate? - ANS Sub Saharan Africa Correct
The primary care pediatric nurse practitioner understands that, to achieve the greatest
worldwide reduction in child mortality from pneumonia and diarrhea, which intervention is most
effective? - ANS C. Vaccinations
Which is true about the health status of children in the United States? - ANS Obesity rates
among 2to5yearolds have shown a recent significant decrease.
The primary care pediatric nurse practitioner understands that a major child health outcome
associated with worldwide climate change is - ANS nutrition.
When providing well child care for an infant in the first year of life, the primary care pediatric
nurse practitioner is adhering to the most recent American Academy of
PediatricsRecommendations for Preventive Pediatric Health Care guidelines by - ANS
scheduling wellbaby visits to coincide with key developmental milestones. Correct
A mother brings her 9 month infant in for a routine visit. What milestone would be appropriate
for the doctor to ask if - ANS Rolls back to stomach and stomach to back
A 5 day old infant comes in for a newborn checkup. On assessment of the newborn, you note
that the skin is jaundice in color. The anterior fontanel is slightly sunken. Per mom, the infant
has only had 2 diapers today. The infant is strictly breastfed and this is moms first child. She
, states baby is having trouble latching on. A bilirubin level is sent and comes back at 18. You
identify this newborn to be dehydrated and is most likely to have breast milk jaundice. Which
nursing intervention(s) will be required for this baby? - ANS 1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above
3. Apgar scores measure heart rate, respiratory rate, reflex irritability, color and : - ANS 2.
Muscle tone
A mother on the postpartum unit asked to have her infant back from the nursery so that she can
breastfeed. The nurse brings the newborn to the room and hands the baby to the mother. She
asks the mother to let her know how long the baby feeds. What vital step did the nurse forget to
take before giving the baby to the mother? - ANS 2. The nurse should have identified the babys
ID band with the mothers
Excessive heat loss results in which of these? - ANS Depletion of glucose levels
A mother has just delivered her new baby a few hours ago. She asks the nurse if she can bathe
the baby - ANS Its important that we not bathe the baby too soon after birth. Lets wait till later in
the day.
A 4 week old infant is brought to the ED. Mom states that the baby hasnt been eating well and
has had decreased diapers for 2 days. The baby has been sleeping more and has been hard to
wake up. On assessment, you find that the baby is difficult to arouse, is hypotonic and
temperature is 35.4 rectally. What is an important lab value to check? - ANS Blood glucose
A pregnant woman with a history of a clotting disorder is required to selfadminister heparin
during her pregnancy. After delivery, the infant will be at greater risk for - ANS Decrease
Vitamin K
A part of injury prevention is making and keeping infant appointments. The required checkups
and vaccinations are at: - ANS 2 months, 4 months, 6 month, 9 months and 1 year
You are taking care of an infant who was admitted with dehydration. His weight is 6kg. You have
been watching his I & Os. What would you expect the infants urinary output to be in order to
maintain adequate hydration? - ANS 13 ml/kg/hr
A mother brings her newborn daughter to the ER with concerns that she is having vaginal
bleeding. You know this is normal and called what? - ANS Pseudomenstruation
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