NUR 106 - Module G2: Pediatric
Growth & Development, Nursing
Sciences EAQ, Theory &
Communication | SBU Nursing Guide
1.Saddle Nose
2.Inner epicanthic folds
3.Transverse palmar crease
Children with Down syndrome have a broad nose with a depressed bridge
(saddle nose), as well as inner epica...
NUR 106 - Module G2: Pediatric
Growth & Development, Nursing
Sciences EAQ, Theory &
Communication | SBU Nursing Guide
1.Saddle Nose
2.Inner epicanthic folds
3.Transverse palmar crease
Children with Down syndrome have a broad nose with a depressed bridge
(saddle nose), as well as inner epicanthic folds, and oblique palpebral fissures;
they also have speckling of the iris (Brushfield spots). Children with Down
syndrome have a transverse palmar crease (simian crease) formed by fusion of
the proximal and distal palmar creases. These children also have broad, short,
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stubby hands and feet. Children with Down syndrome have hypotonic, not
hypertonic, musculature. - -A 12-year-old child with Down syndrome is
admitted to the hospital for intravenous antibiotics for pneumonia. Which clinical
findings associated with Down syndrome should the nurse expect when
performing a physical assessment? Select all that apply.
Obesity is a common nutritional problem of children with Down syndrome. It is
thought to be related to excessive caloric intake and impaired growth. Rickets is
a nutritional disorder related to vitamin D deficiency; it is usually not encountered
in these children. Anemia is the most common nutritional problem in children with
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iron deficiency. Rumination is an eating disorder of infancy characterized by
repeated regurgitation without a gastrointestinal illness. - -A nurse plans to
,discuss childhood nutrition with a group of parents whose children have Down
syndrome in an attempt to minimize a common nutritional problem. What
problem should be addressed?
1.Rickets
2.Obesity
3.Anemia
4.Rumination
3. One eye moves inward
An inward moving eye (tropia) is one form of strabismus. A drooping eyelid is
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called ptosis; it may be congenital or caused by trauma. Cloudy eyes are
associated with congenital cataracts. Blinking may be a tic. - -The mother of
a 2-year-old child tells the nurse that she is concerned about her child's vision.
What behavior when the child is tired leads the nurse to suspect strabismus?
1. Complete the entire course of antibiotic therapy
Once antibiotics therapy is initiated, the antibiotics start to destroy specific
bacterial infections that the health care provider is trying to treat. Antibiotic
therapy takes a specific dose and number of days to completely eliminate the
bacteria. If the caregivers start a dose and stop it before the course is complete,
the remaining bacteria has a chance to grow again, become resistant to antibiotic
treatment, and multiply. The nurse should not discourage use of herbal fever
remedies; however the herbal treatment should be reviewed to see if it is
contraindicated. Ampicillin should be taken 1 to 2 hours after meals. Antibiotic
therapy should be completed as prescribed.
,View Topics - ✅✅ -A child is being treated with oral ampicillin (Omnipen) for
otitis media. What should be included in the discharge instructions that the nurse
provides to the parents of the client?
1. Complete the entire course of antibiotic therapy.
2. Herbal fever remedies are highly discouraged.
3.Administer the medication with meals.
4.Stop the antibiotic therapy when the child no longer has a fever.
2. Structural differences b/w Eustachian tubes of younger and older children.
The eustachian tube in young children is shorter and wider, allowing a reflux of
nasopharyngeal secretions. Immunological differences are not a factor in the
development of otitis media. There is no difference in the function of the
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eustachian tube among age groups. The size of the middle ear does not play a
role in the occurrence of otitis media in young children. - -The parents of an
18-month-old toddler are anxious to know why their child has experienced
several episodes of acute otitis media. What should the nurse explain to the
parents about why toddlers are prone to middle ear infections?
1.Immunological differences between adults and young children
2.Structural differences between eustachian tubes of younger and older children
3.Functional differences between eustachian tubes of younger and older children
4.Circumference differences between middle ear cavity size of adults and young
children
1, 4 & 5
A cast is not flexible and can inhibit circulation. Cold toes, loss of sensation in
toes, pain, and inability to move the toes should be reported immediately. A
tingling sensation in the foot may indicate excessive pressure on the nerves and
circulatory system in the casted extremity. A fiberglass cast dries within minutes;
if it remains damp, it should be reported before 4 hours have elapsed. Increased
urine output is not significant; it may be related to increased fluid intake. The
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expected pulse rate for a 9-year-old child ranges from 70 to 110 beats/min. -
-A 9-year-old child has a fractured tibia, and a full leg cast is applied. Which
, assessment findings should the nurse immediately report to the health care
provider? Select all that apply.
1. Inability to move the toes
2.Increased urine output
3.Pedal pulse of 90 beats/min
4.Tingling sensation in the foot
5.Fiberglass cast that is damp after 4 hours
1. The knees are more mobile.
The exercises are done to preserve function by mobilizing restricted joints.
Circulation is not affected by the arthritic process. Exercises are done to restore
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joint function; they do not necessarily relieve pain. Exercise does not affect the
subcutaneous nodules in the joints. - -A nurse is helping a 7-year-old child
with juvenile idiopathic arthritis (JIA) perform range-of-motion exercises. What
outcome indicates that the exercises have been effective?
1.The knees are more mobile.
2.The pedal pulses become stronger.
3.Subcutaneous nodules at the joints recede.
4.The child states that the pain is diminished.
4. 7.20 and 460 mg/dL
A pH of 7.20 and blood glucose level of 460 mg/dL are expected values in
ketoacidosis; the pH of 7.20 indicates acidosis (metabolic) and the blood glucose
level of 460 mg/dL is higher than the expected range of 90 to 110 mg/dL.
Although the blood pH of 7.20 indicates acidosis, the blood glucose of 60 mg/dL
is less than the expected range of 90 to 110 mg/dL, indicating hypoglycemia
rather than hyperglycemia. Neither the pH of 7.50 nor the blood glucose value of
60 mg/dL is expected with ketoacidosis; with ketoacidosis, the pH is decreased
and the blood glucose level is increased. Although the blood glucose is increased
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with ketoacidosis, the pH is decreased, not increased; a pH of 7.50 indicates
alkalosis. - -A 9-year-old child who has had type 1 diabetes for several
years is brought to the emergency department of a community hospital. The child
is exhibiting deep, rapid respirations; flushed, dry cheeks; abdominal pain with
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