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Why do children have more Respiratory infections? • Toddlers get more infections because they are around other kids, everything goes in their mouth, they share utensils/cups, they don’t wash their hands. Toddlers have shorter tracheas, larger tonsils, c€17,60
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Why do children have more Respiratory infections? • Toddlers get more infections because they are around other kids, everything goes in their mouth, they share utensils/cups, they don’t wash their hands. Toddlers have shorter tracheas, larger tonsils, c
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Why do children have more Respiratory infections?
• Toddlers get more infections because they are around other kids, everything goes in their mouth, they share utensils/cups, they don’t wash their hands. Toddlers have shorter tracheas, larger tonsils, can’t blow their noses.
Cardiac...
CHAMBERLAIN COLLEGE MATERNAL CHILD HEALTH OFFICIAL STUDY GUIDE – (FINAL
EXAM) ,2023.Qualified.Download to score A
.
Why do children have more Respiratory infections?
• Toddlers get more infections because they are around other kids, everything
goes in their mouth, they share utensils/cups, they don’t wash their hands.
Toddlers have shorter tracheas, larger tonsils, can’t blow their noses.
Cardiac – nursing interventions? Rest? And circulation – know the care of cardiac
Catheter.
Children admitted with Congestive heart failure – nursing interventions, management.
• Diagnostic Cath is done to see the severity and measure the pressure. The
younger the child the more necessary it is to use a femoral artery.
• Pre procedure- check for allergies to iodine or shellfish, NPO 4-6 hours before,
baseline vital signs, pre sedation
• Post procedure- cardiac monitoring, vital signs, lie flat for 4-8 hours, possible
restraint, check for bleeding, assess access site, pressure dressing, monitor for
pain, monitor I&O, encourage fluid intake to excrete dye, check pedal pulse if we
don’t feel we have a clot, if bleeding occurs hold pressure above the site.
• If bleeding lie flat, pressure above site, don’t remove the bandage. How would we
know
if there was a clot? Absence pulses distal, check pedal pulses
• Congestive Heart Failure- keep the child comfortable, give oxygen
Management- monitor vital signs, recognize signs and symptoms, uses and side
effects of medications(digoxin, Lasix, -prils).
Know Drugs usually seen in cardiac care – digoxin, Lasix, also steroids, as well as all
obstetrical drugs for antepartum care, postpartum issues.
• Betamethasone is a steroid that is given to help fetal lung maturity, given 24-34
weeks
for preterm labor
• Terbutaline is a tocolytic in treatment of preterm labor to stop uterine
contractions before 37 weeks. 3 times an hour, can cause cardiac issues
,CHAMBERLAIN COLLEGE MATERNAL CHILD HEALTH OFFICIAL STUDY GUIDE – (FINAL
EXAM) ,2023.Qualified.Download to score A
• Pitocin(Oxytocin)- uterine contraction stimulant, induces labor, strengthen
contractions, causes a hypoxic environment for the baby, give Pitocin on a pump
with a fetal monitor. We titrate it in labor, we let it free flow after birth to let the
uterus contract. If this
doesn’t work we try methergine, but its contraindicated in hypertension or
preeclamptic patient.
• Magnesium Sulfate- give 24hrs after baby is born, is a muscle relaxant for preterm
labor
and preeclampsia. 4g bolus and 2g maintenance.
• Cervical ripeners- Cervidil, help dilate the cervix
• Cytotec(Misoprostol)- stop post-partum hemorrhage
• Methylergonovine(Methergine)- prevention and control of post-partum
hemorrhage
• Hemabate(Carboprost)- reduces post-partum bleeding, has nasty side effects
Endocrine system – diabetes what is some of the symptoms? How is it managed?
• S/S of hypoglycemia- hunger, lightheadedness, shakiness, headache, irritability,
pale cool skin, diaphoresis
• S/S of hyperglycemia- thirst, polyuria, N/V, abdominal pain, skin is warm dry
and poor turgor, dry mucus membranes, confusion, weakness
• Education for diabetes- Nutrition, exercise and insulin.
GI system – diarrhea, dehydration, constipation – recognize symptoms of each and
management
• Dehydration s/s- Dry mucus membranes, poor skin turgor, sunken in fontanel.
• Dehydration is huge in children because they don’t tolerate a shift in fluids well.
Encourage fluids. Best way to find out output is daily weights. IV therapy is the
easiest way to replace fluids, PO pedialyte.
• We don’t want to stop diarrhea, because we want whatever is in the body to
pass. If
they are vomiting, we give them something to stop. NO NPO or clear liquid
diet, we don’t restrict foods in children, we let them eat or drink what they
, CHAMBERLAIN COLLEGE MATERNAL CHILD HEALTH OFFICIAL STUDY GUIDE – (FINAL
EXAM) ,2023.Qualified.Download to score A
want. Avoid fruit juice, avoid milk.
• Constipation- Children get busy playing and don’t want to stop to go to the
bathroom.
Have parents have a bowel program, making sure their kid goes poop at least
once a day. 49. Renal – concern failure – what type of dialysis? Common urinary issues,
presentations, causes,
treatment.
• Little girls get UTIs the most because of their smaller urethras. Children
are more prone to UTIs because of urinary retention.
• Limit bubble baths, sex after intercourse for adolescence, no douches or
powder. Encourage fluids, frequent and complete voiding, antibiotics as
needed, suggest cotton underwear, wipe from front to back.
• S/S- poor appetite, vomiting, increased thirst, enuresis, pallor, fatigue, blood
in urine
• Document each UTI. The more UTIs the child gets it can lead to retrograde in
the
kidneys, which can lead to renal strictures and renal damage.
50. MS system: recognize care of a sprain vs fracture – then think through all the
needs of the immobilized child. And why, and what are the nursing interventions?
Difference between sprains/ fractures and education for both.
• Sprain- stretching or tearing of ligaments
• Fracture- Assess pain, neuromuscular checks, stabilize the injured extremity
• RICE- Rest Ice Compression Elevate, every system is compromised by
immobilization
51. Immunocompromised or suppressed children – what are the risks? How do we prevent
risks?
• ALWAYS Wash hands
• S/S of infection in a child- fever, redness, streak in the skin, pulse may go up,
increased
pain, fatigue, LOC changes
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